Background: As medical complexity of pediatric patients rises, inpatient family care conferences (FCCs) are increasingly utilized to discuss treatment decisions and goals of care with families and multiple care team members. Studies have shown that emotional connections with providers at a FCC increase family satisfaction with these conferences. Proposals for structuring FCCs suggest involvement of [...]

Background: Previous research describes different models for mentorship of new hospitalists, however, most of these models are geared towards development in research, education or quality improvement skills. There is scarce work describing programs promoting the clinical development of new hospitalists. New hospitalists may face cases that are complex due to clinical, social, or administrative challenges [...]

Background: Teaching trainees clinical reasoning is a critical skill for clinical teachers. Advances in the fields of cognitive science and educational theory have provided a conceptual framework of core concepts in clinical reasoning: problem representation, illness scripts, treatment thresholds, and test-treatment thresholds. Purpose: We designed a one-hour workshop to teach interns core concepts in clinical [...]

Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT [...]

Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started [...]