Case Presentation: An 88‐year‐old man with a medical history of atrial fibrillation presented with dyspnea for 1 week. He endorsed bilateral leg edema, orthopnea, and productive cough of pinkish sputum. He denied fevers, chest pain, and palpitations and had no recent travel history, prolonged period of immobility, or reported history of congestive heart failure. He […]

Background: Physicians increasingly utilize electronic health records (EHR) to deliver healthcare, and the EHR has been identified as leading source of physician burnout and frustration [Shanafelt et al]. Studies report up to 52.6% of hospitalists exhibit symptoms of burnout [Roberts et al]. However, there is no data to inform how hospital medicine physicians spend their […]

Background: Healthcare organizations are increasingly seeking to improve physician well-being to combat rates of physician burnout. The Stanford Wellness Framework details a multi-pronged solution which includes three domains: personal resilience, culture of wellness, and efficiency of practice. Enhanced communication skills can improve patient-provider relationships and foster personal resilience, while improving efficiency in practice and contributing […]

Case Presentation: A 66‐year‐old immune‐compromised woman with systemic lupus erythematosus, antiphospholipid antibody syndrome, and adrenal insufficiency was admitted to the hospital due to a 2‐week history of painful skin lesions and associated swelling on her extremities. Four months prior to admission, her immunosuppressive therapy was switched from azathioprine (AZA) to mycophenolate mofetil (MMF) because of […]

Case Presentation: A 30‐year‐old man with depression and alcohol abuse presented with a 4‐day history of vomiting, productive cough, dyspnea, pleuritic chest pain, and intermittent fevers. His family noted slurred speech, confusion, and auditory and visual hallucinations for 1 day. His maternal grandmother had bipolar disorder. He drank 20 alcoholic beverages daily until one week […]

Background: When used optimally, technology should serve as a tool for clinicians, not an obstacle. Yet according to a recent study by the Mayo Clinic, Electronic Health Records (EHR) score in the bottom nineth percentile of technologies when evaluated for usability. This lack of usability can lead to increased documenting times, workflow bottlenecks, and physician […]