Case Presentation: The patient was a 24‐year‐old white woman with a history of rheumatoid arthritis diagnosed 1 year ago. She presented with symptoms of diffuse postprandial abdominal pain, nausea, and generalized fatigue for a few months. Her symptoms acutely worsened over the course of 3 days, with radiation of sharp abdominal pain to the chest, […]

Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]

Case Presentation: A 53‐year‐old white man from Chicago presented with complaints of dysuria followed by right testicular pain and swelling, multiple painful skin lesion, productive cough, right middle finger painful swelling and significant weight loss for 6 months. He had several weeks of oral antibiotics without improvement. On examination, he was afebrile, chest was clear […]

Background: Older adults commonly lose mobility during hospitalization. This loss of mobility may be preventable if it is identified and addressed early in a patient’s hospital course. However, currently there is no systematic method to identify these patients early, and current practices are guided by physician experience and intuition. To this end, we used machine […]

Case Presentation: A 62‐year‐old man with diabetes and recent subdural hematoma presented from another hospital with lethargy. At transfer, he was afebrile, hypertensive, disoriented to time and place but able to follow instructions. He had a sixth cranial nerve palsy and anasarca. White blood cell count was 7500, urea nitrogen 48, creatinine 2.1, and albumin […]

Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on […]