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Search Results for ICI
Abstract Number: K48
SHM Converge 2022
Case Presentation: A 42 year-old Caucasian male with a past medical history significant for schizoaffective disorder with command auditory hallucinations, often commanding him to harm himself or others, with multiple suicide attempts by ingestion, and history of poly-substance abuse, was found by his friend on the floor of his apartment, seemingly unconscious, with copious amounts […]
Abstract Number: L10
SHM Converge 2022
Background: Clostridioides difficile infection (CDI) is a leading healthcare-associated infection causing debilitating diarrhea, life-threatening complications, 20,500 deaths and healthcare costs of up to $5.4 billion annually in the US. The main driver of CDI costs is hospitalizations, and patients with higher CDI recurrence rates have more hospitalizations and emergency department visits and longer hospital stays. […]
Abstract Number: L17
SHM Converge 2022
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 […]
Abstract Number: L19
SHM Converge 2022
Background: The Accreditation Council for Graduate Medical Education (ACGME) established a core competency that requires residents to demonstrate respect and responsiveness to diverse patient populations (1). While the importance of diversity, equity, and inclusion (DEI) in graduate medical education (GME) is recognized, establishing an effective curriculum to address these issues is challenging. In pre-survey data […]
Abstract Number: L23
SHM Converge 2022
Background: Diabetic Ketoacidosis (DK)A at our center has historically been managed in the intensive care unit (ICU) utilizing low-dose insulin infusion. According to the American Diabetes Association (ADA) and a 2016 Cochrane review, cases of mild to moderate DKA can be safely managed on general medical floors utilizing subcutaneous short-acting insulin. Prior studies have demonstrated […]
Abstract Number: L48
SHM Converge 2022
Case Presentation: Implanted central venous port catheters (ports) are widely used for chemotherapy, total parenteral nutrition and blood monitoring. If placed in the subclavian vein, up to 15% of patients who receive implanted ports have immediate complications, including venous injury, pneumothorax and pneumomediastinum. Long-term ports are associated with delayed complications, including thrombosis, occurring in 1.9-21.5% […]
Abstract Number: M17
SHM Converge 2022
Background: General medicine physicians should aim to promote patient-centered care in clinical practice, and contribute to research that will advance general medicine as an academic discipline [1]. However, the general medicine certified board in Japan has been established since 2018 [2], and the trend in their research achievements is not clear. Therefore, this study aimed […]
Abstract Number: M29
SHM Converge 2022
Case Presentation: Central Adrenal Insufficiency (CAI) is a rare and often late diagnosis due to nonspecific signs, such as fatigue, hyponatremia, electrolyte abnormalities and fever of unknown origin (FUO). CAI suspicion arises in patients with pituitary tumors, cranial irradiation, surgery, injury, infection, exogenous glucocorticoid withdrawal, and less commonly known, opioid use disorder. A 31-year-old male […]
Abstract Number: M33
SHM Converge 2022
Case Presentation: A 71 year old male with a history of COPD, Hypothyroidism and Stage IIIA Lung Cancer status post wedge resection and prior treatment with chemotherapy and radiation currently on Pembrolizumab who presented with a two week history of fatigue. He denied any recent steroid use. Physical exam revealed hypotension and blood pressures dropping […]
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 […]