Background: The benefits of palliative care for hospitalized cancer patients are well known and have become a hallmark of high-quality oncologic care. This evolution in cancer treatment has led to a growing demand for palliative care services, and to questions about how to most effectively integrate this specialty into patient care. Furthermore, the field of [...]

Background: There is some observational evidence for the benefit of having an infectious diseases (ID) physician provide consultative support in the care of patients with Staphylococcus aureus bacteremia (SAB). A recent randomized trial was unable to document a similar benefit, although the control group received a concurrent stewardship intervention. We wanted to determine the effect [...]

Background: UC Davis Medical Center is a 646-bed tertiary care center and level 1 pediatric and adult trauma center, serving over 33 counties. Most inpatient internal medicine consultations originate from orthopedic and trauma services, with a significant subset of fragility fractures and geriatric patients. We established a co-management service to provide additional assistance for the [...]

Background: Patients with substance use disorders (SUD) are frequently cared for by hospitalists and admission presents an opportunity to engage patients in SUD treatment. Currently, patients with SUD are undertreated with medications to treat SUD, despite proven reduction in mortality. Addiction consult services are increasingly seen as an intervention to improve the quality of care [...]

Background: In hospital medicine, uncertainty [the subjective perception of ignorance(1)] is an inescapable challenge that impacts both patient care and physician well-being (2). There is a gap in our understanding of what hospital medicine physicians are uncertain about and how they manage their uncertainties. We aimed to learn more about how hospitalists experience and manage [...]

Background: Graduate medical education programs often use anonymous virtual comment boxes to elicit feedback from residents, fostering a culture of openness and aligning with ACGME standards.(1,2) These platforms allow residents to express concerns safely and anonymously, promoting trust and transparency. While previous studies highlight their positive impact on wellness, no comprehensive analysis exists regarding their [...]

Background: Nationally, inpatient medical oncology services are transitioning from services led by oncologists to hospitalist led with a consultant medical oncology team. There is national literature surrounding inpatient medical oncology services being poorly received by residents for a variety of reasons. Inpatient medical oncology is generally limited to medical complications and challenging goals of care [...]

Background: Systemic racism contributes to health disparities. Innovative educational strategies are needed to develop competency in addressing manifestations of racism that impact patients. While the MD program at Icahn School of Medicine at Mount Sinai addressed racism in the preclerkship curriculum, a gap was identified in the clerkship year. The authors developed an antiracist clinical [...]

Background: Oral case presentations are a core learning opportunity for students, during which they synthesize data, develop assessments and plans, and communicate clinical reasoning. However, during focus groups at our institution, faculty and students described presentations as inefficient, redundant, and lacking standardized expectations. Faculty were overall dissatisfied with student presentations. Students described presentations as stressful [...]

Background: Although popular belief often suggests a link between lunar cycles and human behavior, particularly in psychiatric contexts, scientific evidence supporting this association remains limited. This study explores the potential association between lunar phases and antipsychotic medication administration in psychiatric patient encounters at select hospital units from July 2018 to August 2023. Methods: Data were [...]