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Speed-mentoring event targets junior hospitalists

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When senior physicians and researchers – including hospitalists – talk about their careers, it seems they never fail to mention the mentors who helped shape their professional lives. Mentoring matters – a lot.

Junior hospitalists have a chance to receive mentoring in an area of their choice at HM17.

Dr. Joanna Bonsall
At the Speed-mentoring event – on Tuesday, May 2 at noon – junior hospitalists will submit questions and topics on which they’d like to get advice, so they can be matched to three senior advisers. They’ll meet with each adviser for 15 minutes before moving on to the next adviser.

“This is their opportunity to get ‘rapid-fire’ advice from senior hospitalists from a variety of perspectives,” said event organizer Joanna Bonsall, MD, PhD, SFHM, assistant professor of medicine at Emory University, Atlanta.

The advisers are chosen because of their commitment to supporting career development and because of their reputation and expertise. Many of the speed mentors are returning to the event for the fourth time. It has been held at the SHM annual meeting since 2013.

“This event doesn’t replace traditional mentorship but does give junior hospitalists an opportunity to discuss an aspect of their career with multiple senior hospitalists from across the country,” Dr. Bonsall said.

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When senior physicians and researchers – including hospitalists – talk about their careers, it seems they never fail to mention the mentors who helped shape their professional lives. Mentoring matters – a lot.

Junior hospitalists have a chance to receive mentoring in an area of their choice at HM17.

Dr. Joanna Bonsall
At the Speed-mentoring event – on Tuesday, May 2 at noon – junior hospitalists will submit questions and topics on which they’d like to get advice, so they can be matched to three senior advisers. They’ll meet with each adviser for 15 minutes before moving on to the next adviser.

“This is their opportunity to get ‘rapid-fire’ advice from senior hospitalists from a variety of perspectives,” said event organizer Joanna Bonsall, MD, PhD, SFHM, assistant professor of medicine at Emory University, Atlanta.

The advisers are chosen because of their commitment to supporting career development and because of their reputation and expertise. Many of the speed mentors are returning to the event for the fourth time. It has been held at the SHM annual meeting since 2013.

“This event doesn’t replace traditional mentorship but does give junior hospitalists an opportunity to discuss an aspect of their career with multiple senior hospitalists from across the country,” Dr. Bonsall said.

When senior physicians and researchers – including hospitalists – talk about their careers, it seems they never fail to mention the mentors who helped shape their professional lives. Mentoring matters – a lot.

Junior hospitalists have a chance to receive mentoring in an area of their choice at HM17.

Dr. Joanna Bonsall
At the Speed-mentoring event – on Tuesday, May 2 at noon – junior hospitalists will submit questions and topics on which they’d like to get advice, so they can be matched to three senior advisers. They’ll meet with each adviser for 15 minutes before moving on to the next adviser.

“This is their opportunity to get ‘rapid-fire’ advice from senior hospitalists from a variety of perspectives,” said event organizer Joanna Bonsall, MD, PhD, SFHM, assistant professor of medicine at Emory University, Atlanta.

The advisers are chosen because of their commitment to supporting career development and because of their reputation and expertise. Many of the speed mentors are returning to the event for the fourth time. It has been held at the SHM annual meeting since 2013.

“This event doesn’t replace traditional mentorship but does give junior hospitalists an opportunity to discuss an aspect of their career with multiple senior hospitalists from across the country,” Dr. Bonsall said.

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Pre-course focuses on perioperative care

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Hospitalists packed the room on Monday for a pre-course brimming with information on how to better care for patients undergoing surgery – a category of care that can involve high-stakes and complex decisions before and after a procedure.

Topics covered in the wide-ranging talks included how to assess risk in those with ischemic heart disease, ways to manage anticoagulants in a variety of patients, the basics of anesthesia, and issues particular to patients with neurologic diseases.

Darnell Scott
Attendees packed a pre-course session on perioperative medicine.
Presenters hit hard on four themes that they said hospitalists need to keep in mind when treating patients who are having surgery: communication, risk assessment, interventions, and medication management.

“If you keep those things in mind then you will do a good job taking care of patients as long as you use good clinical sense,” said pre-course director Kurt Pfeifer, MD, FHM, professor of internal medicine at the Medical College of Wisconsin, Milwaukee.

Throughout the sessions, presenters posed audience-response questions to keep everyone engaged. In her discussion of perioperative considerations involving neurologic diseases, Rachel Thompson, MD, MPH, SFHM, associate professor of internal medicine at the University of Nebraska Medical Center, Omaha, asked whether it’s true or false that 1 in 10 patients with epilepsy will have a seizure on the day of surgery, even if they maintain their normal medication regimen.

Darnell Scott
Dr. Rachel Thompson answers questions from the audience during the pre-course session.
The results drew laughter from the audience: 47% said that was true, 53% said false, essentially a coin flip that underscored the reason why they were attending the pre-course. The answer is false. The actual stats are that about 0.8% of adults with epilepsy and 3% of children can be expected to have a seizure on surgery day.

In her talk on using anticoagulants, Barbara Slawski, MD, MS, SFHM, professor of medicine at the Medical College of Wisconsin, said it was important to understand the newest literature when using national guidelines, to consider clotting and bleeding risks when considering bridging anticoagulation therapy, and to make a specific plan for management for each patient.

She emphasized the team approach.

“It’s really important to listen to your surgical colleagues when they’re concerned about bleeding risk,” she said.

Dr. Pfeifer said the hospitalists’ involvement in surgical cases ranges from preoperative assessments, helping handle last-minutes changes in a care plan, managing patients afterward, and postdischarge follow-up.

“When you look at the perioperative continuum, there are a lot of places where we have a role to play – maybe more than anyone else in the equation.”
 

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Hospitalists packed the room on Monday for a pre-course brimming with information on how to better care for patients undergoing surgery – a category of care that can involve high-stakes and complex decisions before and after a procedure.

Topics covered in the wide-ranging talks included how to assess risk in those with ischemic heart disease, ways to manage anticoagulants in a variety of patients, the basics of anesthesia, and issues particular to patients with neurologic diseases.

Darnell Scott
Attendees packed a pre-course session on perioperative medicine.
Presenters hit hard on four themes that they said hospitalists need to keep in mind when treating patients who are having surgery: communication, risk assessment, interventions, and medication management.

“If you keep those things in mind then you will do a good job taking care of patients as long as you use good clinical sense,” said pre-course director Kurt Pfeifer, MD, FHM, professor of internal medicine at the Medical College of Wisconsin, Milwaukee.

Throughout the sessions, presenters posed audience-response questions to keep everyone engaged. In her discussion of perioperative considerations involving neurologic diseases, Rachel Thompson, MD, MPH, SFHM, associate professor of internal medicine at the University of Nebraska Medical Center, Omaha, asked whether it’s true or false that 1 in 10 patients with epilepsy will have a seizure on the day of surgery, even if they maintain their normal medication regimen.

