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Dapsone Adverse Effect: A Diagnosis to Leave You Breathless

Case Presentation: A forty‐three year‐old woman presented with three days of progressive dyspnea and chest pain. The chest pain was band‐like, constant, non‐pleuritic, non‐positional and unrelieved by pain medications. The dyspnea initially was with exertion [...]

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Unusual Etiology of Lower Cranial Nerve Deficits: Glomus Jugulare Tumor (Paraganglioma)

Case Presentation: An 87‐year‐old woman presented with one year of progressively worsening left‐sided hearing loss and left ear fullness, 6 months of hoarseness, and 1 month of dysphagia. She also reported an abnormal appearance of [...]

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Genetically‐Linked Large Ascending Thoracic Aortic Aneurysm with Dissection in a Young Male Without Syndromic Connective Tissue Disease

Case Presentation: We report a case of non‐syndromic familial thoracic aortic aneurysm and aortic dissection (FTAAD) discovered in a 31‐year‐old man presenting with heart failure secondary to a 9.5cm ascending aortic aneurysm. He underwent urgent [...]

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Features of Successful Academic Hospitalist Programs: Insights from the Scholar (Successful Hospitalists in Academics & Research) Project

Background: Balancing academic work with expanding clinical demands is a challenge for many academic hospital medicine programs (AHMs). Understanding the infrastructure that best positions successful programs to thrive academically is important to facilitate broader maturation [...]

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A Missed Opportunity to Improve Patient Satisfaction? Patient Perceptions of Inpatient Communication with Their Primary Care Physician

Background: Improving patient satisfaction is a major focus of hospitals and is a widely reported, public hospital quality measure. Satisfaction could be driven by many factors, including patient perceptions of communication and continuity of care [...]

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Employment Opportunities for Hospitalists Trained in Family Medicine

Background: The number of Hospitalists Trained in Family Medicine (HTFM) has tripled in the past 6 years, now comprising 10% of Society of Hospital Medicine (SHM) membership. There are no ACGME guidelines or required pathways [...]

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Global Payment System Attitudes and Comprehension Among Internists

Background: Global payment contracts are increasingly common agreements between insurance payers and healthcare providers that incorporate aspects of risk‐adjustment, capitation and pay‐for‐performance. While industry surveys suggest that healthcare organizations view physicians as a significant obstacle [...]

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Clinical Characteristics of Patients Admitted for Acute Exacerbation of Copd That Predict Shorter Length of Stay

Background: Chronic Obstructive Pulmonary Disease (COPD) exacerbation is a common clinical condition that requires hospitalization. However, identifying which patients would be appropriate for a short stay in an observation unit versus an inpatient admission has [...]

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Initial Review of an Early Goal Directed Therapy for Septic Shock at Grant Medical Center: Is There a Reduction in Mortality and Morbidity?

Background: It is estimated that severe sepsis /septic shock is one of the most common causes of mortality in the ICU and a large percentage of those cases are identified in the emergency room. Rivers, [...]

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Does Team Training Enhance the Culture of Safety in the Operating Room?

Background: Team Strategies to Enhance Performance and Patient Safety (TeamSTEPPS ™) is an evidence‐based system aimed at creating a culture of safety in any healthcare delivery system. Developed by the Department of Defense (DoD) and [...]

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Quality Assessment of Resident Handoffs in Transitions of Care

Background: Handoffs have received increased scrutiny due to changes in ACGME guidelines for resident work hours. Studies have shown that a combination of standardized written format and face‐to‐face modalities are ideal for facilitating the handoff [...]

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Interventions to Increase Physician Effectiveness and Acceptance of a New Electronic Order Entry and Electronic Medical Record System

Background: Individual physician‐to‐physician tutoring with learners in their real environment during rollouts of new electronic health records (EHRs) can identify specific barriers and provide opportunities for ‘just in time’ educational interventions that may improve physician [...]

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Pain, Agitation, and Delirium Guidelines: Implications Within a Community Hospital

Background: A new order set addressing sedation, analgesia, and delirium was developed referencing the updated Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit (PAD [...]

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Standardizing the Definition of Reduced Mobility When Assessing a Patient’s Risk of Venous Thromboembolism

Background: Immobilization is known to be an important contributing factor to venous thromboembolism (VTE). However, the currently available risk assessment models for VTE in hospitalized medical patients use variable definitions of reduced mobility that are [...]

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Physician Perspectives on Inter‐Hospital Transfer

Background: The transfer of patients between acute care hospitals (inter‐hospital transfer, IHT) is becoming increasingly common. However, lack of evidence‐based guidelines to direct high quality patient transfer creates variability in the quality of the transfer [...]

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