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: Nationwide death by suicide burnout continues to rise in physicians (1). The key drivers of burnout are increased emotional exhaustion (EE) and depersonalization (DP) and low levels of personal accomplishment(PA). In a 2014 the Annals of Family Medicine survey revealed that 73% of general internists would not choose the same specialty again, attributing burnout […]

Case Presentation: A 40‐year‐old woman was referred from the local jail with a tension pneumothorax. She had a long history of intravenous (IV) heroin and cocaine use followed by a 2‐year history of sobriety. She had resumed intravenous heroin use 3 weeks before admission and soon thereafter developed fever and chills. She was incarcerated 7 […]

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 […]

Case Presentation: An 18‐year‐old African American female with no medical history was brought in for 5 days of altered mental status. She was unable to perform activities of daily living, exhibited bizarre behavior, and had disorganized thoughts including paranoia. She was initially admitted to psychiatry for psychosis. Over the next 3 days, she was given […]

Background: Point-of-care ultrasound (POCUS), when integrated with a physical examination, increases accuracy of diagnosis and decreases procedural complications. Purpose: We developed the Integrated Sonographic Competency at NYU (I-ScaN) to train hospitalists in POCUS. Description: The program begins with an intensive 2-day course consisting of lectures, clip reviews, and hands-on training on humans models covering views […]