Darnell Scott
Dr. Rachel Thompson answers questions from the audience during the pre-course session.
The results drew laughter from the audience: 47% said that was true, 53% said false, essentially a coin flip that underscored the reason why they were attending the pre-course. The answer is false. The actual stats are that about 0.8% of adults with epilepsy and 3% of children can be expected to have a seizure on surgery day.

In her talk on using anticoagulants, Barbara Slawski, MD, MS, SFHM, professor of medicine at the Medical College of Wisconsin, said it was important to understand the newest literature when using national guidelines, to consider clotting and bleeding risks when considering bridging anticoagulation therapy, and to make a specific plan for management for each patient.

She emphasized the team approach.

“It’s really important to listen to your surgical colleagues when they’re concerned about bleeding risk,” she said.

Dr. Pfeifer said the hospitalists’ involvement in surgical cases ranges from preoperative assessments, helping handle last-minutes changes in a care plan, managing patients afterward, and postdischarge follow-up.

“When you look at the perioperative continuum, there are a lot of places where we have a role to play – maybe more than anyone else in the equation.”
 

 

Hospitalists packed the room on Monday for a pre-course brimming with information on how to better care for patients undergoing surgery – a category of care that can involve high-stakes and complex decisions before and after a procedure.

Topics covered in the wide-ranging talks included how to assess risk in those with ischemic heart disease, ways to manage anticoagulants in a variety of patients, the basics of anesthesia, and issues particular to patients with neurologic diseases.

Darnell Scott
Attendees packed a pre-course session on perioperative medicine.
Presenters hit hard on four themes that they said hospitalists need to keep in mind when treating patients who are having surgery: communication, risk assessment, interventions, and medication management.

“If you keep those things in mind then you will do a good job taking care of patients as long as you use good clinical sense,” said pre-course director Kurt Pfeifer, MD, FHM, professor of internal medicine at the Medical College of Wisconsin, Milwaukee.

Throughout the sessions, presenters posed audience-response questions to keep everyone engaged. In her discussion of perioperative considerations involving neurologic diseases, Rachel Thompson, MD, MPH, SFHM, associate professor of internal medicine at the University of Nebraska Medical Center, Omaha, asked whether it’s true or false that 1 in 10 patients with epilepsy will have a seizure on the day of surgery, even if they maintain their normal medication regimen.

Darnell Scott
Dr. Rachel Thompson answers questions from the audience during the pre-course session.
The results drew laughter from the audience: 47% said that was true, 53% said false, essentially a coin flip that underscored the reason why they were attending the pre-course. The answer is false. The actual stats are that about 0.8% of adults with epilepsy and 3% of children can be expected to have a seizure on surgery day.

In her talk on using anticoagulants, Barbara Slawski, MD, MS, SFHM, professor of medicine at the Medical College of Wisconsin, said it was important to understand the newest literature when using national guidelines, to consider clotting and bleeding risks when considering bridging anticoagulation therapy, and to make a specific plan for management for each patient.

She emphasized the team approach.

“It’s really important to listen to your surgical colleagues when they’re concerned about bleeding risk,” she said.

Dr. Pfeifer said the hospitalists’ involvement in surgical cases ranges from preoperative assessments, helping handle last-minutes changes in a care plan, managing patients afterward, and postdischarge follow-up.

“When you look at the perioperative continuum, there are a lot of places where we have a role to play – maybe more than anyone else in the equation.”
 

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Communication expert to explore work-life balance

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The hospital medicine field has struggled with the issue of burnout for years. The supply of hospitalists has had trouble keeping up with the demand. Hospitalists, often viewed as agents of change, are also encouraged to take on projects, such as quality improvement initiatives, beyond their clinical duties.

A talk at this year’s meeting will take on the issue of work-life balance, which is often an ideal that hospitalists find difficult to attain.

Dawna Ballard, PhD, will lead the session “Why We Fail at Work-Life Balance,” scheduled for Tuesday, May 2, 3:05–3:45 p.m., as part of the Rapid Fire track.

Dr. Ballard is an associate professor in communication studies at the University of Texas at Austin and is an expert on chronemics, which, as her professional website puts it, is the “study of time as it is bound to human communication.” She does research on why we lead our lives at a certain pace and the effect this pace has on our communication and, ultimately, on the long-term health of organizations.

Recently, she has studied the historical and contemporary problems with the discourse on “work-life balance.” She is also a coauthor of the 2016 book Work Pressures, which explores the ways pressure at work can erode the performance and vitality of people and their organizations.

Dr. Ballard said she has found in her research that the very idea of a “work-life balance” can bring about confusion and frustration.

“Just this morning, someone tweeted me that they don’t really like the notion of balance, and they always feel like they’re being punished,” she said recently. “A big part of the problem is our expectations about ourselves around time.”

[[{"fid":"195467","view_mode":"medstat_image_flush_right","attributes":{"height":"220","width":"147","class":"media-element file-medstat-image-flush-right","data-delta":"1"},"fields":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":"","field_file_image_caption[und][0][format]":"plain_text","field_file_image_credit[und][0][format]":"plain_text"},"type":"media","field_deltas":{"1":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":""}},"link_text":false}]]Dr. Ballard said she will focus on promoting a better understanding of the relationship between time and work.

“I will identify a few common themes (in everyday talk and popular culture) about the role of time in being effective at work,” she said. “I will then discuss what the research and data suggest is actually true about these relationships between time and work.”

Struggles with balancing personal time and time in the workplace seem to be linked with job satisfaction in hospital medicine, the literature suggests. In survey results published in 2012, 63% of hospitalists reported high job satisfaction, but personal time was one area in which they reported being least satisfied. Satisfaction or dissatisfaction with personal time was also one of the areas that predicted satisfaction or dissatisfaction with their specialty.1

Dr. Ballard said that she hopes to debunk some misconceptions. “The goal of this talk is to identify problems with commonly held assumptions that actually lead to reduced effectiveness at work and increased stress,” she said. “Given the centrality of time to our experience as professional and personal selves, working with a clear (evidence-based) understanding of the sociocultural and historical underpinnings of common assumptions is critical.”

One problem, she said, is that there is “a mythology that this is something that has ever existed or ever could exist, and so it disciplines people and it makes people feel like they’re failing.”

“Work is uneven – especially for doctors, it’s really uneven,” she said. “It can be really intense sometimes and then there can be times where we can pull back. ... Intensity doesn’t have to be bad and not good. It just is descriptive.”

She added, “We love work that can be intense at times.”
 

Reference
1. Hinami K, Whelan CT, Wolosin RJ, et al. “Worklife and satisfaction of hospitalists: Toward flourishing careers.” J Gen Intern Med. 2012;27(1):28-36.

“Why We Fail at Work-Life Balance”
Tuesday, May 2, 3:05–3:45 p.m.

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The hospital medicine field has struggled with the issue of burnout for years. The supply of hospitalists has had trouble keeping up with the demand. Hospitalists, often viewed as agents of change, are also encouraged to take on projects, such as quality improvement initiatives, beyond their clinical duties.

