Future Hospitalist RoundUp - Society of Hospital Medicine

Author: Dr. Vishvaas Ravikumar, Internal Medicine Resident, Oregon Health and Sciences University (formerly: Kirk Kerkorian School of Medicine at University of Nevada-Las Vegas) Project Mentor: Dr. Caleb Murphy, Section of Hospital Medicine, University of Chicago Site Mentor: Dr. Sandhya Wahi-Gururaj, Professor of Internal Medicine, Kirk ... more

Project-specific aims: Overuse of daily labs (DL), especially CBC and BMPs in hospitalized patients leads to increased costs and utilization of resources, iatrogenic anemia, and patient discomfort. Those awaiting discharge to post-acute care such as skilled nursing facilities (SNFs) may represent an important group of patients at risk of ... more

The Effect of Anemia on Cognitive Function During Hospitalization Author: Stephanie Cardenas, Medical Student, University of Chicago Pritzker School of Medicine Faculty Mentor: Dr. Micah Prochaska, MD, Assistant Professor of Medicine, University of Chicago Medicine SHM Mentor: Allison Ashford, MD, Assistant Professor, University of ... more

Escaping the Classroom: The Gamification of Patient Safety Christina Brown, MD, Sanket Aggarwal, MD, Ahad Bootwala, Justin Sapp, Shobha S. Rao, MD Specific Aims: Current literature shows that many graduating health-professional students are not adequately trained to identify safety hazards [1]. By implementing early integration of core ... more

Preventing Hypoglycemia in Hospitalized Patients with Chronic Kidney Disease and Diabetes Mellitus Author: Brian Sangalang, Medical Student, University of California Riverside School of Medicine Faculty Mentor: Dr. Scott Kubomoto, MD, Assistant Clinical Professor of Health Science, University of California Riverside SHM Mentor: Dr. Anne ... more

Innovative Solutions for Supporting Academic Educational Missions in the Setting of Sustained and Disproportionate Clinical Growth: A Multi-site Qualitative Analysis of Academic Hospitalist Programs Student Scholar: Vishruti Patel, MS4 at University of Colorado School of Medicine Mentor: Dr. Marisha Burden, Division Head of Hospital ... more

Ashish Gandhi, MD, MPH; IM PGY-3 at the University of Chicago Hospital There’s always a nervous tension when someone approaches your poster. Are they going to walk by without a second glance? Skim over the poster without saying a word? Perhaps ask questions outside the scope of the poster content – but that can always be answered with, “that’s ... more

Samantha Sanders, MD, PGY -3 at NYU Langone Health, New York, NY On Thursday, April 8 th , I arrived in Nashville’s Music City Center for my first Society of Hospital Medicine (SHM) annual conference, SHM Converge. I am a second-year resident at the NYU Grossman School of Medicine, and I was able to attend the conference largely thanks to the SHM ... more

Michelle Knees, DO, Chief Resident in QI and Patient Safety at University of Colorado School of Medicine hospital medicine section, Rocky Mountain Regional VA Medical Center, Aurora, CO. I went to my first “real” medical conference at the end of my intern year. I attended local and regional meetings as a student; however, most of the lectures and ... more

Charlotte Chaiklin, MD, IM PGY-3 at the University of Miami Miller School of Medicine, Miami, FL. “For me, the conference is like that song about the holidays: it’s the most wonderful time of the year,” declared my mentor, Dr. Efren Manjarrez, over the phone a few weeks before the Society of Hospital Medicine (SHM) Converge. I had heard remarkable ... more

Brian Kwan, MD, Health Sciences Professor of Medicine, Internal Medicine Clerkship Director at University of California, San Diego, and Hospitalist at San Diego Va Health Care System The energy from resident and student attendees of Society of Hospital Medicine (SHM) Converge 2022 in Nashville, TN was incredible! Participants of the Residents ... more

Association between Sleep Quality, Health Literacy, and Patient Outcomes in Hospitalized Diabetic Patients Author: Ojas Deshpande, MS at the California University of Science and Medicine Project Mentors : Dr. Vineet Arora MD, MAPP & Dr. Valerie Press MD, MPH, FACP, FAAP, SFHM, ATSF Research is a crucial component of medicine. I had the honor of ... more

Samir Kamat  BA1, Jared Dashevsky, M.E.1, Alyssa Gontzes, MS1, Madeline Floodstrand, MS1, Grenye O’Malley, MD,1,2 , Anne S. Linker, MD1,3 Icahn School of Medicine at Mount Sinai Division of Endocrinology, Diabetes, and Bone Diseases, Icahn School of Medicine at Mount Sinai Division of Hospital Medicine, Mount Sinai Hospital   ... more

