Background: Residents are uniquely positioned to learn from and contribute to informatics. As key electronic health record (EHR) users, they offer practical solutions and feedback. Resident informatics engagement promotes EHR proficiency and accelerates implementation of best practices and quality improvement. Understanding how clinical data are structured creates a foundation for future scientific inquiry using clinical […]

Background: For the academic hospitalist, rounds are the cornerstone of teaching, learning, and patient care. At our institution, a study found that internal medicine residents on the inpatient wards spent an average of 3.4 hours rounding daily. However, most residents and attendings described rounds as “inefficient” and “low value.” With the importance of ACGME work […]

Background: Diabetes is an exceedingly common disease encountered by medical trainees, with over 8 million hospitalizations in 2018 listing type 1 or type 2 diabetes as a diagnosis (1). Evidence supports continuing certain oral diabetes medications during admission when safe, reflected in recent consensus statements from professional societies (2,3). Nevertheless, oral medications are often held […]

Background: Bone marrow biopsies (BMB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center. BMB are a straightforward procedure with a generally low complication rate. In lieu of using specialists (eg, oncologists) or computed tomography (CT) guidance with radiology, procedure-focused hospitalists can provide an excellent option for doing […]

Background: COVID-19 is an emerging illness that the medical community learns more about with each passing day. As medical students go out on their rotations, they receive differing levels of education about the disease and its treatment modalities. Our study aim was to gather baseline information about the knowledge 4th-year medical students were receiving in […]

Background: The relationship between autonomy and supervision (A/S) on general medicine inpatient services requires a balance to ensure patient safety while fostering graduated competency in residents. Previous research at our institution has shown a tension hospitalists feel when balancing these two principles. For example, hospitalists reported that the ideal clinical culture should offer more autonomy […]

Background: Central venous catheters (CVC), including temporary dialysis catheters, are a relatively frequent procedure needed in the inpatient setting. Historically in our institution, CVC have been placed in the intensive care unit (ICU) by critical care staff or in the radiology suite by interventional radiology staff. The reasons for this placement preference have included the […]

Background: Microaggressions are subtle, indirect words or actions that create hostility, communicate disrespect, or imply a sense of exclusion. Over time, these microaggressions can contribute to physician burn-out and negatively impact well-being. Although studies have found that a majority of physicians have been subjected to these deleterious comments by patients, many physicians have never received […]

Background: Much of medical education relies on effective consultation between primary teams and consultants. Previous work has shown that trainees have difficulty with placing and receiving consults. Resident-driven interventions have been shown to increase the number of teaching interactions during consults. Purpose: Our objective was to evaluate the effect of an educational workshop and the […]

Background: Point-of-care ultrasound (POCUS) is a growing interest in pediatric hospital medicine, however few Pediatric Hospital Medicine (PHM) fellowships incorporate POCUS training formally into their curriculum. In addition to its ability to expedite care, POCUS can improve the ability of pediatric hospitalists to take care of patients in resource-limited settings or when specialists are not […]