Background: Despite a commitment to high-quality medical education, diagnostic errors continue to be pervasive. Clinical presentations with nonspecific symptoms and diagnoses with wide differentials are prone to diagnostic errors; dizziness may be the epitome of this conundrum. Dizziness is a common symptom, costly to assess, and frequently misdiagnosed. Diagnostic decisions have high stakes, given the […]

Background: Academic hospitalists have identified teaching learners as the most fulfilling aspect of their jobs. Components of effective clinical education include teaching at the bedside and giving feedback. To enhance and develop the teaching and professional developmental skills of early-career hospitalists, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and […]

Background: Academic hospitalists engage in multiple and varied career directions, including medical education, quality improvement, leadership, and research. In 2009, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and the Association of Chiefs and Leaders of General Internal Medicine (ACLGIM) launched the Academic Hospitalist Academy (AHA), an annual conference that […]

Background: Little is known about how to effectively train residents with point-of-care ultrasonography (POCUS) despite increasing usage. This study sought to assess whether handheld ultrasound devices (HUDs), alongside a year-long lecture series, improved trainee image interpretation skills with POCUS. Methods: Internal medicine intern physicians (n=149) at a single academic institution from 2016-18 participated in the […]

Background: Historical studies suggest that bedside (BS) rounding is optimal for learners. More recent studies report variable results with BS rounding viewed unfavorably among learners. Nonetheless, some academic institutions are moving toward widespread adoption of BS rounding as the preferred rounding style. On the Internal Medicine (IM) inpatient teaching services at the University of Kentucky […]

Background: Literature regarding resident education in transitions of care is limited, particularly in geriatric populations. The University of Colorado performed a pilot of a virtual multidisciplinary conference call between providers on the geriatric inpatient unit of the University of Colorado Hospital and its Seniors Clinic. Residents rotating on the Acute Care of the Elder (ACE) […]

Background: The concept of using Entrustable Professional Activities (EPAs) in undergraduate medical education (UME) arose because residency program directors noticed a significant decline in their interns’ ability to perform the basic skills required of them upon starting residency. The internal medicine (IM) sub-internship (sub-I) rotation is primed to address the EPAs especially pertinent to the […]

Background: Management of the hospitalized cancer patient represents unique challenges: delivery of complex, specialized medical management to a growing population, compounded by intense scrutiny of patient preference and goals of care. Historically, these patients have been admitted to a subspecialist’s service, but many institutions have now transitioned to a hospitalist-driven care model. Limited research suggests […]

Background: Preliminary data from the 2018 Clerkship Directors in Internal Medicine (CDIM) survey showed that in about 50% of both academic and community medical centers, medical students rotate directly with attendings (1). This number has increased by 400% from 2010, the last year for which data is available (2). In our institution, hospital medicine (HM) […]

Background: The landmark adoption of the 80 hour work week by the Accreditation Council for Graduate Medical Education (ACGME), followed by shift-length restrictions has forced both hospitals and residency programs to restructure who provides acute medical care and in what fashion. Academic Medical Centers have increasingly relied on hospitalists as traditional teaching attendings, in the […]