A Healthy Dose of Skepticism: A quality intervention to improve comprehensive allergy history taking and reduce overprescribing of non-beta-lactam antibiotics Fifteen percent of hospitalized patients have a documented penicillin (PCN) allergy. However, fewer than one percent of those patients have a true IgE-mediated reaction that ... more

Author: Thomas Z. Gao, MSIII, The Ohio State University College of Medicine Mentor: Rashmi Ganith, MD, The Ohio State University Medical Center Whether it be the anti-vaccine movement, or the sudden surge in air fryer purchases, COVID-19 has triggered a strange reactive phenomenon that has knocked the social and political dynamics of the United ... more

The Impact Of COVID-19 On Clinical Education: A Minority Student Perspective Author: Saron Checkole, OMS 4, Ohio University: Heritage College of Osteopathic Medicine Faculty Mentor: Sanjay A. Patel, MD FACP FHM, Associate Program Director, Internal Medicine, Riverside Methodist Hospital (OhioHealth) I was a second-year medical student ... more

Author: Spencer Miller, MSIII Medical Student at The Ohio State University College of Medicine Mentor: Maria Maldonado, MD academic hospitalist at the Michael E. DeBakey Medical Center and assistant professor at Baylor College of Medicine It was March of 2020 that I first met Zoom. It was love at first login. I remember that magical moment when I ... more

Trusting the Process: Preclinical Training During a Pandemic Author: Ben Johnson, MS-II, Medical Student, University of Nebraska Medical Center Faculty Mentor: Dr. Allison Ashford, MD, Program Director, Internal Medicine and Pediatrics, University of Nebraska Medical Center As a first-year medical student, I did not keep up with what I naively ... more

Author : Michelle Thomas, MS-IV, University of New Mexico School of Medicine  Faculty Mentor : Eileen, Barrett, MD, MPH, Associate Professor, Department of Internal Medicine, University of New Mexico School of Medicine    Medical students are generally detail-oriented people who have specific steps for moving forward. We had a plan; we were ... more

The Patient: A Cornerstone in the Study of Medicine Author: Lauren Spaeth, OMS III, Ohio University Heritage College of Osteopathic Medicine: Dublin Campus Faculty Mentor: Sanjay Patel, MD, FACP, FHM Associate Program Director, OhioHealth Riverside Methodist Hospital As a third-year student in the midst of a pandemic, I am enjoying the ... more

Author: Murtala Affini, Medical Student, University of Chicago Pritzker School of Medicine Faculty Mentor: Dr. Nicola Orlov, MD, MPH, Assistant Professor of Pediatrics, University of Chicago Medicine This past summer, I learned what top-ranked hospitals are doing to improve inpatient sleep. The specific aims of the project were two-fold. ... more

  Author: Megan Wolak, MD, Chief Resident, Department of Internal Medicine, University of Kentucky Faculty Mentor: Dr. Alan Hall II, MD, Associate Professor, University of Kentucky College of Medicine   “I don’t think any of that will work. It won’t be the same as before. Can we all just admit this is an abnormal year?” As a chief resident, those were not ... more

Author: Anastasiya “Stacy” Haponyuk, MS-IV, University of New Mexico School of Medicine Faculty Mentor:  Eileen Barrett, MD, MPH, Associate Professor, Department of Internal Medicine, University of New Mexico School of Medicine    As I interview in the virtual “Zoom” era for residency, I am frequently reminded of the advice seasoned residents ... more

Wellness in Residency during COVID Era: a trainee perspective Author: Graziella Rangel Paniz, MD, Internal Medicine PGY3, University of New Mexico School of Medicine Faculty Mentor: Eileen Barrett, MD, MPH, Associate Professor, Department of Internal Medicine, University of New Mexico School of Medicine “I can’t!” she cried. “I can’t anymore. ... more

“We all saw it, but everyone silently walked away, and no one has talked about it since,” said a resident, referring to a particularly graphic code. I wish this recollection felt unfamiliar to me, but instead, it resonated with my own experience as a physician at several different hospitals. In medicine, we often keep our most important stories to ... more

Sleep is not a weakness!   Author: Ojas Deshpande, MD candidate, CUSM School of Medicine | Arrowhead Medical Center Faculty Mentor: Dr. Alan Hall II, MD | Associate Professor | U of Kentucky College of Medicine “Just one more chapter,” I said to myself as I looked grudgingly at my computer screen clock displaying 1:45 AM. I was tired and decaffeinated as I ... more

