Coming full circle

This issue features the idea of bringing primary care physicians back to the hospital and advice on protecting the mental health of clinicians and inpatients.


This month's main story is about a surprising new model for hospital care: primary care physicians seeing their patients while they're hospitalized. Yes, I know, that sounds awfully similar to the traditional model that existed before the creation of hospitalists in the 1990s. But advocates for this concept describe some key differences that will make it work this time around, and they say that there will still be a role for hospitalists.

Much of the other coverage in this issue focuses on depression. We look at how to screen for and treat depression during hospitalization, as well as advice on ensuring safe transitions to outpatient mental health care. This month's Success Story explains how one hospital instituted a program to screen all its patients for suicide risk. Then the focus turns to the crucial problem of physician suicide. Experts offer their advice on how hospitals and hospitalists can better support physicians, especially trainees, when they need mental health care.

Our Q&A this month tells an interesting tale about a patient who arrived at the hospital unconscious without family or paperwork, but with a tattoo that said “do not resuscitate.” Speaking of tales, we're celebrating the 10th anniversary of our in-house spinner of them, Jamie S. Newman, MD, MHA, FACP. See a special edition of Newman's Notions and then see Dr. Newman himself at the ACP Resource Center if you're joining us at Internal Medicine Meeting 2018 in New Orleans in April.

Until then, please keep in touch by email.

Sincerely,
Stacey Butterfield
Editor-in-Chief