Background: Female physicians are a high-risk group for unintentional weaning, with poor access to lactation stations as one of the reported reasons. Less than half of female physicians are breastfeeding at 6 months, and only 29% are exclusively breastfeeding at 6 months. Often female physicians are pumping in their office, while less than 20% are […]

Background: Congestive heart failure (CHF) remains the most common reason for admission in U.S. hospitals. Admissions for CHF account for approximately 80% of total cost for heart failure care. The Center for Medicare and Medicaid Services has established a hospital readmission reduction program that will directly affect Medicare reimbursement to underperforming hospitals. Here we assess […]

Background: Nationwide death by suicide burnout continues to rise in physicians (1). The key drivers of burnout are increased emotional exhaustion (EE) and depersonalization (DP) and low levels of personal accomplishment(PA). In a 2014 the Annals of Family Medicine survey revealed that 73% of general internists would not choose the same specialty again, attributing burnout […]

Case Presentation: A 40‐year‐old woman was referred from the local jail with a tension pneumothorax. She had a long history of intravenous (IV) heroin and cocaine use followed by a 2‐year history of sobriety. She had resumed intravenous heroin use 3 weeks before admission and soon thereafter developed fever and chills. She was incarcerated 7 […]

Case Presentation: A 65‐year‐old man presented with a 4‐week history of general malaise, headaches, low‐grade fevers, and bilateral upper‐extremity pain. He denied having episodes of chills, vomiting, or photophobia. He lives in a wooded area and has had multiple tick bites in the past. He had been on ibuprofen for more than 2 weeks before […]

Background: There is often little communication across inpatient medicine teams at a busy academic medical center. Although teams comprise trainees across many levels, individual teams often work in parallel without relating shared challenges and experiences. This can be isolating, and practicing in such silos can propagate systems issues and contribute to burn out. Purpose: Create […]

Case Presentation: A 52‐year‐old previously healthy man with history of prior alcohol dependence and a Billroth II procedure 25 years ago for peptic ulcer disease presented with 100 pounds of unintentional weight loss associated with new‐onset diarrhea over the past 6 months. His diarrhea was postprandial, occurring 20–30 minutes after all meals. Physical exam was […]

Background: As the field of HM continues to evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the care of the hospitalized patient. Our HMG, a 120-physician team working at 2 tertiary care hospitals in the New York Metropolitan area, is no exception. Over the past 3 years, our HMG […]