Background: Under newly posed strict legal work-hour restrictions in Japan, efficient and effective educational strategies are essential. While formal peer education programs are known to improve well-being, the impact of informal, spontaneous sharing of cases among resident physicians remains unknown. This study aimed to characterize residents who spontaneously share clinical cases with peers and to [...]

Background: Hospital discharge instructions, written by healthcare providers for the after visit summary (AVS), provide patients with essential information for post-hospital care. However, AVSs are often hindered by language barriers, medical jargon, inaccurate medication lists and follow up instructions, and a lack of disease-specific and home care instructions. We reviewed discharge instructions from one academic [...]

Background: Secure messaging (SM) has become a predominant mode of in-hospital communication, offering efficiency but raising concerns about multitasking and cognitive load. Despite its ubiquity, little is known about SM’s impact on hospitalist workload or whether enhanced platform features can mitigate this burden. This project aimed to: 1) assess the association between SM and hospitalist-perceived [...]

Background: Effective interprofessional communication and agreement on patient care plans between providers and registered nurses (RNs) are fundamental to care delivery. Team-based models, such as regionalization in hospital medicine, aim to enhance collaboration by fostering relationships and increasing daily communication. Existing studies on regionalized care provide mixed results. This study aimed to evaluate whether regionalized [...]

Background: Ineffective communication between team members negatively impacts healthcare worker (HCW) well-being and contributes to approximately 25% of patient safety incidents. Despite its acknowledged importance within healthcare teams, interprofessional communication training is rarely part of academic clinical training or practice. We aimed to study the impact of an interprofessional communication training program on a high [...]

Background: High-quality collaboration between hospitalists and subspecialists is essential to timely, coordinated inpatient care. In academic centers, consultation may be influenced by differences between primary teams’ and subspecialists’ training, communication norms, cognitive load, and expectations. Misalignment of expectations can cause conflict, delays in care, and dissatisfaction. Prior interventions focused on improving question clarity and increasing [...]

Background: In-hospital cardiac arrests are often identified, led, and coordinated by internal medicine residents, making effective code leadership a core competency. Despite completing a full year of medical training, individual resident confidence in ACLS and cardiac resuscitation remains low. This project utilizes an interactive lecture series to improve the confidence and skills needed for a [...]

Background: The Centers for Medicare & Medicaid Services (CMS) identify social drivers of health (SDoH) as a crucial component of high-value care. Since January 2024, CMS has required screening for five SDoH in all patients aged 18 years or older admitted to the hospital, although this requirement has now been removed for fiscal year 2026. [...]

Background: Point-of-care ultrasound (POCUS) is increasingly emphasized in undergraduate medical education (UME), with the expectation that Internal Medicine (IM) residents enter graduate medical training with greater POCUS knowledge. However, the impact of UME curricular changes on POCUS knowledge and confidence among IM residents is unclear. The objective of this study was to determine if matriculating [...]

Background: Tracheostomies are commonly performed for long-term airway management, but post-procedural complication rates are high, with reports ranging from 20% to over 50%.1-4 These complications require an expeditious response to reduce morbidity and mortality, but gaps in provider knowledge, training, and care delivery contribute to adverse outcomes.5 On inpatient wards, hospitalists are often the first [...]