Background: Evidence-based practice (EBP) is associated with the delivery of high value care. The number of Advanced Practice Providers (APPs) at our institution is growing along with breadth of clinical responsibilities. Two existing organizational structures provide a natural collaboration for APPs’ development of evidence-based practice skills: (1) an APP education series and (2) a Center [...]

Background: Patients at high risk for cardiac events often receive telemetry, however, overutilization of cardiac monitoring leads to unnecessary interventions and increased healthcare costs. The American Heart Association (AHA) recommends classification of cardiac risk via symptoms and clinical course for determining telemetry needs as Class I, II, or III from highest to lowest risk respectively. [...]

Background: Despite the increase in female medical students and clinicians, gender disparities continue to exist for female clinicians today, from limits on upward mobility and leadership positions to unequal pay and more. Within medical education, existing research shows male students outperform female students on the USMLE Step 1 licensing examination, which has longer-term ramifications on [...]

Background: After Libby Zion died tragically in a teaching hospital, much attention from the medical community, public and government, was directed at resident training and the number of hours worked consecutively. This marked a new era heralded by close scrutiny of the time residents spent in the hospital. Two dramatic reductions were mandated nationally by [...]

Background: Among learners, preferred styles of learning vary based on the individual. These learning styles are influenced by a number of factors that play a role in how well the learner is able to interpret the material with which he or she is being presented. The Visual Aural Read/write Kinesthetic (VARK) learning questionnaire is a [...]

Background: The number of physician assistants (PA) practicing hospital medicine is increasing.1 The number of PA schools in the US has also increased from 54 in 1992 to 218 in 2015.2While there is an increasing need for robust PA student inpatient medicine education, little educational research has been done to determine the impact of a [...]

Background: Today, Medicare patients account for approximately 50% of hospital days. Hospitalists are a key strategy for providing care to hospitalized older adults, however, most of these hospitalists have not received geriatric training. Faculty development is an important component to the success of a hospitalist program. We developed a geriatric-focused lecture series to improve the [...]

Background: There is a critical shortage of Geriatricians in the United States and we are reaching a crisis nationwide without enough trained physicians to care for our rising Geriatric population. We are experiencing a “Silver Tsunami” as the oldest of old population, those above age 85, is expected  to quadruple from 5.9 million  to an [...]

Background: Following hospitalization, a reported 20% of all Medicare patients are discharged to skilled nursing facilities (SNFs).  Sepsis was the cause of 25-68% of readmissions from SNFs based on a review of Medicare readmissions from patients at 96 SNFs in southeast Michigan. Sepsis is also the most common all-cause admission diagnosis and represents over $20 [...]

Background: Many hospitals do not have the means to supervise daily physical therapy (PT) for elderly inpatients. PT delivered in a group setting has the potential to allow hospitals to consolidate resources and extend PT services to more elderly patients within the hospital. However, little to no efforts have been made in implementing the delivery [...]