GIHs are gastroenterologists who specialize in the care of hospitalized patients with gastrointestinal conditions. The specifics of the role can vary significantly between institutions, shaped by the needs of the GI practice, hospital system, and patient population. Given the complexity of inpatient medicine, GIHs are comfortable treating multiple acutely ill patients and have strong endoscopic skills, particularly in managing GI emergencies (e.g. acute GI bleeding, sigmoid volvulus, food impactions, and foreign body removal) and enteral access. Depending on the needs of the practice, a GIH may also benefit from training in advanced endoscopy, including Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP).
The nature of inpatient work often makes day-to-day consultations and procedure volumes unpredictable. In academic centers, GIHs frequently take on the additional role of teaching and mentoring fellows, which can be highly rewarding for those who are passionate about education. In community centers, a GIH may work alone or with an advanced practice provider (e.g. nurse practitioner or physician assistant).
Some GIHs choose to maintain an outpatient practice during their “non-service” weeks or run half-day clinics when their inpatient duties allow. However, one of the most appealing and unique aspects of this career path is the significantly reduced (or even nonexistent!) electronic medical record inbox.
If you thrive in a dynamic clinical environment, enjoy tackling complex cases with opportunities to make an immediate impact, and prioritize mentoring and teaching as part of your career, this could be the ideal path for you!
References
Hughes M, Sun E, Enslin S, Kaul V. The Role of the Gastroenterology Hospitalist in Modern Practice. Gastroenterol Hepatol (N Y). 2020 Nov;16(11):571-576. PMID: 34035692.
Latorre M, Gross SA, Pochapin MB. A Practical Guide to Establishing a Gastroenterology Hospitalist Program. Clin Gastroenterol Hepatol. 2021 May;19(5):871-875.e2. PMID: 33640479.
Calley Levine, MD, is an Assistant Professor of Medicine and GI Hospitalist in the Division of Gastroenterology and Hepatology at New York-Presbyterian/Weill Cornell Medical Center.