Background: As more hospitalists have gained basic point-of-care ultrasound (POCUS) skills, the desire for training in more advanced POCUS applications has increased as well as the need for developing faculty with an advanced POCUS skillset, that can support expansion of training and clinical integration into practice. Current certificate and credentialing pathways help build basic POCUS [...]

Background: Hospitals across the country employ a readmission risk assessment tool such as the LACE score (L- length of stay, A–acuity, C- Comorbidity, E- Emergency department use) to pinpoint patients at heightened risk of potentially avoidable readmissions. However, at our institution, the LACE score proved inadequate in identifying individuals with mid to late-stage chronic illnesses [...]

Background: Research suggests correlations between career satisfaction and lower levels of burnout.(1,2) Yet, Advanced Practice Providers (APPs) are less frequently involved (< 50%) in teaching, research, QI and leadership training suggesting opportunities in these realms.(3) To bridge this gap and increase APP career satisfaction, researchers developed a novel framework L.E.A.D. Figure 1 In 2022, L.E.A.D. [...]

Background: There were 527,000 hospitalizations due to opioid use in 2012, which equates to more than $15 billion in medical care costs (Ronan & Herzig, 2016). Providers report significant barriers in treating patients with substance use disorders (SUDs), including feelings of unpreparedness to treat addiction (Calcaterra et al., 2021). Advance practice provider (APP) education lacks [...]

Background: Ideally, all patients should have a designated medical durable power of attorney (MDPOA) in the event that they are incapable of making decisions for themselves when admitted to the hospital. This best practice ensures that patient wishes are being followed and eliminates the burden of identifying a medical proxy during a critical and stressful [...]

Background: Goal-concordant care is an ongoing challenge in hospital settings. Failures in communication with patients and caregivers can lead to unwanted usage of hospital resources, including the ICU. This leads to lower quality care for patients and increased burden on the hospital. Goals of care conversations can be utilized to ensure that care aligns with [...]

Case Presentation: In September 2021, a 53-year-old male with a BMI of 30.91 and no history of alcohol use was diagnosed with advanced prostate cancer, indicated by a PSA level of 111. A transrectal ultrasound-guided prostate biopsy revealed Gleason score 4+5 prostate adenocarcinoma. In February 2022, the patient initiated treatment with Androgen Deprivation Therapy (ADT) [...]