Hospital at Home – an emerging opportunity for internal medicine trainees

Hospital at Home (HAH) is growing at pace in the UK and is an acute clinical service that takes staff, equipment, technologies, medication and skills usually provided in hospitals and delivers that hospital care to selected people in their homes or in nursing homes. Services are as yet mostly exclud...

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Main Authors: Stephanie Moore, Rebekah Schiff, Daniel S. Furmedge
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Future Healthcare Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S2514664524015881
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author Stephanie Moore
Rebekah Schiff
Daniel S. Furmedge
author_facet Stephanie Moore
Rebekah Schiff
Daniel S. Furmedge
author_sort Stephanie Moore
collection DOAJ
description Hospital at Home (HAH) is growing at pace in the UK and is an acute clinical service that takes staff, equipment, technologies, medication and skills usually provided in hospitals and delivers that hospital care to selected people in their homes or in nursing homes. Services are as yet mostly excluded from doctors’ core training rotations. In parallel, non-traditional training pathways are being created to allow doctors to meet competencies outside of higher specialty training programmes. Evaluation of working in HAH as part of a locally designed internal medicine equivalence programme was undertaken, with specific focus on whether internal medicine curriculum competencies could be obtained. HAH provides valid internal medicine training, offering unique opportunities in clinical decision making, risk management, multidisciplinary team working, palliative medicine, and core internal and geriatric medicine. Reduced exposure to specific procedural skills and resuscitation in HAH can be mitigated across a balanced training programme. As HAH services develop, inclusion of HAH within internal medicine training programmes is recommended, alongside further research into their potential as a training environment.
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spelling doaj-art-893b030abfe147d1b0f3bb600f9a635c2025-08-20T02:37:48ZengElsevierFuture Healthcare Journal2514-66452024-12-0111410019810.1016/j.fhj.2024.100198Hospital at Home – an emerging opportunity for internal medicine traineesStephanie Moore0Rebekah Schiff1Daniel S. Furmedge2Department of Ageing & Health, 9th Floor North Wing, St Thomas’ Hospital, London, United KingdomDepartment of Ageing & Health, 9th Floor North Wing, St Thomas’ Hospital, London, United Kingdom; Centre for Ageing Resilience in a Changing Environment, Faculty of Life Science and Medicine, King's College London, London, United KingdomDepartment of Ageing & Health, 9th Floor North Wing, St Thomas’ Hospital, London, United Kingdom; Centre for Ageing Resilience in a Changing Environment, Faculty of Life Science and Medicine, King's College London, London, United Kingdom; Corresponding author.Hospital at Home (HAH) is growing at pace in the UK and is an acute clinical service that takes staff, equipment, technologies, medication and skills usually provided in hospitals and delivers that hospital care to selected people in their homes or in nursing homes. Services are as yet mostly excluded from doctors’ core training rotations. In parallel, non-traditional training pathways are being created to allow doctors to meet competencies outside of higher specialty training programmes. Evaluation of working in HAH as part of a locally designed internal medicine equivalence programme was undertaken, with specific focus on whether internal medicine curriculum competencies could be obtained. HAH provides valid internal medicine training, offering unique opportunities in clinical decision making, risk management, multidisciplinary team working, palliative medicine, and core internal and geriatric medicine. Reduced exposure to specific procedural skills and resuscitation in HAH can be mitigated across a balanced training programme. As HAH services develop, inclusion of HAH within internal medicine training programmes is recommended, alongside further research into their potential as a training environment.http://www.sciencedirect.com/science/article/pii/S2514664524015881Internal medicine trainingMedical educationHospital at homeVirtual wardInternal medicine
spellingShingle Stephanie Moore
Rebekah Schiff
Daniel S. Furmedge
Hospital at Home – an emerging opportunity for internal medicine trainees
Future Healthcare Journal
Internal medicine training
Medical education
Hospital at home
Virtual ward
Internal medicine
title Hospital at Home – an emerging opportunity for internal medicine trainees
title_full Hospital at Home – an emerging opportunity for internal medicine trainees
title_fullStr Hospital at Home – an emerging opportunity for internal medicine trainees
title_full_unstemmed Hospital at Home – an emerging opportunity for internal medicine trainees
title_short Hospital at Home – an emerging opportunity for internal medicine trainees
title_sort hospital at home an emerging opportunity for internal medicine trainees
topic Internal medicine training
Medical education
Hospital at home
Virtual ward
Internal medicine
url http://www.sciencedirect.com/science/article/pii/S2514664524015881
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