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Abstract Number: 305
SHM Converge 2023
Background: The division of the hospital medicine at the University of Florida has 52 attending hospitalist physicians with an average daily census of 200 patients. On any given day, one physician carries 16 patients and practices direct care services. This includes chart review, placing orders, answering pages, coordinating with case managers, requesting consultations, rounding on […]
Abstract Number: 306
SHM Converge 2023
Background: Background: The UNC Meet My Loved One (MMLO) project was implemented during the early stages of the COVID-19 pandemic. As COVID-19 surged, patients and healthcare workers experienced unique factors that diminished recognition of patient personhood and increased healthcare worker (HCW) burnout. Adapted from the University of Alabama’s MMLO initiative, the UNC Palliative Care team […]
Abstract Number: 307
SHM Converge 2023
Background: Night coverage for hospital medicine teams can be the most expensive and busy of all shifts. According to 2020 State of Hospital Medicine Report, only 5.7% of teaching centers use a combination of onsite and off-site night-time coverage. In July 2022, our academic hospital medicine team was asked to create an additional inpatient service […]
Abstract Number: 308
SHM Converge 2023
Background: Managing the complex environment of a general medicine ward requires high performing interdisciplinary teams.(1) In 2016, an Accountable Care Unit (ACU) was implemented on a 35-bed medicine ward at a community based teaching hospital to develop high performing interdisciplinary teams. One of the four features of an ACU is Structured Interdisciplinary Bedside Rounds (SIBR)(2), […]
Abstract Number: 309
SHM Converge 2023
Background: Hospital discharge summaries are critical to transitions of care as they are oftentimes the only substantive form of communication that accompanies patients to their next care setting. The lack of interoperability in our healthcare IT ecosystem amplifies the need for discharge summaries to mitigate subsequent duplication of services and increased costs. These documents must […]
Abstract Number: 310
SHM Converge 2023
Background: Given the rising demand for hospital-based providers, advanced practice providers (APPs; i.e., physician assistants/nurse practitioners) are increasingly being employed by hospitalist groups. However, APPs training in hospital medicine is variable and not always required. Post-graduate APP fellowships in hospital medicine have been previously described. However, fellowships are not widespread and data evaluating outcomes of […]
Abstract Number: 311
SHM Converge 2023
Background: Residents rotating in hospital medicine (HM) are challenged with gaining a broad clinical knowledge base and applying that knowledge in complex situations unique to the hospital. To address this challenge, HM curricula must focus on developing residents into adaptive experts with the meta-cognitive skills to navigate novel and ambiguous situations when routine clinical knowledge […]
Abstract Number: 312
SHM Converge 2023
Background: Anti-racism education is increasing across academic institutions; however, physicians have varied levels of skill addressing racist microaggressions. Microresistance Communication Tools (MCTs) are frameworks developed to respond to microaggressions and are common devices used in microaggression trainings. Prior studies evaluating MCT trainings primarily measured change in confidence but rarely objectively assessed ability to apply these […]
Abstract Number: 313
SHM Converge 2023
Background: Point-of-care ultrasound is defined as a goal-directed, bedside ultrasound examination performed by a health care provider to answer a specific diagnostic question or to guide the performance of an invasive procedure. Its use has been endorsed by the American Academy of Family Physicians, American College of Physicians, and the Society of Hospital Medicine. Yet […]
Abstract Number: 314
SHM Converge 2023
Background: Interprofessional education (IPE) has been shown to enhance knowledge, skills, and collaborative attitudes among healthcare providers, while also improving patient outcomes. While IPE is becoming more common in undergraduate medical education, many graduate medical education (GME) programs currently lack formal curricula. Those GME curricula that involve experiential learning have focused largely on the nursing […]