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 […]

Case Presentation: This is an 87‐year‐old who who complained of 8 brief episodes of transient bilateral vision loss lasting eight seconds each time for the past 2 days. Episodes were associated with dizziness and a grinding noise in both ears and occurred in the seated position. She denied loss of consciousness, weakness, numbness or tingling, […]

Background: Nurse Practitioners (NPs) and Physician Assistants (PAs) are a vital part of a Hospital Medicine Group (HMG). Many NPs and PAs join HMGs directly after graduating and without prior experience in Hospital Medicine. The anticipation of a new position brings many emotions. There is excitement, but there is also hesitation. The introductory phase in […]

Background: As the field of Hospital Medicine continues to grow and evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the routine care of the hospitalized patient. Our HMG, a 120-physician team working at two tertiary care hospitals in the New York Metropolitan area, is no exception. In recent years, […]

Case Presentation: A 51‐year‐old‐woman was admitted to the emergency department in a postictal state after generalized tonic–clonic seizure; hypoglycemia of 23 mg/dL was identified. She had normal body weight (body mass index, 21). She reported having adrenergic and neuroglycopenic symptoms in the previous days such as tremors, confusion, and possibly absence seizures. She also had […]