Journal of hospital medicine最新文献

{"title":"Interhospital transfer among US veterans admitted to community and veterans affairs hospitals for acute myocardial infarction and ischemic stroke before and during the COVID-19 pandemic","authors":"Mary S. Vaughan-Sarrazin PhD,&nbsp;Kelly Richardson Miell PhD,&nbsp;Brice F. Beck MA,&nbsp;Bradley Mecham PhD,&nbsp;George Bailey MS,&nbsp;Shylo Wardyn MS,&nbsp;Nicholas Mohr MD,,&nbsp;Michael Ohl MD, MSPH","doi":"10.1002/jhm.13515","DOIUrl":"10.1002/jhm.13515","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Veterans Health Administration (VHA) enrollees may use community hospitals for inpatient care and sometimes require transfer to larger community or VHA hospitals. Little is known about interhospital transfer patterns among veterans using community and VHA hospitals or how coronavirus disease 2019 (COVID-19) case surges affected transfer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study among veterans age 65+ admitted to community and VHA hospitals for acute myocardial infarction (AMI) or acute ischemic stroke (AIS) during 2018–2021. We examined associations between COVID-19 case density in regional hospital referral networks and the likelihood of transfer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 8373 (23.6%) veterans with AMI and 4630 (13.1%) with AIS were transferred in the prepandemic period. Transfer was especially common for rural veterans (36% with AMI, 20% with AIS). Most transfers (88%) were between community hospitals and 6% from community to VHA. Among AMI patients, transfer was less likely among patients age &gt;90 (relative to age 65–69), those with non-White race/ethnicity, and females. Transfer was more common among patients initially seen in rural hospitals (AMI, odds ratio [OR] = 2.73, 95% confidence interval [CI], 2.90–3.74; AIS, OR = 2.43; 95% CI, 2.24–2.65). During 2020–2021, transfer among AMI patients was less likely during COVID-19 case density surges affecting the admitting hospital's referral network (OR = 0.86; 95% CI, 0.78–0.96 for highest compared with lowest quartile of COVID-19 cases).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Interhospital transfer was common for veterans with AMI and AIS, especially among rural veterans. Few transfers were to VHA hospitals. COVID-19 case surges were associated with decreased transfer for veterans with AMI, potentially limiting access to needed care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 2","pages":"155-166"},"PeriodicalIF":2.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13515","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378742","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":"Clinical progress note: Management of the hospitalized patient who uses methamphetamine","authors":"Alexander A. Logan MD,&nbsp;Lawrence A. Haber MD,&nbsp;Marlene Martín MD","doi":"10.1002/jhm.13521","DOIUrl":"10.1002/jhm.13521","url":null,"abstract":"&lt;p&gt;Methamphetamine is a potent amphetamine-type stimulant (ATS) that increases dopaminergic, noradrenergic, and serotonergic activity within the brain resulting in euphoria, arousal, and disinhibition, among other effects. During World War II, ATS were used by soldiers to increase wakefulness and suppress appetite. Over the following decades, ATS were widely prescribed for fatigue, emotional distress, and obesity. In 1970, the Controlled Substances Act, which laid the initial framework for the categorization and regulation of controlled substances, began curtailing medical prescribing of ATS, opening a market for illicitly manufactured methamphetamine. For the remainder of the twentieth century, the production and distribution of illicit methamphetamine (also known as “meth,” “crank,” “speed,” “crystal,” or “ice”) centered on the Western United States. In the twenty-first century, methamphetamine use has increased dramatically and spread throughout North America.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Methamphetamine-related overdose deaths have risen sharply during this time, disproportionately affecting American Indian and Alaska Native populations and Black men.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;The most common route of methamphetamine use is smoking, followed by injection and snorting. However, methamphetamine use via injection is increasing and is associated with higher rates of overdose and infectious complications.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Individuals with co-use of methamphetamine and opioids face increased acute care utilization, infectious complications, and risk of overdose, with lower engagement in treatment compared to those who only use opioids.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Methamphetamine use and methamphetamine use disorder (MaUD) may lead to acute and chronic neuropsychiatric, cardiovascular, infectious, and traumatic complications.