A talk at this year’s meeting will take on the issue of work-life balance, which is often an ideal that hospitalists find difficult to attain.

Dawna Ballard, PhD, will lead the session “Why We Fail at Work-Life Balance,” scheduled for Tuesday, May 2, 3:05–3:45 p.m., as part of the Rapid Fire track.

Dr. Ballard is an associate professor in communication studies at the University of Texas at Austin and is an expert on chronemics, which, as her professional website puts it, is the “study of time as it is bound to human communication.” She does research on why we lead our lives at a certain pace and the effect this pace has on our communication and, ultimately, on the long-term health of organizations.

Recently, she has studied the historical and contemporary problems with the discourse on “work-life balance.” She is also a coauthor of the 2016 book Work Pressures, which explores the ways pressure at work can erode the performance and vitality of people and their organizations.

Dr. Ballard said she has found in her research that the very idea of a “work-life balance” can bring about confusion and frustration.

“Just this morning, someone tweeted me that they don’t really like the notion of balance, and they always feel like they’re being punished,” she said recently. “A big part of the problem is our expectations about ourselves around time.”

[[{"fid":"195467","view_mode":"medstat_image_flush_right","attributes":{"height":"220","width":"147","class":"media-element file-medstat-image-flush-right","data-delta":"1"},"fields":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":"","field_file_image_caption[und][0][format]":"plain_text","field_file_image_credit[und][0][format]":"plain_text"},"type":"media","field_deltas":{"1":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":""}},"link_text":false}]]Dr. Ballard said she will focus on promoting a better understanding of the relationship between time and work.

“I will identify a few common themes (in everyday talk and popular culture) about the role of time in being effective at work,” she said. “I will then discuss what the research and data suggest is actually true about these relationships between time and work.”

Struggles with balancing personal time and time in the workplace seem to be linked with job satisfaction in hospital medicine, the literature suggests. In survey results published in 2012, 63% of hospitalists reported high job satisfaction, but personal time was one area in which they reported being least satisfied. Satisfaction or dissatisfaction with personal time was also one of the areas that predicted satisfaction or dissatisfaction with their specialty.1

Dr. Ballard said that she hopes to debunk some misconceptions. “The goal of this talk is to identify problems with commonly held assumptions that actually lead to reduced effectiveness at work and increased stress,” she said. “Given the centrality of time to our experience as professional and personal selves, working with a clear (evidence-based) understanding of the sociocultural and historical underpinnings of common assumptions is critical.”

One problem, she said, is that there is “a mythology that this is something that has ever existed or ever could exist, and so it disciplines people and it makes people feel like they’re failing.”

“Work is uneven – especially for doctors, it’s really uneven,” she said. “It can be really intense sometimes and then there can be times where we can pull back. ... Intensity doesn’t have to be bad and not good. It just is descriptive.”

She added, “We love work that can be intense at times.”
 

Reference
1. Hinami K, Whelan CT, Wolosin RJ, et al. “Worklife and satisfaction of hospitalists: Toward flourishing careers.” J Gen Intern Med. 2012;27(1):28-36.

“Why We Fail at Work-Life Balance”
Tuesday, May 2, 3:05–3:45 p.m.

 

The hospital medicine field has struggled with the issue of burnout for years. The supply of hospitalists has had trouble keeping up with the demand. Hospitalists, often viewed as agents of change, are also encouraged to take on projects, such as quality improvement initiatives, beyond their clinical duties.

A talk at this year’s meeting will take on the issue of work-life balance, which is often an ideal that hospitalists find difficult to attain.

Dawna Ballard, PhD, will lead the session “Why We Fail at Work-Life Balance,” scheduled for Tuesday, May 2, 3:05–3:45 p.m., as part of the Rapid Fire track.

Dr. Ballard is an associate professor in communication studies at the University of Texas at Austin and is an expert on chronemics, which, as her professional website puts it, is the “study of time as it is bound to human communication.” She does research on why we lead our lives at a certain pace and the effect this pace has on our communication and, ultimately, on the long-term health of organizations.

Recently, she has studied the historical and contemporary problems with the discourse on “work-life balance.” She is also a coauthor of the 2016 book Work Pressures, which explores the ways pressure at work can erode the performance and vitality of people and their organizations.

Dr. Ballard said she has found in her research that the very idea of a “work-life balance” can bring about confusion and frustration.

“Just this morning, someone tweeted me that they don’t really like the notion of balance, and they always feel like they’re being punished,” she said recently. “A big part of the problem is our expectations about ourselves around time.”

[[{"fid":"195467","view_mode":"medstat_image_flush_right","attributes":{"height":"220","width":"147","class":"media-element file-medstat-image-flush-right","data-delta":"1"},"fields":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":"","field_file_image_caption[und][0][format]":"plain_text","field_file_image_credit[und][0][format]":"plain_text"},"type":"media","field_deltas":{"1":{"format":"medstat_image_flush_right","field_file_image_caption[und][0][value]":"Dr. Dawna Ballard","field_file_image_credit[und][0][value]":""}},"link_text":false}]]Dr. Ballard said she will focus on promoting a better understanding of the relationship between time and work.

“I will identify a few common themes (in everyday talk and popular culture) about the role of time in being effective at work,” she said. “I will then discuss what the research and data suggest is actually true about these relationships between time and work.”

Struggles with balancing personal time and time in the workplace seem to be linked with job satisfaction in hospital medicine, the literature suggests. In survey results published in 2012, 63% of hospitalists reported high job satisfaction, but personal time was one area in which they reported being least satisfied. Satisfaction or dissatisfaction with personal time was also one of the areas that predicted satisfaction or dissatisfaction with their specialty.1

Dr. Ballard said that she hopes to debunk some misconceptions. “The goal of this talk is to identify problems with commonly held assumptions that actually lead to reduced effectiveness at work and increased stress,” she said. “Given the centrality of time to our experience as professional and personal selves, working with a clear (evidence-based) understanding of the sociocultural and historical underpinnings of common assumptions is critical.”

One problem, she said, is that there is “a mythology that this is something that has ever existed or ever could exist, and so it disciplines people and it makes people feel like they’re failing.”

“Work is uneven – especially for doctors, it’s really uneven,” she said. “It can be really intense sometimes and then there can be times where we can pull back. ... Intensity doesn’t have to be bad and not good. It just is descriptive.”

She added, “We love work that can be intense at times.”
 

Reference
1. Hinami K, Whelan CT, Wolosin RJ, et al. “Worklife and satisfaction of hospitalists: Toward flourishing careers.” J Gen Intern Med. 2012;27(1):28-36.

“Why We Fail at Work-Life Balance”
Tuesday, May 2, 3:05–3:45 p.m.

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Hospitalists get hands-on training at POC ultrasound pre-course

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Hospitalists participated in a double-header of hands-on point-of-care ultrasound training here on Monday, looking to gain an edge in expertise in a role that’s becoming more and more common.

