Background: Academic medical centers (AMCs) have experienced significant clinical growth and have responded to the increase clinical demand by growing the number of hospital medicine services.[1,2] While this unprecedented growth has occurred, it has often outpaced the growth of housestaff training programs which has led to academic hospitalist teams evolving their clinical and educational models [...]

Background: Thrombophilia testing is frequently ordered in the inpatient setting. However, testing is costly and can be misleading in the setting of acute thromboembolism or concurrent anticoagulation use. Furthermore, hereditary thrombophilias do not predict a clinically significant increase in VTE recurrence. Methods: We conducted an educational intervention with a randomized cross-over design for Internal Medicine [...]

Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM [...]

Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to execute a safe discharge plan and less likely to be readmitted. Educational videos focused on self-management may increase patient activation [...]

Background: Trusting relationships between faculty and learners, described as an “educational alliance,” play an important role in constructive feedback. Such relationships can be difficult to achieve in current clinical learning environments (CLEs), which may diminish faculty members’ willingness to give learners feedback that supports their growth and performance. Our study seeks to explore the role [...]

Background: Blood gas analysis should be performed within 30 minutes of collection to ensure accurate results. Venous blood gas (VBG) data can help evaluate critically ill patients, but it has little role in routine use in non-critically ill hospitalized patients. Nonetheless, we noted that at our urban safety-net hospital, many general medicine patients had VBGs [...]