Background: The literature consistently demonstrates that trainees are more satisfied when hospitalist teaching models are implemented. Before implementation of our ward system, house staff Teams cared for patients with different attendingsof record, and each attending of record supervised the care of patients on different resident teams. The teaching attending group consisted of hospitalists and private [...]

Background: Emergency department (ED) overcrowding remains a major problem in the United States, leading to ambulance diversions, treatment delays, and patients leaving prior to physician evaluation. In addition, the total number of inpatient hospital beds has decreased An efficient method to triage admitted patients may help lo reduce ED overcrowding and potentially improve patient care. [...]

Background: Handoff skills continue to be a critical part of resident training. Few large‐scale studies exist to assess the most effective method 1c teach proper handoff skills. Purpose: A prospective, randomized, controlled trial was conducted to explore the effectiveness of cognitive simulation to teach handoff skills compared to control. Eighty‐nine internal medicine and transitional year [...]

Background: Inpatient quality measures, such as compliance with multidisciplinary ventilator bundles to prevent ventilator associated pneumonia and venolhromboembolism (VTE) prophylaxis have been linked to reduced morbidity and mortality. However, at many hospitals not all suitable patients receive recommended care. Hospitals are increasingly reporting performance on such quality and safety measures to government and third‐party entities, [...]

Case Presentation: A 79‐year‐old female with a history of hypolhyroidism presented with recurrence of her symptoms within days of discharge. On her last admission she presented with a 2‐week history of recurrent high‐grade fevers, headache, and flulike symptoms. Laboratory analysis was significant for anemia, thrombocytopenia, abnormal LFTs, and elevated LDH and CRP. A Coomb's test [...]

Case Presentation: A 36‐year‐old woman with PMH significant for iron‐deficiency anemia, presented with weakness, dyspnea, blurry vision, and dizziness. She denied hemoptysis, hematemesis, or hematochezia. Her menstrual cycles were regular. Physical exam showed pale conjunctiva, regular tachycardia, and a systolic heart murmur. Her neurological exam was normal, and her stool was guaiac negative. A head [...]

Case Presentation: A 69‐year‐old woman was hospitalized with a 4‐month history of generalized weakness, paresthesias, and bilateral lower‐extremity pain. Her past medical history was significant for hypertension, dyslipidemia, and surgically treated ovarian cancer Review of systems was positive for decreased appetite and postmenopausal bleeding. Physical exam was unremarkable, except for the neurological exam, which revealed [...]

Case Presentation: A 45‐year‐old white female with no significant past medical history presented with bilateral lower‐extremitiy edema for 6 months. Physical examination was unremarkable except for pitting edema. Initial workup showed hypoalbuminemia and 24‐hour urinary proteinuria of around 7 g. Further lab work was negative for hepatitis profile, antistreptolysin 0 titer (ASO), antineutro‐philic antibody (ANA), [...]

Case Presentation: A 46‐year‐old man with diabetes meHitus, hypertension, and hyperlipidemia was admitted with history of myalgias, cough with sputum, emesis, chills, abdominal pain, and diarrhea. Examination was significant for an ill‐appearing male, normolensive, and tachypneic with bilateral basal crackles. His CBC revealed leukocytosis with hemoglobin and platelet count being normal. Chest x‐ray showed bilateral [...]

Case Presentation: A 41‐year‐old woman was admitted for evaluation of recurrent diarrhea and lightheadedness. She described recurrent episodes over the preceding year of nausea and diarrhea, followed by worsening dizziness. She also had bilateral hip and lower‐extremity cramping and at times progressed to syncope. She had had multiple ICU admissions for hypovolemic shock (once requiring [...]