Nearly 100 hospitalists and other health care professionals heard talks on the fundamental principles of ultrasound and cardiac, lung and vascular, and abdominal ultrasound. The highlights of the sessions were two 80-minute hands-on segments using the probes.

“This course has grown and grown – this is the largest we’ve ever done,” said pre-course director Nilam Soni, MD, MS, FHM, associate professor of medicine at the University of Texas Health Science Center San Antonio.

Darnell Scott/Frontline Medical News
Dr. Joel Cho of the Kaiser Foundation Hospital San Francisco demonstrates the apical 4-chamber view during a hands-on training session.

A morning and afternoon session were held, each attended by 48 registrants. Because of high demand, the society added 12 spots to each session – and there was still a wait list, said Ricardo Franco-Sadud, MD, the other director of the course and associate professor of medicine at the Medical College of Wisconsin, Milwaukee.

“The idea is to give you the most amount of time with the probe in their hand,” Dr. Franco said.

In one of the hands-on sessions, Adam Merando, MD, a hospitalist and associate program director of the internal medicine residency program at Saint Louis University, slid and rocked the probe on the stomach of a volunteer as the picture came into view.

“Now we’re getting an image,” his bedside instructor, Brandon Boesch, DO, a hospitalist at Highland Hospital in Oakland, Calif., told him. Dr. Merando had found the liver.

He eventually found the main target, the inferior vena cava, and assessed its diameter in relation to the breathing of the “patient.” This information is used to gauge how responsive acute circulatory failure patients are to fluid therapy.

At one point, with another learner, the image shifted.

“You see how it feels like your hand is not moving, but the image is changing?” Dr. Boesch said. “That’s part of the fine motor skill.”
Darnell Scott/Frontline Medical News
Dr. Kirk Spencer addresses attendees.


Kirk Spencer, MD, professor of medicine and a cardiologist at the University of Chicago and perennial participant in the course, said it’s a great way for hospitalists who were hesitant about learning ultrasound to get over the hump.

Benji Mathews, MD, assistant professor of medicine at the University of Minnesota, Minneapolis, another bedside instructor, said the enthusiasm about the course is well founded.

“This is one of the few technologies that brings you back to the bedside.”

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Hospitalists participated in a double-header of hands-on point-of-care ultrasound training here on Monday, looking to gain an edge in expertise in a role that’s becoming more and more common.

Nearly 100 hospitalists and other health care professionals heard talks on the fundamental principles of ultrasound and cardiac, lung and vascular, and abdominal ultrasound. The highlights of the sessions were two 80-minute hands-on segments using the probes.

“This course has grown and grown – this is the largest we’ve ever done,” said pre-course director Nilam Soni, MD, MS, FHM, associate professor of medicine at the University of Texas Health Science Center San Antonio.

Darnell Scott/Frontline Medical News
Dr. Joel Cho of the Kaiser Foundation Hospital San Francisco demonstrates the apical 4-chamber view during a hands-on training session.

A morning and afternoon session were held, each attended by 48 registrants. Because of high demand, the society added 12 spots to each session – and there was still a wait list, said Ricardo Franco-Sadud, MD, the other director of the course and associate professor of medicine at the Medical College of Wisconsin, Milwaukee.

“The idea is to give you the most amount of time with the probe in their hand,” Dr. Franco said.

In one of the hands-on sessions, Adam Merando, MD, a hospitalist and associate program director of the internal medicine residency program at Saint Louis University, slid and rocked the probe on the stomach of a volunteer as the picture came into view.

“Now we’re getting an image,” his bedside instructor, Brandon Boesch, DO, a hospitalist at Highland Hospital in Oakland, Calif., told him. Dr. Merando had found the liver.

He eventually found the main target, the inferior vena cava, and assessed its diameter in relation to the breathing of the “patient.” This information is used to gauge how responsive acute circulatory failure patients are to fluid therapy.

At one point, with another learner, the image shifted.

“You see how it feels like your hand is not moving, but the image is changing?” Dr. Boesch said. “That’s part of the fine motor skill.”
Darnell Scott/Frontline Medical News
Dr. Kirk Spencer addresses attendees.


Kirk Spencer, MD, professor of medicine and a cardiologist at the University of Chicago and perennial participant in the course, said it’s a great way for hospitalists who were hesitant about learning ultrasound to get over the hump.

Benji Mathews, MD, assistant professor of medicine at the University of Minnesota, Minneapolis, another bedside instructor, said the enthusiasm about the course is well founded.

“This is one of the few technologies that brings you back to the bedside.”

 

Hospitalists participated in a double-header of hands-on point-of-care ultrasound training here on Monday, looking to gain an edge in expertise in a role that’s becoming more and more common.

Nearly 100 hospitalists and other health care professionals heard talks on the fundamental principles of ultrasound and cardiac, lung and vascular, and abdominal ultrasound. The highlights of the sessions were two 80-minute hands-on segments using the probes.

“This course has grown and grown – this is the largest we’ve ever done,” said pre-course director Nilam Soni, MD, MS, FHM, associate professor of medicine at the University of Texas Health Science Center San Antonio.

Darnell Scott/Frontline Medical News
Dr. Joel Cho of the Kaiser Foundation Hospital San Francisco demonstrates the apical 4-chamber view during a hands-on training session.

A morning and afternoon session were held, each attended by 48 registrants. Because of high demand, the society added 12 spots to each session – and there was still a wait list, said Ricardo Franco-Sadud, MD, the other director of the course and associate professor of medicine at the Medical College of Wisconsin, Milwaukee.

“The idea is to give you the most amount of time with the probe in their hand,” Dr. Franco said.

In one of the hands-on sessions, Adam Merando, MD, a hospitalist and associate program director of the internal medicine residency program at Saint Louis University, slid and rocked the probe on the stomach of a volunteer as the picture came into view.

“Now we’re getting an image,” his bedside instructor, Brandon Boesch, DO, a hospitalist at Highland Hospital in Oakland, Calif., told him. Dr. Merando had found the liver.

He eventually found the main target, the inferior vena cava, and assessed its diameter in relation to the breathing of the “patient.” This information is used to gauge how responsive acute circulatory failure patients are to fluid therapy.

At one point, with another learner, the image shifted.

“You see how it feels like your hand is not moving, but the image is changing?” Dr. Boesch said. “That’s part of the fine motor skill.”
Darnell Scott/Frontline Medical News
Dr. Kirk Spencer addresses attendees.


Kirk Spencer, MD, professor of medicine and a cardiologist at the University of Chicago and perennial participant in the course, said it’s a great way for hospitalists who were hesitant about learning ultrasound to get over the hump.

Benji Mathews, MD, assistant professor of medicine at the University of Minnesota, Minneapolis, another bedside instructor, said the enthusiasm about the course is well founded.

“This is one of the few technologies that brings you back to the bedside.”

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ID ‘boot camp’ emphasizes practice pearls

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Fri, 09/14/2018 - 12:00

 

An intensive, day-long precourse on infectious diseases will return to the SHM annual meeting program for the first time in several years.

