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Search Results for ED
Abstract Number: M46
SHM Converge 2022
Case Presentation: 46-year-old male presented with sudden onset epigastric abdominal pain for 8 days at an outside hospital. He described pain as 6/10 intensity, dull in character, radiating in a band like pattern across the abdomen. Review of system was otherwise negative. CT scan of abdomen was done which showed no acute findings and was […]
Abstract Number: N11
SHM Converge 2022
Background: Communication errors in the post-operative period have been shown to contribute to patient harm and excess costs. There are no existing standards for the verbal handoff of post-operative patients to the acute care inpatient unit. There is limited literature describing hospitalist and surgeon experiences of and preferences for such handoffs. Our aim was to […]
Abstract Number: N13
SHM Converge 2022
Background: Healthcare provider burnout is highly prevalent, has been increasing during the COVID pandemic, and affects both physician and advanced practice providers (APP) wellbeing in hospital medicine (HM). The purpose of this study is to characterize and understand HM physician and APP stressors in their work environment, including workload. Methods: We distributed anonymous, online surveys […]
Abstract Number: N15
SHM Converge 2022
Background: An important duty of every hospitalist is to detect the earliest signs of imminent clinical deterioration. Breathing motion patterns can convey early warnings of respiratory instability (1). Normal breathing appears regular, effortless, well-coordinated and comfortable (2). In patients at high risk of respiratory deterioration, breathing appears labored (3). Well-established signs of labored breathing include: […]
Abstract Number: N16
SHM Converge 2022
Background: While hospitals are primarily designed to provide acute care, a subset of patients have prolonged lengths of stay beyond medical necessity for months on general medicine wards[1]. These cases often occur in vulnerable patient populations, including those with mental health and substance use disorders[2], impaired decision-making capacity[3, 4], and housing insecurity[3]. However, few studies […]
Abstract Number: N19
SHM Converge 2022
Background: Point-of-care ultrasound (POCUS) training was recently endorsed by the Alliance for Academic Internal Medicine (1) and the demand for training is increasing among internal medicine (IM) residency programs (2). Longitudinal POCUS training increases knowledge and skill retention compared to stand-alone workshops (3,4), but few programs currently provide longitudinal training due to institutional barriers, such […]
Abstract Number: N20
SHM Converge 2022
Background: There has been a national push over the last few decades to integrate patient safety within clinical care delivery. Despite an increased focus by educators and accrediting bodies, successful involvement of learners in high fidelity event review resulting in systems-level improvement lags behind expectations. Specific areas for improvement include faculty skillset development, involving interprofessional […]
Abstract Number: N22
SHM Converge 2022
Background: Time spent on electronic medical record (EMR) documentation is one of the top dissatisfiers for providers. With burnout at an all-time high, reducing provider burden while maintaining high quality care is essential to moving healthcare forward in a sustainable way. “While electronic documentation provides a number of benefits as compared to paper-based documentation, including […]
Abstract Number: N23
SHM Converge 2022
Background: Career exploration and professional identity formation (PIF) are critical in undergraduate medical education (UME). With its focus on management of acutely ill, hospitalized patients, Hospital Medicine (HM) is an opportune environment for pre-clinical students to gain valuable, diverse clinical experiences. While widely utilized in UME, shadowing on HM direct-care services (HM-DCS) (i.e., those without […]
Abstract Number: N24
SHM Converge 2022
Case Presentation: A 39-year-old female with a history of primary sclerosing cholangitis status post-liver transplant in 1986 on cyclosporine, ankylosing spondylitis, Monoclonal gammopathies with undetermined significance, and migraines presents with progressive headaches, fevers (up to 101 F), and neck stiffness over the past 2 weeks. She was found to have photophobia, meningismus, and a positive […]