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: The Hospitalist Service of Wellstar-MCG Health run the Family Medicine In-Service (FMIS) rotations. It is a month-long rotation with a team consisting of a hospitalist attending, one or two senior residents, and several interns. A large portion of learning to care for inpatients occurs during these rotations. There currently is no process in place [...]

Background: In May 2022, Kaiser Permanente introduced “Enhanced Recovery Medical” (ERM). Modeled after “Enhanced Recovery After Surgery,” (ERAS), ERM aims to reduce hospital-acquired debility. Predefined ordersets and modified workflows help healthcare teams optimize elements key to recovery: nutrition, mobility, tethers, pain, sleep, and delirium. This ongoing quality improvement (QI) project examines how a resident-led initiative impacted co-resident [...]

Background: Excessive laboratory use has been associated with increased hospital costs, increased incidence of anemia, and unnecessary additional testing and procedures. Previous studies have focused on resident interventions within teaching hospitals amongst other residents, but few studies have had residents intervene on non-teaching faculty. A quality improvement initiative was implemented at our institution to reduce [...]

Background: The American Board of Internal Medicine and the Society of Hospital Medicine have identified routine laboratory testing of stable inpatients as one source of low-value care.1,2 As it is estimated that upwards of 21% of all lab tests represent inappropriate overutilization,3 reducing unnecessary testing could have a significant impact on cost saving, limiting waste, [...]

Background: Clinicians, researchers, educators, and administrators have grappled with the implications of generative artificial intelligence (AI) in healthcare since the release of the first publicly available large language model (LLM) in late 2022. Efforts have been directed towards evaluating LLMs’ performance in common clinical and scholarly tasks and debating important considerations including patient safety, information [...]

Background: Interdisciplinary rounds are an important part of care coordination on medical units and on teaching units they usually are resident-led. After restructuring interdisciplinary rounds in our institution, we began including attending physicians, with the goal to improve care coordination, discharge planning and team communication. Methods: The intervention was conducted on a 35-bed medical teaching [...]

Background: Millions of patients are discharged to skilled nursing facilities (SNFs) each year. In teaching hospitals, resident physicians are often responsible for organizing this transition. Understanding residents’ knowledge and experiences of this care transition has the potential to inform residency training, education, and clinical experience. This study aimed to explore residents’ attitudes and experiences in [...]