Tag Archives: hospitalist

Hospitalists, Medical Education, and U.S. Health Care Costs

  Hospitalists are general internists whose full-time practice is to treat hospitalized patients. They are the fastest-growing medical specialty in the United States. They increased in number from 4000 in the year 2000 to 50,000 in 20161 and now are the largest subspecialty in internal medicine. By 2016, nearly all teaching hospitals and 75% of all […]

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Inpatient Housestaff Discontinuity of Care and Patient Adverse Events

  For more than a decade, the medical community has been concerned about continuity of care. Concern began when the Accreditation Council for Graduate Medical Education implemented national duty hour limitations in 2003. These rules became more restrictive in 2010. The current rules include an 80-hour-per-week limit, no more than 16 hours consecutively (for interns) or 28 […]

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Optimize Your Electronic Medical Record to Increase Value: Reducing Laboratory Overutilization

Eliminating electronic health record features that facilitate over-utilization is likely to be a safe and effective method of reducing hospital costs. Purpose The purpose of this study is to decrease overutilization of laboratory testing by eliminating a feature of the electronic ordering system that allowed providers to order laboratory tests to occur daily without review. […]

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Anthony Bourdain: From ‘Kitchen Confidential’ to Hospital Hallways

Good Advice from Anthony Bourdain My wife and I are big fans of chef Anthony Bourdain. In his bestselling book, Kitchen Confidential,1 Bourdain lists some sage advice for anyone considering a career as a chef. On reading this list, I realized that many of his bon mots apply equally well to a life lived in medicine. Below […]

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Should a Hand-carried Ultrasound Machine Become Standard Equipment for Every Internist?

It has been many decades since any new piece of equipment found its way into the internist’s black bag. The stethoscope, neurologic hammer, otoscope, and ophthalmoscope have been there for approximately 200 years. Recently, however, there has been a flurry of investigative work involving a new diagnostic tool with considerable potential for everyday use in […]

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Hand-carried Ultrasound Performed by Hospitalists: Does It Improve the Cardiac Physical Examination?

Adding hand-carried ultrasound information to the physician’s physical examination increases the accuracy of hospitalists’ assessment of left ventricular dysfunction, cardiomegaly, and pericardial effusion, but fails to improve assessment of valvular heart disease. Abstract Objective The traditional physical examination of the heart is relatively inaccurate. There is little information regarding whether cardiac hand-carried ultrasound performed by […]

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