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: The Pediatric Hospital Medicine (PHM) Core Competencies define the expertise required of practitioners in the field and provide a framework for graduate and continuing medical education activities. Since their initial publication in 2010, the scope of practice among pediatric hospitalists has matured. Pediatric hospitalists lead or participate in institutional and national efforts that emphasize […]

Background: The Pediatric Hospital Medicine (PHM) Core Competencies define the expertise required of practitioners in the field and provide a framework for graduate and continuing medical education activities. Since their initial publication in 2010, the scope of practice among pediatric hospitalists has matured. Pediatric hospitalists lead or participate in institutional and national efforts that emphasize […]

Background: Hospitalized patients are consented for procedures on a daily basis, and obtaining informed consent is a core competency in professionalism and medical ethics for hospitalists.  This provides an opportunity for academic hospitalists to evaluate this skill.  AAMC released Core Entrustable Professional Activities for Entering Residency (CEPAER) as a reference for graduating medical students, and […]

Background: The Limited English Proficiency (LEP) population is at higher risk of receiving poorer care and worse health outcomes compared to their English-speaking counterparts. Interpreters should be utilized to help improve these encounters, but physicians are rarely trained on how to work with interpreters effectively. This is reflected in a prior study showing that residents […]

Background: EHR time motion studies have shown a significant time burden and concern that bedside manner, physical exam skills and physician wellness are at risk. However, nearly all studies to date have only focused on practicing physicians and residency training programs. Nearly all U.S. based medical schools allow medical student access, thus EHR exposure actually […]

Background: Social and environmental factors negatively affect the healthcare of low-income, vulnerable populations. Such determinants of health are often manifested as unmet basic needs that may be remedied through legal mediation, most commonly regarding housing, income, utilities, employment, education, nutrition and family issues. Medical Legal Partnerships (MLPs) provide an interdisciplinary, comprehensive approach to healthcare, utilizing […]

Background: MRSA osteomyelitis in adults is a challenging disease to treat with a high rate of amputation. Patients often undergo prolonged antibiotic therapy and multiple debridements with varied success. In our study, we examine outcomes in 10 cases of MRSA osteomyelitis.   Methods: We performed a chart review to identify cases of biopsy-proven lower extremity […]

Background: Balancing attending supervision with resident autonomy is intended to ensure patient safety while allowing trainees to gain graduated competency and independence upon completion of residency. ACGME work-hour restrictions have increased attending supervision, but its effect on resident education and autonomy is unclear. In order to better understand the underlying tensions and contributing factors to […]