Background: Balancing attending supervision with resident autonomy is intended to ensure patient safety while allowing trainees to gain graduated competency and independence upon completion of residency. ACGME work-hour restrictions have increased attending supervision, but its effect on resident education and autonomy is unclear. In order to better understand the underlying tensions and contributing factors to [...]

Background: The relationship between autonomy and supervision (A/S) on general medicine inpatient services requires a balance to ensure patient safety while fostering graduated competency in residents. Previous research at our institution has shown a tension hospitalists feel when balancing these two principles. For example, hospitalists reported that the ideal clinical culture should offer more autonomy [...]

Case Presentation: 53-year-old woman with locally recurrent melanoma and a family history of Huntington’s Disease (HD) presented with complications of cerebral venous sinus thrombosis and subdural hematomas. On hospital day 2, she suffered a cardiac arrest in the setting of QTc prolongation from antiemetics leading to dependence on hemodialysis, mechanical ventilation, and pressors. She was [...]

Case Presentation: A 30-year old woman with antiphospholipid antibody syndrome secondary to lupus with extensive arterial and venous thrombotic history presented to the emergency department with left lower extremity pain, coolness, and skin blanching for seven days. She had stopped taking her chronic anticoagulation medication two months prior to admission when she ran out of [...]