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: New internal medicine interns are expected to be familiar with bedside procedures such as paracentesis. Medical students frequently have inadequate dedicated time to learn bedside procedures and are taught in a fragmented manner. As a result, new interns lack familiarity with these procedures. As such, we assessed whether a comprehensive module for paracentesis would [...]

Background: In hospitalized patients with anemia, the AABB recommends that transfusion of red blood cells occur when a patient’s hemoglobin (Hb) drops below a restrictive transfusion threshold, either at 7 or 8g/dL1. These transfusion guidelines are the result of a growing body of clinical trial evidence showing that transfusion at lower or restrictive Hb thresholds [...]

Background: Adolescents have poor access to preventive care and outpatient providers face many barriers to addressing sexual health with adolescents. Recent literature advises providers to address sexual health in nontraditional settings including emergency department (ED) visits and hospitalizations. In our previous work we identified missed opportunities to address sexual health on the hospital medicine service, [...]

Background: Therapeutic paracentesis is a common procedure performed to relieve symptoms of ascites most commonly from cirrhosis, heart failure or malignancy. Previous studies have shown that acute kidney injury (AKI) is common after paracentesis and portends a poor prognosis, although these studies have excluded patients with pre-existing chronic kidney disease (CKD). Experiences in our hospital [...]

Case Presentation: A 15-year-old female was transferred to our facility with a complaint of worsening chest pain for the previous two weeks. The pain initially started in her shoulders and then spread to her substernal area. She had initially presented to the same facility three days previously and was discharged with a diagnosis of musculoskeletal [...]