Background: Racism is a public health crisis impacting patients and healthcare workers. Antiracist education is not typical in undergraduate or graduate medical education curriculum. Discriminatory practices in health care result in worse patient outcomes in Black, Indigenous, & People of Color (BIPOC). Committing to antiracist work is the first step in addressing racism and must […]

Background: Residents are uniquely positioned to learn from and contribute to informatics. As key electronic health record (EHR) users, they offer practical solutions and feedback. Resident informatics engagement promotes EHR proficiency and accelerates implementation of best practices and quality improvement. Understanding how clinical data are structured creates a foundation for future scientific inquiry using clinical […]

Background: For the academic hospitalist, rounds are the cornerstone of teaching, learning, and patient care. At our institution, a study found that internal medicine residents on the inpatient wards spent an average of 3.4 hours rounding daily. However, most residents and attendings described rounds as “inefficient” and “low value.” With the importance of ACGME work […]

Background: Acknowledging that a successful career in hospital medicine (HM) may require specialized skills, residency programs have developed hospital medicine-focused education (HMFE) programs. Surveys of internal medicine residency leaders have described HMFE curricula but are limited to that specialty and lack input from early career hospitalists (ECHs) who recently completed this training. Therefore, we surveyed […]

Background: The COVID-19 pandemic has placed additional stress on the healthcare system. Not only do we face large volumes of high acuity patients, but also acute shortages of healthcare providers. Physician shortages were particularly pressing to our institution. COVID-19 patients were cohorted to our Hospital Medicine (MHS) service to minimize exposure and risks to house […]

Background: Internist trainees have traditionally acquired radiology skills in a piecemeal manner, either through elective rotations or through informal “radiology rounds” on inpatient medicine rotations. here is no comprehensive curriculum for teaching basic radiology to internal medicine (IM) residents, and their image interpretation skills are limited (1). Additionally, the rise of the electronic medical record […]

Background: The advent of internal medicine procedure services within academic medical centers has had a profoundly positive impact on patient care, patient safety, and resident training (1-4). In general, these teams focus on performing invasive bedside procedures, including paracenteses, lumbar punctures, central venous catheter placements, thoracenteses, and ultrasound-guided peripheral intravenous catheter placements. Recently, the procedure service at […]

Background: Error reporting is an integral component in the safety program of hospitals. Residents in training programs are encouraged and expected to participate in error reporting as part of the clinical learning environment. Previous studies identified barriers to resident reporting including knowledge of how to submit reports and understanding how reports affect institutional safety culture. […]

Background: Point-of-care ultrasonography (POCUS) is a real-time, diagnostic modality increasingly utilized by clinicians at bedside to obtain critical, potentially life-saving information. The benefits of becoming familiar and facile with POCUS have become so clear in recent years that numerous residency programs across specialties have intentionally incorporated ultrasound-focused education into their standard curricula. Furthermore, some medical […]

Background: Diabetes is an exceedingly common disease encountered by medical trainees, with over 8 million hospitalizations in 2018 listing type 1 or type 2 diabetes as a diagnosis (1). Evidence supports continuing certain oral diabetes medications during admission when safe, reflected in recent consensus statements from professional societies (2,3). Nevertheless, oral medications are often held […]