Background: Sepsis is a leading health care burden associated with high mortality in the United States. Poor outcomes associated with sepsis continue despite modifications in the sepsis care guidelines. Several factors influence the outcome of sepsis including patient characteristics, etiology of sepsis, and management in the appropriate intensive care unit setting. The aim of our [...]

Background: Scholarly productivity is critical for academic fulfilment and promotion in hospital medicine (HM), but many hospitalists struggle to achieve scholarly success. Protected time (PT) (i.e., non-clinical time that can be dedicated to scholarly activities) is a key facilitator of academic productivity in HM. However, little is known about how PT for scholarship is managed [...]

Background: Emergency Department (ED) overcrowding and lack of hospital bed capacity are pervasive problems made worse by the Covid-19 pandemic. Bed capacity is a significant concern at Academic Medical Centers (AMCs), as patients depend upon AMCs for specialized in-hospital care not available at other regional hospitals. Bed capacity shortage is acutely felt at rural AMCs, [...]

Background: As the COVID-19 pandemic continues, the hospitalist workforce, which has been at the forefront, has been further stretched in both clinical and non-clinical domains. Hospitalists have faced increased clinical workloads due to inpatient volume surges, have been asked to lead hospital administrative pandemic responses, and have had to quickly adapt research to the context [...]

Background: Academic hospitalist faculty often feel poorly equipped to meet the variety of teaching and scholarship expectations placed on them. This can contribute to job dissatisfaction and burnout. There is a dearth of faculty development programs for hospital medicine faculty to meet this need. We developed, implemented, and evaluated a faculty development workshop series for [...]

Background: Academic promotion in Hospital Medicine (HM) can be limited by lack of senior mentorship and limited opportunities for early/mid-career (EMC) academic hospitalists to develop national collaborations. Purpose: To provide opportunity to EMC academic hospitalists to showcase institutional best practices in an effort to gain national exposure/reputation, enhance academic portfolio, and foster networking amongst participating [...]

Case Presentation: A 76-year-old Hispanic male with a past medical history of well-controlled hypertension, Pre-diabetes, class 3 obesity, unprovoked Deep vein thrombosis (DVT) progressing to pulmonary embolism (PE) diagnosed 6 months ago, treated with apixaban, presented to the ED with 2 weeks history of progressively worsening dyspnea, dry cough and orthopnea. Denies any chest pain, [...]

Background: Considerable resources are expended by academic divisions of hospital medicine (HM) to recruit and retain physicians that will be successful. Despite the high stakes for the institution and candidate, there is a lack of data to guide these decisions. Suppositions regarding what attributes contribute to success predominate. We evaluated the relationship between factors known [...]

Case Presentation: This is a case of a 65-year-old man with a history of prostate cancer who presented with a 3-day history of fatigue and shortness of breath. Initial diagnostic work-up revealed a hemoglobin of 7.8 g/dL (10.1 g/dL the day prior), normal platelets, and an indirect hyperbilirubinemia. Lactate dehydrogenase was elevated, haptoglobin was undetectable [...]