Background: Trauma co-management is a growing field within hospital medicine. While improvements in quality metrics have been documented in other co-management services, the impact of co-management of trauma patients is uncertain. This study aimed to determine whether a hospitalist trauma co-management program improves clinical outcomes. Methods: This was a pre- and post-implementation study comparing trauma […]

Background: Choroidal melanoma, the most common primary intraocular malignancy in adults, is a dangerous cancer which can lead to blindness. Diagnosed at an average age of 65 & lacking identifiable environmental or genetic factors, melanoma of the eye can affect anyone. Commonly found on routine ophthalmological screening, patients are sent to quaternary hospitals for further […]

Case Presentation: A 25‐year‐old woman presented with 3 weeks of right upper quadrant abdominal pain. She described the pain as a “fullness” or “pulling” sensation. Over the past few days the pain had increased in intensity and became stabbing. She denied nausea, diarrhea, chest pain, dyspnea, or fever. The pain was not associated with food […]

Case Presentation: A 78‐year‐old man with hypertension, atrial fibrillation, hypercholesterolemia, and gastroesophageal reflux disease presented to the hospital with confusion, new‐onset ascites, hypotension (BP 90/50), and hypothermia (temperature, 93.9°F). He underwent a paracentesis that did not reveal infection. Laboratory parameters including a complete metabolic profile and complete blood count were normal. CT of the head […]

Background: Successful hospitalist co-management programs address provider knowledge base as well as ongoing faculty skill development and education (1). With a growing liver transplant program, our institution has seen increased patient volume on the hospitalist liver service. Hospitalists and hepatologists co-manage this expanding population of high acuity patients with complex pathologies. In the past year, […]

Background: Communication, availability and timeliness of evaluation (all skills of Hospitalists) are key drivers for a successful co-management service. Our Hospital Medicine Group created a Urology Hospitalist co-management program in July of 2016. We designated a core group of highly specialized urologic hospitalists (UHOS) to work closely with the urologic surgeons to coordinate and improve […]

Case Presentation: A 62‐year‐old male mechanic presented with a 3‐month history of worsening right hand numbness and weakness with difficulty operating machinery at work. He reported anorexia, unintentional weight loss of about 20 pounds over 3 months, and mild chronic cough with no fever, night sweats, hemoptysis, or dyspnea. He denied neck pain, headaches, or […]

Background: In surgical co-management (SCM), surgeons and hospitalists share responsibility of care of the surgical patients. In August 2012, we implemented SCM in Orthopedic and Neurosurgery services at our institution (Ann Surg 2016;264(2):275-282). This model is innovative because the same Internal Medicine hospitalists are dedicated year round to the same surgical service. After the first […]

Case Presentation: A 78‐year‐old African American woman with a medical history of hypertension, hypercholesterolemia, and type 2 diabetes was brought to ED with change in mental status. Patient was living by herself and the family found the patient to be confused. Patient had not been taking her medications for the past 3 days. Physical examination […]