Background: In 2015, medical students in their clinical clerkships (traditionally known as third year medical students) began rotating directly with hospitalist attendings. As we began crafting the rotation, we sought to provide value that was not leveraged elsewhere in their clerkships. Different organizations, including the Liaison Committee on Medical Education and Association of American Medical [...]

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: In 2015, medical students in their clinical clerkships (traditionally known as third year medical students) began rotating directly with hospitalist attendings. As we began crafting the rotation, we sought to provide value that was not leveraged elsewhere in their clerkships. Different organizations, including the Liaison Committee on Medical Education and Association of American Medical [...]

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: 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: Research using the inpatient setting for interprofessional education (IPE) is sparse. At Duke Regional Hospital, the interprofessional team caring for general medicine teaching service patients includes residents, interns, medical students, physician assistant (PA) students, pharmacy students and residents, pharmacists, nurses, case managers and attending physicians. Purpose: To determine the educational and operational measures needed [...]

Background: Self-reflection is an essential tool to foster professional and personal development during medical training. The inpatient setting presents specific challenges to developing physicians, as housestaff grapple to negotiate death and dying, difficult patient interactions, and building therapeutic alliances within limited time. It’s not surprising that burnout and compassion fatigue increase during training. Integrating reflective [...]

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: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care delivery. Hospitalists are tasked with increasing efficiency in inpatient care. LOS is designated as a measure of care coordination and [...]