Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]

Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]

Background: The concept of using Entrustable Professional Activities (EPAs) in undergraduate medical education (UME) arose because residency program directors noticed a significant decline in their interns’ ability to perform the basic skills required of them upon starting residency. The internal medicine (IM) sub-internship (sub-I) rotation is primed to address the EPAs especially pertinent to the […]

Background: Central venous catheter (CVC) occlusion is a common occurrence, affecting approximately 30% of all CVCs. If a catheter is blocked, either the blockage must be cleared or the catheter will have to be replaced to resume proper function. The objective of this study was to compare patient outcomes associated with the use of alteplase […]

Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM […]

Case Presentation: We present 2 cases demonstrating variant branching of the abdominal aortic trunks along with radiographic imaging and correlation to a common disease state. The first case is a 67‐year‐old woman who presented with abrupt onset of rapidly worsening abdominal pain. Computed tomography demonstrated pneumatosis intestinalis with air in both the hepatic portal system […]

Background: Hospital based providers are often tasked with leading cardiopulmonary arrest resuscitations known as code blues. This responsibility can be stress provoking and poorly executed without appropriate training resulting in poor patient outcomes. At our academic medical center, internal medicine residents on their inpatient hospital based rotations are responsible for this assignment. The process of […]

Case Presentation: A 70‐year‐old male patient was admitted to the hospital with a 2‐month history of progressive worsening productive cough and exertional shortness of breath. His condition associated with malaise, loss of appetite and loss of weight of about 30 Ibs. He also noticed painless ulcerating skin lesions, progressively increasing in size over his face, […]