More uncritical praise for the hospitalist movement
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 9, 2019 Category: Internal Medicine Tags: hospital medicine Source Type: blogs

It ’s time to view hospitalization as a procedure
I previously suggested that transitioning from the traditional inpatient care model to the hospitalist model inadvertently motivated providers to hospitalize more patients, specifically borderline sick patients.   Our example was a 74-year-old woman with pneumonia whose path to admission met less resistance with a hospitalist at the helm. The question I posed at the end was […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 25, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steve-m-grant" rel="tag" > Steve M. Grant, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Losing our clinical focus: hospitalists as social workers
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - February 12, 2019 Category: Internal Medicine Tags: hospital medicine Source Type: blogs

Wonder why your hospital is full?
Why is your hospital always full? Actually, it ’s more than full.  You have twenty boarders in the ED. You turned your postop recovery unit into an overnight surge center.  Every day administrators beg you to please, please discharge patients, if possible before 11 a.m.  You’ve hired an army of case managers, dissected the discharge proce ss, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 12, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steve-m-grant" rel="tag" > Steve M. Grant, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Pulmonology Source Type: blogs

Pediatricians should talk with parents about guns and their children.
This study is a loud and compelling call to actionfor all pediatricians to start open discussions around firearm ownership with all families and share data on the significant risks associated with unsafe storage. It is an even louder call to firearm manufacturers to step up and innovate, test and design smart handguns, inoperable by young children, to prevent unintentional injury," Dr. Parikh and colleagues continue.The Children's commentators point to the "extremely dangerous" combination of "the small curious hands of a young child" and "the easily accessible and operable, loaded handgun" and suggest that pediatricians w...
Source: Markham's Behavioral Health - January 29, 2019 Category: International Medicine & Public Health Authors: David G. Markham Source Type: blogs

How EMR alert fatigue overwhelms physicians
As a hospitalist, like most in health care, I am afflicted by the slow march of thousands of mouse clicks on the electronic health record (EHR) every day I work.   But after starting a new job and learning a new EHR, I have become painfully aware of the volume of alerts that pop up when […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 25, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/scott-keeney" rel="tag" > Scott Keeney, DO < /a > < /span > Tags: Tech Health IT Hospital-Based Medicine Hospitalist Source Type: blogs

The Perfect Storm: When Parkinson ’s Patients Enter the Hospital
By HOOMAN AZMI MD, FAANS  When a patient enters a hospital either in an elective or more urgent manner, the main focus of the care team is to address the chief complaint. Other diagnoses, while important, may not receive as much attention. While this may not affect patients in most circumstances, it can be very impactful in patients who have Parkinson’s disease (PD). Studies have demonstrated that when patients with Parkinson’s disease enter the hospital, they are more susceptible to developing hospital related complications. Patients with Parkinson’s disease have a higher length of stay (LOS) than those entering th...
Source: The Health Care Blog - January 23, 2019 Category: Consumer Health News Authors: matthew holt Tags: Hospitals Patients Hooman Azmi Hospital-related complications neurology Parkinson's Disease Source Type: blogs

Hospitalists feel rushed and maneuvered to get elderly patients discharged
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 17, 2019 Category: Internal Medicine Tags: hospital medicine Source Type: blogs

For residents unsure about their choice of specialty
About halfway through the internal medicine residency, there comes a time when a resident must decide on what he or she plans to do after three years of training. We may come across a second-year resident saying: What should I do next? Should I become a hospitalist or plan for a fellowship? But in what? […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/abeer-arain" rel="tag" > Abeer Arain, MD, MPH < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

A physician ’s plea to Santa Claus
I am a pediatric hospitalist in middle America. I believe in you, and I hope that you believe in me. Many of my patients ’ parents do not believe in me, you see, and it makes it hard for me to do my job and to take care of these children in the way that I […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 8, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lisa-sieczkowski" rel="tag" > Lisa Sieczkowski, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

Hospitalist staffed post discharge clinics
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - January 3, 2019 Category: Internal Medicine Tags: hospital medicine Source Type: blogs

The 3 goals of clinical documentation
A lot has been spoken and written about clinical documentation already. In spite of that, many hospitals still struggle in getting the best out of their doctors when it comes to documentation quality. And although we can cite various reasons for this, we can all safely agree that the hospital EMR is the single biggest […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 25, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/nagendra-gupta" rel="tag" > Nagendra Gupta, MD < /a > < /span > Tags: Physician Health IT Hospital-Based Medicine Hospitalist Source Type: blogs

There ’s no room for ego in health care
I was recently seeing a rather complicated medical patient in the hospital. We were treating both a heart and kidney condition, and things were not going so well. To spare anyone non-medical who is reading this the scientific details of the bodily processes involved, we were essentially balancing hydrating, with the need to get rid […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Physicians sacrifice a lot to deliver care. Technology shouldn ’t ask for more.
I had a great case the other night. Around midnight on a Friday, the hospitalist physician called me to evaluate an incarcerated femoral hernia. I thought this elderly and medically ill patient would likely die no matter what I did. I spent a grim half-hour at bedside explaining the dilemma to the patient and her […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/erin-palm" rel="tag" > Erin Palm, MD, MBA < /a > Tags: Tech Health IT Surgery Source Type: blogs

You must make a good first impression with patients
First impressions are critical. We are taught early in our careers that first impressions truly matter. Whether interviewing for medical school or a residency program, our goal is to make a positive first impression in hopes of making the cut at each checkpoint in our early careers. These processes in our academic lives and careers […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/andrea-lauffer" rel="tag" > Andrea Lauffer, MD < /a > Tags: Physician First impressions are critical. We are taught early in our careers that first impressions truly matter. Whether interviewing for medical school or a residency program Hospital-Based Medicine Hospitalist Source Type: blogs