Background: Despite efforts to improve the care of hospitalized patients, adverse events remain common. Care is siloed across disparate providers and patients are not engaged in their own care plans. In a collaborative care model, patients, families and providers partner to integrate high-quality care across disciplines to best meet patients’ needs. While support for delivering […]

Background: Teaching Hospitalists provide a large proportion of clinical medical education for Internal Medicine Residents with varying levels of training and success.  We sought to identify common habits of highly rated teaching hospitalists in preparation of faculty development.   Methods: We surveyed high performing daytime teaching hospitalists at 3 teaching sites across 2 health systems.  Paper […]

Background: Increased fragmentation of inpatient medical care requires hospitalists to frequently hand off their patients to other providers. Communication breakdown during transitions of care is a major cause of adverse events. Direct observation of handoff encounters and performance feedback can help providers develop the skills needed to safely transition patients across the health system and […]

Background: As the hospital medicine specialty expands, internal medicine residency programs are building hospitalist-specific rotations that teach skills and knowledge relevant to the field. To date, little is known of the prevalence and characteristics of hospitalist rotations. We surveyed internal medicine training programs to better understand the prevalence, objectives, and structure of hospitalist rotations in […]

Background: Early career faculty often face challenges in setting personal and professional expectations, identifying effective mentorship, and quickly learning foundational skills in academic hospital medicine. We developed a “Faculty Boot Camp” to better orient new faculty at the beginning of the academic year with the goal of introducing them to key skills and concepts that […]

Background: Despite the current focus on developing handoff training curricula to improve patient safety, rigorous assessments of handoffs remain scarce. Immersive simulations allow for the evaluation of communication skills, but few specifically account for common external threats to effective handoff performance. Our aim was to investigate the effects of these interruptions in an educational handoff […]

Background: Teaching during bedside rounds is necessary to educate students and housestaff, but attendings rarely receive structured feedback on their teaching and rounding practices. We aimed to evaluate a Peer Observation Program and a structured bedside rounds observation tool. We hypothesized that participants would value observing their colleagues, report more effective preparation of the team […]

Background: Internal medicine bedside rounds should be efficient and educational. We previously piloted literature-based faculty development workshops emphasizing attending leadership in team preparation for rounds and the importance of not interrupting learners. Participants raised three key questions: (1) Do interruptions actually adversely affect the efficiency or educational value of rounds? (2) Do learners believe that […]

Background: Hospital medicine is an evolving and expanding field, with a large proportion of internal medicine graduates choosing to pursue careers in hospital medicine.  While future hospitalists receive extensive clinical education during their post-graduate years, they often leave their training programs with limited knowledge of the structure of the field and the value that hospitalists […]

Background: Code blue situations, being uncommon yet stressful, require excellent team communication; they can pose challenges for deaf or hard of hearing (DHH) clinicians, trainees, and interpreters, though DHH providers are a growing source of language-concordant care for DHH people, an underserved population. No known training specifically addresses such challenges. As educators and mentors, we […]