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Abstract Number: 72
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The prevalence of gout has risen in recent decades despite advancements in therapeutic options due to several reasons, including lack of adherence to treatment guidelines by physicians and patients’ poor perception and adherence to therapy. We aim to assess the beliefs and knowledge of gout management in Internal Medicine residents, to investigate the gaps, […]
Abstract Number: 73
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Early development of clinical reasoning and problem-solving competencies are essential in generating individualized, outcome-based, and cost-effective patient care plans (Nat Acad Press 2015). However, few medical schools and residency programs have an explicit curriculum in clinical reasoning (Graber et al., 2012). A recent survey of internal medicine clerkship directors found medical students receive limited […]
Abstract Number: 77
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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) […]
Abstract Number: 79
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 […]
Abstract Number: 81
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 […]
Abstract Number: 82
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 […]
Abstract Number: 161
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: New ACGME Core requirements require active resident engagement in patient safety. Our institution’s most recent AHRQ Culture of Safety survey revealed poor ratings from residents for closed-loop feedback on event reports they had submitted. Since hospitalists are well-positioned to foster improvement in the culture of safety, we developed an interprofessional intervention in response. Purpose: […]
Abstract Number: 175
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home transition for pediatric patients using a transition bundle. One bundle element is the use of teach-back (TB) to confirm caregiver […]
Abstract Number: 177
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Family centered rounds (FCR) was first defined by Sisterhen in 2007 as “interdisciplinary work rounds at the bedside in which patient and family share in the control of the management plan as well as in the evaluation of the process itself.”1 Since then, recognition of the benefits of FCR have led to widespread adoption. […]
Abstract Number: 188
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve care transitions for pediatric patients using a transition bundle. One bundle element focuses on thorough discharge education (DE) and the […]