Background: Internal medicine residents face multiple barriers to participating in and documenting goals of care (GOC) meetings in the intensive care unit (ICU). Barriers include heavy workloads, need for urgent stabilization of critically ill patients, and inadequate communication skills training. Guidelines recommend regularly conducting and documenting GOC meetings for critically ill patients, to facilitate communication [...]

Background: Resident work rounds (RWR) serve as the venue for team-based patient interaction, subsequent patient care planning, and education through didactics and observation. However, the expectations of RWR are unclear; do residents continue to see patients and is teaching still expected? If not, what barriers exist? Few studies examining RWR structure have been done however [...]

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: 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, [...]

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: [...]

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. [...]

Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely given formal education in the proper way to conduct a CSD, a topic seldom taught in medical schools or residency [...]

Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized multiple interventions to decrease the number of BMPs, CMPs and CBCs ordered by residents on the inpatient medicine service. The [...]