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Abstract Number: 86
SHM Converge 2023
Background: Deaths caused by drug overdose continue to be a public health crisis and contribute to overall mortality and the lowering of life expectancy in the United States. In 2021, the number of drug overdose deaths surged to nearly 107,000 nationally and more than 5,800 in New York State (NYS). Little is known about the […]
Abstract Number: 88
SHM Converge 2023
Background: Physician burnout is a ubiquitous problem in healthcare characterized by emotional exhaustion, depersonalization, and a sense of reduced accomplishment from daily work. Though research has been done to evaluate the national burden of burnout in hospitalists, the impact of specific drivers of burnout and engagement is not yet well described. Drivers identified in the […]
Abstract Number: 97
SHM Converge 2023
Background: As hospitalists often serve marginalized patients and have system-wide influence, hospital medicine is well positioned for promoting diversity, equity, inclusion, and justice (DEIJ). While representational diversity may be tracked, inclusion can be harder to assess. As hospitalists engage in DEIJ efforts, it is important to understand what ‘success’ in inclusion looks like. We sought […]
Abstract Number: 98
SHM Converge 2023
Background: A frequently cited challenge to parenting as a clinician relates to family leave policies. Taking parental leave may negatively affect clinicians’ income, research, career, and relationships with colleagues. Parental leave policies may be unfair, vague, or poorly communicated. We sought to describe the parental leave experiences and approaches used to support parental leave and […]
Abstract Number: 99
SHM Converge 2023
Background: Since the start of the COVID-19 pandemic, racial and ethnic minorities have experienced disparities in infection rates, hospitalization, and death. Monoclonal antibodies (Mab) decrease hospitalization when given to ambulatory non-severe high-risk patients within 10 day of symptom onset. Disparities in care related to Mabs are not well understood. We describe experience from Mab infusion […]
Abstract Number: 101
SHM Converge 2023
Background: Transportation is a social determinant of health that can be a barrier to care and exacerbate disparities. During the COVID pandemic, access to transport was further diminished.Monoclonal antibodies (Mab) are associated decreased hospitalization in high-risk COVID patients. Until 9/2022, the $2000 cost per dose of Mabs was paid by the federal government. However transportation […]
Abstract Number: 102
SHM Converge 2023
Background: Hospital Medicine has grown rapidly as a clinical specialty, but the specialty’s inroads in research have been more limited. We sought to understand the current state of research in adult Hospital Medicine. Methods: We repeated a 2018 survey of leaders in the field with changes to improve the response rate and representativeness of surveyed […]
Abstract Number: 107
SHM Converge 2023
Background: Most medical centers have limited ICU beds to directly admit high acuity patients from the emergency department. This is compounded by the trend towards increased medical acuity. Thus, rising numbers of patients with higher acuity are being admitted to general medical units and later requiring transfer to ICU. These patients have higher in-hospital mortality […]
Abstract Number: 119
SHM Converge 2023
Background: Since the implementation of the Hospital Readmission Reduction Program, 30-day readmissions have decreased across the U.S. regardless of hospital teaching intensity. The effect of financial penalties on long term readmission rates has not been studied. Teaching hospitals serve as leaders in medical education, research, innovation, and patient care. Therefore, we examined whether long-term readmission […]
Abstract Number: 122
SHM Converge 2023
Background: High health care costs and poor outcomes are associated with high hospitalization rates and are concentrated in a small fraction of the population. Fragmented patient care and socioeconomic disadvantage may further increase hospitalization rates. To defragment medical care for a socioeconomically diverse population of Medicare patients at increased risk of hospitalization, the University of […]