Background: The Hospital Readmission Reduction Program (HRRP), established under the Affordable Care Act (ACA), caused health care systems to reevaluate the discharge process to avoid payment reduction for excess readmissions. The post-hospitalization follow-up appointment is a key factor in preventing readmissions. While the HRRP provides recommendations on time to follow-up for select diagnoses, those known […]

Background: Race and racism are social determinants of health resulting in marginalized groups often experiencing worse health outcomes. These racial differences are often due to physician bias as well as biased processes. To mitigate this, it is recommended that clinicians avoid reifying racial differences as biological differences. This study describes the use of racial identifiers […]

Background: Many institutions rely on informal training for internal medicine (IM) residents about how to provide effective discharge communication to patients and their caregivers. Complete instructions are essential to safe transitions of care. At our institution, we evaluated baseline knowledge of these topics among IM residents, and assessed how an educational module impacted residents’ knowledge, […]

Background: Under-represented minority (URM) physicians, specifically African American, Native American, Hispanic, and/or Pacific Islander, constitute only about 10% of practicing cardiologists. Although concerted efforts to increase diversity may increase the likelihood of graduating minority cardiologists, there remains uncertainty regarding how best to recruit and incentivize URM applicants to apply for cardiology fellowship training. As a […]

Background: Hospitalists play an essential role in educating residents on inpatient rotations. One critical way to ensure the success of trainees is to provide timely feedback and written evaluations, which may be difficult amidst conflicting tasks. Hospitalists face additional challenges with the large volume of learners to supervise, and with irregular resident schedules and frequent […]

Background: Hospital medicine is one of the fastest growing specialties in the United States (1). As more residency graduates pursue careers in hospital medicine, growth of dedicated post-graduate hospitalist fellowship programs has also occurred. These fellowship programs are intended to prepare participants for careers in academic hospital medicine as career paths within hospital medicine vary […]

Background: The primary goal of an acting internship or sub-internship is to prepare a fourth-year medical student for their intern year. At our institution, this has traditionally occurred on inpatient hospital medicine teaching teams which include senior residents, interns, and third-year medical students. Because these teaching teams are crowded with learners, our acting interns report […]

Background: For 6 months in 2018, a major quaternary-care teaching hospital underwent closure of operating rooms (OR) and cardiac catheterization laboratory (CCL) due to flooding/sterilization issues and planned upgrades. Surgery and interventional cardiology trainees were reassigned to other teaching hospital sites of Yale School of Medicine, with the anticipated impact on Medicine/subspecialties not fully known. […]

Background: Career success as an Internal Medicine (IM) physician requires more than exceptional medical knowledge and patient care. In professional practice, IM physicians hold leadership positions in multidisciplinary patient care groups, spearhead change management initiatives and lead quality improvement projects1,2. Despite the documented importance of physician leadership skills3,4, there is little time devoted to leadership […]

Background: Hospitalists are core to the U.S. inpatient provider workforce and serve a central role in adults’ inpatient health system interactions. Over 11 million Americans identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) [1] and 1 in 6 LGBTQ Americans describe facing discrimination in the medical setting [2]. To provide culturally responsive and clinically […]