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: COVID-19 has drastically changed medical school curriculum across the country. In March, the AAMC recommended pausing clinical activities for all medical students [1]. In response, the University of New Mexico School of Medicine (UNM SOM) transitioned to a virtual curriculum and implemented a four-week virtual public health course on COVID-19, followed by virtual clerkships [...]

Background: Medicine procedure services (MPS) have been shown to increase Internal Medicine (IM) procedure volume, procedure completion rates, adherence to best practice safety measures, resident involvement, and resident satisfaction. However, deployment of MPS can be challenging as it requires significant lead time for ensuring skillset consistency, provider scheduling, and developing referral sources. At the same [...]

Background: De-implementation of low-value services remains a challenge in healthcare. Research has shown that Choosing Wisely recommendations are ineffective in reducing low value care alone, and more robust interventions are needed. Additionally, most of the published efforts of reducing unnecessary inpatient services are done in smaller settings within a single hospital. Furthermore, initiatives in resource [...]

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: The COVID-19 pandemic magnified the already overwhelming task of staying up to date with the ever-growing clinical evidence. Supporting evidence-based practice is crucial to the learning environment (1). Addressing this challenge, our institution assembled a team of medical students, librarians, and clinicians (educational support team) to search and summarize clinical literature to answer clinical [...]