Background: This presentation will describe a novel study started during a sabbatical year in Colombia. It will briefly cover logistics of taking a sabbatical year and then discuss the ongoing project and preliminary results. Dengue, a neglected tropical viral disease transmitted by the Aedes egypti mosquito, is endemic in Colombia and serves as an ideal [...]

Background: As a result of the 2011 ACGME duty-hour policies, many residencies have transitioned to a shift-work system, where swing and overnight residents admit patients for handoff to a new primary team the following morning. In our Internal Medicine residency program, up to 70% of admitted patients are handed off in this fashion. These “holdover [...]

Background: Advanced Practice Providers (APPs) are becoming a very prevalent part of academic hospital medicine. From 2016 to 2018, APP utilization in academic hospital medicine groups has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. In our division, APPs have become an integral part of our educational fabric, teaching a wide array [...]

Background: We have markedly expanded Point-of-Care Ultrasound (PoCUS) education within our Internal Medicine residency program through multifaceted instructional interventions. But despite an increasing number of trainees familiar with PoCUS, there remains insufficient real-time clinical use and supervision due to a lack of formal PoCUS training and experience among attending faculty. Traditional PoCUS faculty development programs [...]

Background: Interprofessionalism is an increasingly important part of hospitalist clinical practice, allowing providers to maximize the breadth of care provided to patients. As a result, teaching Interprofessional (IP) skills has become an integral part of Undergraduate Medical Education (UME), as guided by the Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice . At [...]

Background: Perioperative co-management has become an increasingly important part of a hospitalist’s role. A new MSIV course was created to teach and showcase this unique aspect of hospital medicine to medical students. Perioperative co-management can provide excellent educational value and a new framework of thinking for medical students regardless of the specialty they pursue. Purpose: [...]

Background: Calls to action to address well-being recommend addressing systems drivers and improving the culture of medicine, in addition to devoting attention to individual self-care. In 2018, an internal medicine residency well-being elective was developed to teach residents about systems and cultural drivers of well-being in residency, and to facilitate deep exploration through individual systems [...]

Background: Developing contextualized curricula in diagnostic reasoning and clinical decision-making is crucial to improve medical education (1,2). Barriers to transition from classroom-based to workplace curricula include workflow constraints, the absence of standardized tools to assess clinical reasoning, the complexity of decision making, and outdated teaching methods (3,5). Aimed to bridge these gaps, we developed the [...]

Background: Nurse Practitioners (NPs) and Physician Assistants (PAs) are a vital part of a Hospital Medicine Group (HMG). Many NPs and PAs join HMGs directly after graduating and without prior experience in Hospital Medicine. The anticipation of a new position brings many emotions. There is excitement, but there is also hesitation. The introductory phase in [...]

Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM [...]