Background: Nationally, internal medicine (IM) residency programs have been struggling with the balance of protecting residents from exposure to COVID-19, ensuring they are sufficiently trained in general medicine while still teaching them about a new disease process and preparing them to help fight the pandemic (1). Anxiety is common amongst providers in a pandemic, especially [...]

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: Evidence-Based Medicine (EBM) improves physicians’ clinical decision-making through refining the skills of asking a clinical question, searching for and appraising the literature and then properly applying it to patient care. While EBM has been implemented as an essential module across medical schools worldwide, most graduates are not well versed in the fundamentals of effectively [...]

Background: The substantial increase in medical knowledge along with the pursuit of enhanced outcomes and quality of care has led to significant subdivision of medical and surgical specialties. Physicians, regardless of level of training or scope of practice, should be able to efficiently and safely approach and manage a patient that is facing a medical [...]

Background: Despite widespread mandated use of Electronic Health Records (EHR), many residency programs struggle to find the best strategy to conduct EHR training. Traditional EHR training sessions are typically led by non-clinical IT staff and are often structured around software functionalities rather than clinical workflow. Furthermore, EHR training is often not customized to the needs [...]

Background: Advanced Practice Providers (APP) are an expanding workforce within hospital medicine. Training and onboarding APPs is essential for developing a confident and competent workforce. However, onboarding options for APP training in hospital-based medicine have been limited due to the breadth and complexity of knowledge required to practice. Purpose: To develop an inpatient hospital medicine [...]

Background: Career success as an Internal Medicine (IM) physician requires more than exceptional medical knowledge and patient care. In professional practice, IM physicians hold leadership positions in multidisciplinary patient care groups, spearhead change management initiatives and lead quality improvement projects1,2. Despite the documented importance of physician leadership skills3,4, there is little time devoted to leadership [...]

Background: The transition of an experienced Registered Nurse into a novice hospital-based Nurse Practitioner (NP) is frequently met with trepidation. The novice NP is often uncertain if s/he possesses the level of clinical competency and scientific knowledge required to provide high quality evidence-based care to complex hospitalized patients. How does one ease the stress associated [...]

Background: Communication is a vital aspect of a doctor-patient relationship in providing medical care. Despite extensive research and ACGME guidelines of interpersonal and communication skills, there is a lack of a formal curriculum that is designed to systematically teach resident physicians on creating and sustaining therapeutic relationships with patients and families. Some institutions have tried [...]

Background: An increasing amount of literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the healthcare workplace (1-5). Confronting these displays of bias involves a multifaceted approach across professional disciplines and hierarchies. Residency is a time when physicians experience and learn to navigate bias (6). To address this, we [...]