Author: Kerianne Fullin, PGY3, Mount Sinai Hospital, New York NY Faculty Mentor: Marisha Burden, Division Head of Hospital Medicine, University of Colorado School of Medicine, Aurora CO As 8 PM approached on a crisp June day, the nursing staff rushed to finish tasks and sign out their patients. There was an increased need for timeliness, as New York ... more

Author: Amanda L. Collar, MD-PhD Candidate, University of New Mexico School of Medicine Faculty Mentor: Eileen Barrett, MD, MPH, Associate Professor, Department of Internal Medicine, University of New Mexico School of Medicine I turned 18 in 2008, coming of age during a Presidential election, surrounded by President Obama’s messages of hope, ... more

Author: RemyGrace Sass, 4th year medical student, UNMC Faculty Mentor: Allison Ashford, MD Med-Peds Program Director, UNMC I read the first two lines of the email and then slowly looked towards my fellow medical student, eyes wide and mouth slightly agape. We were in disbelief. Three years of intense focus and studying, with our noses rubbed raw from ... more

Authors: Ian Simpson-Shelton, MD; PGY-1, UC San Diego Internal Medicine Residency & Dirk Gaines, MD; PGY-4, Chief Medical Resident UC San Diego Internal Medicine Residency Faculty Mentor: Andrew Delapenha, MD, MPH; Instructor of Medicine, Division of Hospital Medicine, Johns Hopkins Bayview Medical Center This piece was first featured on  ... more

"Bacilli social distancing" Author: Dr. Raquel Lamarch, Med/Peds PGY-2, UNMC Faculty Mentor: Dr. Allison Ashford, Med/Peds Program Director, UNMC This piece was first featured on KevinMD ! "I didn't understand what you said," said the waitress. "She very clearly said she wanted a quesadilla with a side of beans!" yelled an elderly gentleman at a ... more

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Hi All, I have had an amazing experience working on the Study of Hospital Capacity Strain (SHoCS) under the leadership of Dr. Marisha Burden. She introduced me to a new research methodology, showed me a field of medicine I had not observed, and demonstrated how to lead a happy and productive team. This project aimed to identify solutions to hospital ... more

Daniel Ricotta, MD FHM Beth Israel Deaconess Medical Center - Hospital Medicine Program Assistant Professor of Medicine, Harvard Medical School SHM Physicians-in-Training Vice-chair Boston - Pots bang outside windows in India and Canada. Italians sing outside balcony windows. American police applaud outside hospital entrances. Physicians ... more

Doug Ornoff MD PhD, Sam Porter MD, Jess Coulter MD, Julia Limes MD, and Emily Gottenborg MD In the early days of the COVID-19 pandemic, the University of Colorado’s (CU) Internal Medicine Residency was scrambling to create a new backup system that would be resilient in the face of increasing patient loads and – if resident started to get sick – decreasing ... more

Mara Peterson MD Candidate, Class of 2021 Loyola University Chicago Stritch School of Medicine The first time I heard of COVID-19 was back in early February. On my inpatient Internal Medicine rotation we admitted a patient with respiratory distress. On rounds the following morning, we informed him that he had tested positive for coronavirus. “But ... more

“I hate this stupid virus,” she sobbed to me over the phone. Just moments before, I told her that her mother died from complications secondary to COVID-19. I actually had to tell her twice; between the three layers of PPE covering my mouth, noise from the modified HEPA filters, and the spotty cell service on the reservation, she couldn’t hear me the first ... more

I haven’t been directly involved in patient care for almost three months, and in just a few days, I will be at the forefront of it. I have never cared for a patient with COVID-19. I have never had to don and doff PPE on a COVID-19 unit. Just three weeks into my intern year, I will be on the ICU night float service where I will be caring for the sickest patients in the ... more

Rachna Rawal (RR), Section of Hospital Medicine, Department of Internal Medicine,  University of Pittsburgh Medical Center Christina Bergin (CB), Associate Program Director, Internal Medicine Residency Program,  University of Arizona College of Medicine-Phoenix  This year, COVID-19 has bestowed all medical programs in the country with a ... more

I was honored to be selected for a longitudinal grant from the Student Hospitalist Scholar Program, and it has been wonderful to spend my last year of medical school on a project I cared so much about.  Project Title, Your Name, Your Mentor’s Name A Survey of Physician Oral Health Knowledge in the Care of Hospitalized Patients Lisa Simon (Mentor: Dr. ... more

It has been a long three years, but my internal medicine residency is nearing its conclusion. Before starting my career as an independent physician, I must overcome one last obstacle along this character-building, knowledge-expanding journey – the Internal Medicine Certification Exam.  However, as I prepare for boards, I have had a hard time ... more

