Background: Clinical case vignettes (CCVs) help trainees develop academic writing and conference presentation skills while learning clinical reasoning and diagnostic approaches. For hospitalists, CCVs provide academic meeting involvement, scholarly activity, and mentor relationships. Both groups face submission barriers. Heavy clinical burdens may limit hospitalists writing time, whereas students lack case exposure, clinical knowledge and writing [...]

Background: Studies, particularly the MARQUIS trial, have demonstrated the value of pharmacist-led medicine reconciliation. At our institution, we partnered with the College of Pharmacy to implement, revise, and grow a novel hospitalist-led transitions of care pharmacy student rotation. Pharmacy students work directly with attending hospitalists to address admission medication reconciliation errors and collaborate in the [...]

Background: Educational efforts targeting diagnostic reasoning have been proposed by the National Academy of Medicine as a means to reduce diagnostic errors. Building on situativity theory, which describes how the context in which we reason impacts our diagnostic ability, teaching diagnostic reasoning should ideally occur in tandem with patient care. Tracking patient outcomes can improve [...]

Background: Advanced Practice Professionals, APPs (Nurse Practitioners and Physician Assistants) often practice in variable, undefined capacities in teaching hospitals. APP roles are parallel to teaching faculty led teams, and function to accommodate clinical overflow and adjust to attending specific workflows. This impacts role satisfaction, professional advancement, and creates retention challenges. APPs’ inability to fit in [...]

Background: Scholarly publication is key to success in academic medicine, but busy clinicians need support to build scholarship capacity. Most hospitalists across the country engage in clinical work but have few cost-effective options to disseminate clinically focused work in mainstream journals. Our Division of Hospital Medicine continually encourages publication of research, quality improvement, and medical [...]

Background: Effective feedback is essential for learners to develop skills needed to provide quality patient care and to work productively on teams. Hospitalists supervising students and residents are an important source of feedback, yet must balance teaching with the demands of direct patient care and other non-clinical obligations. 84% of 812 hospitalists in a national [...]

Background: At our institution, an interprofessional (IP) hospital team consisting of a hospitalist, pharmacist, and nurse practitioner, meets with IP teams from local skilled nursing facilities (SNFs) in a weekly teleconference to discuss patients recently discharged from the hospital to the SNFs. The purpose is to identify and reconcile gaps in care during patients’ transitions. [...]

Background: The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to collect work hour data from trainees, with strict policies that no trainee should exceed an 80-hour work week (on average). Evaluating efforts to reduce work hours frequently relies on self-reported hours from trainees, which is subject to recall bias, inconsistency, and variable [...]

Background: The Alliance for Academic Internal Medicine and the American College of Physicians have acknowledged the importance of POCUS in internal medicine for diagnosis and procedural guidance and support its integration into graduate medical education. There are no current standards for the content or structure of a POCUS curriculum. As a result, institutions looking to [...]

Background: Many cancer centers use the hospitalist model in the inpatient setting (1) since hospitalists provide high quality, cost efficient care (2). Our 678-bed quaternary hospital uses oncology hospitalist teams to care for all inpatients with solid tumor malignancies with medical oncology and palliative care consulting as needed. Internal medicine residents and advanced practice fellows [...]