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; Acute care utilization related to methamphetamine increased four- to sixfold during the past decade, resulting in at least $2 billion in costs.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; Among hospitalized patients, methamphetamine use is associated with longer lengths of stay, increased in-hospital mortality, and decreased linkage to postdischarge care.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; Hospitalists will increasingly need to diagnose and manage sequelae of methamphetamine use.&lt;/p&gt;&lt;p&gt;We obtained relevant society guidelines and searched the PubMed database using three Medical Subject Heading (MeSH) term queries: “methamphetamine/toxicity,&lt;i&gt;”&lt;/i&gt; “methamphetamine AND hospitalization,&lt;i&gt;”&lt;/i&gt; and “methamphetamine AND substance withdrawal syndrome,” which yielded a total of 299 English language articles published between 2019 and 2024. We reviewed the search results and guidelines for applicable recommendations on managing sequelae of methamphetamine use in hospitalized patients including acute intoxication, withdrawal, MaUD, and chronic complications (Table 1).&lt;/p&gt;&lt;p&gt;Methamphetamine causes an acute sympathomimetic toxid","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"380-384"},"PeriodicalIF":2.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373936","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":"Breaking hospital discharge gridlock through policy reforms","authors":"Robert E. Burke MD, MS,&nbsp;Paula Chatterjee MD, MPH","doi":"10.1002/jhm.13519","DOIUrl":"10.1002/jhm.13519","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"414-417"},"PeriodicalIF":2.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368051","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 hospital medicine-infectious diseases career path: Opportunities and insights","authors":"Marie E. Wang MD, MPH,&nbsp;Dean L. Winslow MD,&nbsp;Samir S. Shah MD, MSCE","doi":"10.1002/jhm.13513","DOIUrl":"10.1002/jhm.13513","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"403-406"},"PeriodicalIF":2.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373938","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":"Leadership & professional development: From setback to setup","authors":"Jennifer Lom MD,&nbsp;Eva Rimler MD","doi":"10.1002/jhm.13520","DOIUrl":"10.1002/jhm.13520","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 12","pages":"1160-1161"},"PeriodicalIF":2.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373937","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":"Academic hospitalist perspectives on the benefits and challenges of secure messaging: A mixed methods analysis","authors":"Michelle Knees DO,&nbsp;Angela Keniston PhD, MSPH,&nbsp;Amy Yu MD,&nbsp;Matthew Sakumoto MD,&nbsp;Sara Westergaard MD, MPH,&nbsp;Natalie Schwatka PhD, MS,&nbsp;Rachel Peterson MD,&nbsp;Aveena Kochar MD,&nbsp;Andrew Auerbach MD, MPH,&nbsp;Tiffany Lee,&nbsp;Marisha Burden MD, MBA","doi":"10.1002/jhm.13522","DOIUrl":"10.1002/jhm.13522","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitals and patients rely on effective clinician communication. Asynchronous electronic secure messaging (SM) systems are a common way for hospitalists to communicate, but few studies have evaluated how hospitalists are navigating the adoption of SM and the benefits and challenges they are encountering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study is to assess academic hospitalist perspectives on SM to guide future research and quality improvement initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a mixed methods study utilizing an embedded REDCap survey and six virtual semistructured focus groups. It took place during a Hospital Medicine ReEngineering Network Zoom meeting on October 13, 2023. Rapid qualitative methods were used to define major themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 28 hospitalists and one patient representative across 24 separate academic institutions. There was a 71% survey completion rate (<i>N</i> = 20). SM was felt to be an effective and efficient communication modality but was associated with a large amount of multitasking and interruptions. Perspectives around SM clustered around three main themes: SM has been widely but variably adopted; there is a lack of institutional guidance about how to best engage with SM; and SM is changing the landscape of hospitalist work by increasing ease but decreasing depth of communication, increasing cognitive load, and changing interpersonal relationships. Recommendations for SM improvements included the need for institutions to work with frontline workers to develop and implement clear usage guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SM is likely contributing to both positive and negative effects for clinicians and patients. Understanding hospitalist perspectives on SM will help guide future research and quality improvement initiatives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 3","pages":"248-257"},"PeriodicalIF":2.