Background: Night coverage for hospital medicine teams can be the most expensive and busy of all shifts. According to 2020 State of Hospital Medicine Report, only 5.7% of teaching centers use a combination of onsite and off-site night-time coverage. In July 2022, our academic hospital medicine team was asked to create an additional inpatient service [...]

Background: Managing the complex environment of a general medicine ward requires high performing interdisciplinary teams.(1) In 2016, an Accountable Care Unit (ACU) was implemented on a 35-bed medicine ward at a community based teaching hospital to develop high performing interdisciplinary teams. One of the four features of an ACU is Structured Interdisciplinary Bedside Rounds (SIBR)(2), [...]

Background: Hospital discharge summaries are critical to transitions of care as they are oftentimes the only substantive form of communication that accompanies patients to their next care setting. The lack of interoperability in our healthcare IT ecosystem amplifies the need for discharge summaries to mitigate subsequent duplication of services and increased costs. These documents must [...]

Background: Given the rising demand for hospital-based providers, advanced practice providers (APPs; i.e., physician assistants/nurse practitioners) are increasingly being employed by hospitalist groups. However, APPs training in hospital medicine is variable and not always required. Post-graduate APP fellowships in hospital medicine have been previously described. However, fellowships are not widespread and data evaluating outcomes of [...]

Background: Residents rotating in hospital medicine (HM) are challenged with gaining a broad clinical knowledge base and applying that knowledge in complex situations unique to the hospital. To address this challenge, HM curricula must focus on developing residents into adaptive experts with the meta-cognitive skills to navigate novel and ambiguous situations when routine clinical knowledge [...]

Background: Anti-racism education is increasing across academic institutions; however, physicians have varied levels of skill addressing racist microaggressions. Microresistance Communication Tools (MCTs) are frameworks developed to respond to microaggressions and are common devices used in microaggression trainings. Prior studies evaluating MCT trainings primarily measured change in confidence but rarely objectively assessed ability to apply these [...]

Background: Point-of-care ultrasound is defined as a goal-directed, bedside ultrasound examination performed by a health care provider to answer a specific diagnostic question or to guide the performance of an invasive procedure. Its use has been endorsed by the American Academy of Family Physicians, American College of Physicians, and the Society of Hospital Medicine. Yet [...]

Background: Interprofessional education (IPE) has been shown to enhance knowledge, skills, and collaborative attitudes among healthcare providers, while also improving patient outcomes. While IPE is becoming more common in undergraduate medical education, many graduate medical education (GME) programs currently lack formal curricula. Those GME curricula that involve experiential learning have focused largely on the nursing [...]

Background: Mounting evidence demonstrates the benefits of point-of-care ultrasound (POCUS) for patient care and the development of this important skill for trainees. Residency programs are implementing various strategies to teach POCUS. However, a common barrier to a safe and robust POCUS curriculum is the limited number of POCUS-competent faculty able to provide support and supervision [...]

Background: Currently, there are over 50,000 practicing hospitalists. As it remains a popular career choice for graduating residents, the field has seen a rapid rise in the number of junior faculty. However, there continues to be a gap in those who have advanced to senior academic rank, namely associate or full professor. It is well [...]