The field of hospital medicine has expanded rapidly since its inception almost three decades ago. This growth has been driven by multiple factors, resulting in many roles and duties of teaching hospitalists changing. 1 One important trend in modern hospital medicine is the advent of direct care services. In this model, hospitalists serve as physicians who directly engage with and direct the care of patients in the absence of graduate medical education (GME) trainees. As the number of GME trainees has remained static, many medical centers have expanded direct care models to increase their capacity to care for medically complex hospitalized patients.Additionally, many institutions have consolidated care from multiple subspeciality services to hospitalist teams, further increasing the number of patients for whom hospitalists provide care. Some "traditional teaching" hospital medicine teams, consisting of an attending, senior resident, intern(s), and medical students, have been replaced by teams with an attending working with a single learner. As