Practice Management

What Is the Best Approach to a Cavitary Lung Lesion?

What Is the Best Approach to a Cavitary Lung Lesion?

Case A 66-year-old homeless man with a history of smoking and cirrhosis due to alcoholism presents to the hospital with a productive cough and fever for one month. He has traveled around Arizona and New Mexico but has never left the country. His complete blood count (CBC) is notable for a white blood cell count… [Read More]

Hospitalists Are Frontline Providers in Treating Venous Thromboembolism

Hospitalists Are Frontline Providers in Treating Venous Thromboembolism

Nearly half of all venous thromboembolism (VTE) events occur during or soon after hospitalizations.1 And who are the frontline providers diagnosing and managing VTE in the inpatient setting? “While VTE may not be the No. 1 reason for hospitalization, hospitalists very frequently care for patients with VTE,” says Sowmya Kanikkannan, MD, FACP, SFHM, hospitalist medical… [Read More]

Michelle Mourad, MD

Hospitals Launch Bedside Procedure Services

A dedicated procedure team or service can give hospitals needed expertise without requiring a one-size-fits-all approach. In many cases, hospitalists run procedure services, but interventional radiologists and pulmonary critical care specialists also oversee some of them. At The Johns Hopkins Hospital, the bedside procedure service began in the department of medicine and has since expanded… [Read More]

Society of Hospital Medicine’s Quality Improvement Module Approved for ABIM Maintenance of Certification

If you’re among the many physicians enrolled in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program, you have to earn a combined 100 points in medical knowledge and practice improvement throughout your 10-year certificate period. SHM wants to help you with this process. SHM is pleased to announce that the ABIM… [Read More]

Dr. White

How Academic Hospitalists Can Balance Teaching, Nonteaching Roles

As a group director at a growing, university-based hospitalist program, I often interview aspiring academic hospitalists. Inevitably, the conversation turns to a coveted aspect of the job. I’m not talking about the salary. Applicants want to know, “How much time will I spend on teaching services?” Because hospitalists at academic institutions typically are passionate about… [Read More]

Steven Harris

Greater Transparency for Financial Information in Healthcare Will Prompt Questions from Patients

The movement toward greater transparency of financial information in healthcare is providing patients with access to data that might affect their healthcare decisions. Not all of this information is provided in ways that give patients the full picture, and they may turn to you for some added clarity. Financial Relationships The Physician Payments Sunshine Act… [Read More]

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Clinical Images Capture Hospitalists’ Daily Rounds

EDITOR’S NOTE: Fourth in an occasional series of reviews of the Hospital Medicine: Current Concepts series by members of Team Hospitalist. Summary Hospital Images: A Clinical Atlas is a collection of 76 clinical cases discussing actual patient scenarios with accompanying clinical case questions, images, and evidence-based discussions. Cases are presented in the same manner a… [Read More]

How to Initiate a VTE Quality Improvement Project

While VTE sometimes occurs in spite of the best available prophylaxis, there are many lost opportunities to optimize prevention and reduce VTE risk factors in virtually every hospital. Reaching a meaningful improvement in VTE prevention requires an empowered, interdisciplinary team approach supported by the institution to standardize processes, monitor, and measure VTE process and outcomes,… [Read More]

Advances in Medical Technology Encourage Hospitalist-Led Bedside Procedures

One trend working in favor of more hospitalist-led bedside procedures is the growing use of technology, particularly simulation models and ultrasound guidance. Simulators are “invaluable” teaching tools, says David Lichtman, PA, director of the Johns Hopkins Central Procedure Service in Baltimore, Md. “They’re easy. They’re inexpensive. You can poke them and poke them and poke… [Read More]