Background: Several institutions have implemented a medical procedure service (MPS) to improve timeliness of bedside procedures and standardize performance and training of procedures by internal medicine (IM) residents (1-2). A critical barrier to starting an MPS has been a lack of experienced proceduralists (3). In 2011, our IM residency program created an MPS led by [...]

Background: Several institutions have implemented a medical procedure service (MPS) to improve timeliness of bedside procedures and standardize performance and training of procedures by internal medicine (IM) residents (1-2). A critical barrier to starting an MPS has been a lack of experienced proceduralists (3). In 2011, our IM residency program created an MPS led by [...]

Background: The American opioid epidemic is a public health emergency, with over 100,000 opioid-related overdose deaths occurring in 2021 (1). Harm reduction treatment models, formulated with the goal of reducing the negative consequences of opioid use, have been implemented as an alternative approach in minimizing opioid overdose and mortality (2). With approximately 4-11% of hospitalized [...]

Background: Effective provider communication improves patients’ satisfaction, engagement, and health outcomes. Sitting at the bedside may improve communication; however, many providers do not regularly sit during inpatient encounters. We conducted a controlled pre-post evaluation of adding wall-mounted folding chairs inside the entrance of patient rooms, coupled with education, to increase sitting at the bedside by [...]

Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to interpret and initiate management for common electrolyte abnormalities. Formal training to achieve this is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on interpreting [...]

Background: An increasing amount of literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the healthcare workplace (1-5). Confronting these displays of bias involves a multifaceted approach across professional disciplines and hierarchies. Residency is a time when physicians experience and learn to navigate bias (6). To address this, we [...]

Background: Unlike other chronic conditions such as diabetes mellitus and heart disease, substance use disorder (SUD) has only recently been recognized by the medical community recently as a medical condition, and stigmatizing beliefs have lingered. Formal teaching about SUD has been shown to foster a more positive attitude towards these patients among medical trainees. Attitudes [...]

Background: The 12-lead electrocardiogram (ECG) is an essential tool when evaluating patients with suspected cardiopulmonary disease and inaccurate ECG interpretation may result in adverse patient outcomes. The Alliance for Academic Internal Medicine stated that ECG interpretation should be a skill required for medical school transition to residency. Yet, prior research indicates graduating medical students correctly [...]

Background: The transition from internal medicine resident to early-career hospitalist signals the end of structured clinical feedback in the residency training model. This abrupt transition can impact well-being and the continued formation of self-directed learning skills. In addition, studies have shown an association between practicing in the first year as a hospitalist and inferior patient [...]

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 [...]