Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, [...]

Background: Although the national quality improvement campaigns are implemented to reduce Door-to-Balloon (DTB) time in the U.S.A., the community hospitals in Japan lack human resources and appear to be particularly challenging to implement these strategies such as 24/7 in-house cardiologists. Hospitalist is well positioned to be leaders and perform work improvement. Recently, there is increasing [...]

Background: Hospitals around the country are facing patient flow issues. Late discharges on the inpatient floors are thought to contribute to overcrowding in the emergency department and increased evening admissions (Wertheimer, 2014). This can lead to decreased quality of care, patient satisfaction, and increased length of stay. Some hospitals have attempted to promote early discharges [...]

Background: Hospitalists play an essential role in educating residents on inpatient rotations. One critical way to ensure the success of trainees is to provide timely feedback and written evaluations, which may be difficult amidst conflicting tasks. Hospitalists face additional challenges with the large volume of learners to supervise, and with irregular resident schedules and frequent [...]

Background: Understanding communication between providers and patients is key to providing patient-centered care. We sought to determine if patient’s perception of time spent by physician at bedside is associated with patient satisfaction with physician communication. Methods: We conducted a cross-sectional survey of patients admitted to the hospital medicine service. The survey included questions about patient’s [...]

Background: The medical rounds are the most essential process in care of the hospitalized patients. If the patients do not receive enough information about the round-time, they cannot arrange their personal time in the hospital. The object of this study is to investigate the effect of the real-time round notification using text messages on the [...]

Background: It is known that more people die during the nighttime compared to daytime in the community setting. Many health care providers are required to care for patients in a critical condition which includes around the time of death, and which may be at night. However, there have been few studies with respect to the [...]

Background: Preliminary data from the 2018 Clerkship Directors in Internal Medicine (CDIM) survey showed that in about 50% of both academic and community medical centers, medical students rotate directly with attendings (1). This number has increased by 400% from 2010, the last year for which data is available (2). In our institution, hospital medicine (HM) [...]

Background: Nearly half of incorrect procedures occur outside the operating room, and failure to conduct a robust time-out is a frequent root cause. Mannequin-based simulation (MBS) has been shown to improve self-confidence and performance of time-outs, but is expensive, time-consuming, and difficult to scale up effectively for large groups of medical learners. Screen-based simulation (SBS) [...]

Background: Scholarly productivity is critical for academic fulfilment and promotion in hospital medicine (HM), but many hospitalists struggle to achieve scholarly success. Protected time (PT) (i.e., non-clinical time that can be dedicated to scholarly activities) is a key facilitator of academic productivity in HM. However, little is known about how PT for scholarship is managed [...]