Background: Multidisciplinary rounding (MDR) is a necessary component to safe and effective patient care and discharge during hospitalization. However, there are many barriers to daily MDR that can limit the effectiveness of the team. An interdisciplinary needs assessment of MDR at our institution revealed poor communication on plan of care and limited understanding of interdisciplinary [...]

Background: In the throughput arena, one of the most challenging groups of hospitalized patients is the long length of stay (LLOS) patients. Although representing a minority of inpatients, this LLOS population contributes to the majority of excess days. At our urban tertiary academic institution, a LLOS is defined as greater than 15 excess days. In [...]

Background: Teamwork is essential to providing safe, effective, patient-centered care. Prior research documented discrepancies in perceptions of teamwork and collaboration among nurses and physicians. However, prior studies have been limited to single sites and academic medical centers. Methods: We conducted surveys of healthcare professionals in 4 hospitals participating in the REdesigning SystEms to Improve Teamwork [...]

Background: Nurse-physician teamwork is a critical determinant of outcomes among hospitalized patients. Although improvement interventions have been designed for specific settings (eg, intensive care units and operating rooms), less attention has been given to nurse-physician teamwork in hospital medicine. Therefore, our goal was to assess the quality and effectiveness of interventions for improving nurse-physician teamwork [...]

Background: Discharge delays occur because of inconsistent communication among all clinicians and providers. Inefficient utilization of resources also contributes to delays. Effective communication among the patient care team is a foundation of creating an effective discharge planning process. We must standardize the process of communication as well as resource optimization in order to provide our [...]

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: Preliminary data from the 2018 Clerkship Directors in Internal Medicine (CDIM) survey showed that in about 50% of both academic and community medical centers, medical students rotate directly with attendings (1). This number has increased by 400% from 2010, the last year for which data is available (2). In our institution, hospital medicine (HM) [...]

Background: Internal Medicine Teaching Teams (IMTTs) aim to deliver both exceptional clinical education and efficient, high-quality patient care. However, increasing workloads and the fast pace on inpatient wards are challenging this dual objective. Our study sought to understand the tensions between education and clinical practice in IMTTs and how academic leaders are addressing these challenges. [...]

Background: Enhanced physician-nurse collaboration improves patient outcomes. Current interprofessional clinical learning environments, however, rarely engage physicians with nurses and are not based on high-performance team frameworks. Therefore, leaders at the University of Chicago Medicine developed the Improving GME Nursing Interprofessional Team Experiences (IGNITE) program to engage interprofessional healthcare teams, with hospitalist coaches, in institutional performance [...]

Background: Residency training includes learning to be an educator; however, it can be difficult for residents to feel comfortable and empowered to teach. Further, it has been established that the current generation of learners prefers an environment that incorporates a sense of community while providing competitive challenges. Purpose: Our goal was to establish a program [...]