Session Type
Meeting
Search Results for app
Abstract Number: 33
SHM Converge 2023
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 […]
Abstract Number: 42
SHM Converge 2024
Case Presentation: A 23-year-old man with cystic fibrosis presented to the Emergency Department with a two-day history of gradual, persistent, right sided abdominal pain associated with dark, tarry stools. He was afebrile with unremarkable vital signs. Exam was notable for generalized abdominal tenderness most noticeable in the right lower quadrant and a normal rectal exam. […]
Abstract Number: 45
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Risk of having a major adverse cardiac event in the perioperative period is known to be raised among those with underlying cardiovascular disease undergoing noncardiac surgery. ACC/AHA 2014 guideline is an excellent tool for the physicians to evaluate perioperative cardiac risk. However, the evidence-based set of algorithms are often under- or inappropriately utilized due […]
Abstract Number: 46
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Physician handoffs between inpatient shifts influence safety and care quality. Handoffs are also at risk for communication failures. Poor care coordination and miscommunication cause 80% of sentinel events nationwide. The rise of the electronic medical record (EMR) presented an opportunity to standardize communication during handoffs. Unfortunately, this potential has thus far gone largely unrealized, […]
Abstract Number: 52
SHM Converge 2023
Background: Not all residents pursuing an internal medicine subspecialty proceed directly to fellowship. Some trainees take one or more hospital medicine “gap years” prior to applying for fellowship. Residency program directors (PD), fellowship PDs, and faculty advisors spend substantial time advising residents on whether a gap year is the right choice for them. However, virtually […]
Abstract Number: 64
Hospital Medicine 2020, Virtual Competition
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) […]
Abstract Number: 72
Hospital Medicine 2020, Virtual Competition
Background: In medical care for older patients, the presence of potentially inappropriate medications (PIMs) is associated with increased adverse outcomes [1, 2]. A wide range of medications with anticholinergic properties affects cognitive states of older patients have been regarded as PIMs [1, 3]. We purposed to assess clinical impact of anticholinergic cognitive burden on clinical […]
Abstract Number: 73
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Early development of clinical reasoning and problem-solving competencies are essential in generating individualized, outcome-based, and cost-effective patient care plans (Nat Acad Press 2015). However, few medical schools and residency programs have an explicit curriculum in clinical reasoning (Graber et al., 2012). A recent survey of internal medicine clerkship directors found medical students receive limited […]
Abstract Number: 85
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may not be getting the appropriate level of care due to lack of higher level of care beds. Purpose: To increase […]
Abstract Number: 101
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Third year medical students (MS3s) have not regarded the Pediatrics Clerkship at our institution with as high praise as other clerkships. Students cite a relative lack of teaching on the floors from pediatric residents as a key etiology. Interestingly, said residents endorse a desire to teach more. The most common barriers cited are time, […]