Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in pediatric admissions. This is secondary to advances in treatment of once-fatal conditions. Our institution is a quaternary referral center with [...]

Background: Young adults with special health-care needs is a growing population due to medical advances and improved patient outcomes. [1] Unfortunately, the transition into adult medical care for these young adults is often met with declining health and increasing acute care utilization. [2-5] To redesign care for this growing population, we started the Med-Peds service [...]

Background: In October 2016, the American Board of Medical Specialties (ABMS) officially recognized subspecialty certification for Pediatric Hospital Medicine (PHM). The American Board of Pediatrics (ABP), which sponsored the subspecialty application, has established Training and Practice Certification Pathways for current fellowship trainees and practicing clinicians, respectively. However, for individuals beginning pediatrics residency on or after [...]

Background: Post-discharge appointment follow-up is recognized as a key intervention in reducing readmissions. Studies show that having a follow-up visit can reduce readmission risk, particularly for patients at higher risk for readmission. [1] Among Medicaid patients, primary care physician (PCP) follow-up within seven days of discharge was associated with reduced 30 and 90-day readmissions. [2] [...]

Case Presentation: 17 year old female with no medical history presented with malaise. Labs were WBC 3.78 with normal differential, a microcytic anemia 7.1, platelets 7, and uric acid 10.6. On admission, she was found to have epistaxis, conjunctival hemorrhage, and hemoptysis. She required escalation to high flow nasal cannula. Chest x-ray was concerning for [...]