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Recent changes in the delivery of health care in the United States include the creation in many hospitals of positions staffed by internists whose entire or principal focus is the treatment of patients admitted to hospital wards. This new function differs from the role of the primary care physician, who is responsible for the treatment of patients in all care settings, ranging from outpatient clinics to inpatient service. Those who fill hospital positions often serve the needs of an academic medical center or a managed-care system, and this new kind of practitioner has been dubbed the "hospitalist." The editors of
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