Case Presentation: An 80‐year‐old white man with a medical history of stroke without residual deficit in 2006 and coronary artery disease presented with complaints of gradual loss of voice over a 6‐month period. It started with mild hoarseness and progressed to being able to utter only a few incomprehensible sounds. In the previous few weeks […]

Background: Understanding a hospitalist’s efficiency is important to identify opportunities to provide support and prevent burnout (1). This is key when onboarding new hospitalists, as early intervention can lead to rapid improvement and a long-term sustainable career. The evaluation of hospitalist efficiency can be difficult and is often thought to require close clinical shadowing or […]

Case Presentation: A 56‐year‐old African American man presented to the emergency room complaining of shortness of breath, wheezing, and productive cough with yellowish sputum. His symptoms began acutely 1 day prior to presentation and were not associated with any fevers or chills. At baseline, the patient was ambulatory and independent in ADLs, but with limited […]

Background: Onboarding for new hospitalist attendings tends to focus heavily on local systems practices, such as the electronic health record, how to engage consultants, and billing in order to ensure clinical functionality. This orientation tends to be impersonal and deficient in the essential skills for a long and fulfilling career in hospital medicine. The importance […]