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: Physician burnout is associated with negative outcomes for physicians, patients, and organizations. In our urban, academic medical center, 32% of hospitalist faculty report experiencing burnout at least once weekly. Clinical practice as a hospitalist involves dealing with medical acuity, diagnostic and therapeutic uncertainty, and complex interpersonal interactions, all of which may contribute to emotional [...]

Background: Growth of physician owned hospitals (POH) in the United States has been restricted since the 2010 passage of the Affordable Care Act (ACA). Federal policy makers wanted to restrict POH, due to concerns that POH may cherry pick healthier patients, treat fewer Medicaid patients, and have higher service utilization. Data has shown an unclear [...]

Background: Hospitalist models have grown significantly since their inception in the mid-1990s. However, despite their widespread presence, hospitalists’ optimal workflows remain poorly studied and defined. This gap is particularly concerning given the increasing complexity of hospitalized patients. Without a clear understanding of optimal hospitalist work design, clinicians face an increased risk of unsafe workloads and [...]

Background: Caring for multiple patients with complex needs, especially those with behavioral and psychosocial challenges, can contribute to burnout and dissatisfaction in clinical work [1]. A recent internal survey of hospitalists within our division identified managing such patients as the primary barrier to sustainable clinical work. However, the definition of “complexity” varies between hospitalists and [...]

Background: Poisoning by narcotics is a major global health concern, driven by the widespread misuse of opioids, synthetic drugs, and other narcotics. The ongoing opioid epidemic has significantly increased the prevalence of narcotic poisoning, highlighting the need for preventive measures, education, and access to life-saving treatments like naloxone. This study analyzed trends and disparities in [...]

Background: The overdose epidemic in the United States has seen a significant rise in deaths associated with antidepressants in the last two decades. This study examines mortality trends related to antidepressants in adults aged >25 years between 1999 and 2020 across various demographics. Methods: Analysis of poisoning by anti-depressants-related deaths in the US from the [...]

Background: The incidence of tickborne disease has recently increased in the United States, as longer summers and milder winters have led to a surge in tick populations (1). The impact has been most marked in New England, where temperatures are rising faster than the global average, particularly in winter (2). Babesiosis is a tickborne illness [...]

Background: Decisional capacity requires four dimensions: 1) understanding of information given to make a choice 2) appreciation of situation as it relates to oneself and own situation 3) ability to engage in comparative and consequential reasoning while rationally manipulating information given and 4) ability to communicate a decision. Recently, there have been 2 main challenges [...]

Background: Turnover is high among millennial hospitalists (born from 1982 to 1996). Hospital medicine groups (HMG) face the financial consequences of employee attrition as the number of millennial hospitalists rises. Millennial hospitalists place high importance on the culture of practice and work-life balance when choosing an HMG, but factors influencing their decision to leave a [...]