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Abstract Number: 20
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
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 […]
Abstract Number: 21
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Consultative medicine has been identified as a core part of internal medicine (IM) resident education by providing the opportunity for residents to care for the non-medical patient. In the early 1980s, two separate academic institutions detailed the initiation of their General Medicine Consultation service. They described who consulted them and the reason for consultation. […]
Abstract Number: 24
Hospital Medicine 2020, Virtual Competition
Background: One of the challenges in hospital medicine is the care of patients overnight, when the primary team is unavailable, and care is being provided by those who are not as familiar with the patient. This is compounded by the high volume of pages at night. At UNC Rex Hospital, these factors resulted in delays […]
Abstract Number: 31
Hospital Medicine 2020, Virtual Competition
Background: While there are now equal numbers of women and men graduating from medical school, disparities in female representation within academic medicine persist. Gender bias has been cited as one of the main drivers of gender disparity in academic medicine and continues to be a significant barrier for women in the workplace. Grand rounds is […]
Abstract Number: 34
SHM Converge 2023
Background: The Palo Alto VA Hospital has an interdisciplinary Clinical Command Center (C3) that includes “Flow” nurse practitioners (NPs) who work closely with case management, social work and primary medical teams to identify and address barriers to care and assist in discharge planning and coordination. We have created a novel collaboration between a C3 Flow […]
Abstract Number: 36
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Health care systems around the country are struggling with faculty and staff burnout. It is established that burnout leads to higher employee turnover and poorer patient outcomes. The Big Read is a hospitalist-led institution-wide initiative in which a large number of faculty/staff/trainees/students are invited to read and discuss the same book within a 3 […]
Abstract Number: 37
SHM Converge 2024
Background: Academic medical centers and other quaternary hospitals struggle with capacity challenges that manifest in longer ED wait times, delayed or cancelled elective surgical procedures, and delayed transfers from community hospitals[1]. The Hospital at Home model is an obvious and elegant solution to increase capacity[2], but its nationwide implementation has been limited due to lack […]
Abstract Number: 42
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or medical complications. Last year, we developed a Trauma/Acute Care Surgery Hospitalist Co-Management program, due to, in large part, the increasing […]
Abstract Number: 44
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Consultative Medicine is one of the fastest growing branches of Hospital Medicine. We believe that residents require adequate exposure and appropriate level of training to provide excellent care to patients. Purpose: The goal of the rotation is to train and prepare residents for a successful future as consultants. The rotation has been designed to […]
Abstract Number: 48
SHM Converge 2023
Background: Medicare Advantage (MA) plans have strong incentives to reduce potentially wasteful healthcare, including costly acute care visits for ambulatory care-sensitive conditions (ACSC) [1-4]. It is unknown, however, whether MA plans lower acute care use relative to Traditional Medicare (TM) or instead shift patients from hospitalizations towards observation stays and emergency department (ED) direct discharges. […]