Case Presentation: A previously healthy 49‐year old woman presented for admission after a syncopal episode. She had a 4‐ month history of fever (104°F), sweats, rigors, 40‐pound weight loss, and abdominal pain associated with alternating diarrhea and constipation. Prior workup done at another hospital including pan cultures, HIV and hepatitis testing, upper and lower endoscopy, […]

Background: Rural areas are disproportionately affected by physician shortages, and small rural hospitals in particular struggle to staff acute medicine services 24/7. Telehospitalist models are emerging as an alternative to provide inpatient medicine services in rural settings. In a 2018 needs assessment of rural Veterans Health Administration (VHA) hospitals, 60% percent reported being short on […]