Background: Cross-cover, or care for hospitalized patients when the primary team is absent, is a ubiquitous yet understudied aspect of inpatient care marked by cognitive complexity. Trainees confront challenges when performing cross-cover care (1) which may be viewed through the lens of Cognitive Load (CL) Theory (CLT) (2,3). CLT is an established learning theory accounting [...]

Background: Evaluating a patient’s post-hospitalization course is critical feedback for refining future diagnostic and therapeutic decisions, yet it rarely happens formally during residency. The Out of Sight, Out of Mind (OOSOOM, pronounced like “awesome”) conference addresses this gap. Purpose: To provide a structured forum for residents to review post-discharge outcomes of the patients they managed [...]

Background: In hospital medicine, uncertainty [the subjective perception of ignorance(1)] is an inescapable challenge that impacts both patient care and physician well-being (2). There is a gap in our understanding of what hospital medicine physicians are uncertain about and how they manage their uncertainties. We aimed to learn more about how hospitalists experience and manage [...]

Background: Graduate medical education programs often use anonymous virtual comment boxes to elicit feedback from residents, fostering a culture of openness and aligning with ACGME standards.(1,2) These platforms allow residents to express concerns safely and anonymously, promoting trust and transparency. While previous studies highlight their positive impact on wellness, no comprehensive analysis exists regarding their [...]

Background: Nationally, inpatient medical oncology services are transitioning from services led by oncologists to hospitalist led with a consultant medical oncology team. There is national literature surrounding inpatient medical oncology services being poorly received by residents for a variety of reasons. Inpatient medical oncology is generally limited to medical complications and challenging goals of care [...]

Background: Systemic racism contributes to health disparities. Innovative educational strategies are needed to develop competency in addressing manifestations of racism that impact patients. While the MD program at Icahn School of Medicine at Mount Sinai addressed racism in the preclerkship curriculum, a gap was identified in the clerkship year. The authors developed an antiracist clinical [...]

Background: Oral case presentations are a core learning opportunity for students, during which they synthesize data, develop assessments and plans, and communicate clinical reasoning. However, during focus groups at our institution, faculty and students described presentations as inefficient, redundant, and lacking standardized expectations. Faculty were overall dissatisfied with student presentations. Students described presentations as stressful [...]

Background: Although popular belief often suggests a link between lunar cycles and human behavior, particularly in psychiatric contexts, scientific evidence supporting this association remains limited. This study explores the potential association between lunar phases and antipsychotic medication administration in psychiatric patient encounters at select hospital units from July 2018 to August 2023. Methods: Data were [...]

Background: The proportion of young adults with complex medical needs and chronic illnesses cared for at pediatric hospitals is substantially increasing. ACGME requires both pediatric and Internal Medicine (IM) residents to manage patients with complex or chronic conditions and coordinate care across the healthcare continuum, including transitioning to adult care. However, barriers to transitioning these [...]

Background: Since the ACGME established duty hour limits in 2003, there has been an increasing prevalence of night float rotations in internal medicine residency training. Conferences and formal didactics are a critical component of resident education. However, residents on night float rotations typically miss these essential educational activities that are typically held during the daytime [...]