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Hospital Medicine and My Airport Parking Experience?

Hospital Medicine and My Airport Parking Experience?

Dec 16, 2014 | No Comments

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 | No Comments

    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 | No Comments

    by Dr. Darlene Tady-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 | No Comments

    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 | No Comments

      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 | No Comments

    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...

  • People, Why Are We Fighting?
    People, Why Are We Fighting?
    Dec 2, 2014 | Comments Off

    If my last post used the words of the brilliant Marvin Gay, today’s post reflects Mick Jagger’s  ultimately vain and ineffective plea for non-violence at Altamont in 1969, when a group of Hell’s Angels, acting as security, brutally murdered a concertgoer feet from where The Rolling Stones were performing. A colleague of mine was telling me about a very ugly...

  • Hey NEJM, where’s the beef?
    Nov 30, 2014 | Comments Off

      I opened the most recent copy of NEJM with anticipation.  At last, a review on severe alcohol withdrawal.  Perhaps a solution to the age old conflict between psychiatry (start benzo on Monday, decrease by 20-25% daily and discharge on Thursday or Friday) versus medicine (start benzo on Monday, and if they look like a rose on Tuesday, send them home).  No...

  • Century Old QI Lessons
    Century Old QI Lessons
    Nov 26, 2014 | 2 Comments

    Some days it seems like it would be easier to start from scratch. Maybe build your own hospital. That’s what Ernest Codman decided to do. Codman was born in Boston, graduating from Harvard Medical School in 1891. This was before the Flexner report fundamentally changed medical education in the US, and around the time medicine in America was starting to...

  • Ethics and Ebola
    Nov 25, 2014 | Comments Off

    by Dr. Bartho Caponi MD, FHM The Ebola panic has died down; while many are under monitoring, there have been no further de novo U.S. cases since October 15, and only two more “imported” cases. Travelers are being screened and resources are heading to areas where they are needed. At my institution, Hospitalists have led the way; over half my...

  • 2013: Did we pay more for inpatient care, or did we use more?
    Nov 23, 2014 | Comments Off

      The Health Care Cost Institute is not just another consulting firm or think tank.  They are a a non-partisan, non-profit clearinghouse for all things health care payment.  They obtain commercial and government data and generate reports on health spending direction. Their 2014 release analyzing 2013 commercial trends (think age 18-64 yo)  came out last week. The report has oodles of data...

  • Pareto’s Principle in Hospital Medicine
    Pareto’s Principle in Hospital Medicine
    Nov 19, 2014 | 1 Comment

    There are certain universal laws that appear to govern the broader workings of the world around us. For those of you unfamiliar with Pareto’s Principle, it’s a concept that was first applied in economics and then found to be a governing rule in a whole host of different arenas. It’s no understatement to say that understanding and acting upon this...

  • Do I look like a PGY?
    Nov 13, 2014 | 1 Comment

        Working as a hospitalist since our society’s founding, I have reaped insights and a dose of confidence those starting in our specialty lack.  I am not speaking just of clinical understanding. Hospital-based practitioners collaborate with colleagues from many specialties, and like us, each has its own identity. Surgery sees the world through their lens, as do we. Over time,...

  • Panic and Preparation
    Panic and Preparation
    Nov 12, 2014 | Comments Off

    Things move fast in an outbreak – whether an outbreak of disease, panic, or both. A lot has happened since my last blog post. I wrote the last post just after Thomas Duncan became the first person to die of Ebola on U.S. soil, and nurse Nina Pham was infected while caring for him. In the past month, we have...

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