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Rounds: Are We Spinning our Wheels?

As a Johns Hopkins undergraduate, I used to run the Welch lecture series in medical history. Through this role, I learned about an interesting tidbit – the origin of the word “rounds.” Johns Hopkins Hospital had a circular ward where the infamous and quotable Dr. Osler made his “rounds” to see patients. While medicine has come a long way since Osler’s days, have rounds? This is the crux of a paper in the Journal of Hospital Medicine by led one of our former Pritzker students Olliver Hulland along with mentors and hospitalists Dr. Jeanne Farnan and Dr. Barrett Fromme. In a 3-site study with UCSF and Georgetown, they conducted focus groups with attendings and medical students to ask the quintessential question, “What is the purpose of rounds?” Interestingly, the answers were markedly similar and revealed the multi-faceted nature of rounds: Communication, which included coordination of patient care team, patient/family communication,…

HM Highlights: SHM Members Discuss ER Utilization, Patient Trust & More

­SHM & Hospital Medicine in the News: October 26 – November 9, 2017: Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: SHM member Shoshana Herzig, MD spoke with healthline about why so many Americans utilize the emergency room rather than other medical services. A physician profile of SHM member Shahid Ahmad, MD in Midwest Medical Education emphasizes the importance of patient trust for hospitalists. SHM member George Hoke, MD is one of two representatives from UVA on the High Value Practice Academic Alliance, working to improve healthcare by eliminating waste and unnecessary testing. Tommy Ibrahim, MD, MHA, CPE, FHM, FACHE was selected as Chief Medical Officer of INTEGRIS. Why Do So Many People Still Go to the Emergency Room? When Americans need healthcare, about half the time they’ll head to the emergency room. That’s the finding…

Up Your Game in APP Integration

I receive lots of calls and emails from HM group leaders, APP leads and others looking to up their game in APP integration. The calls fall into certain domains, and I thought it might be a good time to address some of these concerns. Training/Onboarding: This is the number one domain I get questions about. And it is important. Poor onboarding and lack of standardized training for APPs is a major barrier to success in HM practices looking to maximize their APP providers. Didactic that is congruent with SHM’s Core Competencies in Hospital Medicine is a good place to start. But before you embark on this fabulous onboarding program that is the envy of all who survey, realize that another key to success is appropriate expectations.The best onboarding or training program cannot “season” an APP the way time does. New grads can easily take nine months to a year to…

Opioid Safety, Choosing Wisely and SHM Member Successes in HM News

­SHM & Hospital Medicine in the News: October 12 – 26, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: Hilary Mosher, MD, FHM and SHM’s Reducing Adverse Drug Events related to Opioids (RADEO) Guide were featured in an article in Modern Healthcare. Christopher Moriates, MD, SFHM and Vineet Arora, MD, MPP, MHM, co-authored an article for Health Affairs on the growth of Choosing Wisely, along with other directors at Costs of Care. Brian Clay, MD, SFHM was named one of Becker’s Hospital Review’s 50 hospital and health system CMIOs to know. SHM is one of many medical societies that contributed to and concurs with the unchanged respiratory syncytial virus (RSV) recommendations. Journal of Hospital Medicine research on the effect of an informational CPR video on hospitalized patients’ code status was cited in an article…

The Return of #JHMChat and Choosing Wisely

by Charlie M. Wray DO, MS
By: Charlie M. Wray DO, MS I’ll be honest – I can’t remember who won the 2012 Super Bowl, World Series or any other pop culture phenomenon*, but I do recall stumbling across something called Choosing Wisely® one afternoon while sitting in my clinic. With a burgeoning awareness that much of the care I was providing seemed superfluous and wasteful, the discovery that there was a group of physicians who shared this same sentiment was exciting! Five years in, the Choosing Wisely® campaign has published more than 500 specialty recommendations – with the Society of Hospital Medicine working on the upcoming version 2.0 (all are welcome to contribute!). Just as Choosing Wisely is gearing up for round 2, the Journal of Hospital Medicine’s (JHM) online journal club, #JHMChat, is rebooting as well! After a brief summer hiatus, we’re happy to announce that #JHMChat will be returning to discuss “Against Medical…
Charlie M. Wray DO, MS is an Assistant Professor of Medicine at the University of California, Francisco and the San Francisco VA Medical Center. He completed medical school at Western University – College of Osteopathic Medicine, residency at Loma Linda University Medical Center, and a Hospital Medicine Research Fellowship at The University of Chicago. Dr. Wray’s research interests are focused on inpatient care transitions, care fragmentation in the hospital setting, and overutilization of hospital resources. Additionally, he has strong interests in medical education, with specific focus in evidence-based medicine, the implementation of value-based care, and how learners negotiate medical uncertainty. Dr. Wray can often be found tweeting under @WrayCharles.