Background: The Pediatric Hospital Medicine (PHM) Core Competencies define the expertise required of practitioners in the field and provide a framework for graduate and continuing medical education activities. Since their initial publication in 2010, the scope of practice among pediatric hospitalists has matured. Pediatric hospitalists lead or participate in institutional and national efforts that emphasize [...]

Background: Hospitalists nationwide are faced with complex patient and family behaviors that interfere with medical care. In the acute inpatient setting, few resources are available for physicians to address maladaptive behaviors and many physicians report significant discomfort managing these disruptive behaviors. We implemented a Nurse Practitioner-Led Psychiatric Consult Service to provide education and recommendations for [...]

Background: Point-of-care ultrasound (POCUS) is a diagnostic modality that can improve diagnosis, reduce cost, and increase patient satisfaction. POCUS is being increasingly utilized in internal medicine (IM), and IM residents desire training in POCUS. A such, residency programs across the country have implemented various strategies to teach POCUS, though the impact of these interventions is [...]

Case Presentation: A 66-year-old Hispanic male with a history of primary hypertension and type 2 diabetes mellitus presents to hospital with 3 months of progressive fatigue, poor appetite, watery diarrhea, dizziness, and vomiting. Vital signs were notable for postural hypotension (BP 146/84 sitting, BP 118/72 standing). Physical examination was normal with no skin or mucous [...]

Background: Despite the current focus on developing handoff training curricula to improve patient safety, rigorous assessments of handoffs remain scarce. Immersive simulations allow for the evaluation of communication skills, but few specifically account for common external threats to effective handoff performance. Our aim was to investigate the effects of these interruptions in an educational handoff [...]

Background: The 12-lead electrocardiogram (ECG) is an essential tool when evaluating patients with suspected cardiopulmonary disease and inaccurate ECG interpretation may result in adverse patient outcomes. The Alliance for Academic Internal Medicine stated that ECG interpretation should be a skill required for medical school transition to residency. Yet, prior research indicates graduating medical students correctly [...]

Background: Recently coined the “fifth pillar to the bedside physical exam” in a 2018 JAMA article, a growing number of physicians have started incorporating point-of-care ultrasound (POCUS) into their clinical assessments. Many medical schools have already started to integrate POCUS into their educational curriculum. With the emergence of more affordable handheld solutions, practicing physicians and [...]

Background: Residency training includes learning to be an educator; however, it can be difficult for residents to feel comfortable and empowered to teach. Further, it has been established that the current generation of learners prefers an environment that incorporates a sense of community while providing competitive challenges. Purpose: Our goal was to establish a program [...]

Background: In the South Bronx, 30% of the population lives with heart failure. CHF readmission andmortality rates surpass the national average in the Bronx. Our hospital serves anethnically diverse population, predominantly Hispanic and African American, many ofwho have a low socioeconomic status. Despite multiple interventions including educating patients about CHF Action Plan, ensuring all eligible [...]

Background: Point-of-care ultrasound (POCUS) is increasingly recognized as an important adjunctive diagnostic tool in hospital medicine (HM). The incorporation of POCUS into clinical decision-making has been shown to increase the speed and accuracy of initial diagnosis, decrease procedural complications, and even increase patient satisfaction compared to usual care. It has already been widely adopted in [...]