On the Bleeding Edge: Mastering GI Emergencies and Inpatient GI Consultation (Live and Virtual)| September 2026-How to Build an Efficient GI Hospitalist Service without Burnout

Video Transcription

Video Summary

Dr. Ed Sun presents practical strategies for building an efficient GI hospitalist service and preventing burnout. He adapts the “tau” workload equation—inpatient census relative to physician, fellow, and APP staffing—to emphasize two levers: strengthen staffing and reduce unnecessary or overly intensive consults. Strategies include signing off promptly, arranging rapid outpatient follow-up, empowering hospitalists to manage stable patients, and confirming patient/family agreement before PEG evaluations.<br /><br />He advocates training experienced fellows and developing GI APP fellowships to improve staff capability, continuity, and retention. A dedicated inpatient endoscopy suite can reduce delays, length of stay, overtime, and disruption to outpatient procedures; he offers a business-plan framework for presenting its costs and potential savings to administrators.<br /><br />Workflow improvements include centralized procedure coordination, anesthesia pre-op assessments, standardized handoffs and order sets, nurse-assisted endoscopy documentation, strategic workspace, cross-training, and clear consult triage rules. He also highlights split/shared billing requirements and the importance of Modifier 25 when separately billing same-day evaluation and endoscopy.

Asset Subtitle

Edward Sun, MD, MBA, FASGE

Keywords

GI hospitalist service

burnout prevention

staffing optimization

inpatient endoscopy suite

workflow efficiency

Modifier 25 billing