Background: Two-thirds of surgical inpatients have at least 2 medical comorbidities, and 14% have six or more. Since 2001, there has been exponential growth of comanagement services, in which hospitalists embedded on surgical services take ownership over medical management. While advanced practice providers (APPs) increasingly manage surgical inpatients, successful comanagement models between hospitalists and APPs [...]

Background: Previous studies have shown reduced costs and length of hospital with surgical comanagement performed by hospitalists. In Latin America, however, this practice of comanagement is still not standard among surgeons. The Hospital Nossa Senhora da Conceição, localized in Southern Brazil, was the pioneer of Hospital Medicine in our country. It is a public, tertiary, [...]

Background: Comanagement is a structured collaboration between hospitalists and a surgical service to improve outcomes of surgical patients perioperatively. We identified the potential to improve patient safety and throughput metrics on the Surgical Oncology and Otolaryngology (ENT) services at our institution. We partnered with these two services to create a novel Surgical Oncology Comanagement Service. [...]

Case Presentation: A 31-year-old man with past medical history of secondary syphilis and HIV/AIDS (CD4 47) intermittently on ART presented with worsening rectal pain and recurrent rectal abscesses. He endorsed rectal pruritis, nausea, weight loss, and lower extremity pain. He denied fevers, night sweats, abdominal pain, or diarrhea. Last year, he had a prior rectal [...]

Case Presentation: A 58-year-old-woman with no significant past medical history presented to her primary care physician with bilateral lower extremity edema. She was treated with compression stockings but returned after four months without improvement. She was diagnosed with chronic venous insufficiency and referred to a vascular surgeon for a superficial venous ablation, which was ineffective. [...]

Background: The US Bureau of Labor Statistics estimates that healthcare workers experience workplace violence at 4 times the national average and providing care to patients with decompensated psychiatric illnesses disproportionately increases the risk of workplace assault (1). 20-40% of hospitalized medical patients have comorbid, decompensated psychiatric conditions that can impair insight regarding chronic medical conditions, [...]

Background: Rhabdomyosarcoma (RMS) is an exceptionally rare soft tissue sarcoma that exhibits significantly lower survival rates in adults when compared to pediatric patients. This disparity is likely attributed to a combination of histopathological variations, delayed, or missed diagnoses, and treatment-related factors(1). Notably, adult RMS originating from the extremities is classified as “unfavorable” and has been [...]

Background: Based on the 2016 State of Hospital Medicine Report, 87% of hospital medicine groups provide surgical comanagement services. Despite its popularity, when studied, the benefits are inconsistent. The vast majority of comanagement research evaluates the process of initiating a program, but there is little to no research on the outcomes of discontinuing a service. [...]

Case Presentation: A 29 year old male with HIV/AIDS only intermittently taking antiretroviral therapy (ART), Pneumocystis jirovecii (PJP) pneumonia actively being treated with trimethoprim-sulfamethoxazole (TMP-SMX) and prednisone, and cutaneous Kaposi sarcoma all diagnosed one month ago at an outside clinic presented to the hospital with worsening cough and shortness of breath. Initial vitals were notable [...]