Inpatients discharged from teaching hospitals on weekends experience similar postdischarge outcomes and shorter lengths of stay compared with patients discharged on weekdays, according to a recent Journal of Hospital Medicine study. The study, led by Finlay McAlister, MSc, MD, LMCC, general internist and population health investigator at the Alberta Heritage Foundation for Medical Research in… [Read More]
A pair of rural South Carolina hospitals that may soon shutter their doors is the latest example of the pressure on rural hospitalists, says a veteran HM director. But hospital closures also give rural hospitalists the opportunity to carve out a niche doing medical work that best serves their community. Marlboro Park Hospital and Chesterfield… [Read More]
Hospitalists should not only lead efforts to control potential Ebola outbreaks in the U.S. but should also play a role in improving global healthcare, say the authors of a recent article in the Journal of Hospital Medicine. Author Phuoc Le, MD, MPH, assistant professor of medicine and pediatrics at the University of California San Francisco… [Read More]
News that the American Board of Internal Medicine (ABIM) will reboot its controversial Maintenance of Certification (MOC) program is an opportunity for hospitalists to help shape their own professional development, according to former ABIM chair and hospital medicine pioneer Robert Wachter, MD, MHM. A year ago, ABIM moved from an MOC every 10 years to… [Read More]
Clinical question Can a procalcitonin-based algorithm reduce antibiotic use in critically ill patients? Bottom line A procalcitonin-based algorithm using a 0.1 ng/mL cutoff does not significantly decrease the duration of antibiotic treatment in critically ill patients nor does it reduce length of stay or number of deaths. The rate of decline in the procalcitonin level… [Read More]
Clinical question Does early nasoenteric feeding decrease the rate of infections or death in patients hospitalized with severe acute pancreatitis? Bottom line In patients with severe acute pancreatitis, early nasoenteric feeding initiated within 24 hours of presentation, as compared with oral feeding after 72 hours, does not improve mortality or reduce the rate of… [Read More]
SHM has a new committee – the patient experience committee. Dr. Burke Kealey, current SHM President and associate medical director for hospital specialties at Health Partners in St. Paul, Minn., talks about how the patient experience committee grew from the work of an SHM task force.
Patient-safety guru Peter Pronovost, MD, PhD, senior vice president for patient safety and quality at Johns Hopkins Medicine in Baltimore, talks about hospitalists’ role in improving the American healthcare system.
HM15 Course Director Efren Manjarrez, MD, SFHM, talks about getting new and younger hospitalists involved in the annual meeting, as well as how to get the most out of the largest hospitalist-focused confab in the nation.