Background: Despite surveys of learners and attendings revealing the value placed on bedside teaching for learning physical exam skills, the frequency of their use has been declining. Barriers to teaching at the bedside identified by attendings include inadequate clinical and bedside teaching skills. We sought to improve teaching at the bedside by training internal medicine [...]

Background: The number of physician assistants (PAs) who are hospitalists has rapidly expanded.  Little educational research has been done to understand what knowledge and skills PA students need in preparation for a career in hospital medicine.  We sought to identify which topics and experiences practicing hospitalists felt were most critical for PA students.  A second [...]

Background:   Internal medicine training programs have been profoundly impacted by changes in resident duty hours, workloads, and supervisory requirements. Consequentially, it has become increasingly important to re-evaluate and re-formulate traditional methods of teaching to maximize the delivery of clinical education, efficiently identifying and taking advantage of learning opportunities where they may exist.  Overnight care [...]

Background: Venous thromboembolism (VTE) is a common hospital condition; however, our analysis indicates that clinicians lack confidence in selecting appropriate management strategies for patients. Purpose: This study was conducted to determine if an online, video-based continuing medical education (CME) intervention could improve knowledge and competence of cardiologists and hematologists/oncologists in managing patients with VTE. Description: [...]

Background: The University of California, San Francisco is undergoing many changes in its approach to teaching in both undergraduate (UME) and graduate medical education (GME). As a result, approximately one third of traditional in-class lectures that make up the UME curriculum will need to move to a digital format to accommodate a new curriculum. In [...]

Background: The development of delirium is a common source of morbidity and mortality in the hospitalized elderly, with an estimated incidence of 30-60%. Sleep deprivation is a common and modifiable risk factor for iatrogenic delirium in hospitalized patients. It is unclear from the literature how many hours of sleep hospitalized patients actually get on average [...]

Background: Use of Percutaneous Endoscopic Gastrostomy (PEG) tubes among patients with dementia is controversial, with multiple studies showing no clear benefit in terms of risks of aspiration, survival or quality of life. Despite this growing evidence, studies analyzing the trends of use of PEG tube among demented patients are lacking. We aimed to use a [...]

Background: Pain is a frequent symptom in patients who require inpatient rehabilitation. For example, 40-50% of patients hospitalized for stroke rehabilitation report pain. Further, 82% of those hospitalized for postsurgical orthopedic rehabilitation complain of at least moderate pain, and among those hospitalized for rehabilitation after acute traumatic spinal cord injury, 97% report pain at least once [...]

Background: Observation units are a growing destination for many patients with a variety of diagnoses.  The elderly represent a large part of the observation population, which will likely grow as baby-boomers age.  Those of advanced age can have different medical and social needs than their younger cohort, so understanding their prevalence and expected outcomes in [...]

Background: It is known that more people die during the nighttime compared to daytime in the community setting. Many health care providers are required to care for patients in a critical condition which includes around the time of death, and which may be at night. However, there have been few studies with respect to the [...]