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 [...]

Background: Previous studies have identified racial differences in sepsis incidence and sepsis mortality. Some evidence points towards differential treatment and subsequent sepsis outcomes in Black versus White patients. However, it is unclear to what extent racial differences exist in presentation and subsequent interpretation of complaints in the early phase of sepsis. Using History and Physical [...]

Background: Immunosuppression regimens are highly effective at preventing rejection but carry risk of toxicity and can be complex. Clinical decision support (CDS) tools embedded in electronic health records have presented opportunity to systematically aid providers ordering such medications appropriately. However, discrepancy between a clinically-documented plan for use and provider orders may exist. Natural language processing [...]

Background: Residents receive little feedback on their clinical reasoning (CR) documentation due to time constraints of supervisors and lack of a shared mental model. We developed an innovative workplace-based assessment tool using machine learning (ML) to provide feedback on CR documentation. Here, we describe the impact of feedback using this assessment tool. Methods: In earlier [...]

Background: Efficiently identifying clinically appropriate patients is integral to the operation and growth of a hospital at home program. Given the nuances of a home-based care delivery model, this task typically relies on a specifically trained small group of experienced providers, significantly limiting the number of patients able to be screened. The Hospital at Home [...]