Clinical

PHM15: Teaching, Supervising Pediatric Hospitalist Fellows

Session: “Teaching and Supervising a PHM Fellow: The Transition from Learner to Instructor.” Analysis:  The session was led by Sarah Denniston, MD, FAAP, of Children’s Hospital of San Antonio/Baylor College of Medicine, and a collaboration of presenters ranging from fellowship directors to new pediatric hospitalist fellows. It was a very interactive discussion that prompted shared… [Read More]

Eye Bleeds: Risk From Warfarin Transition?

NEW YORK (Reuters Health) – Patients transitioning from warfarin to rivaroxaban for atrial fibrillation, who are taking both drugs before dropping warfarin, may be at risk for spontaneous vitreous hemorrhage, according to a new case report. Judy H. Jun and Dr. John C. Hwang, of Retina Associates of Orange County in Laguna Hills, California, report… [Read More]

Order of Food During a Meal May Influence Blood Sugar

(Reuters Health) – Overweight and obese people with type 2 diabetes may feel better after a meal if they start it off with vegetables or proteins and end with the carbs, suggests a new study of 11 people. Finishing the broccoli and chicken before tucking into bread and fruit juice was tied to a lower… [Read More]

Getting in Shape May Help Reduce Irregular Heart Rhythm

(Reuters Health) – For overweight and obese people with atrial fibrillation, improving cardiorespiratory fitness with exercise may help to reduce or eliminate symptoms, a recent Australian study found. Participants with the greatest improvements in their cardiorespiratory fitness were less burdened by symptoms of the arrhythmia and more likely to be symptom free during the study,… [Read More]

PHM15: Physical Burnout for Hospitalists

Presenters: Allison Ballantine and Lisa Zaoutis Physician burnout can be thought of as similar to water level in a reservoir during a drought – there is an imbalance between usage and replenishment. This leads to physician exhaustion, cynicism, and inefficiency. Burnout is a function of both the individual (younger, single, and less resilient are at… [Read More]

NSAIDS May Increase Kidney Risks with High Blood Pressure

(Reuters Health) – Patients with hypertension who regularly take non-steroidal anti-inflammatory drugs (NSAIDs) may increase their risk of developing chronic kidney disease, a study from Taiwan suggests. The researchers examined data on more than 30,000 people with hypertension and found that those who’d been taking NSAIDs for at least three months were 32% more likely… [Read More]

PHM15: Urinary Tract Infection (UTI) Management in Febrile Infants

Drs. Pate and Engel presented a hot topic in pediatric hospital medicine, sparking fruitful conversation about current evidence, identified gaps, and controversies regarding the management of febrile infants with urinary tract infections. After the American Academy of Pediatrics published the updated clinical guideline in 2011, controversies about radioimaging, duration of treatment, and pursuit of laboratory… [Read More]

10 Tips for Hospitalists to Achieve an Effective Medical Consult

10 Tips for Hospitalists to Achieve an Effective Medical Consult

A medical consult is an amazing way to learn. Consultation challenges us to practice our best medicine while also exposing us to innovations in other specialties. It can forge new and productive relationships with physicians from all specialties. At its best, it is the purest of medicine or, as some put it, “medicine without the… [Read More]

A film crew captures Drs. Crystal and Johnson chatting between deliveries at Santa Clara (Calif.) Valley Hospital.

Hospitalist Hopes to Build Website Featuring Stories about Delivering Babies in the 1950s

When Ruth Ann Crystal, MD, performed her residency at Stanford University Medical Center more than 15 years ago, she often worked side by side in the operating room with one of her favorite professors, Bert Johnson, MD, a skilled surgeon and obstetrician. While performing vaginal hysterectomies, Dr. Johnson would often share stories of when he… [Read More]

SHUTTERSTOCK.COM

Most Important Elements of End-of-Life Care

An Australian team conducted a literature review of expected deaths in the hospital—where the majority of deaths in the developed world occur—and identified elements of end-of-life care that are important to patients and families.1 Published in the British journal Palliative Medicine, the review of nine electronic data bases and 1859 articles released between 1990 and… [Read More]