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Search2020-05-20T12:01:36-05:00
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Oral Presentations
Abstract Number: OP10
INTERHOSPITAL PATIENT TRANSFERS WITHIN A LARGE HEALTHCARE SYSTEM
SHM Converge 2022
Background: The availability of beds within healthcare systems has been stressed during each wave of the COVID-19 pandemic. Healthcare systems with tertiary hospitals have had increasing patient volumes and face limitations of specialized urgent (e.g., ECMO) and routine (e.g., Percutaneous Coronary Intervention) functions during critical inpatient surge volumes. Reserving the limited capacity at a tertiary […]
Abstract Number: E2
IMPLEMENTATION OF EVIDENCE-BASED MEDICINE DURING THE COVID-19 PANDEMIC: LESSONS LEARNED FROM A NATIONAL SURVEY OF ACADEMIC MEDICAL CENTERS
SHM Converge 2022
Background: Evidence-based COVID-19 management has evolved with unprecedented speed; however, the rate and fidelity with which institutions have adopted new evidence into practice is unknown. Methods: We surveyed members of the Hospital Medicine Reengineering Network (HOMERuN) from 12/17/20-2/10/21 and compared their institutional COVID-19 management recommendations to available evidence from pivotal randomized controlled trials (RCTs) and […]
Abstract Number: E4
EARLY-CAREER HOSPITALISTS’ PERSPECTIVE ON HOSPITAL MEDICINE-FOCUSED EDUCATION IN RESIDENCY TRAINING
SHM Converge 2022
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 […]
Abstract Number: G4
PROTECTING TIME FOR SCHOLARSHIP IN ACADEMIC HOSPITAL MEDICINE: A MULTI-INSTITUTIONAL, QUALITATIVE STUDY
SHM Converge 2022
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 […]
Abstract Number: K6
BUILDING A THRIVING ACADEMIC HOSPITALIST WORKFORCE: A RAPID QUALITATIVE ANALYSIS TO IDENTIFY KEY AREAS OF FOCUS IN THE FIELD
SHM Converge 2022
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 […]
Abstract Number: A11
OVERDIAGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA: RISK FACTORS AND OUTCOMES FROM A 48 HOSPITAL COHORT STUDY
SHM Converge 2022
Background: Community-acquired pneumonia (CAP) is the most common infectious diagnosis necessitating adult hospitalization in the United States (US). Timely diagnosis of CAP is important to improve patient outcomes. However, overdiagnosis of CAP, or treatment of CAP despite inadequate signs or symptoms of CAP, may also pose a significant threat to patient safety. Potential harm of […]
Abstract Number: A13
IMPROVING CONFIDENTIAL CARE: UTILIZING ELECTRONIC HEALTH RECORD MODIFICATIONS TO INCREASE USE OF ADOLESCENT SENSITIVE NOTES
SHM Converge 2022
Background: Confidentiality within adolescent medicine is imperative in establishing a trusting patient-physician relationship. In April 2021, the 21st Century Cures Act granted patients’ guardians immediate access to select patient electronic medical records. Whereas Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible to guardians, adolescent sensitive notes (ASN) remain confidential. At our institution, […]
Abstract Number: B15
ANALYZING MONDAY DISCHARGES TO IDENTIFY LOST OPPORTUNITIES FOR WEEKEND DISCHARGE IN ADULT PATIENTS ADMITTED TO THE HOSPITAL MEDICINE SERVICE
SHM Converge 2022
Background: Fewer hospitalized patients are discharged per day on weekends as compared to weekdays.1 Hospital medicine groups have implemented quality improvement (QI) initiatives to increase weekend discharges, however, the factors contributing to lower rates of weekend discharges are not well-described.2 To better understand contributors to missed opportunities for weekend discharge, we analyzed patients discharged on […]
Abstract Number: B17
EXTERNAL VALIDATION OF THE COVID-19 4C MORTALITY SCORE IN A UNITED STATES COHORT
SHM Converge 2022
Background: The management of patients with COVID-19 is challenging for front-line healthcare providers given limited validated, evidence-based clinical decision support. Determining patient mortality risk is critical for effective triage, management, and discharge decision making. Numerous COVID-19 risk prediction models have been created, though the robustness of these models varies. The 4C Mortality Score, created by […]
Abstract Number: B25
FULL THICKNESS ESOPHAGEAL PERFORATION DUE TO TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE)
SHM Converge 2022
Case Presentation: This is a case of a 68-year-old female with a history of a recent cryptogenic stroke and atrial fibrillation who presented for an elective TEE for patent foramen ovale (PFO) evaluation and possible closure. TEE revealed a PFO with evidence of a right-to-left shunt. After completion, the patient reported exquisite neck tenderness, severe […]
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  • A Patient’s Presentation of Persistent Sweet Taste in Her Mouth Leads to a Diagnosis of Small Cell Lung Cancer
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