Background: Pediatric hospitalists are responsible for educating varying levels of learners while overseeing rounds to deliver high-quality care in an inpatient setting. While many teaching techniques are described, impactful teaching during rounds is a skill not always taught in training. Efficient utilization of teaching techniques is an endeavor that requires tutelage, repetition, and strategic practice. [...]

Background: Peer observation and feedback (POF) is a well-documented tool for faculty development for both medical and non-medical educators. However, in our hospital medicine division of over 150 faculty at an urban academic center, only 16 peer observations were completed in the 2022-2023 academic year as part of our division’s voluntary, formally structured peer observation [...]

Background: Pediatric hospitalists are responsible for educating various levels of learners when overseeing rounds to provide high quality care to patients and families. While many effective teaching techniques are described in the literature, efficient teaching on rounds is a skill not always taught during training. The effective use of these techniques by pediatric hospitalists is [...]

Background: Patients with undifferentiated but stable clinical presentations may manifest sepsis “time zero” (T-0) or the onset of sepsis-defining conditions while undergoing further evaluation in observation units (OUs). Since these units are often designed to facilitate diagnostic and clinical risk assessments, we hypothesize that patients experiencing T-0 while in OUs will likely experience similar or [...]

Background: Pediatric hospitalists are responsible for providing high quality care in the hospital setting while teaching learners and maintaining a professional learning environment. This skill is rarely taught during medical training. Peer observation is a collaborative tool with potential for mutual benefit; offering the observer an opportunity to learn new strategies and the individual observed [...]

Background: Post-discharge phone calls to hospitalized patients have been associated with reduced 30-day readmissions.[1,2] But their impact during the COVID-19 pandemic is unknown. Further, whether the 30-day readmission metric is an accurate surrogate for care utilization remains a concern.[3-5] Since 2012, national all-cause readmissions have decreased while emergency department (ED) visits and observation status have [...]

Background: Health systems nationwide are grappling with creating innovative strategies to enhance the patient experience. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national survey that provides a standardized approach to valuing the patients’ perspective. Unfortunately, as HCAHPS data is delayed and challenging to link to individual patient interactions, physicians infrequently receive [...]

Background: At our multi-hospital system, our utilization management (UM) program found that the length of stay (LOS) for observation patients in one hospital was, on average, 10 hours longer than the rest of the hospital system. There was a challenge of having better observation management, but there was no space or staffing to create a [...]