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: With the dramatic increase in the usage of opioids for not only inpatient but also outpatient pain management, a potential increase in opioid-related deaths had led to a national concern regarding opioid usage. The World Health Organization analgesic ladder estimates 90% of the global population will use opioids at least once in their life, […]

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 […]

Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of […]

Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to present and interpret common laboratory test abnormalities. Formal training in interpreting routine diagnostic tests is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on […]

Case Presentation: A 35-year-old female presented to the emergency department after an episode of syncope. She takes methadone (180 mg/day) for opioid dependency. She had a recent relapse and returned to illicit drug use after a period of sobriety. Vital signs were notable for tachycardia, blood pressure and respiratory rate were normal. On physical exam […]

Case Presentation: A 51-year-old male with a history of alcoholic liver cirrhosis presented with severe bilateral leg pain associated with nausea, vomiting, and diarrhea, after consuming raw oysters 36 hours prior to admission. Physical exam revealed an encephalopathic obese man with a temperature of 38.2oC, heart rate of 102 bpm, and BP of 85/50 mmHg. […]

Case Presentation: A 93-year-old female was brought by her daughter via EMS to the emergency department with complaints of vomiting and drowsiness. She was treated, 2 weeks prior, with Cefalexin for a presumed UTI. After antibiotics initiation, the patient developed multiple episodes of non-bloody, watery diarrhea, with subsequent drowsiness, confusion, and poor appetite. She denied […]

Background: Hospital medicine is a rapidly growing and advancing field. In 2020, pediatric hospital medicine became a board-certified specialty requiring successful completion of an ACGME accredited two-year fellowship and examination1. Adult hospital medicine fellowships, which do not require ACGME accreditation, have grown organically. We sought to characterize the current landscape of hospital medicine fellowships. Methods: […]