Background: Strong evidence exists showing that effective communication in healthcare conversations improves outcomes such as patient satisfaction, safety, reduced malpractice suits, physician professional fulfillment and burnout prevention. Formal communication skills training in medical education is often limited to targeted sessions such as those focused on delivering bad news, code status and end of life care [...]

Background: Point-of-care ultrasound (POCUS) has become a ubiquitous tool in clinical care. However, the optimal timing and methods of POCUS integration into medical education remains unknown. We aim to identify and evaluate the baseline competency, improvement and feedback from trainees after participating the POCUS curriculum. Methods: In 2017, National Taiwan University hospitalists established a standardized [...]

Background: Academic hospitalist play a crucial role in providing quality patient care, medical education and research. With increase in work load the burnout of hospitalist has significantly increased. This is influencing their well being as well as patient care and medical students teaching. We conducted this survey based project to study the perception of academic [...]

Background: The ACGME has developed competencies for systems-based practice and problem-based learning and improvement to encourage trainees to integrate quality and safety into their everyday practice. Furthermore, the AAMC has a call to action for US Medical schools and teaching hospitals to successfully align clinical and education missions in order to have quality improvement and [...]

Background: The Exercises in Clinical Reasoning (ECR) series in the Journal of General Internal Medicine (JGIM) is a unique and growing series of 30 case-based problem-solving manuscripts, designed to teach the foundations of clinical reasoning to both educators and students. For selected cases, the ECR team has produced teaching materials, including PowerPoints of ECR cases [...]

Background: Innovation in graduate medical education is driven by the recognition of residents as adult learners. Increasing digitization provides for exciting opportunities to make the learning process more interactive. The use of audience response devices, or clickers, have been shown to be highly effective in higher education by improving engagement and participation in the classroom [...]

Background: Diagnostic point-of-care ultrasound (POCUS) is an ACGME requirement in emergency medicine and critical care training programs. Though many POCUS applications are equally relevant to internal medicine (IM), there are no formal guidelines for IM residencies and few faculty use POCUS in their own practice. Hence, the optimal method to teach POCUS to IM residents [...]

Background: Third year medical students (MS3s) have not regarded the Pediatrics Clerkship at our institution with as high praise as other clerkships. Students cite a relative lack of teaching on the floors from pediatric residents as a key etiology. Interestingly, said residents endorse a desire to teach more. The most common barriers cited are time, [...]

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: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and increase falls risks. In 2017, Hurricane Maria destroyed Puerto Rican facilities that were critical in producing IVF, exacerbating an existing [...]