Background: Perioperative co-management has become an increasingly important part of a hospitalist’s role. A new MSIV course was created to teach and showcase this unique aspect of hospital medicine to medical students. Perioperative co-management can provide excellent educational value and a new framework of thinking for medical students regardless of the specialty they pursue. Purpose: [...]

Background: Calls to action to address well-being recommend addressing systems drivers and improving the culture of medicine, in addition to devoting attention to individual self-care. In 2018, an internal medicine residency well-being elective was developed to teach residents about systems and cultural drivers of well-being in residency, and to facilitate deep exploration through individual systems [...]

Background: Developing contextualized curricula in diagnostic reasoning and clinical decision-making is crucial to improve medical education (1,2). Barriers to transition from classroom-based to workplace curricula include workflow constraints, the absence of standardized tools to assess clinical reasoning, the complexity of decision making, and outdated teaching methods (3,5). Aimed to bridge these gaps, we developed the [...]

Background: Nurse Practitioners (NPs) and Physician Assistants (PAs) are a vital part of a Hospital Medicine Group (HMG). Many NPs and PAs join HMGs directly after graduating and without prior experience in Hospital Medicine. The anticipation of a new position brings many emotions. There is excitement, but there is also hesitation. The introductory phase in [...]

Background: Hospitalists are increasingly being asked to provide a significant proportion of the teaching on the inpatient ward service. The increasing teaching load has led to an expansion of the cohort of faculty members serving in this role, leading to teaching assignments for inexperienced educators. Peer observation of teaching (PoT) has previously been reported as [...]

Background: The care of surgical patients is becoming more complex as patients with increasing age and medical comorbidities are undergoing both elective and emergent surgeries. Studies have shown that the effective use of hospitalists can improve and standardize care of surgical patients. Since this co-management strategy is becoming more prevalent in the inpatient setting, medical [...]

Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM [...]

Background: Over 35 million people are hospitalized annually in the United States, many of whom experience decline in physical functioning due to insufficient physical mobility. The geriatric patient population is at the highest risk of impairment in their baseline activities of daily living (ADL), falls, frailty and prolonged disability from insufficient physical mobility. The geriatric [...]

Background: Time motion studies are often conducted to describe activities of physicians caring for hospitalized patients with the goal of improving efficiency and patient safety. Prior work has mostly focused on trainees at academic medical centers. However, with the growth of hospital systems, most academic hospitals now have a similar number of patients cared for [...]

Background: As the field of Hospital Medicine continues to grow and evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the routine care of the hospitalized patient. Our HMG, a 120-physician team working at two tertiary care hospitals in the New York Metropolitan area, is no exception. In recent years, [...]