So my abstract was accepted...Now what? 10 Tips for a successful Clinical Vignette Poster P resentation By: Niteesh Chitturu, MD; Mukti Patel, MD Department of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, MO A few months after you picked the perfect case, worked with a supportive mentor, defeated writer’s block, and ... more

When I began medical school in the Midwest, my sole goal was to work hard enough so that I could return home to my family by matching back in California for residency. During the 2018-2019 residency application cycle, I exclusively targeted and ranked Internal Medicine programs in California. Therefore, I was very strategic when it came to the ... more

Specific Aims By improving the documentation of malnutrition in our hospital system through a new protocol, we aim to more accurately reflect the true state of malnutrition in our documentation and improve the observed to expected mortality ratio.   In addition to assessing the state of malnutrition, we are interested in reducing the workload of ... more

Sandeep Bala MD Candidate, Class of 2021 University of Central Florida College of Medicine Must Know Clinical Scoring Systems for Learners in Hospital Medicine Scroll to the bottom for a PDF of scoring systems for reference on the wards. As I began my clinical rotations, I quickly realized the importance of maturing from being able to recognize ... more

Author: Alexander Ryu, MD, Hospital Internal Medicine, Mayo Clinic, Rochester, MN Faculty Mentor: Will Schouten, MD, Hospital Internal Medicine, Mayo Clinic, Rochester, MN Early in my intern year, responding to rapid response calls was among the events I feared most at the hospital. My first such call was for chest pain – I recall nervously ... more

Author: Debapria Das, MD, PGY 2 , Saint Louis University, Department of Internal Medicine Faculty Mentor: Rachna Rawal, MD, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Pittsburgh Many of us compile a list of “interesting” patient cases hidden away in the depths of the hospital’s EMR. The ones that ... more

Authors: Paul Kunnath MD 1 Chief Medical Resident (Twitter: @PaulKunnath), Joseph Cumming MD 1 PGY 2 (Twitter: @JoeCumming4), Faculty Mentor: Rachna Rawal MD 2 (Twitter: @RawalRachna) Saint Louis University School of Medicine University of Pittsburgh Department of Medicine Read more…or maybe listen more? We are used to using books, videos and ... more

Principal Investigator: Matthew Fallon (Medical Student) Faculty Mentor: Venkata Andukuri, MD, FHM AIM: To reduce readmission rates of patients with heart failure (HF) by ten percent (based on the current rate of natural variation in our data) over the course of three months without affecting length of stay. Introduction: Heart failure (HF) is a ... more

Philip P Huang, MS4 Carver College of Medicine, University of Iowa  Mentored by Dr. Jeydith A Gutierrez and Dr. Ethan Kuperman Aims  At the University of Iowa, our six adult hospitalist teams share one dedicated nursing unit, and otherwise have patients spread throughout the hospital. At certain times, a team might have patients in over eight ... more

Jason Wong (M4), BS, 1 Dr. Alan Chiu, MD 2 1 School of Medicine, Saint Louis University, St. Louis, MO 2 Hospice & Palliative Care Division, Scripps Memorial Hospital Encinitas, Encinitas, CA Throughout my third-year clinical rotations, I learned so much about the different treatment modalities that we can provide for our patients and what we can do to ... more

Erin Rainosek, MD/MPH Candidate Class of 2020, University of Texas School of Medicine at San Antonio Luci Leykum, MD, MBA, MSc Healthcare systems use analytic, data driven, evidence-based approaches to solve problems with human health, yet many of the challenges in healthcare are not easily defined or analyzed. As a result, the humanistic portion ... more

What does it mean when someone is BIBEMS? Wait, so that wasn’t the attending? When does the cafeteria open? Why do I feel so lost? I vividly remember the excitement, anticipation and fear that set in on my first day of clinical rotations in medical school. In hindsight, I realize it was normal to feel anxious about entering a new, unfamiliar setting. The ... more

As I walked into my first continuity clinic of PGY-3 year today, I did not see the familiar face of my former co-resident and friend who ushered me through my first resident clinic of intern year. He is now thriving in his new role as a clinic attending for his hometown institution. In his place, I saw the unfamiliar-yet-familiar, eager, and fresh face of a ... more

I distinctly remember the feeling of fear in the days leading up to July 1 of my intern year, so I was excited when I was offered the opportunity to write this article. Listed below are 9 of the many things I’ve learned over the last year .  I hope they can be helpful to you.     N o one expects you to know everything. My biggest fear before starting residency was ... more

Each July brings new residents – recent graduates from medical schools – to the inpatient wards of major teaching hospitals across the United States. Among the many new responsibilities these young doctors will be taking on is one of the oldest and most critical – their role on Code Blue teams, or groups of caregivers who respond to cardiac arrests . ... more

