Journal of hospital medicine最新文献

{"title":"Methodological progress note: Logic models","authors":"Molly J. Horstman MD, MS,&nbsp;Kyler M. Godwin PhD, MPH","doi":"10.1002/jhm.70181","DOIUrl":"10.1002/jhm.70181","url":null,"abstract":"<p>Logic models are an accessible tool to organize the planning, management, and evaluation of programs across healthcare disciplines. This methodological progress note describes the five standard components of a logic model (Inputs, Activities, Outputs, Outcomes, and Impact) and provides guidance for developing a logic model. Logic models offer a visual representation of the work and theory of a program and should be created with input from all interested parties. Logic models are living tools that need to be revised as programs evolve and new information becomes available.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"409-412"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The core competencies in hospital medicine: Procedures 2025 update","authors":"Satyen Nichani MD, FACP, SFHM,&nbsp;Megan E. Brooks MD, MPH, FACP, SFHM,&nbsp;Christine Bryson DO, FACP, SFHM,&nbsp;Nick Fitterman MD, MACP, SFHM,&nbsp;Meltiady Issa MD, MBA, FACP, SFHM,&nbsp;Michael Lukela MD, FACP, FAAP, SFHM,&nbsp;Nick Marzano MEd,&nbsp;Kelly Sopko MD, SFHM,&nbsp;Joseph R. Sweigart MD","doi":"10.1002/jhm.70042","DOIUrl":"10.1002/jhm.70042","url":null,"abstract":"<p>This article presents an updated framework from the Society of Hospital Medicine for individual learning objectives related to key procedures in hospital medicine. Building upon the 2017 framework, these objectives have been revised to reflect evolving clinical evidence, advancements, and shifts in hospital medicine practice patterns. The methodology included a comprehensive literature review, expert consensus panels, and feedback from practicing hospitalists across diverse clinical settings. The updated learning objectives address procedural competencies for the most common interventions in hospital medicine, including arthrocentesis, emergency procedures, interpretation of chest radiographs and electrocardiograms, lumbar puncture, paracentesis, thoracentesis, and vascular access. These revised learning objectives provide a framework to guide curricular development, continuing medical education, and hospital medicine practitioners in developing and maintaining procedural competence essential for high-quality inpatient care.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"423-434"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing in hospital technology-assisted mobility initiatives: A scoping review","authors":"Pamela Mathura PhD,&nbsp;Amy Wenzel BScKin,&nbsp;Liz Dennett MLIS,&nbsp;Narmin Kassam MD, MHPE","doi":"10.1002/jhm.70262","DOIUrl":"10.1002/jhm.70262","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitalized patients are typically inactive, though evidence highlights the effectiveness of mobility-enhancing interventions in improving health outcomes. Technology-assisted approaches are increasingly used to encourage patient movement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This scoping review examines technology-assisted initiatives designed to promote physical activity in hospitalized adults and explores implementation strategies used to facilitate these initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Arksey and O'Malley's 2005 framework was used. Studies were identified through searches of MEDLINE, EMBASE, CINAHL, Scopus, and Cochrane trials. Bibliographies of included studies were searched. Characteristics of technology-assisted interventions and implementation strategies used were extracted, categorized, and analyzed for frequency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty papers representing 28 unique initiatives were identified from 6049 articles. The technology used were wearable step or activity counters (20), exergames (6), mobile ambulation reminders (3), and applications for in-bed exercises (1). Five implementation strategies reported from three studies were coded using the Expert Recommendations for Implementing Change: identifying and preparing champions, facilitating relay of clinical data, conducting educational meetings, developing and distributing educational materials. Eight behavior change techniques were reported: encouragement, collaborative goal setting, increasing daily goals, progress tracking, visual data display, patient education, environmental modification and physical therapist support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The implementation of technology-assisted mobility interventions in hospitals to enhance patient mobility is emerging. Applying implementation and behavioral science frameworks may enhance effectiveness. Future studies are required to evaluate implementation strategy outcomes and to examine patient and clinician experiences to inform intervention adaptation and to facilitate integration into routine clinical hospital ward/unit practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"413-422"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary challenges and strategies in delivery room training for pediatric residents","authors":"Irene Jun MD,&nbsp;Arun Gupta MD,&nbsp;Neha S. Joshi MD, MS","doi":"10.1002/jhm.70249","DOIUrl":"10.1002/jhm.70249","url":null,"abstract":"<p>As pediatric and neonatal hospitalists assume increasing care for newborns in the delivery room and during the birth hospitalization, preparing pediatric trainees with foundational skills in neonatal resuscitation is increasingly critical. However, residency programs may face challenges in providing sufficient delivery room exposure and procedural opportunities given newer training requirements and updated care practices that reduce procedural interventions during neonatal resuscitation. In this Perspectives article, we examine factors contributing to these gaps, describe our institution's hospitalist-led strategies to optimize resident delivery room training, and highlight complementary educational approaches and future directions to optimally prepare trainees entering the hospital workforce.