Background: Ethics is at the core of a physician’s professional identity. As internists, we are constantly grappling with medical and moral uncertainty. While ethical action is an integral component of professionalism, most residency programs offer little formal training to systematically explore the ethical dimensions of our work. Medical ethics education can promote moral development and [...]

Background: At academic centers the work of discharge planning has historically fallen on housestaff. The medical education community’s efforts to improve the trainee experience have led to an iterative process of duty hour reform and re-design. One effect has been “work compression” – each day a trainee is required to complete more tasks in less [...]

Background: Burnout among hospital medicine providers is well known. Advanced practice providers (APPs) are well-established in hospital medicine but there is a lack of data on burnout specific to the physician-APP model. As more hospitalist groups staff a physician-APP model, identifying contributors to burnout is key for ensuring career sustainability. Our academic hospital medicine group [...]

Background: The phrase “Second Victim” describes the psychological/emotional trauma healthcare providers experience after being involved in a near-miss, minor or serious medical error, or unanticipated adverse patient outcome. Affected providers report feelings of guilt, anger, and loss of confidence, with little support from their institutions. Second Victim Programs (SVPs) were introduced to improve support for [...]