Background: Although hospitals should be a place of healing and restoration, multiple studies demonstrate that hospitalized patients face acute sleep deprivation due to potentially modifiable disruptions (vitals, medications, tests). Acute inpatient sleep deprivation is also associated with worse health outcomes both in-hospital and post-discharge. While staff-directed sleep interventions show benefits, no study has tested whether [...]

Background: Although hospitals should be a place of healing and restoration, multiple studies demonstrate that hospitalized patients face acute sleep deprivation due to potentially modifiable disruptions (vitals, medications, tests). Acute inpatient sleep deprivation is also associated with worse health outcomes both in-hospital and post-discharge. While staff-directed sleep interventions show benefits, no study has tested whether [...]

Background: Over the past few decades, many institutions have elected to implement night float systems in place of traditional call systems for residents. With the Accreditation Council for Graduate Medical Education enacting duty hour restrictions in 2003, these changes toward stricter work hour requirements and institution of night float systems have been found to have [...]

Background: Case-based scholarship and education are important and longstanding sources of knowledge about new diseases, rare presentations of known diseases, and side effects of treatments. Cases are commonly used to teach clinical decision-making and to tie together theoretical topics to real-life patient care. Hospital Medicine provides access to a myriad of clinical cases. However, sharing [...]

Background: Graduate medical education (GME) comprises residents and fellows being trained at a hospital but also providing essential patient care. At academic hospitals, residents and fellows are often the front-line physicians and an integral part of the interprofessional team. The Accreditation Council for GME (ACGME) requires annual participation by residents and fellows in quality improvement [...]

Background: Hospital medicine (HM) continues to be primarily composed of junior faculty and research has highlighted a paucity of mentors and academic output. Faculty advancement programs have been identified as a means to support junior faculty in their career trajectories and to advance the field. The optimal approach to supporting faculty development (FD) efforts is [...]

Background: Near-peer teaching is an educational relationship among students close in experience that has gained increasing recognition in medical education and has been shown to be as effective as traditional teaching methods. A sub-internship is a clinical rotation where senior medical students perform the role of an intern under housestaff and attending supervision. Many sub-interns [...]

Background: Point-of-care ultrasound (POCUS) has become increasingly popular in medicine due to its ease of access, reduction in need for consultative ultrasonography, and usefulness in diagnosing common conditions [3,4,5]. The use of POCUS in the inpatient settings of emergency rooms, ICU, Surgical and Medical Wards has been established [3,4,5] The availability of ultrasound machines and [...]

Background: Internal Medicine Teaching Teams (IMTTs) aim to deliver both exceptional clinical education and efficient, high-quality patient care. However, increasing workloads and the fast pace on inpatient wards are challenging this dual objective. Our study sought to understand the tensions between education and clinical practice in IMTTs and how academic leaders are addressing these challenges. [...]

Background: Biases and microaggressions are common in the clinical setting and can impact the wellbeing of medical trainees and faculty. From our knowledge, this is the first study to assess workplace experiences based on group identity of medicine faculty and trainees across sites and subspecialities using qualitative and quantitative data to help design re-enactment upstander [...]