Hospital Medicine and the details of revolution

My next rotation after the CCU is something called "The Hospitalist Elective."  Although this is a bit of an enigma, I am quite excited for the 3-week course.  First off, my fellow residents and our faculty for the course are all top notch, making it a fun experience.  Second, Hospital Medicine is the most recent (successful) revolution in Internal Medicine, and there is much to be learned from their ascent.  One specific area we touched on today in the now ~15 year history of the field, was the resentment and resistance from entrenched primary care physicians and other specialists that felt that their profession and their patients' care may suffer from hospitalists. 

1.  Suffering patient care.  Perhaps this is a radical statement, perhaps it is not, but patient care is not that great in the United States.  Individual physicians are very dedicated to patients, but the systems set up with perverse incentives, government and employer interference, and many many third (and fourth, and fi…