Background: There is growing interest in point-of-care ultrasound (POCUS) for addressing clinical questions at the bedside, particularly in the intensive care unit (ICU), where it is widely used by intensivists. This trend has prompted education initiatives for residents across various specialties, including internal medicine, emergency medicine, anesthesia, and pediatrics. While several studies focus on training [...]

Background: Among all hospitalized patients with diabetes mellitus, about 40-50% require insulin at discharge. Insulin is a high-risk medication, associated with many errors including missed dosing, inaccurate dosing, or prescription of the wrong type of insulin. Many of these errors can occur during transitions of care including discharge and in patients with poor diabetes knowledge. [...]

Background: Concerningly, COPD exacerbations are the 3rd leading cause of readmissions nationwide, accounting for 60,000 readmissions annually. Patients hospitalized with COPD exacerbations have a 22.6% likelihood of readmission within 30 days, partially contributed to by their suboptimal disease awareness. However, there are educational tools that can be leveraged to improve treatment adherence, patient outcomes, and [...]

Background: Diagnostic errors frequently represent significant adverse events that can occur in any medical setting, particularly in rushed handovers and constrained timing. Cases that result in emergency hospitalization at the time of the initial outpatient visit are more likely to have complex or serious patient conditions and more detrimental diagnostic errors. Our study investigated diagnostic [...]

Background: Point of Care Ultrasound (POCUS) is a growing field with an evidence-base across most clinical specialties. National surveys have shown student, resident, and fellowship training opportunities are increasing, but report lack of experience faculty as the primary barrier to POCUS use. The most effective faculty training programs include longitudinal training and mentorship. Unfortunately, few [...]

Background: Hospital medicine is a rapidly growing specialty within internal medicine, offering diverse career opportunities in clinical practice, teaching, research, innovation, and quality improvement (QI). As with any other specialty within Internal Medicine, residents interested in Hospital Medicine need specialty guidance, mentorship, and professional development when considering careers in Hospital Medicine. The Hospital Internal Medicine [...]

Background: At many academic institutions, medical students in their last year of training participate in transition-to-residency (TTR) courses. At our institution, our TTR course includes residency-specific tracks including one for students transitioning into Internal Medicine. Purpose: Despite the frequency of cross-cover care, studies note that this skill is not often formally taught, and most incoming [...]

Background: Access to “fresh” admissions, in which an admitting team is the first to evaluate a new patient apart from emergency department (ED) staff, is critical to the experience and skill development of medical trainees, particularly interns. Fewer fresh admissions were assigned to teaching teams at Yale New Haven Hospital between 2019-2021 due to system-level [...]

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 [...]

Background: Hospitalized patients have been shown to spend an average of 83% of their stay in bed(1), leading to loss of independence in activities of daily living and lower rates of discharge to home(2,3). Given staff shortages within the hospital setting and our desire to inspire prioritization of mobility in future healthcare providers, we hypothesized [...]