Background: Early career faculty often face challenges in setting personal and professional expectations, identifying effective mentorship, and quickly learning foundational skills in academic hospital medicine. We developed a “Faculty Boot Camp” to better orient new faculty at the beginning of the academic year with the goal of introducing them to key skills and concepts that [...]

Background: Hospital medicine programs have a responsibility to maintain high standards of clinical excellence, patient safety, and efficiency for all hospitalists within their program.  Organizational change, program growth, and faculty turnover make this endeavor challenging.  Developing a thoughtful monitoring, evaluation and feedback process is essential to successfully maintain the highest standards of care. Purpose: Describe [...]

Background: Resistance in learning (RIL) defines a set of attitudes or behaviors demonstrated by learners in an educational setting that result in decreased learning. Literature describes the etiology as multifactorial, including learning environment, characteristics of the learner, and teaching style. Hospitalists often use quality improvement methodology, such as PDSA cycles to improve the clinical care [...]

Background: It is typical for new advanced practice providers (APPs) to onboard within our hospital medicine division for at least six months. With the arrival of the first Covid-19 surge in Spring 2020, we onboarded a dozen off-service APPs on a much shorter timeline, typically one week. This required intensive precepting and teaching. As the [...]

Background: First year hospitalists have higher inpatient and 30 day post discharge mortality than hospitalists with at least a year of experience. The Joint Commission found that improper orientation and training is the second leading cause of sentinel events in hospitals. There is neither literature nor guidelines to inform best practices for Hospital Medicine (HM) [...]

Background: As the field of Hospital Medicine continues to grow and evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the routine care of the hospitalized patient. Our HMG, a 120-physician team working at two tertiary care hospitals in the New York Metropolitan area, is no exception. In recent years, [...]

Background: Excellent onboarding processes can promote employee engagement, satisfaction and retention (1), yet there is minimal research about optimal practices for onboarding hospitalists (2). With potential PHM workforce challenges looming, it is essential to understand the current landscape of onboarding in PHM. Methods: We surveyed leaders of PHM groups about their onboarding practices. The survey, [...]

Background: Newly graduated advanced practice providers (APP) face numerous hurdles in hospital medicine which may hinder the independent practice of APPs. APPs are tasked with assessing, diagnosing, beginning treatments, and discussing recommendations from various specialists with patients and their families. Despite overlapping responsibilities with physicians, there is wide variation in how APPs are prepared, both [...]