Background: Consultation among providers is a foundation of modern health care and a very frequent means of interdisciplinary communication. Classifying consultation requests can facilitate clear communication between providers and across medical specialties, improve workflow, provider satisfaction and ultimately patient care. We previously proposed an organizing framework of 7 specific consultation types: ideal, obligatory, procedural, S.O.S., […]

Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to interpret and initiate management for common electrolyte abnormalities. Formal training to achieve this is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on interpreting […]

Background: An increasing amount of literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the healthcare workplace (1-5). Confronting these displays of bias involves a multifaceted approach across professional disciplines and hierarchies. Residency is a time when physicians experience and learn to navigate bias (6). To address this, we […]

Background: Unlike other chronic conditions such as diabetes mellitus and heart disease, substance use disorder (SUD) has only recently been recognized by the medical community recently as a medical condition, and stigmatizing beliefs have lingered. Formal teaching about SUD has been shown to foster a more positive attitude towards these patients among medical trainees. Attitudes […]

Background: The 12-lead electrocardiogram (ECG) is an essential tool when evaluating patients with suspected cardiopulmonary disease and inaccurate ECG interpretation may result in adverse patient outcomes. The Alliance for Academic Internal Medicine stated that ECG interpretation should be a skill required for medical school transition to residency. Yet, prior research indicates graduating medical students correctly […]

Background: The transition from internal medicine resident to early-career hospitalist signals the end of structured clinical feedback in the residency training model. This abrupt transition can impact well-being and the continued formation of self-directed learning skills. In addition, studies have shown an association between practicing in the first year as a hospitalist and inferior patient […]

Background: Point-of-care ultrasound (POCUS) is a goal-directed ultrasound exam performed by a healthcare provider to answer a specific question or guide performance of an invasive procedure at the bedside. The Alliance for Academic Internal Medicine (AAIM) and the American College of Physicians (ACP) support the integration of POCUS into graduate medical education (GME).Emergency medicine (EM) […]

Background: Feedback in clinical training is essential to reinforce positive behaviors and to provide areas for improvement. Numeric ratings from student performance evaluations are helpful but are not sufficient to guide the learner about where they may be excelling and where they may need additional development. Narrative written feedback both reinforces verbal feedback and provides […]

Background: Participation in scholarly activities and mentorship is a pillar in academic medicine for innovation and career advancement, however, many early career APPs do not feel well prepared to participate in projects. To guide the development of support programs, this study identified perceived benefits and barriers to participating in academic advancement and scholarly projects, as […]

Background: Promoting scholarship and mentorship among trainees and faculty is important for individual career development. Faculty who mentor trainees in improving scholarship performance, help improve their own academic and professional growth. However, many barriers limit faculty engagement in mentoring trainees, including limited time and lack of accessible resources, institutional/leadership support, formal training, and faculty development/structured […]