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Do Hospitalists Need Paid Time Off?

Jun 30, 2015 | No Comments

by Leslie Flores, MHA, SFHM Does paid time off (PTO) make sense for physicians like hospitalists and ED docs who are largely shift workers? I guess it depends on your perspective, though I have some definite opinions of my own. But before sharing my thoughts on the value of PTO for hospitalists, it might be instructive to understand a bit...

  • A Chat with Dr. Greg Hall from Project Protect
    Jun 25, 2015 | No Comments

    by Dr. Ian Jenkins MD I recently had the opportunity to serve as a mentor for Project Protect, an initiative of the Health Research & Education Trust (HRET) that paired rising stars in quality and infection prevention with mentors from several organizations, including the Society of Hospital Medicine (SHM). Mentees worked on Catheter Associated Urinary Tract Infection (CAUTI) prevention in...

  • Why We Should Care about Alarm Fatigue
    Jun 23, 2015 | No Comments

    by Mimi Zander When I arrived back at the Children’s Hospital of Philadelphia (CHOP) after my first year of medical school, I knew what was awaiting me: thousands of alarms from physiologic monitors, most of them inconsequential, lined up neatly in spreadsheets, splattered all over research databases, lighting up on video screens, chirping down hallways and up elevators. Of course,...

  • The Artist Arrived First: Anatomy and Art in Italy
    The Artist Arrived First: Anatomy and Art in Italy
    Jun 18, 2015 | 4 Comments

    Life is short, the art is long. -Hippocrates Aphorism Our pivotal moments today are holding warm hands and discussing issues of survival and comfort. And yet, the journey into medicine began with cold fingers and deciding which tortuous tool to use next. The medical school told us, “We trust you, you are now on the path to becoming a physician....

  • Before The White Coat: Exploring the Early Lives of Hospitalists
    Jun 16, 2015 | Comments Off

    When you see him onstage, it’s like he’s always been here. Bob Wachter, one of the pioneers of the hospital medicine movement, has taken the podium at SHM’s annual meetings for more than a decade. Whether he’s uncovering important issues in electronic medical records or covering Elton John songs onstage, he seems like a fixture in our world — and...

  • Hospitalist Reads Book, Changes Story, Lives Happily Ever After
    Hospitalist Reads Book, Changes Story, Lives Happily Ever After
    Jun 11, 2015 | Comments Off

    by Dr. Rebecca Lauderdale I’ve had an obsession with stories lately. Specifically, the way stories we tell about ourselves and others can either limit us or spur us to grow and transform – as people and organizations. Truthfully, it’s much easier to talk about this with people who aren’t in healthcare professions. We in medicine, including myself, can be particularly...

  • Frank Michota, MD (1967-2015)
    Jun 10, 2015 | 8 Comments

     When I got word from a friend Frank had passed away, I sat speechless and numb.  I met him early on in SHMs history, and right from the get-go, I knew he had a rare  combination of intellect, confidence, and folksiness.  I liked him the minute we shook hands. I always needled him about his speaking voice too.  Mellifluous and...

  • Yes, Again
    Yes, Again
    Jun 4, 2015 | Comments Off

    OK it’s another anti-narcotic rant.  This is directed to all the providers out there.  A couple of things you should know: 1. Don’t give narcotics for benign musculoskeletal pain. Give physical therapy and a prescription for weight loss instead. 2.  Don’t give narcotics for osteoarthritis. Give physical therapy and Tylenol instead. 3.  Don’t give narcotics for functional abdominal pain. Give...

  • Antibiotic Stewardship and Hospitalists: The Bedside is the Front Line
    Jun 2, 2015 | 1 Comment

    by Eric Howell, MD, SFHM “Tell me what you know about antibiotics.” That’s the discussion I start with hospitalized patients all the time, right after they ask me to prescribe antibiotics for their simple cough, or other viral-like illness. And, from their perspective, asking for antibiotics makes sense. After all, antibiotics have been the physician’s knee-jerk reaction to a number...

  • Have we hit peak hospitalist?
    May 28, 2015 | 3 Comments

    I have detected something unusual.  Take a look at the cited quotes below and see if you can spot what I am referring to.  Both come from a national newspaper.  Here’s the first: On arrival, Larson was put in a room and examined by a physician assistant. He didn’t stop at the admissions office because his information and treatment orders already...

  • Improving Patient Satisfaction through Education, Feedback & Incentives
    Improving Patient Satisfaction through Education, Feedback & Incentives
    May 27, 2015 | Comments Off

    Patient satisfaction survey performance is becoming increasingly important for hospitals, as the ratings are being used by payers in pay-for-performance programs more and more (including the CMS Value Based Purchasing program). CMS also recently released their “Five-Star Quality Rating System” for hospitals, which publicly grades hospitals on 1-5 stars based on their patient satisfaction scores. Unfortunately, there is little literature...

  • Could you be just a little sicker?
    Could you be just a little sicker?
    May 23, 2015 | Comments Off

    I take a deep breath as I get ready to go see Mrs. H. I can predict after sign-out from the ER doc where this is likely to go. Mrs. H. is an 87 year-old woman who comes to the emergency room with weakness. She stumbled and fell to the floor but could not get up to reach the phone...

  • Keeping up with the ABIM
    Keeping up with the ABIM
    May 19, 2015 | 2 Comments

    You can recall some of the famous apologies and non-apologies of the recent past. Bill—“Even presidents have private lives.”  Kanye—“It starts with this… I’m sorry, Taylor.”  And in early February, we added this one.  Rich- “We got it wrong. We are sorry.” Now don’t get me wrong, apologies are good and a necessary first step toward healing and returning to...

  • Ten 2-Letter Words to Live by
    Ten 2-Letter Words to Live by
    May 14, 2015 | 2 Comments

    One of my favorite residency attendings recently passed away. A life cut too short. Dr. Leeper, an Emory pulmonologist, was a prime example of the academic triumvirate: an incredible researcher, clinician and educator. Although I spent only a few weeks with him as an intern, I frequently find myself sharing and using his words of wisdom. As the intern, resident...

  • Passion to Improve Pain Care
    May 12, 2015 | Comments Off

    by Dr. Solomon Liao Students and residents often ask me why I like my job so much and why I always walk around with a smile on my face when I’m on service. I respond that helping to relieve people’s pain is very rewarding. It provides instant gratification. The more challenging the case is, the more rewarding the result. Very...

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