Background: Our large academic medical center has no standardized paging process. Communication between nurses and internal medicine (IM) providers occurs through an alphanumeric one-way paging system. The majority of the pages are non-urgent and often only include a call back number. Non-urgent pages can cause provider fatigue, particularly during high volume messages. Additionally, unclear text [...]

Background: During the initial COVID-19 surge in the Spring of 2020, adequate inpatient bed availability was a key factor in determining the quality of the care provided to our patients. Timely and efficient daily discharges were vital to creating bed capacity and decompressing access points. At our institution, an 800-bed tertiary care medical center outside [...]

Background: With the rising predominance of shift work in healthcare, provider handoffs are important to facilitate the flow of patient information in a way that supports continuity and quality patient care. The Joint Commission has identified poor communication at handoffs as a major source of adverse events (1) which has led to significant work in [...]

Background: Biases related to people with substance use disorder (SUD) actually increase during time spent in formal medical education, and continue into practice. Leading health professional education groups across medicine, nursing, pharmacy, and social work, including the Association of American Medical Colleges (AAMC), have recognized addressing substance use disorders including stigma and bias as a [...]

Background: In the early stages of the COVID-19 pandemic, there was a lack of knowledge about this new disease. Keeping up to date with new, rapidly expanding literature was demanding. Evidence-Based Medicine (EBM) practices were ambiguous and critical evaluation of scientific articles was challenging. Management of patients with COVID-19 was often isolating for providers and [...]

Background: A growing body of evidence suggests that selecting graduating medical students for residency interviews based solely on USMLE scores or clinical grades does not adequately capture the breadth of qualities needed to succeed as a resident as outlined by the ACGME competencies. Step scores have been shown to correlate with ITE scores and boards [...]

Background: A designated ‘nocturnist’ position is a relatively new but rapidly growing, valuable addition to academic centers. However, institutions find it difficult to attract and retain nocturnists. Among the solutions proposed, one that benefits both the nocturnist and the institution is scholarly activity. (1) This is particularly important in the academic setting where scholarly work [...]

Background: During COVID-19, students, residents and their programs find themselves in a unique situation. Balancing the educational needs of a training program with the safety of trainees is a challenging task, specifically when taking care of patients who are COVID-19 positive or patients under investigation. Purpose: One increasingly available tool that can help protect trainees, [...]

Background: It is imperative for Physician Assistant (PA) students to be exposed to hospital medicine as 40% of practicing PAs identify the hospital as their principal clinical practice setting (1). Many of these rotations were cancelled due to the COVID-19 Pandemic, negatively impacting the 70% of PA programs not affiliated with an academic medical center [...]

Background: The charge of the Society of Hospital Medicine’s (SHM) Physicians in Training (PIT) Committee is to enhance medical student and resident engagement in the practice of hospital medicine and to prepare trainees and early-career hospitalists for key transitions in their hospital medicine careers. The SHM Resident and Student Special Interest Group (SIG) aims to [...]