Background: Graduate medical education (GME) comprises residents and fellows being trained at a hospital but also providing essential patient care. At academic hospitals, residents and fellows are often the front-line physicians and an integral part of the interprofessional team. The Accreditation Council for GME (ACGME) requires annual participation by residents and fellows in quality improvement [...]

Background: New ACGME Core requirements require active resident engagement in patient safety. Our institution’s most recent AHRQ Culture of Safety survey revealed poor ratings from residents for closed-loop feedback on event reports they had submitted. Since hospitalists are well-positioned to foster improvement in the culture of safety, we developed an interprofessional intervention in response. Purpose: [...]

Background: The Vizient Quality and Accountability scorecard is a tool that measures academic medical centers (AMCs) clinical performance, focusing on quality and safety while targeting specific opportunities for improvement. The Vizient quality domains include Mortality, Efficiency, Effectiveness, Equity, Patient Experience, and Patient safety. In an academic setting, the frontline healthcare providers are resident physicians. As [...]

Background: Though the ACGME dictates that Internal medicine residents should be exposed to the domains of quality improvement (QI) and medical education (Med Ed), most residency programs provide limited opportunities to develop these skills. Furthermore, most existing hospital medicine electives which attempt to cover these topics are 4 weeks in length. Purpose: We sought to [...]

Background: Hospital medicine is a rapidly growing and advancing field. In 2020, pediatric hospital medicine became a board-certified specialty requiring successful completion of an ACGME accredited two-year fellowship and examination1. Adult hospital medicine fellowships, which do not require ACGME accreditation, have grown organically. We sought to characterize the current landscape of hospital medicine fellowships. Methods: [...]

Background: In 2023, the Accreditation Council for Graduate Medical Education (ACGME) proposed changes to Pediatric Residency programs allowing for greater individualization of resident experiences and increased ambulatory care time. The ACGME changes may lead some institutions to expand pediatric hospital medicine (PHM) services to provide coverage of hospitalized children previously cared for by residents. We [...]