Group #1: Jamie Newman (USA); Guilherme Barcellos (Brazil); Andrés Aizman (Chile); Fernando Rivera (USA); Luiz Rojas Orellana (Chile); Neil Winawer (USA); Esteban Gandara (Canada); Jairo Roa (Colombia)

Group#2 (2010-now): Guilherme Barcellos (Brazil); Jamie Newman (USA); Andrés Aizman (Chile); Daniel Grassi (Argentina); Fernando Rivera (USA); Luiz Rojas Orellana (Chile); Roberto Daniel Martinez (Argentina); Lucas Zambon (Brazil); Neil Winawer (USA); Esteban Gandara (Canada); Fabiana Rolla (Brazil)

Wednesday, March 30, 2011

Save the Date: PASHA Meeting with Bob Wachter - WAITING FOR A NEW DATE

Reflections on the Hospitalist Field on its 15th Birthday with...

the 'father' of hospitalist medicine
Robert M. Wachter, MD, professor and associate chair of the Department of Medicine at UCSF, was recently named the tenth most influential physician-executive in the United States by Modern Physician magazine.

Readers voted for one of 100 physician executives who made up the final ballot, with the 50 physicians who received the most votes making the final list. The ranking was determined by the number of votes received.

Wachter’s tenth-place ranking puts him in good company. Others in the top ten include the national coordinator of the health information technology office, the directors of the Food and Drug Administration, Agency for Healthcare Research and Quality, National Institutes of Health, Centers for Disease Control and Prevention and Joint Commission and the US Surgeon General – all individuals controlling large national organizations. In fact, Wachter’s ranking at number 10 marks him as the most influential academic physician in the country for the third consecutive year.

A national leader in the fields of patient safety and health care quality, Wachter wears many hats at UCSF. He is professor and chief of the Division of Hospital Medicine at UCSF, where he holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine and serves as chief of the Medical Service at UCSF Medical Center.

This is Wachter’s fourth time in the top 50 of the nation’s top physician executives. His previous high point was No. 19 in 2008.

Wacther has published more than 200 articles and six books in the fields of quality, safety, and health policy. He coined the term “hospitalist” in a 1996 New England Journal of Medicine article, and is past president of the Society of Hospital Medicine. He is generally considered the “father” of the hospitalist field, the fastest growing specialty in the history of modern medicine.

Wachter is editor of AHRQ WebM&M, a case-based patient safety journal on the web, and AHRQ Patient Safety Network (PSNet), the leading federal patient safety portal. Together, the sites receive nearly two million visitors a year.

He has written two bestselling books on patient safety: Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes (Rugged Land, 2004), and Understanding Patient Safety (McGraw-Hill, 2008).

Wachter is widely sought out by the media. He has discussed patient safety and quality on “Good Morning America”, PBS’s “NewsHour,” and NPR’s “Talk of the Nation,” and has been quoted in virtually every major newspaper and newsmagazine.

He received one of the 2004 John M. Eisenberg Awards, the nation’s top honor in patient safety. Wachter is a member of the Board of Directors of the American Board of Internal Medicine and has served on the health care advisory boards of several companies, including Google and Epocrates. His blog, Wachter’s World, is one of the nation’s most popular health care blogs.

Friday, March 25, 2011

PASHA Meeting with Phil Wells - April 7, 2011

We will connect with colleagues around the world and we wait at least 200 people togheter, learning and sharing experiences.

Web-meeting with Phil Wells, Professor of Medicine and Canada Research Chair who has been performing research in venous thromboembolic diseases for over a decade now. His most significant contributions have been in the areas of (a) diagnosis of pulmonary embolism and deep vein thrombosis, (b) treatment and (c) meta-analysis.

We are going to discuss the following topics:
What clinical rule to diagnose PE in hospitalized patients?
Is there any role for D-dimer?
CT scan or V/Q scan which one is better?
Sub-segmental PE, is it a false positive? What should we do?
Thrombolysis to whom? Do we need troponin and echocardiogram?
Outpatient treatment, what does he hospitalist need to know?
New drugs, the end of warfarin?

