Background: Surgical co-management is an up-and-coming field within Hospital Medicine, with great successes documented in the improvement in quality metrics and patient satisfaction owing to the involvement of hospitalists in peri-operative inpatient care. Currently, orthopedic and neurosurgical co-management programs are the most commonly developed partnerships. Our institution is a Level 1 regional trauma center with […]

Background: Previous studies have shown reduced costs and length of hospital with surgical comanagement performed by hospitalists. In Latin America, however, this practice of comanagement is still not standard among surgeons. The Hospital Nossa Senhora da Conceição, localized in Southern Brazil, was the pioneer of Hospital Medicine in our country. It is a public, tertiary, […]

Background: Consultation in hospital is an important tool for acquiring subspecialty support when managing patients with acute congestive heart failure (CHF). The effect of consult utilization on hospital outcomes and resource utilization of acute CHF is unknown.   Methods: Discharge data was obtained for patients discharged with a principal diagnosis of acute CHF over 3 […]

Background: Hospitalists nationwide are faced with complex patient and family behaviors that interfere with medical care. In the acute inpatient setting, few resources are available for physicians to address maladaptive behaviors and many physicians report significant discomfort managing these disruptive behaviors. We implemented a Nurse Practitioner-Led Psychiatric Consult Service to provide education and recommendations for […]

Background:  The Society of Hospital Medicine considers stroke care to be a core competency in hospital medicine.  Hospitalists must be prepared to lead inpatient stroke alerts, as neurologists may not be readily available outside of academic medical centers.  However, even graduates of hospitalist training programs may report insufficient experience in leading these complex, time-pressured, high-stakes […]

Background: Patients with serious mental illness die an average of eight years earlier than the general US population, partly related to their higher burden of chronic medical conditions. With the development of patient-centered medical homes, psychiatrists are increasingly required to recognize and manage acute and chronic medical illnesses in outpatient and inpatient settings. This demand […]

Background: Accreditation Council for Graduate Medical Education (ACGME) program requirements for family medicine permit wide variability in adult inpatient medicine curricula. Family physicians compose a significant percentage of the hospitalist workforce, and the American Board of Family Medicine co-sponsors the Recognition of Focused Practice in Hospital Medicine. Previously published survey data describe certain residency characteristics […]

Background: Limited data exist regarding rates of mechanical complications associated with placement of non-tunneled acute central venous catheters (CVC) at a training institution. Additionally, trainee perceptions and experiences managing CVC complications are unknown. Our objective is to evaluate modern day CVC mechanical complication rate and associated risk factors. A secondary goal is to explore trainee […]

Background: Point-of-care ultrasound (POCUS) is a diagnostic modality that can improve diagnosis, reduce cost, and increase patient satisfaction. POCUS is being increasingly utilized in internal medicine (IM), and IM residents desire training in POCUS. A such, residency programs across the country have implemented various strategies to teach POCUS, though the impact of these interventions is […]

Background: The substantial increase in medical knowledge along with the pursuit of enhanced outcomes and quality of care has led to significant subdivision of medical and surgical specialties. Physicians, regardless of level of training or scope of practice, should be able to efficiently and safely approach and manage a patient that is facing a medical […]