Background: Many patients continue their post-acute care in settings such as skilled nursing facilities (SNFs). One in four hospitalized Medicare patients are discharged to SNFs. These patients are generally the elderly or require more care than patients discharged home, placing them at greater risk of clinical decline and rehospitalization. Moreover, 25% of patients discharged to […]

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 […]

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 […]

Background: Direct admissions (DA), wherein patients are non-emergently admitted to the hospital, bypassing the emergency room (ER), makeup 15% of non-elective adult hospitalizations (1). DAs can reduce ER volumes (2), but may lead to delays in initial evaluation of patients and inappropriate admissions (2,3). DAs carry risks involved with transitions of care and handoffs, yet […]

Background: Currently, there are over 50,000 practicing hospitalists. As it remains a popular career choice for graduating residents, the field has seen a rapid rise in the number of junior faculty. However, there continues to be a gap in those who have advanced to senior academic rank, namely associate or full professor. It is well […]