Background: Physicians increasingly utilize electronic health records (EHR) to deliver healthcare, and the EHR has been identified as leading source of physician burnout and frustration [Shanafelt et al]. Studies report up to 52.6% of hospitalists exhibit symptoms of burnout [Roberts et al]. However, there is no data to inform how hospital medicine physicians spend their [...]

Background: Hospitalists spend a significant part of their workday interacting with the electronic medical record (EMR). Less is known regarding the details of the tasks that are performed during this interaction. In considering aspects of workflow and EMR usability, we sought to characterize how hospitalists spend time within the EMR, in terms of number of [...]

Background: While hospitalists pursue a primarily clinical role, we have carved a niche in clinical research, particularly Quality Improvement based research. However, clinical research often involves time intensive chart review, which can become a barrier to hospitalists with heavy clinical roles. A mechanism to mitigate this will be revolutionary. Purpose: In this innovations abstract, we [...]

Case Presentation: A 58- year-old female presented with vomiting, dizziness, and a blood pressure of 80/60 mmHg. Laboratory: serum creatinine 3.1 mg/dl (baseline 1 mg/dl), BUN 34 mg/dl (baseline 10 mg/dl), corrected calcium 12.3 mg/dl, low PTH , normal 25-OH vitamin D, and normal PTH-related protein. Two months prior, serum calcium was normal and 25-OH [...]

Background: Confidentiality within adolescent medicine is imperative in establishing a trusting patient-physician relationship. In April 2021, the 21st Century Cures Act granted patients’ guardians immediate access to select patient electronic medical records. Whereas Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible to guardians, adolescent sensitive notes (ASN) remain confidential. At our institution, [...]

Background: As surgical and anesthetic practices have advanced, an increasing population of older adults with increased medical complexity are undergoing surgery. A significant portion of these patients may present to the hospital requiring urgent surgical intervention and there is an evolving and expanding role for hospitalists in preoperative risk assessment. However, there remains variable exposure [...]