Background: Across the field of Hospital Medicine, there is a “call to arms” to build robust faculty development programs(1). Medical education and clinical teaching are common career interests for early career hospitalists (ECH), defined as hospitalists ≤5 years since postgraduate training. ECH often pursue academic positions to explore an interest in medical education, but find […]

Background: Large hospital medicine groups of 30 or more physicians comprise over 20% of practices (SHM 2018). Our academic hospital medicine service is comprised of 65 faculty members. We recognized a need for multiple levels of leadership beyond the immediate chief and director of clinical operations. Our team, like most hospital medicine groups, is comprised […]

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: It is very common for physicians to adopt aggressive treatment strategies when dealing with younger patient populations. This usually leads to more use of resources and often results in better outcomes. Thus, we sought in this study to test such a hypothesis and examine whether the use of resources, aggressive therapies, and outcomes for […]

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, […]

Case Presentation: Case 1 — This is a 67‐year‐old woman with a history of hypertension, chronic bronchiectasis, and chronic lumbar back pain who regularly received epidural steroid injections that was admitted 9/22/12 with a 2‐week history of fevers up to 105°F, headache and photophobia. Initial lab results and studies are shown in Table 1. She […]

Background: Point-of-Care Ultrasound (POCUS) training for hospitalists is important for direct patient care, supervision of Internal Medicine residents, and collaboration with Emergency Department and ICU providers. Current opportunities for POCUS training employ the I-AIM framework which structures learning objectives around indications, acquisition, image interpretation, and medical decision making. Unfortunately, learning image acquisition remains heavily time […]

Background: Point-of-care ultrasound (POCUS) is increasingly being used across medical specialties, improving diagnostic accuracy in numerous medical presentations and levels of acuity. Training in these skills is currently offered through major societies, but graduate medical POCUS training in internal medicine and family medicine is not common in US residencies. Therefore, we designed a two-week inpatient […]

Case Presentation: A 41‐year‐old man with insulin‐dependent diabetes and hepatitis C cirrhosis with multiple variceal bandings presented with progressive right‐sided weakness had been seen at an outside hospital 6 months prior to admission, where ring‐enhancing lesions in the left frontal lobe were noted on CT and MRI. CSF and serum analyses for toxoplasmosis and a […]