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Abstract Number: 32
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: For several years, patient evaluations of their physician has been utilized as a metric to evaluate physician performance and now it has been included as a parameter utilized to calculate reimbursement. Despite the routine use of these evaluations by most hospitals and agencies, little research has been done to evaluate the metrics of patient […]
Abstract Number: 59
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Time with learners is a finite resource on the teaching wards. As patient care becomes progressively more complex and clinical demands increase, it can be easy for teaching to get deferred to the next day, which is inevitably just as busy as the day before. Limitation in time due to clinical demands is a […]
Abstract Number: 62
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital medicine is a growing field, including the subset of academic hospital medicine. Little is known about the characteristics of academic hospitalist programs, leadership, structure and faculty. Methods: A multifaceted survey was developed, piloted and refined to explore and define characteristics of academic hospital medicine. It was sent electronically, with follow up email and […]
Abstract Number: 65
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital readmission rates may be influenced by the level of healthcare literacy. Patients who lack an understanding of their diagnosis and warning signs have the potential to not seek medical care in a timely manner. The information patients tend to receive upon discharge is lengthy and unclear. In addition, instructions are not standardized across […]
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: 75
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Residents in Internal Medicine have traditionally taken electives that prepare or position them well for fellowships. Another purpose of elective time during residency is to expose the learner to career opportunities. As Hospital Medicine grows as a specialty, more training programs are offering electives for residents in this field. However, most elective descriptions that […]
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: 84
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 […]
Abstract Number: 86
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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, […]
Abstract Number: 88
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medicare patients account for over 50% of hospital days at a cost of over $1 trillion per year. Yet, hospitalization of older adults often results in poor outcomes. Furthermore, the number of geriatric healthcare providers dedicated to the care of hospitalized vulnerable older adults is currently insufficient. Purpose: Our objective was to create an […]