Background: Hospitalized patients often report that they lack the opportunity to share their priorities, and currently there is no standard protocol for hospitalists to elicit their patients’ priorities. Additionally, changes in 2025 to CMS reimbursement rules will require hospitals to have protocols for eliciting what matters to admitted patients, further necessitating the development of an [...]

Background: International medical graduates (IMGs) are vital members of the United States (US) healthcare landscape, making up 24.7% of physicians nationally.[1] Despite this, IMGs face numerous challenges in matching and transitioning to US residencies. One hurdle is adapting to the Western value of relationship-centered care (RCC), which emphasizes patient autonomy, shared decision-making, and interpersonal communication [...]

Background: Length of stay is an ongoing challenge for hospitals across USA. Large number of medically stable patients continue to remain in the hospital. There are multiple barriers including social, financial, and poor communication between team members. This delays discharge leading to poor patient care, burnout of team members, reduced bed capacity and access. Purpose: [...]

Background: Physician and nursing teamwork is instrumental in delivering high quality, safe and reliable patient care. Sub-optimal teamwork contributes to poor nursing morale and increased burnout. Physicians and nurses often are unaware of each other’s workflows. Building team collaboration through trust, respect, communication and mutual understanding may lead to improved quality of care and staff [...]

Background: Prior studies have shown that miscommunication between providers and families with a non-English language preference (NELP) has been associated with medication errors, inadequate follow-up, increased ED usage, and hospital readmissions. They have also noted barriers to providing translated instructions, such as difficulty with translation, limited resources, and inconsistent use of services. Specifically, our institution [...]

Background: A recent uptick in hospital readmissions, prolonged lengths of stay that was above national benchmarks, and declining patient satisfaction scores threatened the institution’s reputation within the community and risked CMS reimbursement penalties. In response, an interdisciplinary physician-led huddle followed by a structured nurse-physician bedside rounding protocol was developed. This approach was designed to strengthen [...]

Background: Accurate, timely admission medication reconciliation (AMR) is a key patient-safety driver. Clinician-performed AMR has higher error rates compared to pharmacy-performed AMR. At our large, tertiary care institution, pharmacists capture only 75% of AMRs and require up to 48h for completion. Delays and errors in clinician-performed AMR on medicine floors have led to patient safety [...]

Background: Innovation in diversity, equity, and inclusion (DEI) across medical institutions is an area of growing focus. However, some national medical societies struggle to connect with learners and faculty who are members of groups traditionally underrepresented in medicine (URiM). URiM learners in college and medical schools may face additional financial barriers when attending conferences that [...]

Background: Point of Care Ultrasound (POCUS) is a growing field with an evidence-base across most clinical specialties. National surveys have shown student, resident, and fellowship training opportunities are increasing, but report lack of experience faculty as the primary barrier to POCUS use. The most effective faculty training programs include longitudinal training and mentorship. Unfortunately, few [...]

Background: Teaching complex topics, such as hyponatremia, requires simultaneous processing of multiple interconnected concepts. Traditional teaching methods like small and large group lectures may overwhelm learners, making innovative tools necessary to manage cognitive load. Serious games, designed with a primary purpose beyond entertainment—to teach, train, or assess students in a structured, engaging way designed for [...]