Background: In a previous randomized trial we found that shorter ward rotations reduced attending physician burnout at rotation-end. This improvement was offset, however, by negative education outcomes among trainees. Therefore solutions to burnout other than simply shortening rotations are needed to preserve the educational mission. We examined additional data collected (but not yet presented) to [...]

Background: Approximately 5-10% of the US population reports a Penicillin (PCN) allergy. Only 1 in 10 of these patients are found to have a positive reaction to PCN. This label comes at a grave cost, with higher incidences of multidrug-resistant nosocomial infections reported among these patients. With the lack of novel antibiotics and the alarming [...]

Background: In a previous randomized trial we found that shorter ward rotations reduced attending physician burnout at rotation-end. This improvement was offset, however, by negative education outcomes among trainees. Therefore solutions to burnout other than simply shortening rotations are needed to preserve the educational mission. We examined additional data collected (but not yet presented) to [...]

Background: Approximately 5-10% of the US population reports a Penicillin (PCN) allergy. Only 1 in 10 of these patients are found to have a positive reaction to PCN. This label comes at a grave cost, with higher incidences of multidrug-resistant nosocomial infections reported among these patients. With the lack of novel antibiotics and the alarming [...]

Background: The 2014 ACC/AHA Perioperative Guidelines suggest using the Revised Cardiac Risk Index (RCRI), myocardial infarction or cardiac arrest (MICA), or American College of Surgeons (ACS)-NSQIP calculators for combined patient-surgical risk assessment. Alrezk and colleagues recently published a new geriatric-sensitive cardiac risk index (GS-CRI) to predict MI or cardiac arrest in the geriatric population. We [...]

Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent studies suggest that blood cultures (BCx) are not useful in management of simple cellulitis or abscess (uncomplicated SSTIs [uSSTI]), and [...]

Background: Family members often play a significant role in the care of geriatric patients during and after hospitalization. Both patients and families have expectations for communication with the provider team in the acute setting, but navigating the flow of medical information across the family unit is challenging with current care models. Pediatric medicine recognizes that [...]

Background: Multiple recent studies have demonstrated a link between effective clinician communication and patient experience of care in the hospital. Additionally, at a time of unprecedented rates of clinician burnout, communication challenges can negatively impact hospitalist job satisfaction. Despite this, there are limited proven interventions for improving communication in hospital medicine. A low-cost, high-yield, and [...]

Background: Research suggests that ambulation in hospital settings can help prevent functional decline in patients. Early ambulation also contributes to better patient outcomes and decreased length of stay. The purpose of this study is to investigate patient perspectives to learn about factors that influence early ambulation and recommended amount of ambulation while in the hospital. [...]

Background: Centers for Medicare & Medicaid Services (CMS) recommends against the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for determining patient satisfaction with physicians, however, hospital administrators often use HCAHPS scores as one metric for determining physician incentives. Such use of HCAHPS likely results from its easy availability and lack of [...]