Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group can be achieved. This is made even more difficult by the typical hospitalist group providing 24/7/365 coverage, so at no [...]

Background: Hospitalist groups must be able to respond to unexpected staff absences due to sick calls, personal emergencies, and unanticipated leave, all of which have substantially increased since the 2020 coronavirus pandemic. They also need to be able to respond to ongoing fluctuations in census related to seasonal respiratory viral surges, as well as institutional [...]

Background: Structured peer observation programs – in which clinicians observe one another and provide feedback – are potential mediators for spreading “best practices” and encouraging feedback among a group. Studies show hospitalist peer observation programs are feasible, perceived favorably by participants, and lead to improvements in self-reported assessments of teaching abilities. However, existing peer-observation models [...]

Background: The optimal duration of hospitalist clinical blocks is unknown. Longer block lengths may offer greater continuity and discontinuity between providers has been adversely associated with 30-day mortality and readmissions. However, extending days worked may lead to fatigue and negatively impact hospitalist satisfaction or contribute to burnout. We conducted a randomized trial comparing two different [...]