Background: Internal medicine and hospital medicine providers are under pressure to move patients quickly through the hospital and decrease length of stay. Providers spend most of their clinical time seeing patients, documenting or coordinating care and have minimal time to disrupt workflow to perform common bedside procedures such as paracentesis, lumbar punctures, central lines, arthrocentesis [...]

Background: Inpatient subspecialty consultation is one of the most common physician practices in the care of hospitalized patients. As per a CMS report, approximately 33,000 inpatient consultation occurred per day in 2008 costing Medicare approximately $1.9 billion. Common reasons for requesting a consultation include assistance with treatment, diagnosis, and request for a procedure. Consult quality [...]