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Hospital medicine ('ziekenhuisgeneeskunde' was introduced in the Dutch health care system 5 years ago. This new specialism, inspired by the American model, seeks to solve the challenge of guaranteeing continuous and high-quality care for hospitalized patients, using an interdisciplinary approach. Although the specialism has received a positive first impact assessment, hospitalists and trainees are also facing difficulties, as the rooting of the new specialism in the healthcare system takes time. Examples of these difficulties include a