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The Porridge Is Just Right: Choosing Wisely®

The Porridge Is Just Right: Choosing Wisely®

Mar 26, 2015 | No Comments

by John B. Bulger, DO, MBA It began in the spring of 2012. A small sub-group of the Society of Hospital Medicine’s (SHM) Hospital Quality and Patient Safety Committee (HQPS) was given the task of coming up with five test and treatments that hospitalists overuse. The pediatric hospitalist community was already hard at work (and quite far ahead) on their...

  • Engaging Hospitalists: What Makes You Tick?
    Mar 25, 2015 | No Comments

    by Jerome Siy, MD, SFHM, CHIE It would be easy to deliver on the triple aim if all hospitalists had to do was run a checklist.  But, it’s pretty obvious that we need more than a checklist to be successful.  How many of us are graduated in the top 10% of our class, but can’t get a score above 70%...

  • Say What?!
    Mar 24, 2015 | No Comments

    by Dr. Amit Singh “Good morning Mr. Johnson*!” our chief resident bellowed as we all crowded around the bedside, a sea of endless short and long white coats. “I want to let you know we took a look at the X-ray this morning and it looks good. The angle looks sharp, no effusion!” We looked at Mr. Johnson and I...

  • Reminiscing about Match Day
    Reminiscing about Match Day
    Mar 23, 2015 | No Comments

    Friday March 20th was the 2015 Match Day. A big moment for every doctor that in many ways determines not only our specialty and where we will practice, but in some ways sets our destiny with who we will marry and who our lifelong friends will be. I still remember my Match Day 42 years ago in 1973. There were...

  • Thin-slicing Your Next Hospital Medicine Program
    Thin-slicing Your Next Hospital Medicine Program
    Mar 19, 2015 | 1 Comment

    As our specialty of hospital medicine continues its exponential expansion, so does the number of established programs to choose from. Without exaggeration, the job market in most areas of the country is pretty hot right now—and all of us know this from the avalanche of offers and job advertisements out there. Speaking as someone who has worked in several different...

  • Does This Learner Really Stink?
    Does This Learner Really Stink?
    Mar 17, 2015 | 4 Comments

    by Dr. Calvin Chou MD, PhD I recently finished service with a struggling intern. This intern (I’ll call her Mary) had “achieved” a reputation for being deficient in clinical reasoning, disorganized, argumentative, and unwilling to receive feedback. None of this had been communicated with me before I began work with her, but on rounds the very first day I noticed...

  • Saturday Night Shifts With Lifetime Caps.
    Mar 15, 2015 | 1 Comment

    A good idea, but not quite. A subject I hope to engage more in depth in the future concerns how career hospitalists age into our specialty.  As the healthcare system veers toward greater patient responsiveness, 24/7 access to caregivers will be a priority.  As physicians continue to offload their night and weekend work, hospitalists will pick up the slack.  It’s...

  • Join Us for Clinical Reasoning at HM15
    Join Us for Clinical Reasoning at HM15
    Mar 12, 2015 | Comments Off

    by Drs. Daniel Brotman MD, FACP, SFHM, Sanjay Saint MD, MPH and Benjamin Mba MBBS, MRCP (UK), FHM, FACP This is Daniel Brotman, Director of the Hospitalist Program at Johns Hopkins Hospital and past Annual Meeting Director for SHM. I look forward to seeing you at this year’s SHM Meeting in Washington, DC, and hope to see you at our...

  • Confrontation vs. Collaboration
    Confrontation vs. Collaboration
    Mar 10, 2015 | Comments Off

    by Drs. Kenneth R. Epstein MD, MBA, FACP, FHM and Kenneth J. Heinrich MD, FACEP “I can’t believe that he didn’t even get a CT scan before he called me.” “Why does she have to hassle me about every admission? Just take the patient!” Familiar phrases, right? What hospitalist hasn’t, at some point, been exasperated by the lack of a...

  • First they came for the ER docs. No one said a word. Then they came for the hospitalists…
    Mar 9, 2015 | Comments Off

    I got to tell you.  I really could not avoid this post.  Sometimes you just have to laugh. From the NBER:

  • A Battle of Wills
    A Battle of Wills
    Mar 9, 2015 | 2 Comments

    Through our careers, we all accumulate memorable patients. This month’s post is dedicated to the memory of “Henrietta” (not her real name) who died recently and had an impact on my life. I would never claim to know all about her – we only met in the medical realm, after all, but I am grateful that I had a chance...

  • AAFP Approves Hospital Medicine 2015 for 22.5 Prescribed CME Credits
    AAFP Approves Hospital Medicine 2015 for 22.5 Prescribed CME Credits
    Mar 6, 2015 | 2 Comments

    by Dr. Patricia (Trish) Seymour MD There is no doubt that Hospital Medicine has become an attractive focus for physicians trained in Family Medicine. In fact, according to a recent study by the Council of Academic Family Medicine Educational Research Alliance (CERA) about 9% of graduating Family Medicine residents choose immediately to pursue careers in hospital medicine1. Additionally, membership data...

  • Using Mobile Apps at the Point-Of-Care
    Using Mobile Apps at the Point-Of-Care
    Mar 5, 2015 | Comments Off

    by Dr. Amit Pahwa MD Hospital Medicine 2015 promises to be an extraordinary event. Anuj, Kai, Roger, and I hope to add to that with our workshop, Dr. Hi Tech Hospitalist: Improving Quality and Value of Care through Mobile Apps. Just like you, we have been thrust in the world of mobile devices and healthcare without much guidance. Our workshop...

  • Big Fish, Brian Williams, and the Search for Truth
    Big Fish, Brian Williams, and the Search for Truth
    Mar 4, 2015 | 1 Comment

    Once, as an attending, after the resident and student failed to do the spinal tap, I brought forth the clear silvery fluid with one hand. On a 400 pound patient. Oh, and I was practically blindfolded since my glasses fogged over for the procedure. During medical school, a brutal call had our team on for 48 hours straight, I pre-rounded...

  • Hospital Mortality Rate as Quality Measure. Tail Wags Dog.
    Mar 3, 2015 | 1 Comment

    I first became a mortality rate skeptic when Peter Pronovost’s piece, Using hospital mortality rates to judge hospital performance: a bad idea that just won’t go away, was published in BMJ five years ago. He and his co-author highlighted many of the pitfalls of using mortality rates to assess hospital quality. Similarly, in this months AHRQ Web M&M, Ian Scott, MBBS, MHA, MEd...

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