“Bugs, Drugs, and You: Infectious Diseases ‘Boot Camp’ for Hospitalists” will focus on a range of important clinical issues, including infectious diseases that appear with frequency and the high-stakes nature of which require correct diagnosis and treatment.

Dr. James Pile
“We have designed the precourse with a strong emphasis on practicality, recognizing that hospitalists, NPs, and PAs spend a high percentage of time caring for patients with infectious diseases,” said session cochair James Pile, MD, FACP, SFHM, of MetroHealth Medical Center and Case Western Reserve University in Cleveland.

Cochair Jennifer Hanrahan, DO, also of MetroHealth Medical Center, agreed, noting that hospitalists must be able to recognize infectious disease emergencies and have some familiarity with HIV as it presents in hospitalized patients.

“We want [attendees] to think about which tests to order and when to stop antibiotic therapy,” she said.

The faculty includes infectious diseases specialists with extensive teaching backgrounds. Several are practicing hospitalists. John Sanders, MD, MPH, of Wake Forest University, Winston-Salem, N.C., and Glenn Wortmann, MD, of MedStar Washington Hospital Center will join Dr. Hanrahan and Dr. Pile as faculty members.

Dr. Jennifer Hanrahan
“We trust that the precourse will give hospitalists who are early in their careers a general overview and more confidence in dealing with infections,” Dr. Hanrahan said. “For more experienced hospitalists, the session will serve as a good refresher, as well as point out some important changes in testing and treatment of infections.”

The precourse has five objectives:

  • Describe best practices in skin and soft tissue infection treatment based on current guidelines and recently approved antimicrobial agents.
  • Outline optimal strategies for prevention and treatment of Clostridium difficile, including disease recurrences.
  • Identify key strategies for prevention of selected infections and discuss resistance issues impacting antimicrobial use.
  • Focus on prompt recognition and treatment of certain infectious disease emergencies.
  • Cover significant trends in endocarditis and other endovascular infections and their impact on treatment approaches.

When the infectious disease precourse was last presented, it received highly positive evaluations. “We believe that this new, improved iteration will be better than ever,” Dr. Pile said. “It will be well worth attendees’ time and money, providing them with renewed confidence in their ability to manage common and less common infectious diseases. They will be able to return to their practices armed with new strategies that they can immediately put to use.”
 

Bugs, Drugs, and You: Infectious Diseases “Boot Camp” for Hospitalists

Monday, May 1, 8:15 a.m.–4:30 p.m.

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Sections

 

An intensive, day-long precourse on infectious diseases will return to the SHM annual meeting program for the first time in several years.

“Bugs, Drugs, and You: Infectious Diseases ‘Boot Camp’ for Hospitalists” will focus on a range of important clinical issues, including infectious diseases that appear with frequency and the high-stakes nature of which require correct diagnosis and treatment.

Dr. James Pile
“We have designed the precourse with a strong emphasis on practicality, recognizing that hospitalists, NPs, and PAs spend a high percentage of time caring for patients with infectious diseases,” said session cochair James Pile, MD, FACP, SFHM, of MetroHealth Medical Center and Case Western Reserve University in Cleveland.

Cochair Jennifer Hanrahan, DO, also of MetroHealth Medical Center, agreed, noting that hospitalists must be able to recognize infectious disease emergencies and have some familiarity with HIV as it presents in hospitalized patients.

“We want [attendees] to think about which tests to order and when to stop antibiotic therapy,” she said.

The faculty includes infectious diseases specialists with extensive teaching backgrounds. Several are practicing hospitalists. John Sanders, MD, MPH, of Wake Forest University, Winston-Salem, N.C., and Glenn Wortmann, MD, of MedStar Washington Hospital Center will join Dr. Hanrahan and Dr. Pile as faculty members.

Dr. Jennifer Hanrahan
“We trust that the precourse will give hospitalists who are early in their careers a general overview and more confidence in dealing with infections,” Dr. Hanrahan said. “For more experienced hospitalists, the session will serve as a good refresher, as well as point out some important changes in testing and treatment of infections.”

The precourse has five objectives:

  • Describe best practices in skin and soft tissue infection treatment based on current guidelines and recently approved antimicrobial agents.
  • Outline optimal strategies for prevention and treatment of Clostridium difficile, including disease recurrences.
  • Identify key strategies for prevention of selected infections and discuss resistance issues impacting antimicrobial use.
  • Focus on prompt recognition and treatment of certain infectious disease emergencies.
  • Cover significant trends in endocarditis and other endovascular infections and their impact on treatment approaches.

When the infectious disease precourse was last presented, it received highly positive evaluations. “We believe that this new, improved iteration will be better than ever,” Dr. Pile said. “It will be well worth attendees’ time and money, providing them with renewed confidence in their ability to manage common and less common infectious diseases. They will be able to return to their practices armed with new strategies that they can immediately put to use.”
 

Bugs, Drugs, and You: Infectious Diseases “Boot Camp” for Hospitalists

Monday, May 1, 8:15 a.m.–4:30 p.m.

 

An intensive, day-long precourse on infectious diseases will return to the SHM annual meeting program for the first time in several years.

“Bugs, Drugs, and You: Infectious Diseases ‘Boot Camp’ for Hospitalists” will focus on a range of important clinical issues, including infectious diseases that appear with frequency and the high-stakes nature of which require correct diagnosis and treatment.

Dr. James Pile
“We have designed the precourse with a strong emphasis on practicality, recognizing that hospitalists, NPs, and PAs spend a high percentage of time caring for patients with infectious diseases,” said session cochair James Pile, MD, FACP, SFHM, of MetroHealth Medical Center and Case Western Reserve University in Cleveland.

Cochair Jennifer Hanrahan, DO, also of MetroHealth Medical Center, agreed, noting that hospitalists must be able to recognize infectious disease emergencies and have some familiarity with HIV as it presents in hospitalized patients.

“We want [attendees] to think about which tests to order and when to stop antibiotic therapy,” she said.

The faculty includes infectious diseases specialists with extensive teaching backgrounds. Several are practicing hospitalists. John Sanders, MD, MPH, of Wake Forest University, Winston-Salem, N.C., and Glenn Wortmann, MD, of MedStar Washington Hospital Center will join Dr. Hanrahan and Dr. Pile as faculty members.

Dr. Jennifer Hanrahan
“We trust that the precourse will give hospitalists who are early in their careers a general overview and more confidence in dealing with infections,” Dr. Hanrahan said. “For more experienced hospitalists, the session will serve as a good refresher, as well as point out some important changes in testing and treatment of infections.”

The precourse has five objectives:

  • Describe best practices in skin and soft tissue infection treatment based on current guidelines and recently approved antimicrobial agents.
  • Outline optimal strategies for prevention and treatment of Clostridium difficile, including disease recurrences.
  • Identify key strategies for prevention of selected infections and discuss resistance issues impacting antimicrobial use.
  • Focus on prompt recognition and treatment of certain infectious disease emergencies.
  • Cover significant trends in endocarditis and other endovascular infections and their impact on treatment approaches.

