Background: Hospitalists nationwide are faced with complex patient and family behaviors that interfere with medical care. In the acute inpatient setting, few resources are available for physicians to address maladaptive behaviors and many physicians report significant discomfort managing these disruptive behaviors. We implemented a Nurse Practitioner-Led Psychiatric Consult Service to provide education and recommendations for [...]

Background: Consultative medicine has been identified as a core part of internal medicine (IM) resident education by providing the opportunity for residents to care for the non-medical patient. In the early 1980s, two separate academic institutions detailed the initiation of their General Medicine Consultation service. They described who consulted them and the reason for consultation. [...]

Background: The Palo Alto VA Hospital has an interdisciplinary Clinical Command Center (C3) that includes “Flow” nurse practitioners (NPs) who work closely with case management, social work and primary medical teams to identify and address barriers to care and assist in discharge planning and coordination. We have created a novel collaboration between a C3 Flow [...]

Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or medical complications. Last year, we developed a Trauma/Acute Care Surgery Hospitalist Co-Management program, due to, in large part, the increasing [...]

Background: Consultative Medicine is one of the fastest growing branches of Hospital Medicine. We believe that residents require adequate exposure and appropriate level of training to provide excellent care to patients. Purpose: The goal of the rotation is to train and prepare residents for a successful future as consultants. The rotation has been designed to [...]

Background: Transforming hospital operations to optimize patient experience begins with a collaborative care team. The geographic re-location of physicians into one unit with an entire care team, in addition to the implementation of Structured Interdisciplinary Bedside Rounds (SIBR), have been linked to multiple outcomes related to effective care team communication and collaboration, including patient safety [...]

Background: Care of complex patients are a daily challenge in the hospital setting, with a direct impact on the health care costs. Although there is no standard definition of a “complex” patient, we can argue that they are patients who need more time and resources during their care process. Age and comorbidities are probably important [...]

Background: Co-management across service lines has become increasingly common in hospital medicine. SHM’s Co-Management Task Force has outlined several components of a successful co-management program. Recent studies have shown that cross-disciplinary service arrangements, which are more collaborative, enhance provider satisfaction and may improve patient care. These benefits have encouraged institutions to roll out multiple co-management [...]

Background: The prevalence of gout has risen in recent decades despite advancements in therapeutic options due to several reasons, including lack of adherence to treatment guidelines by physicians and patients’ poor perception and adherence to therapy. We aim to assess the beliefs and knowledge of gout management in Internal Medicine residents, to investigate the gaps, [...]

Background: Although hip fractures in the elderly are largely due to osteoporosis, rates of treatment for osteoporosis after fragility fracture have been reported as