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: Hospitalists play an essential role in educating residents on inpatient rotations. One critical way to ensure the success of trainees is to provide timely feedback and written evaluations, which may be difficult amidst conflicting tasks. Hospitalists face additional challenges with the large volume of learners to supervise, and with irregular resident schedules and frequent [...]

Background: The primary goal of an acting internship or sub-internship is to prepare a fourth-year medical student for their intern year. At our institution, this has traditionally occurred on inpatient hospital medicine teaching teams which include senior residents, interns, and third-year medical students. Because these teaching teams are crowded with learners, our acting interns report [...]

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: A career in medicine is undoubtedly demanding and often takes a toll on the mental health of the individuals employed in this setting. Residents are an especially vulnerable population. In this study we aim to assess different aspects of resident life that might contribute to mental stress during residency such as a collegial work [...]

Background: Maintenance intravenous fluids (IVFs) are a critical treatment utilized frequently in pediatric medicine to support children with impaired enteral intake suffering from a wide variety of illnesses. Traditional pediatric practice of utilizing hypotonic fluids is thought to derive from Holiday and Seger’s mathematical calculations on IVFs that concluded that the use of hypotonic fluids [...]

Background: A growing body of evidence suggests that selecting graduating medical students for residency interviews based solely on USMLE scores or clinical grades does not adequately capture the breadth of qualities needed to succeed as a resident as outlined by the ACGME competencies. Step scores have been shown to correlate with ITE scores and boards [...]

Case Presentation: A 58-year-old woman with self-reported history of mast cell activation syndrome and chronic back pain presented to the hospital three times over a two-month period for recurrent skin/soft tissue infections. Her first hospitalization (10/19 – 10/24) was for bilateral hand/wrist abscesses requiring extensive tenosynovectomy and radiocarpal arthrotomy; cultures grew MSSA and she was [...]

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 [...]