Home2019-05-14T15:14:56-04:00
November 8, 2019 |  0
Do you have a stack of journals piling up on your desk, beside your bed or in your email inbox? In 1950, medical knowledge was estimated to double every 50 years, but now the doubling time is every few months. At this rate, it is impossible to keep up with the literature, but a group […]

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November 5, 2019 |  0
I have written frequently over the last few years on topics related to the sustainability of the hospital medicine practice model, beginning with this post in August, 2015. I continue to be concerned by what I see as a confluence of significant trends that are conspiring to challenge hospital medicine’s status quo. On one hand, […]
October 31, 2019 |  4
I have hit this topic before-copying and pasting notes—about a year ago. Let’s revisit. First, note the figure below. To the far right of the x-axis, you see the number of notes with > 60% + of manual entries, i.e., not pasted, in a large sample of studied notes—this from a JAMA study out of […]
By Guest Post
October 28, 2019 |  0
By: Emily Gottenborg, MD and Ashley Duckett, MD As fall arrives, new interns are rapidly gaining clinical confidence, and residency recruitment season is ramping up. It’s also time to announce the opening of the SHM Student Hospitalist Scholar Grant Program applications; we are now recruiting our sixth group of scholars for the summer and longitudinal […]
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August 26, 2019 |  2
The doctor opened the door after a gentle knock. He was greeted with warmth, offered a seat by Mary, and promptly sat down on the end of the hospital bed. As he sat, the family stood to greet him. They discussed the grandkids, the trips taken since they last saw each other. The room felt peaceful. Time slowed down. Walking in behind my […]
October 17, 2019 |  0
I distinctly remember my first stint on night float rotation — it did not come until I was a third-year resident since most of my rotations were pre-duty hours. It was a “novel innovation” in our program and the job seemed simple — admit overnight, handoff to the day team, go home and sleep. Get […]
October 15, 2019 |  1
This from NEJM: “However, it is unclear whether current rating systems are meeting stakeholders’ needs. Such rating systems frequently publish conflicting ratings: Hospitals rated highly on one publicly reported hospital quality system are often rated poorly on another. This provides conflicting information for patients seeking care and for hospitals attempting to use the data to identify real […]