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Search Results for IMU
Abstract Number: 327
SHM Converge 2024
Background: In graduate medical education, learning to provide critical feedback is a key component of developing clinical competence, professionalism, and effective team-based practice. The role of the supervising resident in offering feedback to junior learners is particularly challenging because of the near-peer relationship and the lack of formal training on this skill. Simulation is an […]
Abstract Number: 336
SHM Converge 2024
Background: The Internal Medicine and Family Medicine residency programs were established at Hillsboro Medical Center (HMC), a small-sized community hospital, in 2021. As the multidisciplinary healthcare team adapts to incorporate resident trainees into the clinical workflow, the lack of resident exposure to Code Blue and rapid response scenarios was observed. Limited hands-on experience during medical […]
Abstract Number: 350
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 70 year old female with metastatic melanoma presented to the emergency department with fatigue and lethargy for one month. She had recently completed 6 cycles of Nivolumab and Ipilimumab and was currently receiving Nivolumab monotherapy. Over the past month, she had worsening fatigue associated with nausea and decreased appetite. Lab work one […]
Abstract Number: 373
Hospital Medicine 2020, Virtual Competition
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 […]
Abstract Number: 373
SHM Converge 2024
Background: Critical event management skills are required for resident training. Critical events include rapid response events, acute clinical decompensation, and code blue events. Evidence supports simulation-based training to improve mastery and retention of these skills. We recognized a need for resident training in critical event management following concerns raised by interprofessional teams and safety event […]
Abstract Number: 385
Hospital Medicine 2020, Virtual Competition
Background: Hospital based providers are often tasked with leading cardiopulmonary arrest resuscitations known as code blues. This responsibility can be stress provoking and poorly executed without appropriate training resulting in poor patient outcomes. At our academic medical center, internal medicine residents on their inpatient hospital based rotations are responsible for this assignment. The process of […]
Abstract Number: 508
SHM Converge 2024
Case Presentation: A 57-year-old man with depression and prior suicide attempts presented after being found unresponsive at home with empty bottles of doxepin, amitriptyline, and another unidentified pill bottle. In the ED, he had a GCS of 6, was intubated for airway protection and admitted to MICU. Sodium bicarbonate, fentanyl and propofol infusions were started […]
Abstract Number: 514
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 60-year old gentleman with past medical history of liver transplant 5 years ago presented to the hospital with acute onset of right-sided knee pain. For his immunosuppressive regimen, he took 2 mg/day of tacrolimus. However, the patient reported noncompliance with his outpatient follow-up. His social history was negative for excessive alcohol use […]
Abstract Number: 515
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 58-year-old male with a past medical history of end-stage liver cirrhosis status post-liver transplantation in 1991 who was on tacrolimus (TAC) 1 mg twice a day. He was admitted for altered mental status, fever and respiratory distress. He was found to have bilateral pneumonia treated as community-acquired pneumonia. The […]
Abstract Number: 531
SHM Converge 2023
Case Presentation: We present a case of a 42-year-old woman admitted to the ICU for management of suspected septic shock. She presented with right lower quadrant and back pain for the past day, fever, nausea, and vomiting. Her blood pressure was 70/46 mm of Hg and examination was significant for right lower abdominal quadrant tenderness. […]