When the infectious disease precourse was last presented, it received highly positive evaluations. “We believe that this new, improved iteration will be better than ever,” Dr. Pile said. “It will be well worth attendees’ time and money, providing them with renewed confidence in their ability to manage common and less common infectious diseases. They will be able to return to their practices armed with new strategies that they can immediately put to use.”
 

Bugs, Drugs, and You: Infectious Diseases “Boot Camp” for Hospitalists

Monday, May 1, 8:15 a.m.–4:30 p.m.

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Alternative CME

Multiple career options for hospitalists

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Fri, 09/14/2018 - 12:00

 

A Tuesday morning session at 10:35–11:15 a.m. called “Hospitalist Careers: So Many Options” will highlight the wide range of job possibilities for young hospitalists and provide a framework for advancing your career.

“Especially early in their careers, hospitalists can sometimes be overwhelmed by the possibilities of where their career can go and how to get to the position that they want, whether it’s leadership or another ultimate goal,” said copresenter Brian Markoff, MD, FACP, SFHM, chief of the division of hospital medicine at Mount Sinai St. Luke’s Hospital in New York. “This session is designed to help young physicians figure out where they are, where they want to be, and how they might be able to get there.”

The session – aimed at medical students, residents, fellows, and new hospitalists – will review different careers in hospital medicine, including academics and clinical work; share some individual success stories of currently practicing hospitalists; discuss the importance of mentorship; and note how you can use the Society of Hospital Medicine to advance your career status. “This is to help you take a step back and think about the big picture,” said copresenter Alfred Burger, MD, FACP, SFHM, associate program director of the internal medicine residency at Mount Sinai Beth Israel Hospital in New York.

Hospitalist careers today are quite varied, Dr. Burger said. Some physicians have a career that is primarily clinical while others have moved into a wide variety of leadership roles. “Hospitalists have ascended to some of the highest levels of leadership, whether it’s surgeon general or a chief medical officer or chief operating officer of a government agency or hospital group,” he said.

Some hospitalists have had success moving into the business and consulting range after practicing in a hospital setting, advising organizations how to do things more efficiently, while others have taken on health services research or patient safety and quality improvement work, he added.

Young hospitalists lately have been concerned with how much job advancement depends on gaining an extra degree like an MBA, versus being a really good hospitalist and working your way up, Dr. Markoff said. “We tell them, ‘You can do both,’ ” he said. “Depending on your career choice, you may or may not need an advanced degree.” In the past, Dr. Burger added, most hospitalists started a career and then gained additional degrees as needed. Today more hospitalists are starting their careers as a dual or sometimes triple degree holder.

“Hopefully, the session will help young hospitalists reflect on their own practice and help them sort out what they are doing that will get them to their ultimate career goal,” Dr. Markoff said. “The main take-home message is ‘There’s no one right way to get the career you want, but it’s going to take some active management on your part to get on the right path.’ ”

Dr. Burger thinks that the career pathways in hospital medicine are limited only by your own imagination. “Our talk is meant to inspire you to see the wide possibilities,” he said.

Attendees of the session, now in its third year, can serve as resources to peers and others who are more junior, Dr. Burger noted. “You may be able to inspire somebody based on something you heard” or share advice learned with a friend or colleague, he said, noting that some hospitalists have attended more than once.

“Hospitalist Careers: So Many Options”Tuesday, 10:35 a.m.–11:15 a.m.

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Meeting/Event
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A Tuesday morning session at 10:35–11:15 a.m. called “Hospitalist Careers: So Many Options” will highlight the wide range of job possibilities for young hospitalists and provide a framework for advancing your career.

“Especially early in their careers, hospitalists can sometimes be overwhelmed by the possibilities of where their career can go and how to get to the position that they want, whether it’s leadership or another ultimate goal,” said copresenter Brian Markoff, MD, FACP, SFHM, chief of the division of hospital medicine at Mount Sinai St. Luke’s Hospital in New York. “This session is designed to help young physicians figure out where they are, where they want to be, and how they might be able to get there.”

The session – aimed at medical students, residents, fellows, and new hospitalists – will review different careers in hospital medicine, including academics and clinical work; share some individual success stories of currently practicing hospitalists; discuss the importance of mentorship; and note how you can use the Society of Hospital Medicine to advance your career status. “This is to help you take a step back and think about the big picture,” said copresenter Alfred Burger, MD, FACP, SFHM, associate program director of the internal medicine residency at Mount Sinai Beth Israel Hospital in New York.

Hospitalist careers today are quite varied, Dr. Burger said. Some physicians have a career that is primarily clinical while others have moved into a wide variety of leadership roles. “Hospitalists have ascended to some of the highest levels of leadership, whether it’s surgeon general or a chief medical officer or chief operating officer of a government agency or hospital group,” he said.

Some hospitalists have had success moving into the business and consulting range after practicing in a hospital setting, advising organizations how to do things more efficiently, while others have taken on health services research or patient safety and quality improvement work, he added.

Young hospitalists lately have been concerned with how much job advancement depends on gaining an extra degree like an MBA, versus being a really good hospitalist and working your way up, Dr. Markoff said. “We tell them, ‘You can do both,’ ” he said. “Depending on your career choice, you may or may not need an advanced degree.” In the past, Dr. Burger added, most hospitalists started a career and then gained additional degrees as needed. Today more hospitalists are starting their careers as a dual or sometimes triple degree holder.

“Hopefully, the session will help young hospitalists reflect on their own practice and help them sort out what they are doing that will get them to their ultimate career goal,” Dr. Markoff said. “The main take-home message is ‘There’s no one right way to get the career you want, but it’s going to take some active management on your part to get on the right path.’ ”

Dr. Burger thinks that the career pathways in hospital medicine are limited only by your own imagination. “Our talk is meant to inspire you to see the wide possibilities,” he said.

Attendees of the session, now in its third year, can serve as resources to peers and others who are more junior, Dr. Burger noted. “You may be able to inspire somebody based on something you heard” or share advice learned with a friend or colleague, he said, noting that some hospitalists have attended more than once.

“Hospitalist Careers: So Many Options”Tuesday, 10:35 a.m.–11:15 a.m.

 

A Tuesday morning session at 10:35–11:15 a.m. called “Hospitalist Careers: So Many Options” will highlight the wide range of job possibilities for young hospitalists and provide a framework for advancing your career.

“Especially early in their careers, hospitalists can sometimes be overwhelmed by the possibilities of where their career can go and how to get to the position that they want, whether it’s leadership or another ultimate goal,” said copresenter Brian Markoff, MD, FACP, SFHM, chief of the division of hospital medicine at Mount Sinai St. Luke’s Hospital in New York. “This session is designed to help young physicians figure out where they are, where they want to be, and how they might be able to get there.”

