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Meeting
Search Results for Bedside
Abstract Number: 57
Hospital Medicine 2020, Virtual Competition
Background: Academic hospitalists have identified teaching learners as the most fulfilling aspect of their jobs. Components of effective clinical education include teaching at the bedside and giving feedback. To enhance and develop the teaching and professional developmental skills of early-career hospitalists, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and […]
Abstract Number: 60
Hospital Medicine 2020, Virtual Competition
Background: Historical studies suggest that bedside (BS) rounding is optimal for learners. More recent studies report variable results with BS rounding viewed unfavorably among learners. Nonetheless, some academic institutions are moving toward widespread adoption of BS rounding as the preferred rounding style. On the Internal Medicine (IM) inpatient teaching services at the University of Kentucky […]
Abstract Number: 65
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The American Board of Internal Medicine suggests residents participate in a minimum of five abdominal paracentesis (AP), central venous catheter (CVC) placements, and lumbar punctures to ensure “adequate knowledge and understanding” of procedures performed by practicing internists. Competency in these procedures is poorly defined and difficult to assess. To address the need for well-supervised, […]
Abstract Number: 69
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: For most of the past century, clinical medicine was taught almost exclusively at the bedside. Currently, learners participate in a variety of activities that may or may not include bedside teaching. Balancing quality patient care and teaching a diverse group of learners is often a challenge. Electronic health records (EHR) with an ever-growing amount […]
Abstract Number: 79
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lumbar puncture and paracentesis are core competencies in internal medicine, but residents frequently report discomfort performing these procedures unsupervised. Simulation-based training (SBT) has previously been shown to improve resident performance of lumbar punctures on patients, but outcomes after paracentesis SBT have only been assessed on simulators. We hypothesized that SBT would improve internal medicine […]
Abstract Number: 90
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Multidisciplinary rounds occurs in various formats. On our medical wards, centralized multidisciplinary team huddles are conducted daily to ensure the entire care team is engaged and contributing to care plan development. Often times this precludes bedside team rounds. Given the dynamic fluidity of an inpatient care plan and our desire to enhance patient and […]
Abstract Number: 92
Hospital Medicine 2020, Virtual Competition
Background: The latest guidelines on parapneumonic effusion (PPE) management1 recommend immediate evaluation of PPE with ultrasound. Recognizing that bedside procedure services (BPSs) staffed with procedural hospitalists (proceduralists) are becoming the first point of ultrasound contact for many patients admitted with PPE our study sought to demonstrate that proceduralists can reliably agree with radiologists (viewed as […]
Abstract Number: 104
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Small-bore pulmonary drains (PD) have been proven effective at replacing the previous large-bore chest tubes for resolution of pneumothorax (PTX), and management of complicated (CPEs) and recurrent pleural effusions (RPEs). The placement of these drains has traditionally been performed by Surgeons, Intensivists/Pulmonologists, and Interventional Radiologists. Our institution (large academic center) sought to determine whether […]
Abstract Number: 116
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital errors and patient harm, and making errors more visible is a key strategy to reduce negative outcomes. Electronic health record […]
Abstract Number: 132
SHM Converge 2023
Background: Patients with cirrhosis complicated by ascites are often admitted to the hospital and require abdominal paracentesis for diagnostic evaluation and symptom relief. When large volumes are removed there is a risk for acute kidney injury (AKI) which can contribute to morbidity and mortality. There are no clear guidelines for what constitutes a safe volume […]