Coordination: Esteban Gandara (Canada), Jamie Newman (USA) and Guilherme Brauner Barcellos (Brazil)

Support: Ottawa Hospital-Ottawa Hospital Research Institute

Where to be togheter and watch the expert online? Select the place next to you and join us:

Phil Weels will be in Ottawa, Canada with Esteban Gandara - 3:00pm (Ottawa time)

Vancouver. Contact: David Wilton, Canadian Society of Hospital Medicine

Hospital Universitario Austral, Buenos Aires, Argentina. Contact: Sebastian Sevilla

Pontificia Universidad Católica de Chile, Hospital Clínico UC, Santiago. Contact: Luis Rojas Orellana

Several places in Brazil will be available. Information at

What Time Is It Around The World Right Now?
We are preparing a great surprise for the next event. We desire participants of others countries, mainly of those where the Hospital Medicine is starting. Contact:

Wednesday, March 23, 2011

South American Hospitalist Survey

PASHA members are trying to get information about the reality of Hospitalists in South America.
This kind of information would let us know where we are now and what are the principal needs of Hospitalists in our region.
It would also help us to build a "hospitalist panamerican network" to join our efforts.
The Survey is a "5 minutes questionare" that you can fill in this link:


Other Countries:

Thanks a lot for your Help.

Andrés Aizman.
PASHA´s Vice President.

Friday, March 18, 2011

Patient Safety

Guest: Dr. Robert Wachter, MD, chief of the Medical Service and chair of the Patient Safety Committee at UCSF Medical Center.

Listen and comment!

Pageviews by Countries (2010 November – 2011 March) and Most Popular Posts

Brazil -------------------- 59,8%

United States -------------------- 23,5%

Canada --------------------  6,6%

Argentina -------------------- 4,4%

Australia -------------------- 1,4%

Others* -------------------- 4,3%

* Spain, Chile, Singapore, Germany, France, United Kingdom, Russia, Iran, Indonesia

Hi everyone, let us know what you think. We would like to hear from you!

Top 5 Posts
1. Save de date: April 7, 2011 - PASHA Meeting with Phil Wells
2. Jamie speaks about Pan American Hospital Medicine
3. Must a hospitalist abandon all the ambulatorial practice?
4. Will we be replaced by hospitalist “midlevel” providers?
5. What's a hospitalist?

Wednesday, March 16, 2011

Outcomes of a hospitalist model in Singapore

The aim of the study was to assess a newly introduced hospitalist care model in a Singapore hospital. Clinical outcomes of the family medicine hospitalists program were compared with the traditional specialists-based model using the hospital's administrative database.

The family medicine hospitalist model was associated with reductions in hospital LOS and cost of care without adversely affecting mortality or 30-day all-cause readmission rate. These findings suggest that the hospitalist care model can be adapted for health systems outside North America and may produce similar beneficial effects in care efficiency and cost savings.

Monday, March 14, 2011

An interview with the 'father' of hospitalist medicine

Partners: Early on there was clearly some resistance to the concept of hospital medicine from other internists and other specialties. Do you find that is still the case today?

Wachter: Sure, and I actually would have been disappointed in my field had there not been. In order to achieve the advantages of having a hospitalist — and those advantages really are focused practice where this person becomes an expert in the management of sick hospitalized patients, available throughout the day and often the night, with on-site presence, and a level of coordination of hospital care that can’t be achieved by a primary care doctor trying to manage a hospitalized patient — in order to achieve those advantages there is a cost. That cost is a purposeful discontinuity of care, with the primary care doctor no longer maintaining the responsibility to manage a hospitalized patient. If I was a primary care doctor and I was being confronted with a model in which a different doctor would take care of my patient when he or she were very sick, that would bother me too. It’s really the reason why, in the early years of the field, our professional society, and our whole field really, came down very strongly against programs that were mandatory. We really felt that if the model develops and grows organically, and some primary care doctors see why there may be advantages to them and their patients in doing things this way, that over time it would grow of its own momentum. I think that has largely been what has happened.

Friday, March 11, 2011

Patient Satisfaction With Hospitalists

Despite concerns and disagreements about the impact of hospitalist models on health care, hospitalists are becoming the dominant means of providing inpatient care, and models continue to diversify. Understanding their impact and the factors that influence their adoption is essential. This study examined hospitalists' impact on patient satisfaction, considering a host of characteristics. [READ FULL ARTICLE]