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Focused Practice in Hospital Medicine: Reflections on Procrastination and the Teamwork Effectiveness Assessment Module

Focused Practice in Hospital Medicine: Reflections on Procrastination and the Teamwork Effectiveness Assessment Module

Jan 14, 2015 | 1 Comment

The great procrastinator. That’s what I call myself sometimes. I last re-certified for the ABIM board certificate in 2005. That was under the old system of every ten year renewals (but not the really old system of never having to renew). At the time one needed 100 total points and to pass the general internal medicine test. I waited until...

  • The CDC Must Do Better
    Jan 13, 2015 | 1 Comment

    The USPTF got schooled in 2009 when they released their guidelines for breast cancer screening.  They did not prepare for the backlash nor did they have media personnel or training to deal with the public’s ire.  The task force learned a lesson, and guideline release and dissemination has changed as a result.  The USPTF has become less forthcoming with information related to pending...

  • Atul Gawande’s “Being Mortal” on Frontline
    Jan 11, 2015 | Comments Off

    My love for Atul Gawande’s writing knows no bounds: He makes the complex simple with an economy of words. If you have never read one of his books, you must.  The term Gawande-esque did not materialize  because he has a knack for picking the right subjects at an opportune time.  He has a following because his gift allows the physician...

  • Analyzing Best Practice Alerts to Understand Blood Transfusions Ordered outside Recommended Guidelines
    Analyzing Best Practice Alerts to Understand Blood Transfusions Ordered outside Recommended Guidelines
    Jan 6, 2015 | Comments Off

    I had the pleasure of interviewing Lisa Shieh, a Hospitalist at Stanford University, about her team’s recent publication in JHM Why providers transfuse blood products outside recommended guidelines in spite of integrated electronic best practice alerts. The study found that many best practice alerts (BPAs) “overrides” were due to protocolized behaviors, resident/nurse practitioner/physician assistant ordering, or subjective indications, such as...

  • Waiting to Inhale: Hospitalists, Marijuana, and Legalization
    Jan 5, 2015 | 9 Comments

    by Dr. Jason Persoff MD, SFHM Welcome to Friday night as a hospitalist in the ultimate Green State, Colorado: time to gear up for some marijuana-facilitated paranoia, memory loss, nausea and vomiting, and memory loss. I’m not a teetotaler but I do find the new surge in cases of preventable disease a bit disheartening if not occasionally humorous. Prior to...

  • The Shield
    The Shield
    Dec 29, 2014 | 3 Comments

    Recently I received an elderly patient who had been transferred from another hospital where she had been admitted for two weeks. The pertinent information about this patient is that her son, a doctor, a pathologist, had arranged the transfer. The worst thing to have is a patient with a doctor for a relative. No, the worst thing is to have...

  • A Day in the Life as an Academic Hospitalist
    A Day in the Life as an Academic Hospitalist
    Dec 23, 2014 | Comments Off

    by Dr. Darlene Tad-y MD The work of an academic hospitalist is never the same from one day to the next. Clinical patient care, medical education and scholarship are all part of what I get to do every single day. The photos below highlight why I love my career! I also have opportunities to add in different types of work...

  • The ED-Hospitalist Relationship: Friend or Foe?
    The ED-Hospitalist Relationship: Friend or Foe?
    Dec 18, 2014 | 2 Comments

    One of the things that I love about my job as a hospitalist is the ease with which we can develop friendships with colleagues from other disciplines. Since I am an inpatient physician, it’s not surprising that some of my good friends are cardiologists, nurses, endocrinologists, physical therapists and, of course, other hospitalists. In fact, I met my neurosurgeon husband...

  • Hospital Medicine and My Airport Parking Experience?
    Hospital Medicine and My Airport Parking Experience?
    Dec 16, 2014 | Comments Off

    With the festive season upon us, which often includes traveling, I thought I would write about something off the beaten track and share an interesting experience I had recently. A couple of weeks ago I had just returned to Boston after a trip to London. As usual I had taken the latest flight possible and it was night by the...

  • 2014 Gift Guide: What’s the Hottest Tech to Get Your Hospitalist?
    2014 Gift Guide: What’s the Hottest Tech to Get Your Hospitalist?
    Dec 12, 2014 | Comments Off

    HOSPITALIST TOP TECH GIFT GUIDE 2014 It is that special gift giving time of year. What to get that favorite hospitalist of yours? Don’t fret. I’ve compiled a short list of the hottest trending #hospitalistgifts. I may walk around the hospital with a pager like a 1980s drug dealer. But you can have the latest technology in Hospital Medicine. Instant...

  • What Is a Hospitalist?
    What Is a Hospitalist?
    Dec 11, 2014 | Comments Off

    by Dr. Darlene Tad-y MD “What is a hospitalist?” I don’t remember exactly when during my medical education that I first asked that question out loud, but I do remember wondering about it. Now that I’m a teaching hospitalist, I find that I’m the one answering the question. Sometimes to patients, sometimes to others in healthcare, sometimes to friends and...

  • Surgical Co-management, The Global Package, and Consciously Uncoupling
    Surgical Co-management, The Global Package, and Consciously Uncoupling
    Dec 9, 2014 | Comments Off

    There is an upcoming Medicare rule that will go into effect in two phases beginning in 2017 that has a lot of surgeons and hospitalists concerned about the direction of peri-operative care and surgical co-management. Medicare’s proposal apes the words of Gwyneth Paltrow when describing her divorce from now ex-husband Chris Martin of Coldplay, “Consciously Uncoupling.” An awesome euphemism to...

  • Admitted to Hospital #1, Readmitted to #2. What happens to mortality?
    Dec 5, 2014 | Comments Off

      Unless I have a pressing inpatient problem in need of a subspecialty consult, I defer to the outpatient setting.  This goes double if the patient’s PMD practices elsewhere.   You can guarantee any benefit of “urgent” consultation will be outweighed by the harms of siloed care and information drops when we set the patient adrift in the community.  Better the...

  • Hospitalists “Seeing Wisely”: A High Value Proposition
    Hospitalists “Seeing Wisely”: A High Value Proposition
    Dec 4, 2014 | Comments Off

    I remember being a third year medical student and reading Bob Wachter’s piece in the New England Journal of Medicine that made the term “hospitalist” mainstream. I was intrigued. I matched at the University of Chicago, which was one of the few programs in the country at the time that had a hospitalist program.  When I rotated on the academic...

  • Please Unsubscribe
    Please Unsubscribe
    Dec 3, 2014 | Comments Off

    by Ethan Gray, VP of Membership, Marketing & Communications There’s a place in your life that — if you’re like most hospitalists — you go to more than the coffee shop, more than your car, maybe even more than a hospital room. It’s your email inbox. An email inbox is a mix of important messages, unexpected surprises, new opportunities, engaging...

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