Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He [...]

Background: Feedback in clinical training is essential to reinforce positive behaviors and to provide areas for improvement. Numeric ratings from student performance evaluations are helpful but are not sufficient to guide the learner about where they may be excelling and where they may need additional development. Narrative written feedback both reinforces verbal feedback and provides [...]

Background: Disposition planning is a vital part of clinical care in the hospital setting and requires a collaborative multidisciplinary approach. Physical therapy (PT) assessments are often a key part of this process but due to staffing shortages and high acuity – both of which were exacerbated by the COVID pandemic – therapists at a large [...]

Background: Physician communication scores within the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) directly impacts a hospitals STAR rating. Provider engagement is essential in improving clinical outcomes, quality of care and overall efficiency. There is a high rate of physician burnout and disengagement post pandemic. When physicians are disengaged the hospitals do not [...]

Background: Point-of-care ultrasound training programs (POCUS) have proliferated, but the best method of skills assessment remains unclear. Most published testing protocols assess only image acquisition and interpretation. In a clinical scenario, recognizing an indication for POCUS, selecting the appropriate exam, integrating findings with the other data from the case, and formulating a differential diagnosis and [...]