Background: With the growth of hospitalists staffing general medicine inpatient teaching services, many faculty prefer shorter time-on-service to align with direct patient care schedules and balance the competing demands of hospitalist practice. However, the impact of one- versus two-week attending rotation duration on patient outcomes, faculty burnout and learning environment is unknown. We hypothesized that [...]

Background: Abdominal paracentesis is a common procedure performed among patients admitted to the hospital. The current standard of care for bedside paracentesis utilizes pre-procedural (PP) ultrasound. However, real-time (RT) guidance may enhance safety and improve procedural success rates. Successful and safe execution of RT technique requires additional training and skill development. The Medicine Bedside Procedure [...]

Background: Nationally, graduated pediatric hospital medicine fellows have reported inadequate competence in research, education, quality improvement, business practice, and leadership skills. However, most fellows enter academic jobs that require proficiency in these areas. A professional development curriculum may help better prepare fellows to enter the workforce. Our objective was to develop a framework for a [...]

Background: Attending teaching rounds are central to inpatient education and patient care, yet competing demands shape how they are conducted. We examined how attending physician rounding style preferences align with actual utilization across internal medicine teaching services and identified patient-, team-, and institution-related factors influencing these choices. Methods: We conducted an IRB-approved, cross-sectional mixed-methods survey [...]

Background: Falls represent a significant risk factor for morbidity and mortality in US adults. While Vitamin D deficiency is proposed to play a role in fall risk, the present body of research is inconclusive. Methods: This retrospective chart review analyzed the risk of fall in vitamin D deficient adults who presented to a tertiary care [...]

Background: Older adults are particularly vulnerable to traumatic injuries. Gabapentin is frequently utilized as an adjunct analgesic in this population. This study aims to evaluate the impact of gabapentin on the incidence of delirium, pain scores, and opioid use in geriatric trauma patients. Methods: Data from a tertiary level 1 trauma center was obtained from [...]

Background: Prior work has found associations between pharmaceutical company marketing of opioids to outpatient physicians and physicians prescribing opioids (1). This study aimed to address a gap in the literature by examining whether there is an association between hospitalists receiving funding from opioid manufacturers and hospitalists prescribing opioids on discharge. Methods: Open Payments data from [...]

Background: Compassion interventions are emerging as a promising approach to reduce burnout among healthcare professionals [1-3]. While numerous studies have reported significant correlations between self-reported compassion and burnout[4, 5], it is not well understood whether compassion interventions are effective and for whom. To our knowledge, this is the first systematic review examining the effectiveness of [...]

Background: Hospital medicine continues to evolve as a specialty amid increasing demands and workforce challenges. Understanding hospitalists’ perspectives is essential for informing retention strategies and enhancing care delivery. This study examined the perspectives of hospitalists practicing in Wisconsin. Methods: We conducted a cross-sectional survey of hospitalists in Wisconsin, which included demographic information, work characteristics, and [...]

Background: Hospital medicine is among the fastest growing specialties in academic medicine (1), with concerns remaining about how best to balance clinical care demands with academic contributions (2, 3). Hospitalist professional organizations have responded by calling for stronger nationwide mentorship and training programs to develop a more sustainable field (3). A 2023 scoping review appealed [...]