Background: Procedural complications are a common source of adverse events in hospitalized patients(1, 2). In academic centers, bedside procedures have traditionally been performed by trainees, often without experienced proceduralist supervision, or referred to interventional radiology or consultant services, often with an associated delay in procedure performance. Many trainees report discomfort with their skill in performing [...]

Background: Nationally, internal medicine (IM) residency programs have been struggling with the balance of protecting residents from exposure to COVID-19, ensuring they are sufficiently trained in general medicine while still teaching them about a new disease process and preparing them to help fight the pandemic (1). Anxiety is common amongst providers in a pandemic, especially [...]

Background: Race and racism are social determinants of health resulting in marginalized groups often experiencing worse health outcomes. These racial differences are often due to physician bias as well as biased processes. To mitigate this, it is recommended that clinicians avoid reifying racial differences as biological differences. This study describes the use of racial identifiers [...]

Background: Many institutions rely on informal training for internal medicine (IM) residents about how to provide effective discharge communication to patients and their caregivers. Complete instructions are essential to safe transitions of care. At our institution, we evaluated baseline knowledge of these topics among IM residents, and assessed how an educational module impacted residents’ knowledge, [...]

Background: For 6 months in 2018, a major quaternary-care teaching hospital underwent closure of operating rooms (OR) and cardiac catheterization laboratory (CCL) due to flooding/sterilization issues and planned upgrades. Surgery and interventional cardiology trainees were reassigned to other teaching hospital sites of Yale School of Medicine, with the anticipated impact on Medicine/subspecialties not fully known. [...]

Background: Career success as an Internal Medicine (IM) physician requires more than exceptional medical knowledge and patient care. In professional practice, IM physicians hold leadership positions in multidisciplinary patient care groups, spearhead change management initiatives and lead quality improvement projects1,2. Despite the documented importance of physician leadership skills3,4, there is little time devoted to leadership [...]

Background: Burnout is a term used to describe an extended response to psychosocial and interpersonal stressors precipitated in a work-setting.1 Although there are many aspects of burnout, those commonly identified include increased emotional exhaustion, cynical attitudes towards others, and the tendency to view oneself negatively. Medicine is a common, and well-renowned field that is heavily [...]

Background: Bedside rounds (BR) are an ideal method for teaching in the hospital, with many proposed benefits. However, the effect of BR on educational outcomes is incompletely understood. Our objective was to determine whether BR, compared to other forms of hospital ward rounds, improves learning outcomes in medical education. To accomplish this aim, we conducted [...]

Background: Advanced practice providers play a significant role in hospital medicine across the country. The 2018 State of Hospital Medicine report from the Society of Hospital Medicine found that 75% of hospital medicine groups include advanced practice providers. At our urban, tertiary care, public hospital, physician assistants (PAs) comprise forty percent of internal medicine ward [...]

Background: Interprofessional Education (IPE) has been gaining momentum in academic institutions across the United States since the initiation of the core competencies of interprofessional collaborative practice (IPC). Research suggests that student learners who engage in IPE become interprofessional team members who respect others’ roles and work towards creating positive health outcomes. While the promise of [...]