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. [...]

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: 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. [...]

Background: Choroidal melanoma, the most common primary intraocular malignancy in adults, is a dangerous cancer which can lead to blindness. Diagnosed at an average age of 65 & lacking identifiable environmental or genetic factors, melanoma of the eye can affect anyone. Commonly found on routine ophthalmological screening, patients are sent to quaternary hospitals for further [...]

Background: Perioperative co-management has become an increasingly important part of a hospitalist’s role. A new MSIV course was created to teach and showcase this unique aspect of hospital medicine to medical students. Perioperative co-management can provide excellent educational value and a new framework of thinking for medical students regardless of the specialty they pursue. Purpose: [...]

Background: Lung transplant recipients are a unique cohort of patients who require a multidisciplinary approach to management when hospitalized due to their higher rate of comorbidities, use of immunosuppression medications, and increased risk of complications. As of April 2023, over 12,000 total transplants have been performed in our institution, of which, 538 (4.5%) have been [...]

Background: Hospital medicine continues to expand and hospitalist practitioners are now rising to challenges of other venues looking to capture the value hospitalists bring. One area with a paucity of such skill but a rising need is the realm of eating disorder medicine. Purpose: To showcase hospital medicine in a niche role, specifically eating disorder [...]