Background: Biases and microaggressions are common in the clinical setting and can impact the wellbeing of medical trainees and faculty. From our knowledge, this is the first study to assess workplace experiences based on group identity of medicine faculty and trainees across sites and subspecialities using qualitative and quantitative data to help design re-enactment upstander [...]

Background: Under-representation of women and people of color (POC) in leadership positions has recently gained significant attention, and there are ongoing efforts to enhance their recruitment and advancement. The same intensity of work must be applied to also improve their workplace experiences. Discrimination, bias, and microaggressions are common day-to-day experiences among both POC and women [...]

Background: Communication, teamwork, and conflict navigation amongst physician colleagues are core competencies. Yet, how these core elements of professional behavior are enacted in practice remains poorly characterized, and interpersonal interactions continue to be a central source of workplace conflict. While this has been described in the nursing literature, physicians’ experience of conflict with other physician [...]

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: Rhabdomyolysis is a condition of rapid muscle breakdown resulting in myalgia, enzyme elevations, electrolyte imbalance. Released heme pigment may lead to tubular obstruction, vasoconstriction, and tubular epithelial cell injury, causing acute kidney injury (AKI) as a severe complication. Especially with predisposing conditions such as volume depletion. Early and aggressive fluid resuscitation is an essential [...]

Background: Alternative payment models have been proposed for lower extremity joint replacement surgeries to deliver well-coordinated and high quality care. It is speculated that while these payment models may lead to more cost effective care, institutions may “cherry pick” less costly and less complex patients to minimize financial risks. In this study, we aim to [...]

Background: Behavioral emergencies in the hospital are on the rise, leading to increased workplace violence. A small body of evidence recommends an inpatient Behavioral Emergency Response Team (BERT), a multi-disciplinary team to de-escalate behavioral emergencies that can be harmful to the patient or staff. Observational studies have reported that BERT can reduce workplace violence, use [...]

Background: Frequent readmissions pose a challenge to hospitals across the country. They are associated with increasing healthcare costs and display a failure to effectively care for certain groups of patients. The Centers for Medicare and Medicaid Services (CMS) apply a penalty towards hospitals with higher than expected 30-days readmission rates. In response, hospitals have implemented [...]

Background: Constipation is commonly encountered in patients admitted to the hospital, with a variety of possible treatments to choose from. Docusate is often prescribed to treat constipation, though evidence suggests it is ineffective. Utilizing an ineffective medication adds to patients’ pill burden, health care costs, and may delay the use of effective medications with downstream [...]

Background: Tobacco use is the most widespread preventable cause of cancer and is linked to 30% of cancer-related deaths.(1) Many smokers want to quit but are unsuccessful; tools such as nicotine replacement therapy (NRT) products can increase quit rates by 50-60%.(2) While smoking cessation is the ideal way to combat tobacco-related diseases, screening for diseases [...]