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Abstract Number: 95
SHM Converge 2023
Background: Professional Advancement Models (PAM) have been researched and implemented at large academic institutions as a solution to provide structure and support for career advancement for Advancement Practice Providers (APPs).1,2 Many of these programs fail to appreciate the nuances of inpatient vs outpatient providers. Given the inherent differences of these practice settings, we aim to investigate […]
Abstract Number: 99
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The healthcare workforce suffers from high levels of burnout, disengagement, and perceived isolation due to constant and unpredictable stresses. While multifactorial, the extent to which clinicians’ experience wellness and maintain resilience in a complex work environment is in part driven by connection to purpose and consciousness of elements of everyday activities that give joy. […]
Abstract Number: I3
SHM Converge 2022
Background: For hospitalists who are at the forefront of inpatient general medicine, clear communication is crucial to a successful provider-patient relationship and optimal care delivery. Uncertainty around provider roles and medical terminology can negatively impact patients’ experience and understanding of their care. Therefore, the aim of this study is to assess patients’ understanding of the […]
Abstract Number: 112
SHM Converge 2024
Background: Provider continuity can improve many aspects of an inpatient stay however, there is a lack of data on whether it could affect mechanical ventilation weaning. During the COVID-19 pandemic, many patients required tracheostomies and mechanical ventilation. This study evaluated whether provider continuity could increase mechanical ventilation weaning outcomes in the inpatient setting. Methods: Data […]
Abstract Number: 112
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention. Additionally, several recent editorials questioned the “7-on/7-off scheduling.” In a rapidly expanding academic hospital medicine group with 63 physicians, the scheduling process is […]
Abstract Number: 115
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Burnout among hospital medicine providers is well known. Advanced practice providers (APPs) are well-established in hospital medicine but there is a lack of data on burnout specific to the physician-APP model. As more hospitalist groups staff a physician-APP model, identifying contributors to burnout is key for ensuring career sustainability. Our academic hospital medicine group […]
Abstract Number: 134
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group can be achieved. This is made even more difficult by the typical hospitalist group providing 24/7/365 coverage, so at no […]
Abstract Number: 163
SHM Converge 2021
Background: The nature of the Advanced Practice Provider (APP) and attending physician (MD) relationship is that of trust, mutual respect, and delegation. In U.S. territories where MD supervision or oversight of APP practice is required by law, MDs are left to trust and delegate patient care tasks and authority to their collaborating APPs while sharing […]
Abstract Number: 179
Hospital Medicine 2020, Virtual Competition
Background: Hospital discharges due to psychotropics poisoning whether intentional, unintentional, prescription errors or related side effects have been increasing nationally. Hospital costs are also increasing subsequently. We compared the annual rate of hospital discharges in 4 regions of United States (West, Midwest, South, and Northeast) while incorporating the number of the mental health providers in […]
Abstract Number: 206
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient pass-offs represent a known vulnerability in patient care. The Hospital Medicine Unit at Massachusetts General Hospital has several specialized roles including an admitting hospitalist, a rounding hospitalist, and a nocturnist. Our on-service time is typically four or five days in a row. Our hospitalists and nocturnists work in six hour, ten hour and […]