Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician […]

Case Presentation: A 30-year old woman with antiphospholipid antibody syndrome secondary to lupus with extensive arterial and venous thrombotic history presented to the emergency department with left lower extremity pain, coolness, and skin blanching for seven days. She had stopped taking her chronic anticoagulation medication two months prior to admission when she ran out of […]

Case Presentation: A 67-year-old man with tobacco use disorder, class I obesity, OSA, and recurrent basal cell carcinoma (BCC) of the external auditory canal presented to his preoperative appointment prior to planned surgical removal of his BCC with partial temporal bone resection, parotidectomy, and reconstruction. At the time, he endorsed subacute progressive dyspnea, dry cough, […]

Background: Telemedicine has been increasingly relied upon to deliver health care remotely. During the COVID-19 pandemic, telemedicine has been essential to conserving PPE and minimizing potential exposures. Though more frequently used in outpatient settings, telephone and video visits are now also being used to connect hospitalized patients with members of their inpatient care team. Data […]

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 […]

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 […]

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% […]

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 […]

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 […]

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 […]