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Abstract Number: 39
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Despite the increase in female medical students and clinicians, gender disparities continue to exist for female clinicians today, from limits on upward mobility and leadership positions to unequal pay and more. Within medical education, existing research shows male students outperform female students on the USMLE Step 1 licensing examination, which has longer-term ramifications on […]
Abstract Number: 43
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Today, Medicare patients account for approximately 50% of hospital days. Hospitalists are a key strategy for providing care to hospitalized older adults, however, most of these hospitalists have not received geriatric training. Faculty development is an important component to the success of a hospitalist program. We developed a geriatric-focused lecture series to improve the […]
Abstract Number: 49
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Abstract Number: 60
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Moral distress, the inability to act in accordance with one’s ethical beliefs due to hierarchical or institutional constraints, has been associated with burnout and poorer well-being. Significant moral distress amongst American physician trainees might occur when they feel obligated to provide treatments at the end of life that they believe to be futile or […]
Abstract Number: 178
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part of this discussion should define patient preferences regarding code status as it is known that prognosis is extremely poor and […]
Abstract Number: 181
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Thrombophilia testing is frequently ordered in the inpatient setting. However, testing is costly and can be misleading in the setting of acute thromboembolism or concurrent anticoagulation use. Furthermore, hereditary thrombophilias do not predict a clinically significant increase in VTE recurrence. Methods: We conducted an educational intervention with a randomized cross-over design for Internal Medicine […]
Abstract Number: 188
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Administering opiates safely in hospitalized patients with acute on chronic pain is challenging. There is limited data to guide pain management in this population due to high prevalence of opiate tolerance and variance in daily opiate exposure. There is a need to establish a safe and effective pain medicine regimen in the hospital that stratifies opiates based on […]
Abstract Number: 263
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients. Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, there is a growing need to identify organizational systems to optimize physician practice, enhance quality of care and increase educational […]
Abstract Number: 304
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inappropriate laboratory utilization in hospitalized patients is a significant contributing factor to health care expenditures, iatrogenic anemia, downstream testing, and poor patient satisfaction. For these reasons, the Society of Hospital Medicine has recommended through the Choosing Wisely Campaign to avoid repetitive complete blood counts (CBC) and chemistry testing in the face of clinical stability. […]
Abstract Number: 310
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Guiding health care delivery towards patient-centered value can be accelerated by reforming physician reimbursement. Recent legislation including the Medicare Access and CHIP Reauthorization Act (MACRA) and the Affordable Care Act have created frameworks for value-based health care payments. By the end of 2018, the United States Department of Health and Human Services aims to have […]