Case Presentation: A 53‐year‐old African American man presented with 1 month of diffuse abdominal pain associated with nausea, emesis, and anorexia. He also reported 15 pounds of unintentional weight loss and fatigue. He denied any medical history beyond an episode of Bell's palsy of the left side in 1997. He is a cigarette smoker with […]

Background: As a result of the 2011 ACGME duty-hour policies, many residencies have transitioned to a shift-work system, where swing and overnight residents admit patients for handoff to a new primary team the following morning. In our Internal Medicine residency program, up to 70% of admitted patients are handed off in this fashion. These “holdover […]