Background: Simulation-based procedural training has been shown to improve provider competency and confidence in number of medical specialties, including hospital medicine. To the present, simulation training has largely focused on medical students and residents. Attending hospitalists are a prime target for simulation-based procedural training. Despite recent studies showing patient safety and cost-effectiveness of procedures performed […]

Background: Mentorship is key to successful, satisfying, and engaging academic careers. Models for mentorship and faculty development exist, but are often resource-intensive and focused on achieving success in research. Establishing mentorship in hospital medicine has been challenging given most programs have relatively few senior faculty, and most new hospitalists are recent residency graduates with little […]

Background: The American Academy of Pediatrics (AAP) publishes core pediatric clinical practice guidelines advising pediatricians on evidence-based management of common diagnoses. However, multiple studies demonstrate poor guideline compliance by pediatricians. There is no published curriculum on how to teach these guidelines, and on a national survey we conducted of pediatric residency training programs, only two […]

Background: Engagement in scholarly activity (clinical vignette, conference presentations, publications etc.) is a fundamental requirement for trainees in medical education. We studied the impact of point intervention – clinical vignette workshop (CVW) to write a Clinical Vignettes (CV) for fourth year medical students at author’s institution. Methods: All fourth year medical students enrolled in internal medicine […]

Background: Critically ill patients require time dependent and resource intense interventions. In February 2015 our institution initiated a novel intensive care unit within the Emergency Department (ED-ICU) with the goal to enhance timely resuscitation and management of critically ill patients prior to inpatient admission. As a result of early intervention in the ED-ICU, ongoing care […]

Background: The Accreditation Council for Graduate Medical Education’s Clinical Learning Environment Review (CLER) program has placed a much-needed spotlight on the role of resident physicians in patient safety (PS) and quality improvement (QI). Medical school training in PS/QI is highly variable and our residents received very limited formal training in PS/QI prior to the intervention […]

Background: An estimated one-third of national healthcare spending is waste, with the largest contribution stemming from unnecessary use of services. Published efforts to enhance cost consciousness have largely focused on residents and practicing physicians. Few curricula have been designed to educate and engage medical students in the delivery of high value care (HVC) in the […]

Background: Novel strategies such as the block system have been implemented to address resident teaching while maintaining continuity of care. Studies assessing block scheduling and adequate delivery of quality improvment (QI) concepts are limited. The aim of this study is to show how utilizing the 4+1 block system can deliver a longitudinal quality improvement (QI) curriculum and increase the […]

Background: It is important to understand knowledge about diagnostic error, such as cognitive bias and heuristics, for preventing a diagnostic error. However, it is unclear whether Japanese residents learn this knowledge. We aimed to assess diagnostic error knowledge in residents throughout Japan and compare it to the benchmark of the previous US score. In addition, […]

Background: In an era of value-based purchasing, healthcare providers like Internal Medicine (IM) residents will require advancing knowledge on performance measures for quality and efficiency of patient care.  In the hospital-based care setting, many large health care systems have incorporated enhanced approaches to provide multidisciplinary care.  The system is also being designed to penalize caregivers […]