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Tips for Hospitalists on Improving Diagnostic Skills
November 4, 2015
Case A 67-year-old man presents to the hospital with persistent, subjective fevers and malaise for one month, subacute onset of dyspnea, and nonproductive cough for the preceding six days. The patient is a nonsmoker, denies sick contacts, and has had no foreign travel.
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Differences in Care, Outcomes for In-Hospital Versus Community-Onset Stroke
November 4, 2015
Clinical question: Are there any differences in care and outcomes for in-hospital versus community-onset stroke? Background: In-hospital stroke accounts for 4%-17% of all strokes. Hospitalists and other non-neurological services have to identify and treat subsequent stroke in their patients.
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Oral Steroids Not Inferior to Intravenous Steroids in Multiple Sclerosis Relapses
November 4, 2015
Clinical question: Is there any difference between oral and intravenous methylprednisolone for multiple sclerosis relapses? Background: When relapses of multiple sclerosis occur, studies have shown that intravenous steroids are the treatment of choice.
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Hospitalist David Weidig, MD, Witnessed the Field Grow During His Decades-long Career
November 4, 2015
David Weidig, MD, was there at the beginning. He was one of the first internal medicine-trained physicians to adopt hospital-based practice. He was one of the first to proudly call himself a hospitalist.
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Policy Changes Hospitalists May See in 2016
November 4, 2015
The year 2015 brought the repeal of the sustainable growth rate (SGR) and new rules for advanced care planning reimbursement.
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The Lone Hospitalist in the Nuba Mountains of Sudan
November 4, 2015
[caption id="attachment_11766" align="alignright" width="295"] Image Credit: www.nytimes.comA screenshot of the New York Times website featuring Times columnist Nicholas Kristoff’s article "The Worst Atrocity You’ve Never Heard Of,” which chronicles Dr.
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Maintenance of Certification Process Should Ensure Physicians Deliver Quality Care
November 4, 2015
[caption id="attachment_11777" align="alignright" width="295"] Image Credit: SHUTTERSTOCK.COM[/caption] When the American Board of Internal Medicine (ABIM) announced changes to its Maintenance of Certification (MOC) process in early 2014, the response was overwhelmingly negative.
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Risk Adjusting Readmissions: Coming Soon?
November 4, 2015
Nearly three-quarters of hospitals will be receiving penalties from the Centers for Medicare and Medicaid Services (CMS) in 2016 for excess readmissions, having failed to prevent enough patients from returning to the hospital 30 days post-discharge.
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Revolutionizing Quality Improvement in Hospital Medicine
November 4, 2015
As the senior physician advisor to SHM’s Center for Hospital Innovation and Improvement, Eric Howell, MD, SFHM, bridges the gap between clinical expertise and project support and development. The Hospitalist recently had a conversation with Dr.
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Practice Administrator Elected Vice President of SHM Maryland Chapter
November 4, 2015
When you ask Tiffani Panek, division administrator for the division of hospital medicine at Johns Hopkins Bayview Medical Center (BMC) in Baltimore, Md., about her thoughts on the future of hospital medicine, her passion and enthusiasm are immediately apparent.