Background: Point of Care Ultrasound (POCUS) is a goal-directed, bedside ultrasound examination performed by a healthcare provider to answer a specific diagnostic question or guide performance of an invasive procedure at the bedside. More hospitalists have begun to use POCUS, but little is known about current POCUS usage by hospitalists. We conducted a national survey [...]

Background: The American Board of Internal Medicine suggests residents participate in a minimum of five abdominal paracentesis (AP), central venous catheter (CVC) placements, and lumbar punctures to ensure “adequate knowledge and understanding” of procedures performed by practicing internists. Competency in these procedures is poorly defined and difficult to assess. To address the need for well-supervised, [...]

Background: For most of the past century, clinical medicine was taught almost exclusively at the bedside. Currently, learners participate in a variety of activities that may or may not include bedside teaching. Balancing quality patient care and teaching a diverse group of learners is often a challenge. Electronic health records (EHR) with an ever-growing amount [...]

Background: Multidisciplinary rounds occurs in various formats. On our medical wards, centralized multidisciplinary team huddles are conducted daily to ensure the entire care team is engaged and contributing to care plan development. Often times this precludes bedside team rounds. Given the dynamic fluidity of an inpatient care plan and our desire to enhance patient and [...]

Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated with decreased length of stay (LOS).1,2Patient-Centered Approach to Health (PATH) team was a redesign of the Structured Interdisciplinary Bedside Rounding [...]

Background: Traditionally, models of healthcare delivery to hospitalized patients have been indirect and inefficient. The typical hospital system has providers spread between multiple units and nurses interacting with multiple provider teams. Several studies focusing on interdisciplinary rounding (IDR) have shown a variety of positive impacts on hospital-associated metrics such as length of stay (LOS), hospital [...]

Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside teaching and brief patient interactions lead to provider dissatisfaction. Purpose: To provide high-quality patient care, foster interprofessional collaboration, and provide [...]

Background: Hospital readmission rate is viewed as an indirect indicator of quality of care provided by a hospital. We completed a small pilot study looking at a multidisciplinary bedside huddle in the 24 – 48 hours before discharge which decreased readmission rates in high risk patients from 36% to 20% in a small pilot study. [...]

Case Presentation: A 30 year-old female presented postpartum day 1 following a normal vaginal delivery from an outside hospital after chest CT angiography (CTA) identified a 2.5 cm pericardial effusion. Review of systems was positive for dry cough, left sided chest pain, dyspnea on exertion, recent post-partum abdominal pain, chills, and diaphoresis. On arrival to [...]