Background: Point-of-care ultrasonography (POCUS) is a real-time, diagnostic modality increasingly utilized by clinicians at bedside to obtain critical, potentially life-saving information. The benefits of becoming familiar and facile with POCUS have become so clear in recent years that numerous residency programs across specialties have intentionally incorporated ultrasound-focused education into their standard curricula. Furthermore, some medical […]

Background: The HOMERuN (HOspital MEdicine Reengineering Network) Provider Wellness Workgroup, a national collaboration of academic hospitalist institutions, has been studying the landscape of hospitalist wellness during the COVID-19 pandemic. Burnout among hospital medicine clinicians during the peak of the COVID-19 pandemic has been well-described. As we enter a different phase of the pandemic, our workgroup […]

Background: Introduction: Point-of-care ultrasound (POCUS) expediently detects the pulmonary manifestations of COVID-19 and is predictive of patient outcomes. Although lung POCUS can be used in the diagnosis and management of patients hospitalized with COVID-19, there are no standardized scanning protocols. Furthermore, it is not known how much scanning is needed to sufficiently rule-in the pulmonary […]

Background: SARS-CoV-2 (COVID-19) pandemic continues to remain a global crisis with the emergence of new virulent variants, including the recent spikes in the cases of delta variant. While RT-PCR is the diagnostic test of choice, High-Resolution Computed Tomography (HRCT) chest has been utilized to assess disease severity. We aim to study the association between bilateral […]

Background: Role of vitamin K antagonist (VKA) or Direct Oral anticoagulation (DOAC) for non-valvular atrial fibrillation has widely been discussed. But the literature on anticoagulation therapy for patients with valvular atrial fibrillation (VAF) is limited. Aim of this meta-analysis was to evaluate the outcomes (stroke-vascular events and intracranial bleeding) following DOAC and VKA amongst patients […]

Background: Epidemiology of Non-Variceal Upper Gastrointestinal Bleeding (NVUGIB) such as peptic ulcer bleeding, Mallory-Weiss tear, erosive gastritis/duodenitis, oesophagitis/oesophageal ulcer is well known among general population. However, data is lacking about its trend among Cirrhotic population in literature. No large database study is available to compare prevalence, predictors, and outcomes of NVUGIB among Cirrhotic patients. We […]

Background: Duplicate as-needed (referred to hereafter as “PRN”) orders for common indications such as pain, nausea, insomnia, and constipation are frequent in hospitalized patients. Without explicit instructions for circumstances or order of administration, therapeutic duplication can cause confusion for nurses and violates both Join Commission and the Centers for Medicare & Medicaid Services (CMS) guidelines. […]

Background: Patients discharged from the hospital often face challenges accessing timely and effective follow-up care after discharge from the inpatient setting. Prior studies have demonstrated that lack of primary care clinic access can raise patients’ risk of readmission (1, 2). Effectiveness of a virtual transitions of care clinic has not been reported in the literature […]

Background: For hospitalists who are at the forefront of inpatient general medicine, clear communication is crucial to a successful provider-patient relationship and optimal care delivery. Uncertainty around provider roles and medical terminology can negatively impact patients’ experience and understanding of their care. Therefore, the aim of this study is to assess patients’ understanding of the […]

Background: Diabetes is an exceedingly common disease encountered by medical trainees, with over 8 million hospitalizations in 2018 listing type 1 or type 2 diabetes as a diagnosis (1). Evidence supports continuing certain oral diabetes medications during admission when safe, reflected in recent consensus statements from professional societies (2,3). Nevertheless, oral medications are often held […]