Background: Little is known about how to effectively train residents with point-of-care ultrasonography (POCUS) despite increasing usage. This study sought to assess whether handheld ultrasound devices (HUDs), alongside a year-long lecture series, improved trainee image interpretation skills with POCUS. Methods: Internal medicine intern physicians (n=149) at a single academic institution from 2016-18 participated in the […]

Background: Despite recommendations for mobility, older inpatients often stay in bed, increasing the risk for functional decline after discharge. Although studies show poor sleep is associated with lowered daytime physical activity in community‐dwelling adults, no study has examined this association in hospitalized adults who suffer acute sleep loss from a variety of disruptions. The aim […]

Case Presentation: A 72‐year‐old man with a history of coronary artery disease, diabetes mellitus type 2, hypertension, and nonfunctional left adrenal cortical adenoma resected 1 month ago presented after a syncopal episode lasting several minutes. He felt lightheaded prior to losing consciousness. There was no seizure activity, confusion, unilateral weakness, chest pain, palpitations, or shortness […]

Background: Imaging diagnostics such as CT and MRI are practically inaccessible to many of this developing nation’s 42 million citizens. Ultrasound, however, is more readily available but primarily limited to use in obstetrics. With proper training, the diagnostic utility of ultrasonography may be expanded to non-obstetric point-of-care examinations. In this study, we aimed to evaluate […]

Case Presentation: Case 1 — This is a 67‐year‐old woman with a history of hypertension, chronic bronchiectasis, and chronic lumbar back pain who regularly received epidural steroid injections that was admitted 9/22/12 with a 2‐week history of fevers up to 105°F, headache and photophobia. Initial lab results and studies are shown in Table 1. She […]

Background: Point-of-Care Ultrasound (POCUS) training for hospitalists is important for direct patient care, supervision of Internal Medicine residents, and collaboration with Emergency Department and ICU providers. Current opportunities for POCUS training employ the I-AIM framework which structures learning objectives around indications, acquisition, image interpretation, and medical decision making. Unfortunately, learning image acquisition remains heavily time […]

Case Presentation: An 18‐year‐old African American female with no medical history was brought in for 5 days of altered mental status. She was unable to perform activities of daily living, exhibited bizarre behavior, and had disorganized thoughts including paranoia. She was initially admitted to psychiatry for psychosis. Over the next 3 days, she was given […]

Background: Point-of-care ultrasound (POCUS), when integrated with a physical examination, increases accuracy of diagnosis and decreases procedural complications. Purpose: We developed the Integrated Sonographic Competency at NYU (I-ScaN) to train hospitalists in POCUS. Description: The program begins with an intensive 2-day course consisting of lectures, clip reviews, and hands-on training on humans models covering views […]

Case Presentation: A 69‐year‐old man with a medical history of coronary artery disease, ischemic cardiomyopathy, and heart block status post pacemaker (PPM) with AICD placement presented to the emergency department (ED) with complaints of fevers and bilateral shoulder and hip pains for 2 days. The pain was most severe in the left shoulder. On arrival […]

Background: This presentation will describe a novel study started during a sabbatical year in Colombia. It will briefly cover logistics of taking a sabbatical year and then discuss the ongoing project and preliminary results. Dengue, a neglected tropical viral disease transmitted by the Aedes egypti mosquito, is endemic in Colombia and serves as an ideal […]