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: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care […]

Background: ED visits increased to 145.59 million in 2016 (CDC 2019), resulting in an increase in hospital admissions. Chen et al. showed a correlation between the overall ED census and likelihood of admission; while, Velasquez et al. found up to 28% of hospitalists reported having admitted patients when no admission criteria were met. They described […]

Background: Digital bedside information displays can alert clinicians about patient safety hazards, but the unintended consequences of these interventions are not well understood. Introducing new digital interventions may have implications for clinician satisfaction with the electronic environment, clinical team communication, and patient-centered care. Toward greater understanding of these unintended consequences, we described the content, form, […]

Background: Approximately 1.6 million patients are transferred between hospitals yearly, with disproportionately high cost and mortality. Despite the risk associated with inter-hospital transition of care, there is no established best practice in coordinating and triaging transfers. This gap in knowledge is partly driven by a dearth of studies which integrate clinical data before and after […]

Background: Improving a patient’s experience with the health care system improves outcomes of care. Glickman et al found that higher patient satisfaction is associated with improved adherence and lower inpatient mortality rates. Boulding et al found that higher patient satisfaction was associated with lower 30- day readmission rates for patients with heart failure, acute MI […]

Background: Nurse-physician teamwork is a critical determinant of outcomes among hospitalized patients. Although improvement interventions have been designed for specific settings (eg, intensive care units and operating rooms), less attention has been given to nurse-physician teamwork in hospital medicine. Therefore, our goal was to assess the quality and effectiveness of interventions for improving nurse-physician teamwork […]

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: Although many older adults will be hospitalized in their lifetime, most do not consider or plan ahead for their post-hospitalization support needs. When older adults experience a hospitalization, families often must react to the crisis leaving the older adult out of the decision process (e.g. choosing a skilled nursing facility, caregivers). With PCORI funding, […]

Background: Delirium is associated with increased morbidity, mortality and health care costs in the hospital setting secondary to increased length of stay and poor long term outcomes (1,2). A systematic review of different delirium prediction models found limitations with these models including derivation from small patient populations, lack of heterogeneity, accuracy and reliability as noted […]