Background: Mentorship is a key element of success in physicians’ career advancement, satisfaction, and avoidance of burnout. Conversely, lack of mentorship is a contributor to dissatisfaction, especially among those who leave the field. Mentors act as guides for professional development; there are several benefits of successful mentoring relationships to both parties. While classically enjoyed by [...]

Background: Physician burnout poses a critical threat to the United States health care system.  Finding a solution to this problem is a leadership imperative, as studies report that nearly half of physicians in the U.S. experience burnout. Emotional exhaustion, depersonalization, and decreased personal accomplishment are characteristics of burnout and can lead to dire consequenses if [...]

Background: In an attempt to enhance the quality of the care we deliver as a Group in the hospital, we undertook the formation of a Quality Assurance Committee. It is composed of 3 MD’s, one of whom is Administration level, an APRN and a PAC. It is peer level and protected, and we invited all [...]

Background: Proton Pump Inhibitors are widely misused in both the outpatient and inpatient setting. Often, they are initiated and continued for reasons that do not follow best practice guidelines. Purpose: A Proton Pump Inhibitor Stewardship Committee was created to address this problem as part of a Quality Improvement project. The goal was to determine the [...]

Background: Onboarding for new hospitalist attendings tends to focus heavily on local systems practices, such as the electronic health record, how to engage consultants, and billing in order to ensure clinical functionality. This orientation tends to be impersonal and deficient in the essential skills for a long and fulfilling career in hospital medicine. The importance [...]

Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was [...]

Background: Mentorship has long been an impactful process in the training of medical students and physicians. It is apparent that young professionals benefit from mentorship, but how to maximize this benefit is unknown. We elected to approach the revitalization of our mentorship program through a 6-month human centered design (HCD) project to form a curriculum [...]

Background: Mentorship and sponsorship (a relationship of professional support and endorsement), are essential avenues for professional success, combatting burnout, and improving equity and representation of women and URMs in medicine. Unfortunately, traditional measures of mentorship quality and success are one-dimensional and are of limited value; academic medicine rarely teaches menteeship or mentorship skills, relies on [...]

Background: Engaging patients as research advisors and collaborators is an essential component of patient-centered research. Accessing Patient and Family Advisory Councils (PFACs) is one established model for engaging patients in research. However, PFACs that operate exclusively for the purpose of advising and supporting researchers in Hospital Medicine are uncommon. Purpose: To create, operationalize, and sustain [...]

Background: In-hospital delirium is associated with poor hospital outcomes, including longer hospital stays and increased morbidity. Nonpharmacological approaches have proven beneficial in reducing delirium occurrence by nearly 40%. Staffing shortages in healthcare have prompted the need for innovative strategies to prevent in-hospital delirium development. As such, we implemented a pilot program for delirium optimization with [...]