Background: In 2019, Banner Health innovated by launching Cultivating Happiness in Medicine (CHIM), which was Banner’s commitment to supporting physician and APP well-being and reducing burnout. The CHIM strategy is evidence-based, physician and APP driven, and holistic, supporting clinicians from individual wellness and organizational workplace environment perspectives. The six dimensions of the strategy include the [...]

Background: With increasing integration of technology in healthcare, understanding factors influencing older adults’ willingness to adopt mobile health (mHealth) applications is crucial. This study aims to investigate the demographic, clinical, and behavioral factors associated with willingness to try an mHealth app among older adults. Methods: We conducted a mixed methods study at a large tertiary [...]

Background: This umbrella meta-analysis assesses the safety of left atrial appendage (LAA) closure by minimal invasive procedures compared to oral anticoagulants (OACs) in patients with atrial fibrillation (AF), concentrating on adverse events and overall clinical outcomes. The results seek to elucidate the most effective treatment. This umbrella meta-analysis intends to evaluate the safety and efficacy [...]

Background: Unplanned readmissions in the U.S. healthcare system cost over $15 billion annually, a burden that increasingly impacts health systems as more patients transition to fully capitated models [1-2]. Despite evidence supporting the protective effect of post-hospitalization visits with primary care providers (PCPs), patient completion rates of these visits remain low [3-5]. Barriers include provider [...]

Background: POCUS is rapidly becoming an important tool in Hospital Medicine (HM) and is endorsed by the Society of Hospital Medicine (SHM).​Many medical schools and physician residency programs have recognized the clinical value of POCUS and subsequently come to incorporate competency as a core clinical skill for graduation.APP programs, however, have lagged behind with only [...]

Background: One way academic organizations recognize staff achievements and scholarly activities is through four levels of academic appointments (AA): Instructor, Assistant Professor, Associate Professor, and Professor.1 Nurse Practitioners (NPs) and Physician Assistants (PAs) employed by the Mayo Clinic are highly encouraged to pursue AA.1 While NPPAs commonly participate in a wide range of academic activities, [...]

Case Presentation: A 62-year-old man with a history of diabetes presented to the emergency department with altered mental status (AMS) and increased urinary frequency. The patient was conscious but oriented only to self. Initial evaluation revealed hyponatremia (serum sodium: 125 mmol/L) with mild hyperglycemia (186 mg/dL). Further assessment of hyponatremia showed a serum osmolality of [...]