The session – aimed at medical students, residents, fellows, and new hospitalists – will review different careers in hospital medicine, including academics and clinical work; share some individual success stories of currently practicing hospitalists; discuss the importance of mentorship; and note how you can use the Society of Hospital Medicine to advance your career status. “This is to help you take a step back and think about the big picture,” said copresenter Alfred Burger, MD, FACP, SFHM, associate program director of the internal medicine residency at Mount Sinai Beth Israel Hospital in New York.

Hospitalist careers today are quite varied, Dr. Burger said. Some physicians have a career that is primarily clinical while others have moved into a wide variety of leadership roles. “Hospitalists have ascended to some of the highest levels of leadership, whether it’s surgeon general or a chief medical officer or chief operating officer of a government agency or hospital group,” he said.

Some hospitalists have had success moving into the business and consulting range after practicing in a hospital setting, advising organizations how to do things more efficiently, while others have taken on health services research or patient safety and quality improvement work, he added.

Young hospitalists lately have been concerned with how much job advancement depends on gaining an extra degree like an MBA, versus being a really good hospitalist and working your way up, Dr. Markoff said. “We tell them, ‘You can do both,’ ” he said. “Depending on your career choice, you may or may not need an advanced degree.” In the past, Dr. Burger added, most hospitalists started a career and then gained additional degrees as needed. Today more hospitalists are starting their careers as a dual or sometimes triple degree holder.

“Hopefully, the session will help young hospitalists reflect on their own practice and help them sort out what they are doing that will get them to their ultimate career goal,” Dr. Markoff said. “The main take-home message is ‘There’s no one right way to get the career you want, but it’s going to take some active management on your part to get on the right path.’ ”

Dr. Burger thinks that the career pathways in hospital medicine are limited only by your own imagination. “Our talk is meant to inspire you to see the wide possibilities,” he said.

Attendees of the session, now in its third year, can serve as resources to peers and others who are more junior, Dr. Burger noted. “You may be able to inspire somebody based on something you heard” or share advice learned with a friend or colleague, he said, noting that some hospitalists have attended more than once.

“Hospitalist Careers: So Many Options”Tuesday, 10:35 a.m.–11:15 a.m.

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Experienced HM clinicians tackle opioid issues

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Fri, 09/14/2018 - 12:00

Societal trends – and ills – don’t stop at the hospital door, and opioid use is no exception. Hospitalists are frequently presented with difficult cases involving patients who have been using opioids for long periods of time, including some who show signs of opioid addiction. These cases present challenges for treatment and sometimes tense situations in which patients request delivery of pain medication that a hospitalist might consider excessive or potentially harmful.

 

Two experienced hospitalists will guide HM17 attendees through this dicey terrain in “The Hospitalist’s Role in the Opioid Epidemic” session, scheduled for Tuesday, May 2, 1:35–2:35 p.m., as part of the Quality Track.

Dr. Shoshana Herzig
Shoshana Herzig, MD, MPH, director of hospital medicine research at Beth Israel Deaconess Medical Center and assistant professor at Harvard Medical School, Boston, who will sit on the session’s panel, said she hopes those who attend come away with a better sense of their role in the opioid-use issue and how they can make a positive difference.

“We will be discussing how hospitalists have contributed to the opioid epidemic, and how we can be part of the solution,” she said. “We hope hospitalists will leave the talk with a better understanding of how their prescribing practices contribute to opioid-related adverse events, and how to prescribe more safely and appropriately, to minimize risks and maximize benefits.”

Dr. Hilary Mosher
Hilary Mosher, MD, MFA, FHM, clinical assistant professor of internal medicine at the University of Iowa in Des Moines and physician with the Iowa City Veterans Affairs Medical Center, said she will talk about the challenges of assessing and treating pain that’s experienced by hospitalized patients who have chronic pain conditions and have been treated with long-term opioid therapy.

“Both chronic pain and long-term opioid therapy are high-prevalence conditions,” she said. “While hospitalists are often comfortable with their knowledge and skills in treating acute pain, many of us find that our patients have multiple or complex pain conditions that include chronic pain components.”

Despite the best of intentions, hospitalists are increasingly concerned that they might take steps in treatment that could actually contribute to opioid abuse. This session will, in part, be geared toward avoiding those pitfalls.

“Treatment of pain during hospitalization is more challenging in patients who regularly take opioid medications,” Dr. Mosher said. “The growing concern that hospitalists might inadvertently contribute to risky or excessive opioid use though well-intentioned, inpatient and discharge prescribing makes it even more essential that we increase our knowledge, skills, and confidence in this area.”

The Hospitalist’s Role in the Opioid Epidemic
Tuesday, May 2, 1:35–2:35 p.m.

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Societal trends – and ills – don’t stop at the hospital door, and opioid use is no exception. Hospitalists are frequently presented with difficult cases involving patients who have been using opioids for long periods of time, including some who show signs of opioid addiction. These cases present challenges for treatment and sometimes tense situations in which patients request delivery of pain medication that a hospitalist might consider excessive or potentially harmful.

 

Two experienced hospitalists will guide HM17 attendees through this dicey terrain in “The Hospitalist’s Role in the Opioid Epidemic” session, scheduled for Tuesday, May 2, 1:35–2:35 p.m., as part of the Quality Track.

Dr. Shoshana Herzig
Shoshana Herzig, MD, MPH, director of hospital medicine research at Beth Israel Deaconess Medical Center and assistant professor at Harvard Medical School, Boston, who will sit on the session’s panel, said she hopes those who attend come away with a better sense of their role in the opioid-use issue and how they can make a positive difference.

“We will be discussing how hospitalists have contributed to the opioid epidemic, and how we can be part of the solution,” she said. “We hope hospitalists will leave the talk with a better understanding of how their prescribing practices contribute to opioid-related adverse events, and how to prescribe more safely and appropriately, to minimize risks and maximize benefits.”

Dr. Hilary Mosher
Hilary Mosher, MD, MFA, FHM, clinical assistant professor of internal medicine at the University of Iowa in Des Moines and physician with the Iowa City Veterans Affairs Medical Center, said she will talk about the challenges of assessing and treating pain that’s experienced by hospitalized patients who have chronic pain conditions and have been treated with long-term opioid therapy.

“Both chronic pain and long-term opioid therapy are high-prevalence conditions,” she said. “While hospitalists are often comfortable with their knowledge and skills in treating acute pain, many of us find that our patients have multiple or complex pain conditions that include chronic pain components.”

Despite the best of intentions, hospitalists are increasingly concerned that they might take steps in treatment that could actually contribute to opioid abuse. This session will, in part, be geared toward avoiding those pitfalls.

“Treatment of pain during hospitalization is more challenging in patients who regularly take opioid medications,” Dr. Mosher said. “The growing concern that hospitalists might inadvertently contribute to risky or excessive opioid use though well-intentioned, inpatient and discharge prescribing makes it even more essential that we increase our knowledge, skills, and confidence in this area.”

The Hospitalist’s Role in the Opioid Epidemic
Tuesday, May 2, 1:35–2:35 p.m.

