Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician [...]

Background: Academic promotion in Hospital Medicine (HM) can be limited by lack of senior mentorship and limited opportunities for early/mid-career (EMC) academic hospitalists to develop national collaborations. Purpose: To provide opportunity to EMC academic hospitalists to showcase institutional best practices in an effort to gain national exposure/reputation, enhance academic portfolio, and foster networking amongst participating [...]

Background: Morbidity and Mortality (M&M) conferences are common practice among internal medicine (IM) residency programs, but their effect on education and patient safety (PS) is inconsistent.[1,2] Existing research reports have struggled to identify best practices for implementing M&M conferences due to inherent variability in personnel and adverse event analysis processes. We need interventions that account [...]

Background: Acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a major driver of hospitalizations. With a goal of reducing AECOPD admissions at the Cleveland VA Medical Center (VAMC), an interdisciplinary team was developed after a literature review and discussion with high-performing VA groups. Purpose: Primary aim was to decrease AECOPD hospitalizations and readmissions at [...]

Background: Emergency room overcrowding is a national crisis largely attributed to high volumes of admitted patients awaiting beds in the Emergency Department (1). Studies have shown that ED overcrowding delays care for all patients, increases length of stay, and reduces overall quality of care (2). Contributing to this are potentially unnecessary floor admissions. With the [...]

Case Presentation: A 2 year old male with expressive language delay presented with worsening ability to bear weight. The child progressed from refusing to ambulate to refusing to stand over the course of 1.5 weeks. There was parental concern for leg pain which did not improve with ibuprofen. He had mildly decreased appetite the preceding [...]

Case Presentation: A 40 year-old female presented to the Emergency Department with several months of fatigue followed by acute fever and confusion. She denied weight loss, swollen glands, cough, rash, arthralgias, or myalgias. No drug or alcohol use. She was febrile to 102.5F. The remainder of the vital signs were normal, and the neuro exam [...]

Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and [...]

Case Presentation: Patient is a 76-year-old female with past medical history of left cerebellar hemorrhage needing EVD placement and subsequent removal 3 months prior to admission, incidentally found right MCA aneurysm (7 mm), hypertension, hyperlipidemia and tobacco abuse, presented for an elective cerebral angiogram to identify the etiology of her recent intracranial hemorrhage. On prior [...]

Case Presentation: 56-year-old woman presented with fluctuating sensorium for 5 days and left side weakness of one day duration. She has past medical history of hypothyroidism and hyperlipidemia. Her home medications included levothyroxine and atorvastatin. She received two doses of mRNA-1273 vaccine, with first dose being around 12 weeks before presentation and second dose 8 [...]