Background: Physician shortage and healthcare access is a serious issue in rural America with reports estimating a shortage of more than 45,000 physicians by 2025. The rural and the underserved communities are predominantly served by International Medical Graduates (IMGs). Majority of the IMG physicians work are on a J1 waiver, National Interest Waiver (NIW) program [...]

Background: Physician shortage and healthcare access is a serious issue in rural America with reports estimating a shortage of more than 45,000 physicians by 2025. The rural and the underserved communities are predominantly served by International Medical Graduates (IMGs). Majority of the IMG physicians work are on a J1 waiver, National Interest Waiver (NIW) program [...]

Background: Acute Medical Assessment Units (AMAU) in the United Kingdom, Australia and New Zealand improve inpatient flow and quality. It is critical to spread such best practices. Qatar, a GCC state (Bahrain, Kuwait, Oman, Saudi Arabia, and UAE) has tremendous recent population growth stressing the healthcare system. Hamad General Hospital (HGH), the main national hospital, [...]

Background: The systematization of the teaching and training of internal medicine residents should be done with the standardization of techniques, simulations, use of manikins and theoretical lessons. A procedure team was created in a tertiary teaching hospital at south Brazil with the objective of minimizing risks to the patient at the same time optimizing the [...]

Background: Hospital medicine is the fastest growing specialty in the United States. An interesting aspect of the rapid expansion of hospital medicine is the current expansion of the field beyond North America. While the health care systems, regulations and cultural norms in these nations differ, some of the reasons for the development of hospital medicine [...]

Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from the Middle East region. Purpose: We evaluated our practice before and after the introduction of an attending physician hospitalist delivered [...]

Background: While the Coronavirus Disease 2019 (COVID-19) pandemic has substantially affected health outcomes globally, care strategies have varied in different regions. For example, while US hospitals primarily admitted patients with severe COVID-19, hospitals in Egypt admitted most symptomatic COVID-19-positive individuals per the May 2020 Ministry of Health and Population management protocol. Additionally, the use of [...]

Case Presentation: A 33-year-old man with recent travel to India presented with fevers, abdominal pain, and bloody stools. He was admitted two weeks prior to a hospital in India for fever and right upper quadrant pain where he was found to have elevated liver enzymes (ALT 569, AST 390, total bilirubin 9.9) in addition to [...]

Background: Our multicenter academic health system has developed an outreach organization focused on helping international healthcare systems develop patient safety culture and improve hospital quality to meet international quality and safety standards. We established a relationship with a 500-bed comprehensive community hospital in Southern China to activate improvement efforts in clinical care and administrative work. [...]

Background: International medical graduates (IMGs) are vital members of the United States (US) healthcare landscape, making up 24.7% of physicians nationally.[1] Despite this, IMGs face numerous challenges in matching and transitioning to US residencies. One hurdle is adapting to the Western value of relationship-centered care (RCC), which emphasizes patient autonomy, shared decision-making, and interpersonal communication [...]