Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, [...]

Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care [...]

Background: Academic hospitalists engage in multiple and varied career directions, including medical education, quality improvement, leadership, and research. In 2009, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and the Association of Chiefs and Leaders of General Internal Medicine (ACLGIM) launched the Academic Hospitalist Academy (AHA), an annual conference that [...]

Background: Sexual harassment and gender discrimination are common in medical practice. Hospital medicine is a relatively young and evolving specialty and less is known about their prevalence in this field. This study aims to evaluate the experiences of academic hospitalists regarding this topic. Methods: An anonymous Qualtrics Survey was emailed to hospitalists in the participating [...]

Background: Staffing of inpatient medicine services with Advanced Practice Providers (APPs), including physician assistants and nurse practitioners, is becoming increasingly common at academic medical centers across the United States. The various roles filled by APPs have not been well-described in the literature. The purpose of this study is to better characterize how APPs are utilized [...]

Background: Drug overdose deaths involving opioids are on the rise in the setting of the current opioid epidemic in the United States (US).1 In 2017 there were ~46.6 drug overdose deaths a day in the US involving prescription opioids.1 Naloxone is a proven and effective opioid antagonist that is FDA approved for use in the [...]

Background: Hospital Medicine is a young and growing specialty. About 50% of our academic hospital medicine group of nearly 70 physicians are in their first 5 years out of residency. And about 90% of our faculty are millennials (born 1982-2000), the fastest-growing generation in the workforce and the first generation to grow up in a [...]

Background: Regionalization of a provider team’s patients within dedicated nursing units has been shown to allow for improved efficiency and interdisciplinary collaboration. However, the creation of full regionalization is not feasible or appropriate for many medical centers given resource limitations. We hypothesized that we could achieve a significant increase in patient regionalization by modifying admitting [...]

Background: As the field of HM continues to evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the care of the hospitalized patient. Our HMG, a 120-physician team working at 2 tertiary care hospitals in the New York Metropolitan area, is no exception. Over the past 3 years, our HMG [...]

Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have [...]