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368050","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":"“Before medically advised” hospital discharge and the risk of subsequent drug overdose: A case-crossover analysis","authors":"John A. Staples MD, FRCPC, FACP, MPH,&nbsp;Xiao Hu MSc,&nbsp;Mayesha Khan MA,&nbsp;Daniel Daly-Grafstein PhD,&nbsp;Hiten Naik MD,&nbsp;Benjamin M. Kaasa MD,&nbsp;Jeffrey R. Brubacher MD, MPH,&nbsp;Trudy Nasmith MDCM, MSc,&nbsp;Jennifer R. Lyden MD,&nbsp;Jessica Moe MD, MSc, MA,&nbsp;Alexis Crabtree MD, MPH, PhD,&nbsp;Amanda Slaunwhite MPL, PhD","doi":"10.1002/jhm.13510","DOIUrl":"10.1002/jhm.13510","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patient-initiated or “before medically advised” (BMA) hospital discharge is more common among people who use drugs. Transitions of care can be destabilizing and might increase the risk of subsequent illicit drug overdose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study sought to evaluate whether BMA discharge is associated with an increased risk of subsequent drug overdose (primary objective) and whether physician-advised discharge is associated with an increased risk of subsequent drug overdose (secondary objective).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a case-crossover analysis of population-based linked administrative health data for individuals experiencing an overdose between 2016 and 2019 in British Columbia, Canada. Using conditional logistic regression, we compared the likelihood of hospital discharge in the 28 days before overdose (the “pre-overdose interval”) to the likelihood of hospital discharge in two self-matched 28-day control intervals ending 26 and 52 weeks before overdose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over the 3.5-year study interval, 235 of 27,584 (0.9%) pre-overdose intervals and 189 of 55,168 (0.3%) control intervals included a BMA discharge, suggesting that BMA discharge was associated with a twofold increase in the risk of subsequent drug overdose (adjusted odds ratio [aOR], 2.08; 95% confidence interval [95% CI], 1.68–2.58; <i>p</i> &lt; 0.001). Physician-advised hospital discharge was also a risk factor for subsequent overdose, occurring in 1350 of 27,584 (4.9%) pre-overdose intervals and 1625 of 55,168 (2.9%) control intervals (aOR, 1.39; 95% CI, 1.27–1.52; <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Both BMA and physician-advised hospital discharge are independently associated with transient increases in the risk of subsequent illicit drug overdose. Better in-hospital treatment of substance use disorder and novel means of post-discharge outreach should be deployed to reduce this risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 2","pages":"146-154"},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335282","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 work environment and hospitalist work well-being and burnout","authors":"Megan E. Warner MPH,&nbsp;Ali A. Weinstein PhD,&nbsp;Chalapathy Venkatesan MD, MS,&nbsp;Leyla de Avila,&nbsp;Maansi Taori,&nbsp;Zobair M. Younossi MD, MPH","doi":"10.1002/jhm.13506","DOIUrl":"10.1002/jhm.13506","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospital medicine is the largest growing specialty in the United States. It is important to understand factors that are related to burnout and work well-being (WWB), both predictors of workforce retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the relationship between work environment factors and hospitalist burnout and WWB.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online cross-sectional survey was completed by hospitalists in July–October 2020. Burnout was assessed using the Mini-Z burnout scale and the Abbreviated Maslach Burnout Inventory. WWB was assessed using the Work Well-Being Scale. Work structure variables included hours worked per week, frustration at work, safety level of clinical workload, lack of control over schedule, lack of control over daily work, continuity of patient care, and ability to optimize license. The current desire to practice medicine was also examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight-eight hospitalists participated. There were statistically significant differences between levels of safety of workload (<i>F</i>(2,85) = 9.70, <i>p</i> ≤.005), frustration at work (<i>F</i>(2,85) = 12.29, <i>p</i> ≤.005), control over schedule (<i>F</i>(2,85) = 3.17, <i>p</i> = .04), control over daily work (<i>F</i>(2,85) = 6.17, <i>p</i> = .003), and desire to practice medicine (<i>F</i>(2,85) = 42.34, <i>p</i> = &lt;.005) with WWB. There were statistically significant associations between the presence of burnout and the safety of workload (<i>χ</i>² = 8.167, <i>p</i> = .017), frustration at work (<i>χ</i>² = 15.29, <i>p</i> = .005), control over daily work (<i>χ</i>² = 12.48, <i>p</i> = .002), and desire to practice medicine (<i>χ</i>² = 7.12, <i>p</i> = .03). WWB was positively associated with years as a hospitalist (<i>r</i> = .249, <i>p</i> = .02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Work environment factors are associated with WWB and burnout. Modifiable work environment factors may offer a point of intervention for reducing burnout and enhancing WWB among hospitalists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 3","pages":"229-237"},"PeriodicalIF":2.