Background: Hospital Medicine is a young and growing specialty. About 50% of our academic hospital medicine group of nearly 70 physicians are in their first 5 years out of residency. And about 90% of our faculty are millennials (born 1982-2000), the fastest-growing generation in the workforce and the first generation to grow up in a […]

Case Presentation: A 49‐year‐old man presented with a 2‐month history of confusion, blurry vision, fevers, chills, night sweats. He reported a 30‐pound weight loss over 3 months, history of hypertension and stroke; denied weakness, trauma, falls, emesis, or slurred speech. He endorsed cocaine use but denied alcohol or intravenous drug use, travel, or new sexual […]

Case Presentation: A 70‐year‐old man complained of left leg pain 2 days after coronary artery bypass graft (CABG) for an acute ST‐elevation myocardial infarction. Patient was treated with intravenous unfractionated heparin (UFH) during CABG. Platelet count before and after the surgery was 130,000/μL and 78,000/μL, respectively. Antiheparin IgM and IgG antibodies (or heparin‐induced thrombocytopenia [HIT} […]

Background: Resistance in learning (RIL) defines a set of attitudes or behaviors demonstrated by learners in an educational setting that result in decreased learning. Literature describes the etiology as multifactorial, including learning environment, characteristics of the learner, and teaching style. Hospitalists often use quality improvement methodology, such as PDSA cycles to improve the clinical care […]