Background: Medical school class size is increasing per the Association of American Medical Colleges (AAMC) recommendations. Therefore, the number of students participating in the internal medicine third‐year clerkships and fourth‐year externships is increasing as the clinical sites remain limited. With these changes, internal medicine departments struggle to provide a valuable learning experience simulating the intern […]

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Background: In July 2011, the Accreditation Council for Graduate Medical Education (ACGME) mandated new residency work‐hour restrictions. These changes limited the maximum hours of continuous clinical responsibilities from 30 to 16 hours for interns, 24 hours for upper‐level residents. Our objective was to determine how inpatient staffing of non–critical care teaching services within pediatric residency […]

Background: Cancer-associated thrombosis (CAT) is a common complication in patients with malignancy. Management of venous thromboembolism (VTE), in these patients, is challenging due to the high risk of recurrence and inherent risk of bleeding in this population. Direct oral anticoagulants (DOACs) have emerged as a treatment options for CAT. As yet there have not been […]

Background: Increased risk of venous thromboembolism (VTE) has been noted among cancer patients as compared to non-cancer. Cancer associated thrombosis caused three folds increased hospitalizations, increased inpatient/outpatient medical and prescription claims, and increased total health care costs per patient. Our objective was to study demographic, clinical and laboratory risk factors for venous thromboembolism (VTE) among […]

Background: Patient satisfaction has been linked to improved compliance with medication instructions and physician recommendations, as well as enhanced clinical outcomes. Previous studies have shown that when physicians sit, patients perceive they spend 40% longer and patients have a more positive perception of their providers. Purpose: To facilitate seated conversations by educating providers about the […]

Background: Peripherally inserted central catheters (PICCs) are associated with an increased risk of central line-associated bloodstream infection (CLABSI) and venous thromboembolism (VTE). Catheters that are coated or impregnated with antimicrobial and/or antithrombotic agents have been developed to prevent these complications. However, their effectiveness in preventing CLABSI and VTE is unclear. Using data from a large […]

Background: HIV remains a public health risk, with a high rate of transmission by people unaware they are infected with the virus. Although in New York State it has become law to offer testing at every point of entry in the health care system, we are still not achieving compliance with our test offers across […]

Case Presentation: A 77‐year‐old white man presented to our institution after he was diagnosed with a large right‐sided pleural effusion. His medical history included hypertension, type 2 diabetes mellitus, and urethral stricture. He was initially evaluated by his primary care physician (PCP) for a reported history of rectal stenosis. However, he became cyanotic and hypoxic […]

Background: Pediatric venous thromboembolism (VTE), although less common than in adults, is increasingly recognized as a significant and preventable cause of morbidity and mortality. There are no universal pediatric VTE guidelines, although the American College of Chest Physicians (ACCP) limits prophylaxis recommendations to a limited set of risk factors. Multiple centers have published institutional guidelines […]