Background: Communication between patients, nurses and physicians is vital to patient care. Prior studies have shown that a substantial number of hospitalized patients do not understand their care plan and that physician-nurse co-location or time spent communicating have little impact on physician-nurse concordance of plan of care. To our knowledge, there have been no prior [...]

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 accuracy and characteristics [...]

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 [...]

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 [...]

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: The 2016 State of Hospital Medicine report showed that the average hospitalist compensation model is composed of 80% base pay, 15% productivity, and 5% performance. Much variation exists by region in the make-up of the performance component with a rise in measures focused on patient satisfaction and readmission and significant differences in weight given [...]

Background: Small-bore pulmonary drains (PD) have been proven effective at replacing the previous large-bore chest tubes for resolution of pneumothorax (PTX), and management of complicated (CPEs) and recurrent pleural effusions (RPEs). The placement of these drains has traditionally been performed by Surgeons, Intensivists/Pulmonologists, and Interventional Radiologists. Our institution (large academic center) sought to determine whether [...]

Background: Millions of patients with cancer are hospitalized each year in the US for treatment or complications of their disease. Increasing numbers are cared for by hospitalists on services dedicated to patients with cancer. Little is known about the practice characteristics or working environment of this expanding pool of oncology hospitalists. Methods: Using a modified [...]

Background: Background: Geographic cohorting (GCh) of clinicians to a single unit may improve teamwork and improve outcomes. The physical proximity between the care team is purported to mediate these positive effects. We conducted an exploratory time-and-motion study of physicians to assess differences in daily activities between GCh and traditionally dispersed or ‘At-Large’ (AL) physicians. We [...]

Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at our institution where two SCM hospitalists were dedicated to Colorectal surgery year round. Each patient was screened daily by a [...]