Home2019-05-14T15:14:56+00:00
June 26, 2019 |  1
It is that time of year… it’s hotter, more humid and more hazy. However, while most of the academic world slows down in the summer for sabbatical, hospitals everywhere are frantically orienting new interns before unleashing them to take care of patients… supervised, of course. While much attention is paid to the “July effect” and […]

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June 19, 2019 |  0
Becoming a leader in medicine is a unique process. I can’t think of another career where during ones training, regardless of how good you are at your job, you are automatically promoted to a more senior position each year! As you’ll recall, each July a new crop of interns shows up to our nation’s hospitals, […]
By Nagendra Gupta, MD
June 13, 2019 |  2
In a medical malpractice lawsuit, the entire lawsuit – including the plaintiff’s allegations as well as the physician’s defense – is structured around the patient’s medical record. It has been proven beyond doubt that a well-written note can go a long way in formulating a good defense against lawsuits. Your documentation is not only a piece of […]
June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
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Featured Posts

May 28, 2019 |  0
This past year, I reviewed a lot of journal articles to prepare for the Updates in Hospital Medicine talk with Dr. Carrie Herzke at Hospital Medicine 2019. But for the last six weeks or so, I simply monitored the headlines to ensure there wasn’t a blockbuster finding that we would have to integrate last minute […]
March 23, 2019 |  0
In many ways, the word “teamwork” brings to mind some dusty images of baseball or WWII. In some ways, this word has turned in to a clichéd trope used constantly in every arena – who is on your “team,” how to communicate with your “team,” etc. Hospital medicine as often been called a “team sport” […]
By Jennifer K. Chen, MD
April 15, 2019 |  1
By: Jennifer K. Chen, MD, pediatric hospital medicine fellow at Rady Children’s Hospital, UC San Diego I first heard the term “discharge before noon” (DCBN) as a third-year medical student starting my internal medicine rotation. The basic idea made sense: get patients out of the hospital early so rooms can be cleaned more quickly and […]