Background: Fall for hospitalized patients can cause significant injury and have devastating long term consequences for patients with 33% resulting in injury, 4-6% causing serious injury (1). Information is available regarding risk factors for falls and specific patient or nursing centric interventions to prevent falls, but there is little known about the physician perspective in [...]

Background: More than 30 million children and adolescents participate in organized sports in the United States every year. Participation has numerous benefits including improved physical fitness and better school performance, however, it is not without risk. According to the Centers for Disease Control and Prevention, children sustain more than 3.1 million sports and recreation-related injuries [...]

Background: Hospital Medicine (HM) continues to be a rapidly evolving field. Within our own institution, 15-20% of our graduates in the Internal Medicine Residency Program have pursued careers in HM in recent years. Purpose: The goal of this project is to provide residents with better preparation for careers in HM by implementing a HM Pathway. [...]

Background: As a result of the 2011 ACGME duty-hour policies, many residencies have transitioned to a shift-work system, where swing and overnight residents admit patients for handoff to a new primary team the following morning. In our Internal Medicine residency program, up to 70% of admitted patients are handed off in this fashion. These “holdover [...]

Background: Engaging residents and fellows in institutional quality and safety initiatives is essential for providing optimal care for patients. However, there is no standardized way to accomplish this and the sharing of information is challenging. While patient safety councils exist across institutions, they feature differing curriculum and occur in a variety of formats: hospital-wide vs. [...]

Background: On January 1st, 2017, the Joint Commission antibiotic stewardship accreditation standard came into effect, requiring hospital wide antibiotic stewardship programs. In West Virginia, per the CDC, in 2014, less than 28% had a stewardship program that met all 7 of the CDC core elements. In a May 2017 article of Clinical Infectious Diseases, authors [...]