Archive for September 2014

A Day in the Life of a Pediatric Hospitalist

by Dr. Erin Stucky Fisher, MD, MHM I am a career pediatric hospitalist. Not one of my days is the same because as a hospitalist I have the opportunity to serve in numerous capacities within my hospital medicine group, my hospital and the fields of pediatrics and hospital medicine. I am one of the senior attendings on the pediatric hospital medicine service coordinating care teams, I serve on committees at my hospital and university, and I am involved in national work affecting the care of pediatric inpatients. So here’s a day in the life of me, Erin Stucky Fisher, pediatric hospitalist: The Morning I start at 6:45 AM, reviewing all teams’ patient list. As the “first call” PHM, I am responsible for assuring all ICU transfers and surgical consults were correctly added in our EMR. I scan the “admits-24hrs-allsites” list – I am responsible for assuring not only our site…

The Things We Say to Our Patients That We Should Be More Tactful about

With the increased focus on patient satisfaction and improving the healthcare experience, how we communicate with our patients is becoming more important than ever. And it’s long overdue. From our patients’ perspectives, being sick is bad enough without feeling disrespected or having an inappropriate message communicated by those who are supposed to be caring for them. Yet every day in hospitals across the nation, conversations take place that unintentionally give the wrong impression and add to our patients’ stress levels. Unfortunately many of these incidents occur in the hospital medicine arena. While we’re all well intentioned and generally do communicate excellently, slip-ups still occur, usually as a simple matter of words, tone and perception. Based on my own experience, here are 3 everyday examples where we can improve. To make this more interesting, I’m going to give some analogies from other situations. 1. Discussing code status with younger patients How…

Top 5 Medical Shows of All Time?

Writing about The Knick for my last post had me thinking about other entertaining medical TV shows. Every new TV season brings a fresh crop of small screen physicians. Recently, a rash of doc shows have come and gone like transitory viral infections. In the past year, Do No Harm left after two episodes, Black Box eliminated after one season, as was Sanjay Gupta’s misplaced Monday Mornings. But some stay longer, and help us laugh, and perhaps mirror some of the joy and compassion in what we do every day. I enjoy the ones that harbor the right mix of pathos and humor. The actual soap operas, General Hospital, and the ones that seem like soap operas, Grey’s Anatomy, I couldn’t bear to put on the list. Cinemax's The Knick is too new to join the ranks. Last week was only the 5th episode. Yet, with every corpse for sale, every syphilitic storyline (aortic…

“Why I Hope to Die at 75”

  Zeke Emanuel, well known oncologist, policy wonk, and eldest brother of Rahm (Mayor of Chicago) and Ari (Hollywood powerbroker), always has a way of garnering attention. Published in the latest The Atlantic, Zeke pens a very provocative piece on when he plans on calling it a day.  In his case, age 75.   (more…)

Membership Corner: SHM Has a Group for You

By Dr. Ken Simone DO, SFHM Do you have a special interest within hospital medicine? SHM has a group for you! As hospitalists we have a lot particular interests within our specialty. There are some of us who love academia; others of us love treating children and there are particular nuances of practice associated with academia or pediatrics. For me, as a hospitalist trained in family medicine (HTFM), I am one of more than 1,000 SHM members who have a special need around creating the appropriate infrastructure, identifying the necessary and most useful information in hospital medicine, and more. SHM provides this sort of specialized space for hospitalists with other interests, too. In the SHM membership structure, these entities are called sections, which correlate to your interests and to different care models. The SHM Sections include: Family Medicine Global Health & Human Rights International Med-peds NP/PA Pediatrics Practice Administrators Rural…
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