Background: Hospitalization is costly, associated with the potential for adverse medical events and may have deleterious health effects.  Hospitalist physicians are uniquely positioned to help patients avoid unnecessary hospitalizations.  Our attending-only hospitalist practice in a tertiary academic center admits approximately 350 patients monthly, the majority of which are referred through the emergency department (ED).  Our [...]

Background: Hospitalization is costly, associated with the potential for adverse medical events and may have deleterious health effects.  Hospitalist physicians are uniquely positioned to help patients avoid unnecessary hospitalizations.  Our attending-only hospitalist practice in a tertiary academic center admits approximately 350 patients monthly, the majority of which are referred through the emergency department (ED).  Our [...]

Background: Mentorship is key to successful, satisfying, and engaging academic careers. Models for mentorship and faculty development exist, but are often resource-intensive and focused on achieving success in research. Establishing mentorship in hospital medicine has been challenging given most programs have relatively few senior faculty, and most new hospitalists are recent residency graduates with little [...]

Background: Teaching Hospitalists provide a large proportion of clinical medical education for Internal Medicine Residents with varying levels of training and success.  We sought to identify common habits of highly rated teaching hospitalists in preparation of faculty development.   Methods: We surveyed high performing daytime teaching hospitalists at 3 teaching sites across 2 health systems.  Paper [...]

Background: Early career faculty often face challenges in setting personal and professional expectations, identifying effective mentorship, and quickly learning foundational skills in academic hospital medicine. We developed a “Faculty Boot Camp” to better orient new faculty at the beginning of the academic year with the goal of introducing them to key skills and concepts that [...]

Background:   Internal medicine training programs have been profoundly impacted by changes in resident duty hours, workloads, and supervisory requirements. Consequentially, it has become increasingly important to re-evaluate and re-formulate traditional methods of teaching to maximize the delivery of clinical education, efficiently identifying and taking advantage of learning opportunities where they may exist.  Overnight care [...]

Background: It is known that more people die during the nighttime compared to daytime in the community setting. Many health care providers are required to care for patients in a critical condition which includes around the time of death, and which may be at night. However, there have been few studies with respect to the [...]

Background: Disparities in screening mammography use persist among low-income women, even those who are insured, despite the proven mortality benefit. We evaluated the prevalence of breast cancer screening non-adherence among hospitalized women and their receptivity to inpatient screening mammography as a novel approach to increase breast cancer screening rate. Methods: A cross sectional study was [...]

Background: Japan has the high incidence of tuberculosis with the rapid population aging in developed county. In acute care hospital, delaying in respiratory isolation for tuberculosis can cause serious hospital-acquired infections and subsequent delay in the initiation of treatment, which might be poor prognosis for not only the patient but also the around medical providers. [...]

Background: Prostate cancer is the most commonly diagnosed cancer and second leading cause of cancer death among men in the US. Approximately three million prostate cancer survivors are living in the US according to 2014 estimate by American Cancer Society. Little is known about the risk factors and the causes of medical admissions associated with [...]