Med-Peds Hospital Medicine: A Valuable Resource at Risk?
Hospital Medicine has been a growing career choice among combined internal medicine and pediatrics (med-peds) physicians with an increasing number of resident graduates entering the field in recent years. Physicians within this specialty make valuable contributions to hospital medicine through leadership, education, and advocacy involvement. Med-peds hospitalists also contribute by creating an adaptable workforce as well as one that can provide perspective to assist in specialized areas including the transition of adolescents and young adults with chronic illness. Despite the attributes of this population within the hospit...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Source Type: research
Heart Failure Hospitalist Service Line Have Decrease All Cause Readmission, Length Of Stay And Cost At 3 UPMC Hospitals In Central Pennsylvania In 2022
Heart Failure (HF) is an important health care issue given its high prevalence, mortality, readmission and cost of care. Despite numerous evidence-based strategies aiming at reducing HF readmissions, patients with HF remain at high risk for subsequent hospitalization within 30 days. A dedicated HF Hospitalist team created in 2018 have decreased 30 day all-cause readmission to 8.2% at one hospital, UPMC Harrisburg. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Jesus Vargas, John Shen, Stephen Bruening, Binita Bhandari, kyle brockman, David Metzger Tags: 445 Source Type: research
Implementation And Effectiveness Outcomes Of OMT-HF Hospitalist Certification In A Community Hospital
Significant gaps exist in the implementation of GDMT for HF. While hospitalization is an opportunity to optimize GDMT, there is no specific guide to aid implementation. Hospitalists play a vital role in bridging this gap. (Source: Journal of Cardiac Failure)
Source: Journal of Cardiac Failure - January 1, 2024 Category: Cardiology Authors: Farhan Ishaq, Duc T. Nguyen, Edward A. Graviss, Shawn Tittle, David P. Bernard, Ebun O. Ebunlomo, Arvind Bhimaraj, Nadia Fida Tags: 436 Source Type: research
SGLT2 Inhibitors for Heart Failure with Preserved Ejection Fraction: What Hospitalists Need to Know
(Source: American Journal of Cardiovascular Drugs)
Source: American Journal of Cardiovascular Drugs - December 29, 2023 Category: Cardiology Source Type: research
How much magnesium sulfate is needed to “keep total serum magnesium above 2.0 mg/dL”?
AbstractFor patients at increased risk of life-threating ventricular arrythmias, hospitalists often administer intravenous magnesium sulfate to maintain total serum magnesium concentration (TsMg) above 2 mg/dL. How long each dose keeps TsMg above this threshold is not well known, however. We collected TsMg values from 12,618 veterans who were given 24,363 doses of intravenous magnesium sulfate during 14,901 hospitalizations for acute heart failure. Across dose amounts, the average TsMg dropped be low 2.0 mg/dL within 24 h of administration. When we limited our analysis to 2 g doses (the most common dose) and adjus...
Source: Journal of Hospital Medicine - December 20, 2023 Category: Hospital Management Authors: JooEun Kwon,
Brian P. Lucas,
Arthur T. Evans Tags: BRIEF REPORT Source Type: research
The Obstetric Emergency Department: Need, Rationale, and Guide to Implementation
The last two decades have seen dramatic growth in the number of obstetrics and gynecology hospitalists (OB/GYN hospitalists), and many hospitals have created obstetric-specific emergency departments. The goals of an obstetrics emergency department (OB ED) are to provide safe and efficient care to the pregnant dyad and postpartum patient, while also generating revenue for emergency services provided. In an OB ED, all patients must be evaluated in person by a licensed practitioner, whereas historically they may have been evaluated in person by nursing staff or a trainee. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - December 19, 2023 Category: OBGYN Authors: Sarah L. Bradley, Vasiliki Tatsis, Kristen Wolfe, Trina Pagano, Andrea Tucker, Andrea Bartlett, Tyler Katz Tags: Clinical Opinion Source Type: research
Challenges in the Management of Esophagogastric Varices and Variceal Hemorrhage in Cirrhosis – A Narrative Review
Over the past decade, significant advancements in pharmacological, endoscopic, and radiographic treatments have emerged in the management of patients with cirrhosis and esophagogastric varices and/or variceal hemorrhage. These advances have been in several areas including the role of screening and primary prophylaxis (preventing an initial variceal bleed), evaluation and management of acute esophagogastric variceal hemorrhage, and in preventing variceal rebleeding. Therefore, we believe there is a need for an upda ted, evidence-based “narrative review” on this important clinical topic that will be relevant for intern...
Source: The American Journal of Medicine - December 19, 2023 Category: General Medicine Authors: Ian M. Gralnek, Juan Carlos Garcia-Pagan, Virginia Hernandez Gea Tags: Review Source Type: research
The obstetrical emergency department: need, rationale, and guide to implementation
The past 2 decades have seen dramatic growth in the number of obstetrics and gynecology hospitalists, and many hospitals have created obstetrical-specific emergency departments. The goals of an obstetrics emergency department are to provide safe and efficient care to the pregnant dyad and postpartum patient, while generating revenue for emergency services provided. In an obstetrics emergency department, all patients must be evaluated in person by a licensed practitioner, whereas historically they may have been evaluated in person by nursing staff or a trainee. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - December 19, 2023 Category: OBGYN Authors: Sarah L. Bradley, Vasiliki Tatsis, Kristen Wolfe, Trina Pagano, Andrea Tucker, Andrea Bartlett, Tyler Katz Tags: Clinical Opinion Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Annals for Hospitalists - December 2023
Ann Intern Med. 2023 Dec;176(12):eAWHO202312190. doi: 10.7326/AWHO202312190.NO ABSTRACTPMID:38109755 | DOI:10.7326/AWHO202312190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - December 18, 2023 Category: Internal Medicine Authors: David A Fried Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