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335287","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":"Fostering apprenticeship in hospital medicine education: Establishing a taxonomy for direct care hospitalist teaching services","authors":"Anna G. Symmes MD,&nbsp;Amulya Nagarur MD,&nbsp;Shannon K. Martin MD, MS","doi":"10.1002/jhm.13514","DOIUrl":"10.1002/jhm.13514","url":null,"abstract":"&lt;p&gt;Hospitalists are well-established as teaching attendings on resident-covered teaching services and are routinely ranked as highly effective educators.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; However, time on resident-covered teaching services—ones in which residents are the “first call” for patient care—is limited and insufficient to meet the growing demands of hospital medicine groups.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Many hospitalist educators spend most of their time as the responding clinician on direct care services, defined as services where hospitalists “directly engage with and direct the care of patients.”&lt;span&gt;&lt;sup&gt;3-5&lt;/sup&gt;&lt;/span&gt; This tension between limited time attending on resident-covered teaching services and a high desire from hospitalist educators to work with learners has important ramifications for the professional growth of hospitalist educators, as limited time spent with learners leads to fewer opportunities for recognition as a teacher and less feedback for improvement. One solution has been the creation of direct care hospitalist teaching services, where a hospitalist is simultaneously providing direct care as a responding clinician and teaching learners.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; As this unique model for clinical education expands, there is a growing need to establish a precise and commonly shared language regarding these types of teaching services.&lt;/p&gt;&lt;p&gt;While many institutions have published their individual curricula and experiences hosting various types of learners on direct care services, hospitalist educators lack a common language or taxonomy to describe these models. Various authors have used the phrases “nonresident,” “nonteaching,” “uncovered,” and “direct care hospital medicine services.”&lt;span&gt;&lt;sup&gt;6-8&lt;/sup&gt;&lt;/span&gt; The lack of a shared and codified lexicon and continued use of inconsistent terminology presents a barrier to developing, implementing, evaluating, and disseminating best practices in these models amongst hospital medicine groups and institutions. Practical steps such as conducting a literature review, identifying collaborators, or building communities of practice in this space are limited by the lack of an agreed-upon terminology. Moreover, the absence of a shared language to describe these services undermines our role as hospitalist educators and limits our identity to what we are not (e.g., “nonteaching service”). With a common taxonomy, we can better elevate the educational work we are doing as direct care hospitalist educators, embracing and describing distinctive aspects of direct care services and the educational opportunities they provide.&lt;/p&gt;&lt;p&gt;We propose the nomenclature of direct care hospitalist teaching services (DCHTS). Direct care highlights the fact that the attending hospitalist is providing direct clinical care to some or all of the patients as the responding clinician, hospitalist emphasizes our role in the medical system, and teaching service solidifies our professional identity as educators.&lt;/p&gt;&lt;p&gt;","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"407-410"},"PeriodicalIF":2.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13514","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335285","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":"A new ballgame: Sabercaremetrics and the future of clinical performance measurement","authors":"Xinran Liu MD, MS, FAMIA,&nbsp;Andrew D. Auerbach MD, MPH","doi":"10.1002/jhm.13518","DOIUrl":"10.1002/jhm.13518","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"411-413"},"PeriodicalIF":2.4,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335284","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}