Background: Between the United States and Canada, TikTok hosts more than 175.8 million active users. While originally known for entertainment, the platform has rapidly evolved into a major source of education, news, and health-related content. Because of its wide reach and immediate accessibility, it is essential to evaluate the accuracy and quality of medical information [...]

Background: Peer consultation – the wisdom from collaborating clinicians – is associated with more accurate diagnosis. Programs that provide second opinions or diagnostic time-outs (also known as cross-checks) are thought to improve diagnosis but have not been applied to hospital medicine services. Data from our multicenter collaborative suggest concerns remain about the time required and [...]

Background: Guideline-direct medical therapy (GDMT) improves morbidity and mortality outcomes in heart failure (HF), yet disparities in prescribing patterns persist across insurance types. Previous work at our hospitals demonstrated overall increases in GDMT prescribing following two phases of targeted interventions: financial incentives and education interventions (“Post 1”) and the addition of clinical decision support systems [...]

Background: In the US, 30-day hospital readmissions remain a significant challenge, impacting patient outcomes and healthcare costs. While conventional binary classification models predict whether readmission occurs within 30 days, survival models can capture time-to-readmission dynamics and provide time-dependent risk estimates. We compared these approaches to characterize readmission patterns and guide tailored interventions. Methods: This was [...]

Background: Patient After-Visit Summaries (AVSs) are critical to ensuring safe and effective hospital discharge. However, these documents are often written at reading levels that exceed many patients’ health literacy, leading to misunderstanding of care instructions and preventable post-discharge complications. Hospitalists face increasing documentation burden and limited time for discharge education. Large language models (LLMs) may [...]

Background: In Hospital Medicine, change isn’t coming—it’s already here. Transition is perhaps the only constant in this field. Whether it’s billing models, quality metrics, staffing, reimbursements, or even contracts, evolution is inevitable. A significant shift occurred when Nurse Practitioners (NP) and Physician Assistants (PAs), collectively referred to as Advanced Practice Providers (APPs), joined hospitalist groups. [...]

Background: U.S. hospitals are facing unprecedented strain: ED boarding times are at an all-time high and a national hospital bed shortage is predicted as early as 2032. The leading hospital-substitution model, Hospital at Home, faces financial uncertainty as the waiver allowing its reimbursement expired in September 2025 and now only exists through a continuing resolution [...]

Background: Limited diagnostic capacity in resource-constrained hospitals leads to delayed diagnoses and inequitable outcomes. At Hospital Nacional Juan José Ortega de Coatepeque in Guatemala, internists frequently manage conditions such as decompensated cirrhosis and pleural effusions with only plain radiography available and no access to a radiologist. A needs assessment of 36 providers showed limited prior [...]

Background: A large academic safety-net hospital has experienced surges in hospital patient volumes resulting in inpatient strain. Strain is defined as a mismatch between supply and demand of hospital resources1. Inpatient strain led to a growing number of admitted patients boarding in the Emergency Department (ED) for several days, physically distant from their inpatient providers [...]

Background: Despite decades of standardized sepsis protocols, fluid resuscitation practices remain variable across hospital settings. At our community hospital, compliance with the 30 mL/kg fluid requirement for severe sepsis and septic shock patients lagged behind national benchmarks, driven by inconsistent documentation, variable order set use, and lack of confidence in assessing fluid responsiveness. Standardized bundles [...]