Hospital Medicine

For a comprehensive description of all aspects of the Division of Hospital Medicine, including our quality and safety program, education, and research, visit our Icahn School of Medicine at Mount Sinai web site.

The Division of Hospital Medicine at the Icahn School of Medicine at Mount Sinai is a dynamic, innovative, and patient-centered team. We are dedicated to delivering exceptional care, advancing medical education, and driving groundbreaking research. Our hospitalists are at the forefront of transforming health care delivery and providing comprehensive inpatient care across a wide range of specialized services. Our commitment to continuous improvement is evident in our robust quality and patient safety initiatives. We have garnered national recognition and prestigious awards. Through our multidisciplinary approach and innovative programs, we are constantly pushing the boundaries to enhance patient outcomes and experiences.

As leaders in medical education, we are passionate about nurturing the next generation of health care professionals. Our faculty hold key leadership positions throughout the medical school and are actively involved in shaping the curriculum at every level. We offer unparalleled mentorship and career development opportunities. In this way, we equip our trainees and faculty with the skills and knowledge to become tomorrow's health care leaders.

The Division of Hospital Medicine is also at the forefront of research. Our research spans a wide range of areas, from clinical care and health care delivery models to high-value care. We focus on humanism; diversity, equity, and inclusion; and medical education.

We continue to expand our innovative care models, strengthen our educational programs, and deepen our research endeavors. And we remain dedicated to advancing the field of hospital medicine.

Our Clinical Programs and Services

As part of our commitment to you, we offer a variety of specialized clinical programs and services.

Teaching Service: The Division of Hospital Medicine faculty are the primary clinical and teaching attendings for residents and fellows on the general medicine wards. Our faculty focus on bedside teaching and evidence-based medicine. Teams consist of second- and third-year residents, interns, third-year medical students, and acting interns. Attending rounds occur at the bedside each morning. Interdisciplinary rounds take place daily with unit-based staff, including social workers, nurses, physical therapists, case managers, and pharmacists. Teams meet throughout the day as needed to discuss patient care and for educational sessions.

Attending Directed Service: Hospitalist attendings work with nurse practitioners and physician assistants to provide care for patients on the Medicine Service. Some Attending Directed Service teams include fourth-year medical students and residents who are taking hospital medicine electives. They perform interdisciplinary rounds daily with unit-based staff. The service includes a High Acuity Attending Directed Service Team that provides care to severely ill patients.

Rapid Evaluation and Treatment Unit-Observation Unit: The Division of Hospital Medicine provides physician oversight for the Mount Sinai Emergency Department’s Observation Unit, known as the Rapid Evaluation and Treatment Unit (RETU). In a state-of the-art, 20-bed unit, the Division attending works with physician assistants to care for patients who do not require inpatient admission. The RETU team participates in interdisciplinary rounds with social work and case management teams to provide medical care and observe patients in a highly efficient and patient-centered manner.

Preoperative Evaluation and Management Center: Division of Hospital Medicine hospitalists co-direct The Mount Sinai Hospital’s Preoperative Evaluation and Management Center along with the Department of Anesthesiology. Patients planned for surgery see an interdisciplinary team, including a hospitalist and an anesthesiologist, to ensure a collaborative and evidence-based approach to preoperative care. Hospitalists are also responsible for the education of Internal Medicine residents who regularly rotate through the center.

Surgical Co-Management Services: Our Surgical Co-Management Services provide medical care and oversight to complex surgical patients admitted to the vascular surgery, surgical oncology, and gender-affirming genital reconstruction surgery subspecialties. Their services include preoperative risk assessment and medical optimization of patients, perioperative acute medical management, and complex discharge disposition coordination. A dedicated group of Division of Hospital Medicine attendings with special interest and expertise in caring for surgical patients rotates through these clinical services. They collaborate closely with the primary surgical and the interdisciplinary teams. The co-management faculty are also responsible for educating the surgical residents, medical consult residents, and surgical physicians assistants/nurse practitioners on evidence-based medicine and perioperative care topics. Hospitalist attendings also supervise the Medical Consult Service, working closely with the medical consult resident to staff medical consults and triage intra-hospital transfers.

Oncology Hospitalist Service: A core group of Division of Hospital Medicine hospitalists works closely with the Mount Sinai Health System oncology team to care for patients with active cancer admitted for chemotherapy and/or cancer-related complications. The teams include the Heme Malignancy Hospitalist Service for patients with hematological malignancies and the Solid Oncology Hospitalist Service for patients with solid tumors. Hospitalist attendings coordinate care with the patient’s primary oncologist, nurse practitioners specially trained in oncology, oncology coordinators, social workers, and our palliative care team.

Medicine Palliative Care Team: The medicine palliative care team is an embedded group that provides palliative care support and expertise to the general medicine teams. The team is composed of a nurse practitioner and social worker in the Division of Hospital Medicine who are trained and specialize in palliative care. Together, they facilitate advanced care planning and goals of care discussions, transition patients to hospice or the Palliative Care Unit, and assist with symptom management. By being embedded in the hospitalist services, this innovative team facilitates prompt assistance in aligning the patient’s goals with their medical care.

Hospital at Home: Hospital at Home is an innovative program that enables eligible patients to receive hospital-level care in the comfort of their home. Division of Hospital Medicine attendings are integral to each step of the Hospital at Home process, from screening and admitting patients who are clinically appropriate to providing direct patient care via daily virtual visits. Our faculty work closely with other members of the Hospital at Home team, including nurses, care coordinators, patient care navigators, physical therapists, and occupational therapists. Division of Hospital Medicine attendings also supervise Rehabilitation at Home, which provides home-based intensive physical and occupational therapy, similar to a subacute rehabilitation center, for appropriate patients.