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"438-441"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The immersion in hospital medicine elective: Curriculum description, evaluation, and outcomes at 20 years","authors":"Ryan E. Nelson MD, FACP, SFHM,&nbsp;Jacob M. Koshy MD, MPH,&nbsp;Amber B. Moore MD, MPH,&nbsp;Shoshana J. Herzig MD, MPH, SFHM,&nbsp;Anjala V. Tess MD, SFHM","doi":"10.1002/jhm.70257","DOIUrl":"10.1002/jhm.70257","url":null,"abstract":"<p>Hospitalist-focused training (electives, rotations, pathways, and tracks) evolved to address gaps in residency training pertinent to hospital medicine (HM). The immersion in hospital medicine elective (IHME) at Beth Israel Deaconess Medical Center immerses residents in curricular elements fundamental to HM, particularly clinical operations and healthcare economics. We surveyed IHME participants to evaluate the curriculum and characterize its impact on participants’ professional development. Throughout the IHME's 20-year course, 120 residents participated, and 76 (63%) completed our survey. The majority practice HM (45, 63%) and viewed the IHME as valuable to their career preparation (36, 63%). The IHME bridged important gaps in medical knowledge and clinical skills development, such as the business of medicine, clinical operations, and creating a clinical staffing model. Most participants (59, 78%) attained key leadership positions, especially in medical education and clinical operations. Our study bolsters evidence that hospitalist-focused training in residency effectively prepares residents for adult HM practice.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"402-406"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of neighborhood location and 30-day readmissions in patients with diabetes","authors":"Lindsey Garrett MD,&nbsp;Zhuoyang Zhang MPH,&nbsp;Hui Shao MD, PhD,&nbsp;Ambar Kulshreshtha MD, PhD","doi":"10.1002/jhm.70157","DOIUrl":"10.1002/jhm.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diabetes is one of the most common diagnoses associated with hospital admissions in the United States, costing billions to healthcare payors. An indicator of readmission risk is the Area Deprivation Index (ADI)—a measure of social determinants of health that utilizes patient residence. In this study, we assess whether ADI is associated with 30-day readmissions in patients admitted with diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study included adult patients hospitalized between October 2018 and October 2023 with a diagnosis related to diabetes. The main variables included were patient demographics (including zip code as a proxy for neighborhood), comorbidities, and diabetes-related complications. A multivariable logistic regression model was constructed to analyze differences between ADI quartiles and readmission within 30-day postdischarge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 6095 patients were included, with an average age of 57 (SD = 16.7); 48.4% of participants were Black, and 46.5% were female. There were 848 (14%) readmissions with diabetes. We found no significant association between any ADI groups and 30-day readmissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Residence in a socioeconomically disadvantaged neighborhood was not shown to have a significant association with the risk of 30-day readmissions in patients with diabetes mellitus. More research is needed to understand the impact of neighborhood disadvantage on readmissions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"361-367"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Things We Do for No Reason™: Routine CD4 testing in hospitalized patients with HIV","authors":"Michael R. Rose MD, MPH,&nbsp;Adrienne M. Johnson MD,&nbsp;Joel N. Blankson MD, PhD,&nbsp;Natasha M. Chida MD, MSPH","doi":"10.1002/jhm.70242","DOIUrl":"10.1002/jhm.70242","url":null,"abstract":"<p>CD4 testing is routinely performed when people with human immunodeficiency virus (HIV) (PWH) are hospitalized; however, it is often unhelpful and can even be harmful. Acute stress from sepsis, surgery, cancer, hemorrhage, and viral infections, as well as the effects of medications can temporarily suppress absolute lymphocyte counts (and thus CD4 counts). Most PWH, including most PWH who are hospitalized, are on antiretroviral therapy (ART), with successful viral suppression and immune reconstitution. In such cases, changes in CD4 counts detected in hospitalized patients are more likely to represent transient lymphocyte suppression than HIV disease progression. Similarly, in caring for PWH whose immune status is uncertain, a holistic assessment of immune status should start with history and physical exam, review of outpatient CD4 testing, and assessment of viral suppression and ART adherence. In cases where after these efforts, the patient's immune status remains unclear, and CD4 testing is likely to affect acute management, it is reasonable to obtain CD4 testing in consultation with a clinician with expertise in caring for PWH. When CD4 testing is sent in the hospitalized context, attention should be paid to both the CD4 count and the CD4% (which is less affected by acute stressors), and the CD4 testing should be interpreted in the clinical context in which it was sent.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"435-437"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In response: “The core competencies in hospital medicine: Procedures 2025 update”","authors":"Emily Olson MD,&nbsp;Carleen Spitzer MD,&nbsp;Lekshmi Santhosh MD, MAEd","doi":"10.1002/jhm.70162","DOIUrl":"10.1002/jhm.70162","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faster and better for everyone—The future of AI-generated discharge summaries","authors":"Shamini Selvakumar MD, MSc,&nbsp;Andrew P. J. Olson SFHM","doi":"10.1002/jhm.70186","DOIUrl":"10.1002/jhm.70186","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 4","pages":"449-450"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SHM Converge 2026 Abstracts","authors":"","doi":"10.1002/jhm.70306","DOIUrl":"10.1002/jhm.70306","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 S1","pages":"S1-S901"},"PeriodicalIF":2.3,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}