Use of an Interactive Web Site to Improve Communication and Education at an Academic Hospitalist Program

Background: Over 12 months, our academic hospitalist section expanded by nearly 50% and was intimately involved with major changes in the residency ward structure. Section members repeatedly cited the need for improved communication about administrative [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Use of an Interactive Web Site to Improve Communication and Education at an Academic Hospitalist Program

Professional Development for Hospital Medicine Physicians: Process and Outcomes in a Hybrid Academic–Community Program

Background: An estimated 30,000 hospital medicine physicians practice in the United States today. Many of these physicians are challenged to engage in nonclinical activities, including administrative leadership, quality improvement projects, and educational initiatives. Yet residency [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Professional Development for Hospital Medicine Physicians: Process and Outcomes in a Hybrid Academic–Community Program

Developing a Curriculum for Medical Students Completing Their Core Pediatrics Clerkship on an Attending‐Only Hospitalist Service

Background: The number of attending‐only services in traditional teaching hospitals has increased. This trend is largely a result of decreased patient coverage by residents in response to ACGME duty‐hour restrictions, as well as planned growth [...]

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Boost: Impact of a Quality Improvement Project to Reduce Rehospitalizations

Background: The hospital discharge transition can be dangerous for patients with a high risk of failed follow‐up and adverse events. Moreover, about 20% of hospitalized Medicare patients are readmitted within 30 days of discharge. Although [...]

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A Cost Effective Panel of Seniors Shapes Attitudes of Medical Students During Early Clinical Education

Background: Today's medical students frequently lack positive opportunities for interaction with elderly people because of restructuring and distribution of families according to age. However, the elderly patient will be disproportionately represented in many clinicians’ practices, [...]

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Up in Smoke! Treating Tobacco Addiction in the Hospital and Policy Implications

Background: Hospital‐based tobacco cessation counseling is critical, especially among African Americans, who suffer a disproportionate burden of tobacco‐related disease. Recently updated cessation guidelines are available, and quality measures for counseling are tied to physician reimbursement. [...]

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The Inverse Relationship Between Low Body Iron Stores and Platelet Count Is Modified by Age

Background: Elevated platelet count is frequently reported to be associated with iron deficiency. However, the causes underlying iron deficiency vary with age and may have differential effect on platelet count. Therefore, we hypothesized that the [...]

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High Glycemic Variability and Hypoglycemia in Patients with Diabetes and Sepsis in a Non–Critical Care Setting: Can We Predict Hypoglycemic Events?

Background: Believed related to oxidative stress, the long‐term effects of glycemic variability (GV) are associated with progression of microvascular complications in diabetics. Short‐term effects on increased mortality have been shown in nondiabetic, critically ill patients. [...]

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Magnesium Deficiency and Replacement Among Hospitalized Patients

Background: Hypomagnesemia is often neither adequately replaced nor appropriately followed in hospitalized patients. In particular, because the average magnesium deficiency in hypomagnesemia is 50–100 mEq, a single parenteral dose of 2 g of magnesium sulfate is [...]

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The Potential Role of Hospitalists in Preventing Catheter‐Associated Urinary Tract Infection: Results of a Statewide Initiative

Background: Catheter‐associated urinary tract infection (CAUTI) is the most common health care–associated infection (HAI), accounting for more than 40% of all HAIs. Approximately 15% of patients admitted to acute care hospitals in the United States [...]

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Public Reporting for Percutaneous Coronary Interventions in New York State

Background: Prior studies of public reporting on risk‐adjusted mortality for coronary artery bypass grafting (CABG) have found that public reports have strong predictive validity and likely encourage poor‐quality surgeons to leave practice. However, except for [...]

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Exenatide, a Glucagon‐Like Peptide‐1 Mimetic, Improves Left Ventricular Ejection Fraction in Patients with Stable Ischemic Cardiomyopathy and Left Ventricular Ejection Fraction ≤ 40%

Background: Glucagon‐like peptide‐1 (GLP‐1) receptors are present in human cardiac myocytes. Myocardial cells demonstrate insulin resistance in the setting of left ventricular dysfunction. Exenatide is a synthetic GLP‐1 mimetic molecule with insulinotropic and insulinomimetic properties. [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Exenatide, a Glucagon‐Like Peptide‐1 Mimetic, Improves Left Ventricular Ejection Fraction in Patients with Stable Ischemic Cardiomyopathy and Left Ventricular Ejection Fraction ≤ 40%

A Masquerading Case of Meningitis

Case Presentation: A 44‐year‐old woman was admitted in early October with fever, headache, and malaise. She was employed in an elementary school cafeteria where there had been several sick children. She was treated empirically with [...]

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Mortality from Quantiferon‐Negative Miliary Tuberculosis: Missed Opportunities?

Case Presentation: A 69‐year‐old woman presented with 3 months of fever and dyspnea that remained undiagnosed after an extensive workup in a local hospital. History was pertinent for remote partially treated latent tuberculosis (TB), diabetes, [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Mortality from Quantiferon‐Negative Miliary Tuberculosis: Missed Opportunities?