Background: Advanced Practice Providers (APPs) are becoming a very prevalent part of academic hospital medicine. From 2016 to 2018, APP utilization in academic hospital medicine groups has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. In our division, APPs have become an integral part of our educational fabric, teaching a wide array […]

Case Presentation: A 64‐year‐old man with alcoholism and end‐stage liver disease (ESLD) presented to the emergency department (ED) complaining of abdominal pain and swelling. In the previous 3 weeks, the patient had presented to 2 different EDs with similar complaints. With each visit, the patient had basic labs performed and was discharged with prescriptions for […]

Background: National data document that hospital medicine groups frequently lack representative diversity in terms of race, ethnic background and gender. This diversity gap further expands with career development and promotion. Traditional physician hiring strategies are susceptible to elements of bias that may contribute to these disparities. Purpose: To design and implement a structured process for […]

Case Presentation: A 59‐year‐old man with no medical history was referred for admission from a rheumatology clinic where he presented with night sweats, nonproductive cough, exertional dyspnea, nausea, decreased appetite, and loose stools. He also noted raised nodules on his fingers and elbows bilaterally. He was in his usual state of health until 10 months […]

Background: Morbidity and Mortality Conference (MMC) has been recognized as a valuable educational resource in training programs to improve patient safety. Traditional MMCs are often poorly defined in terms of format, goals, and outcomes, leading to ineffective reflection, discussion and action. Increasing evidence suggests that a structured and transparent approach to MMCs results in measurable […]

Case Presentation: This is the case of a 26‐year‐old woman who presented to the ED with complaints of sudden‐onset sharp substernal chest pain radiating to her back and neck for 1 day. The pain was worse with deep inspiration, supine position and alleviated with leaning forward. Review of symptoms was notable for lethargy and weight […]