Background: The Hospitalist Division at Washington University in St. Louis provides coverage for multiple different services at Barnes-Jewish Hospital. At the present time, there are a total of 68 MDs and 6 NPs caring for greater than 100 patients on a daily basis. Our main Hospital Medicine service is comprised of 11 different Hospitalist attending [...]

Background: Medical errors in hospitals are a significant threat to patient safety and often result from poor communication or poorly-activated interprofessional teams. Despite a recent focus on interprofessional education (IPE) in pre-clinical years and simulation settings, formal curricula for teaching medical trainees interprofessional communication and teamwork skills in clinical settings are lacking. Purpose: To create [...]

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect on their patients’ clinical courses. Barriers include the lack of a structured approach to feedback and reflection, discontinuous training environments, [...]

Background: Feedback and teaching are critical to the development of clinical skills. Although they occur with regularity on medical wards, learners infrequently recognize them (Kogan et al. 2000). Feedback has been defined as providing information related to a learner’s performance that is intended to guide future thinking and behavior (Ende 1983, Shute 2008); while teaching [...]

Background: Development of diagnostic reasoning is a critical component of medical education, and feedback related to clinical outcomes is an important means of calibrating one’s diagnostic decision-making. The hospital is a key training ground for the development of skills in diagnostic reasoning. However, given the multiple provider handoffs that now occur during the care of [...]