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 […]
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” […]
January 22, 2019 |  0
The year ended with many lists for best reads of 2018. (See  NY Times, The New Yorker, The Washington Post, GQ, Powell’s Books, Obama’s list, and Bill Gates’ list for 2018.) I’m a firm believer in literature improving empathy. Literature, fiction, stories all impact our daily work. We are in the business of storytelling and […]
January 8, 2019 |  0
Florence Nightingale, in her seminal 1859 Notes on Nursing textbook, reminded nurses about the importance of not waking hospitalized patients up. It is not surprising that years later, the American Academy of Nursing, through the Choosing Wisely™ campaign, recommended that hospitalized patients not be woken for routine medical care to protect their sleep, citing numerous […]
January 7, 2019 |  0
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
December 17, 2018 |  4
According to a new survey report released by The Physicians Foundation, 80% of physicians across all specialties report being at full capacity or overextended, and 78% reported sometimes, often, or always experiencing feelings of burnout. Sixty-two percent of U.S. doctors are pessimistic about the future of medicine, and 49% wouldn’t recommend medicine as a career […]