Background: Hospitalists’ engagement in scholarship (e.g., research, education) mitigates burnout, yet academic advancement and productivity among hospitalists lags behind other specialties. Gender inequities are well-documented across academic medicine, as evidenced by delayed career progression, lower scholarly productivity, and pay gaps. We aimed to characterize hospitalist interest, barriers, and facilitators to engage in academic activities. Results [...]

Background: Burn injuries and corrosion are significant contributors to global mortality, particularly in severe cases where complications such as sepsis and organ failure arise. This study analyzed trends and disparities in mortality rates due to burns and corrosion among different age groups and demographic categories from 1999 to 2020. Methods: Analysis of Burns and corrosion [...]

Background: A process problem with our MDR process was identified which had exhausted conventional unit-based approaches to improvement. We researched new processes and brainstormed on an “outside the box” approach to the Case Management model and MDR Daily Meetings. The new approach involved a dramatic Hospital-wide change of structure, associated with integration of multiple service [...]

Background: Hospital-at-Home (HaH) is a novel care model providing inpatient care for patients in their home through a combination of home visits and virtual care. Advanced Care at Home (ACH), UNC Health’s HaH program, launched in 2021, has helped over 2,000 admissions to date. The majority of HaH care is provided under the terms of [...]

Background: The health care transition (HCT) from adolescence to young adulthood is a vulnerable time for youth with special health care needs (YSHCN). Inadequate preparation and support from clinicians, increased responsibilities, and lack of ongoing parental assistance may lead to worsening health conditions. It is generally understood that YSHCN should undergo a structured pediatric to [...]

Background: A challenge facing many hospital medicine programs is matching provider staffing to daily patient volumes. Staffing models and clinical work schedules are typically built weeks or months in advance, with limited ability to flex up or down in real time based on actual patient volumes. Patient volumes can vary significantly on a daily or [...]

Background: At the time of hospitalization, a physician must place an admission status order designating inpatient, outpatient, or observation care. If a patient requires medically necessary hospital care for at least 2 midnights, an inpatient admission order is appropriate. If care is expected to last fewer than 2 midnights or if there is uncertainty about [...]

Background: Hospital-at-Home (HaH) is a novel care model providing inpatient care for patients in their home through a combination of home visits and virtual care. Advanced Care at Home (ACH), UNC Health’s HaH program, launched in 2021, has facilitated over 2,000 admissions to date. The majority of HaH care is provided under the terms of [...]

Background: Hospital medicine has expanded significantly over the last two decades but faces a higher physician turnover rate compared to other specialties1 and a critical shortage of providers. A survey conducted in 2019 and again in 2022 showed a reduction in the number of hospitalists identified as being “very satisfied” with their career (from 55% [...]