Background: Dyad round means when nurses and doctors do patient round together. When the concept of hospitalist came to health care system, doctors became available 24 hours in the care of patients. Nurses and doctors started doing their patient-rounds individually1 and communicate via electronic medical record (EMR) or other electronic methods.On an average, a patient [...]

Background: Physicians and nurses often overestimate patients’ understanding of their illness, medications, treatments, and care plans. Fragmented discussions can lead to inconsistent conveyance of key information to patients and their caregivers. Multidisciplinary bedside rounds are an essential opportunity to facilitate patient-centered care. Our medical-surgical units did not have a standardized approach to ensuring consistent, clear [...]

Background: PechaKucha, Japanese for “chit chat”, is a presentation format with twenty slides auto advancing after twenty seconds each. The total presentation time is 6 minutes and 40 seconds. Slides rely on pictures and may be modified to include few words summarizing expansive topics. Feedback from our learners has been overall positive, with higher engagement [...]

Case Presentation: A 56-year-old Caucasian female with history of mechanical aortic and mitral valves on chronic warfarin therapy, atrial fibrillation, and questionable history of SLE was admitted to the intensive care unit for emergent splenectomy following a motor vehicle accident. After initially being sent home from a regional hospital, she was diagnosed five days later [...]

Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture [...]

Case Presentation: An 80-year-old female smoker with no known medical history presented to the emergency department after being accidentally pepper-sprayed in her face by her grandson. She reported discomfort in her eyes and throat but denied visual changes, chest pain or dyspnea. Physical exam revealed hypertension, tachycardia, and conjunctival injection. She was discharged home after [...]

Case Presentation: A 54-year-old male with known human immunodeficiency virus (HIV) presented to the emergency room with three weeks of progressive lower abdominal pain, nausea, chills, and a 15-lb weight loss. The patient had no diarrhea, dysuria, urinary frequency, or penile discharge. He had no recent sexual activity. He was diagnosed with HIV four years [...]

Background: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patient perspectives of hospital care. HCAPS scoring is tied not only to hospital compensation, but also is an important indicator of and reflection of interactions with patients. Specifically at Rhode Island Hospital, the goal [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]