Amazing. Inspiring. Educational. Adjectives upon adjectives would not be enough to describe my experience at the Society of Hospital Medicine’s Annual Conference in National Harbor, MD. From the gorgeous venue to networking with exceptional hospitalists, I thought I was in internal medicine heaven. I wanted to take some time to reflect upon the ... more

Authors: Aram A. Namavar, MS & Rachna Rawal, MD First… What happened at the SHM Annual Conference? We kicked off HM19 by hosting a social during pre-course day at the National Pastime Sports Bar & Grill (picture). We were so surprised to meet amazing individuals from across the nation: Tennessee, Missouri, California, Illinois, and Florida! Those in ... more

PIT: Please detail to us what the project you presented at SHM 19 was that you received grant funding for as part of the SHM Young Hospitalist Scholar Grant? MB: My project investigated the creation a model which can predict whether patients will require post-acute care placement (PAP) following discharge . The project has been over a year in the making, ... more

For Internal Medicine residents, a crossroads creeps up mid-way through their second year of residency. What is next? Fellowship? Hospital Medicine? Primary Care? Or, the vaguest option of all, a chief year. I remember meeting our five chief residents during my intern orientation. I was confused on why they would spend a year after completion of ... more

            It is hard to believe that another Society of Hospital Medicine annual conference has come and gone so quickly. I attended my first annual conference as a first-year medical student in 2016 in San Diego, CA. Looking back, it was the first conference I attended as a medical student, and I definitely had no idea what I was doing. I attended talks ... more

Authors: Rachna Rawal MD (Chief Resident), Aram Namavar (4th Year Medical Student), Pam Vila (4th Year Medical Student), Nadia Eshraghi (2nd Year Medical Student), Yun Li Tu MD (PGY-1 Resident) On Friday, March 15, 2019, thousands of medical students will open an envelope that will detail where they will be training for the next several years of their ... more

“Before anything else, preparation is the key to success”, as inventor of the first telephone, Alexander Bell, would say. Especially on your first inpatient wards rotation, the feeling of going down the patient list and knowing you will be presenting next can be nerve-racking. What I have learned is that the more prepared I was to present, the less ... more

The Society of Hospital Medicine (SHM) Annual Conference, Hospital Medicine 2019 (HM19), is just around the corner and there are some exciting things to highlight before we all head to Washington, D.C.  The conference itself spans a massive spectrum of topics within hospital medicine, but to make it relevant and digestible to each individual, the ... more

We all have “that one patient” we remember. The thorn in our side while we were on service. The one patient who resulted in that extra grunt prior to knocking and entering the room. I vividly remember my first patient who embodies these aforementioned statements. I met this particular patient on my second day of my nursery week while on my Pediatrics ... more

Derivation and Validation of a COPD Readmission Risk Prediction Tool Maximilian Hemmrich Mentor: Valerie Press, MD, MPH The goal of this project was to develop a machine learning tool to predict the 90-day readmission risk of patients admitted for COPD exacerbations. Prior work by our team has shown that machine learning techniques significantly ... more

I am Sandeep Bala, a second-year medical student from the University of Central Florida College of Medicine. This summer, I had the pleasure of working on an SHM sponsored research project with my mentor, Dr. Marisha Burden, at the University of Colorado. Our project is titled “ The Impact of Plain Language Open Medical Notes on Patient Comprehension ... more

Understanding the Experience of the Long-Term Hospitalized Patient with Provider Fragmentation: A Qualitative Study Student: Ilana Scandariato Mentor: Dr. Ernie Esquivel Co-Investigator: Dr. Maya Hogg             The primary objective of this study was to develop a conceptual framework for understanding the impact of provider ... more

Miranda Morgan, OMS-IV and Dr. J. Eric Fleming, MD One item that medical students and residents never forget on rounds is their cell phone. There are tons of medical apps out there, but which ones are worth your time? A cursory search of medical apps on an Android or iPhone app store will return an overwhelming amount of results, so we’ve reviewed and ... more

At the beginning of residency, I knew I was going to be an endocrinologist...or so I thought. As it turns out, I was in for a surprise. Early in residency, I became interested in hospital medicine, quality improvement and medical education. As time went on, I realized these could be more than interests. They could be the foundations of a great career. ... more

Four Pearls for Intern Year Ryan Nelson, MD I pulled the prescription off the printer. At the bottom was a blank line, awaiting my signature. I wasn’t delivering a script to a resident or attending anymore. For the first time in my life, I felt self-doubt while signing my own name. I also felt an immense amount of privilege to care for another person ... more