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Search Results for research
Abstract Number: 29
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2016, there were more than 50,000 hospitalists working in the United States. The Society of Hospital Medicine (SHM) published ‘The Core Competencies in Hospital Medicine’ as a blueprint to standardize expectations of practicing hospitalists and to inform continuing medical education (CME) programs. We conducted a qualitative study to discover elements judged to be […]
Abstract Number: 33
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study aims to explore the impact of difficult patient encounters on hospitalist resilience to inform future individual and organizational efforts to […]
Abstract Number: 33
Hospital Medicine 2020, Virtual Competition
Background: Communication failures amongst interdisciplinary internal medicine (IM) teams occur often in the inpatient setting, which can inhibit mutual understanding of care plans, increase the potential for medical error, and contribute to patient dissatisfaction. Efforts to enhance interdisciplinary collaborative teamwork within inpatient IM teams highlighted a critical need to address concerns related to communication. Methods: […]
Abstract Number: 44
SHM Converge 2023
Background: Alcohol withdrawal is a common issue in hospitalized patients and is associated with significant morbidity and mortality. Alcohol withdrawal occurs when the gamma aminobutyric acid (GABA) stimulating effect of alcohol is removed, resulting in an excess of the excitatory neurotransmitter glutamate. Treatment typically consists of as needed benzodiazepines, which activate GABA. However, this reactive […]
Abstract Number: 53
SHM Converge 2024
Background: Clinicians face substantial challenges in limiting life-prolonging interventions (e.g., ICU admission, life-sustaining treatments, invasive procedures) near the end of life, even when they judge these interventions to be non-beneficial [1-3]. The objective of our study was to empirically derive a descriptive framework of decision-making approaches used by clinicians to limit (i.e., withhold or withdraw) […]
Abstract Number: 73
Hospital Medicine 2020, Virtual Competition
Background: Although many older adults will be hospitalized in their lifetime, most do not consider or plan ahead for their post-hospitalization support needs. When older adults experience a hospitalization, families often must react to the crisis leaving the older adult out of the decision process (e.g. choosing a skilled nursing facility, caregivers). With PCORI funding, […]
Abstract Number: 77
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Results from the recent SPRINT trial demonstrate lower rates of fatal and non-fatal major cardiovascular events and all-cause mortality in non-diabetics at high cardiovascular risk with intensive versus standard treatment, i.e., less than 120 versus less than 140 mmHg systolic, respectively. However, the long-term outcomes remain unknown.Methods: A validated state-transition model with multivariate risk […]
Abstract Number: 85
SHM Converge 2023
Background: Hospital medicine is a rapidly growing specialty, but prior studies have raised concern that hospital medicine’s research output has not kept up with its clinical importance. The ongoing evolution of hospital medicine into an academic field requires clinician-investigators with dedicated time and funding to support research contributions. National Institute of Health (NIH) Career Development […]
Abstract Number: 87
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Pain remains a major concern for medically hospitalized adults, and pain treatment is a focus of hospital quality reporting and improvement efforts. Pharmacologic treatment during hospitalization for acute pain and cancer pain rest on some evidence, but as many as 1 in 3 adult medical inpatients suffer from chronic pain. Little is known about […]
Abstract Number: 92
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditionally, academic medicine has had a trifold mission of education, research, and patient care, in which education and research were paramount. However, in many institutions, patient care is now the large single wheel, and education and research are smaller, crucial secondary wheels (1). Likewise, residency education emphasizes clinical care. Accordingly, new academic hospital medicine […]