Background: Nearly half of incorrect procedures occur outside the operating room, and failure to conduct a robust time-out is a frequent root cause. Mannequin-based simulation (MBS) has been shown to improve self-confidence and performance of time-outs, but is expensive, time-consuming, and difficult to scale up effectively for large groups of medical learners. Screen-based simulation (SBS) [...]

Background: In October 2016, the American Board of Medical Specialties (ABMS) officially recognized subspecialty certification for Pediatric Hospital Medicine (PHM). The American Board of Pediatrics (ABP), which sponsored the subspecialty application, has established Training and Practice Certification Pathways for current fellowship trainees and practicing clinicians, respectively. However, for individuals beginning pediatrics residency on or after [...]

Background: Lumbar puncture and paracentesis are core competencies in internal medicine, but residents frequently report discomfort performing these procedures unsupervised. Simulation-based training (SBT) has previously been shown to improve resident performance of lumbar punctures on patients, but outcomes after paracentesis SBT have only been assessed on simulators. We hypothesized that SBT would improve internal medicine [...]

Background: The process by which medical residents apply for subspecialty fellowship is a rigorous one that often involves multiple interviews per day. Data regarding the preparedness of residents who go through the interview process is limited. Furthermore, applicants receive little to no feedback after their interviews and are thus likely to repeat the same mistakes [...]

Background: Few studies have compared the effectiveness of brief training courses on point-of-care ultrasound (POCUS) skill acquisition of novice faculty vs. trainees. The purpose of this study was to evaluate the change in POCUS image interpretation skills and confidence of novice faculty vs. trainees after a 1-day POCUS training course. Methods: A 1-day POCUS training [...]

Background: We are a large academic Hospital Medicine Group comprised of over 100 hospitalists at two tertiary care hospitals in an urban-suburban setting. Our group serves as the inpatient attendings for a large internal medicine residency program, leads robust co-management services (trauma surgery, ENT, neurology, neurosurgery, orthopedic surgery, psychiatry, & urology), and cares for a [...]

Background: Aging is associated with increased prevalence of atrial fibrillation and thrombophlebitis. Anticoagulation has been shown to be effective in preventing thromboembolic events in AF patients and treatment of thrombophlebitis. Non-vitamin k antagonist oral anticoagulants (NOACs) have been shown to be non-inferior or even superior to warfarin for long-term stroke prevention and thrombophlebitis treatment. In [...]

Background: Disruptions in normal life routines (such as sleep, function, nutrition, etc.) that commonly occur as part of routine hospital care may be traumatic for acutely ill patients and lead to a generalized condition of high risk after discharge that has been described as “post-hospitalization syndrome.” We created the ARCHES cohort study to measure these [...]

Background: Despite its prevalence, constipation is frequently under-recognized and treated with ineffective agents in hospitalized older adults. Methods: An anonymous survey was distributed to physicians regarding constipation management in hospitalized older adults. Chi-square or Fisher’s exact, as appropriate, were used to explore associations between demographics and survey answers. T-test was used to compare groups on [...]

Background: Clinical practice guidelines state that mobility is supposed to play an important role in determining use and duration of pharmacologic VTE prophylaxis. This study examines whether measured mobility levels relate to pharmacologic VTE prophylaxis use among hospitalized older adults. Methods: Prospective observational data from a sample of community-dwelling older adults aged ≥ 60 years, [...]