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Abstract Number: 59
SHM Converge 2023
Background: An increasing amount of literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the healthcare workplace (1-5). Confronting these displays of bias involves a multifaceted approach across professional disciplines and hierarchies. Residency is a time when physicians experience and learn to navigate bias (6). To address this, we […]
Abstract Number: 59
Hospital Medicine 2020, Virtual Competition
Background: Little is known about how to effectively train residents with point-of-care ultrasonography (POCUS) despite increasing usage. This study sought to assess whether handheld ultrasound devices (HUDs), alongside a year-long lecture series, improved trainee image interpretation skills with POCUS. Methods: Internal medicine intern physicians (n=149) at a single academic institution from 2016-18 participated in the […]
Abstract Number: 59
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The University of California, San Francisco is undergoing many changes in its approach to teaching in both undergraduate (UME) and graduate medical education (GME). As a result, approximately one third of traditional in-class lectures that make up the UME curriculum will need to move to a digital format to accommodate a new curriculum. In […]
Abstract Number: 74
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: According to the CDC, at least 300,000 people older than 65 are hospitalized for hip fractures annually. Society of Hospital Medicine recognizes geriatric care as one of the core competencies, and hospitalists frequently provide care to geriatric hip fracture patients. Clearly hospitalists need to be competent providing care to such patients. Our goal was […]
Abstract Number: 79
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lumbar puncture and paracentesis are core competencies in internal medicine, but residents frequently report discomfort performing these procedures unsupervised. Simulation-based training (SBT) has previously been shown to improve resident performance of lumbar punctures on patients, but outcomes after paracentesis SBT have only been assessed on simulators. We hypothesized that SBT would improve internal medicine […]
Abstract Number: 90
SHM Converge 2023
Background: Enhanced physician-nurse collaboration improves patient outcomes. Current interprofessional clinical learning environments, however, rarely engage physicians with nurses and are not based on high-performance team frameworks. Therefore, leaders at the University of Chicago Medicine developed the Improving GME Nursing Interprofessional Team Experiences (IGNITE) program to engage interprofessional healthcare teams, with hospitalist coaches, in institutional performance […]
Abstract Number: 94
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Disparities in health outcomes that differ by racial or ethnic group, religion, socioeconomic status, gender, age, mental health, ability, sexual orientation or gender identity, geographic location, or other characteristics historically linked to discrimination or exclusion demonstrate that equitable care in the United States is a goal that has not been achieved. Treating all patients […]
Abstract Number: O4
SHM Converge 2022
Background: The relationship between autonomy and supervision (A/S) on general medicine inpatient services requires a balance to ensure patient safety while fostering graduated competency in residents. Previous research at our institution has shown a tension hospitalists feel when balancing these two principles. For example, hospitalists reported that the ideal clinical culture should offer more autonomy […]
Abstract Number: P4
SHM Converge 2022
Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to present and interpret common laboratory test abnormalities. Formal training in interpreting routine diagnostic tests is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on […]
Abstract Number: 140
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The US healthcare system is under increasing pressure to improve value and affordability. Acute care is responsible for a large proportion of overall health costs, but the complexities and pace in this environment have left an evidence gap in value-based care transformation. Novel improvement and evaluation strategies are thus needed more than ever to […]