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 […]
By Moises Auron, MD, SFHM
September 27, 2019 |  0
By: Moises Auron, MD, SFHM It is a well-known fact that healthcare expenditure in the United States occupies a large proportion of its gross domestic product, being 17.8% in 2016, which was almost twice to what is expended in other advanced countries; however, this expenditure does not necessarily translate into optimal patient outcomes. In 2012, […]
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 […]
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 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 […]
December 12, 2018 |  1
There are a limited number of things in hospital medicine that we do that decrease the risk of all-cause mortality by up to half. Usually these are the type of things that we don’t even think about possibly missing. Does your hospital give people with STEMIs an aspirin? Even that has a number needed to […]