Societal trends – and ills – don’t stop at the hospital door, and opioid use is no exception. Hospitalists are frequently presented with difficult cases involving patients who have been using opioids for long periods of time, including some who show signs of opioid addiction. These cases present challenges for treatment and sometimes tense situations in which patients request delivery of pain medication that a hospitalist might consider excessive or potentially harmful.

 

Two experienced hospitalists will guide HM17 attendees through this dicey terrain in “The Hospitalist’s Role in the Opioid Epidemic” session, scheduled for Tuesday, May 2, 1:35–2:35 p.m., as part of the Quality Track.

Dr. Shoshana Herzig
Shoshana Herzig, MD, MPH, director of hospital medicine research at Beth Israel Deaconess Medical Center and assistant professor at Harvard Medical School, Boston, who will sit on the session’s panel, said she hopes those who attend come away with a better sense of their role in the opioid-use issue and how they can make a positive difference.

“We will be discussing how hospitalists have contributed to the opioid epidemic, and how we can be part of the solution,” she said. “We hope hospitalists will leave the talk with a better understanding of how their prescribing practices contribute to opioid-related adverse events, and how to prescribe more safely and appropriately, to minimize risks and maximize benefits.”

Dr. Hilary Mosher
Hilary Mosher, MD, MFA, FHM, clinical assistant professor of internal medicine at the University of Iowa in Des Moines and physician with the Iowa City Veterans Affairs Medical Center, said she will talk about the challenges of assessing and treating pain that’s experienced by hospitalized patients who have chronic pain conditions and have been treated with long-term opioid therapy.

“Both chronic pain and long-term opioid therapy are high-prevalence conditions,” she said. “While hospitalists are often comfortable with their knowledge and skills in treating acute pain, many of us find that our patients have multiple or complex pain conditions that include chronic pain components.”

Despite the best of intentions, hospitalists are increasingly concerned that they might take steps in treatment that could actually contribute to opioid abuse. This session will, in part, be geared toward avoiding those pitfalls.

“Treatment of pain during hospitalization is more challenging in patients who regularly take opioid medications,” Dr. Mosher said. “The growing concern that hospitalists might inadvertently contribute to risky or excessive opioid use though well-intentioned, inpatient and discharge prescribing makes it even more essential that we increase our knowledge, skills, and confidence in this area.”

The Hospitalist’s Role in the Opioid Epidemic
Tuesday, May 2, 1:35–2:35 p.m.

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Welcome to the Annual Meeting

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Welcome to Hospital Medicine 2017 (HM17), the largest meeting ever held specifically for hospital medicine. The Society of Hospital Medicine (SHM) is proud that HM17 brings together a broad range of stakeholders in hospital medicine, including physicians of many specialties, acute-care providers, administrators, pharmacists, C-suite executives, recruiters, and educators. Your decision to join your colleagues at HM17 demonstrates your commitment to not only the specialty of hospital medicine but also to the patients you serve.

 

This year’s renowned speakers will present important sessions addressing the rapidly evolving healthcare landscape. To open the main meeting on Tuesday, Karen DeSalvo, MD, MPH, MSc, former acting assistant secretary for health for the U.S. Department of Health & Human Services, will present her featured address, “Rethinking Health: The Vital Role of Hospitals and the Hospitalist.” On Wednesday, Patrick Conway, MD, MSc, MHM, an SHM member, the Centers for Medicare & Medicaid Services deputy administrator for innovation and quality, and director of the Center for Medicare and Medicaid Innovation, will speak about “Health Care System Transformation.”

Dr. Larry Wellikson
On Thursday, HM17 concludes with the closing keynote, “Planning for the Future in a World of Constant Change: What Should Hospitalists Do?” presented by Bob Wachter, MD, MHM, chief of the internal medicine department at the University of California, San Francisco, and author of “Hospital Medicine” and “The Digital Doctor.”

Please make sure to download the HM17 at Hand meeting app, a wonderful resource for every HM17 attendee that puts the meeting at your fingertips. Create an individualized conference experience from your smartphone, tablet, or laptop.

Don’t miss the opportunity to meet one on one with members of SHM’s Board of Directors, who will be available in the exhibit hall in the SHM booth during scheduled visit times. Please consult the Meet the Board schedule in the HM17 at Hand app for further information.

On behalf of the SHM Board of Directors and staff, welcome to HM17 and to Las Vegas. Through this meeting’s rich selection of educational opportunities, research offerings, and networking events, SHM continues its mission to promote excellence in the practice of hospital medicine. SHM remains at the forefront of health care today, continuing to transform medical care and revolutionize patient care.
 

Dr. Wellikson is CEO of SHM.

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Welcome to Hospital Medicine 2017 (HM17), the largest meeting ever held specifically for hospital medicine. The Society of Hospital Medicine (SHM) is proud that HM17 brings together a broad range of stakeholders in hospital medicine, including physicians of many specialties, acute-care providers, administrators, pharmacists, C-suite executives, recruiters, and educators. Your decision to join your colleagues at HM17 demonstrates your commitment to not only the specialty of hospital medicine but also to the patients you serve.

 

This year’s renowned speakers will present important sessions addressing the rapidly evolving healthcare landscape. To open the main meeting on Tuesday, Karen DeSalvo, MD, MPH, MSc, former acting assistant secretary for health for the U.S. Department of Health & Human Services, will present her featured address, “Rethinking Health: The Vital Role of Hospitals and the Hospitalist.” On Wednesday, Patrick Conway, MD, MSc, MHM, an SHM member, the Centers for Medicare & Medicaid Services deputy administrator for innovation and quality, and director of the Center for Medicare and Medicaid Innovation, will speak about “Health Care System Transformation.”

Dr. Larry Wellikson
On Thursday, HM17 concludes with the closing keynote, “Planning for the Future in a World of Constant Change: What Should Hospitalists Do?” presented by Bob Wachter, MD, MHM, chief of the internal medicine department at the University of California, San Francisco, and author of “Hospital Medicine” and “The Digital Doctor.”

Please make sure to download the HM17 at Hand meeting app, a wonderful resource for every HM17 attendee that puts the meeting at your fingertips. Create an individualized conference experience from your smartphone, tablet, or laptop.

Don’t miss the opportunity to meet one on one with members of SHM’s Board of Directors, who will be available in the exhibit hall in the SHM booth during scheduled visit times. Please consult the Meet the Board schedule in the HM17 at Hand app for further information.

On behalf of the SHM Board of Directors and staff, welcome to HM17 and to Las Vegas. Through this meeting’s rich selection of educational opportunities, research offerings, and networking events, SHM continues its mission to promote excellence in the practice of hospital medicine. SHM remains at the forefront of health care today, continuing to transform medical care and revolutionize patient care.
 

Dr. Wellikson is CEO of SHM.

Welcome to Hospital Medicine 2017 (HM17), the largest meeting ever held specifically for hospital medicine. The Society of Hospital Medicine (SHM) is proud that HM17 brings together a broad range of stakeholders in hospital medicine, including physicians of many specialties, acute-care providers, administrators, pharmacists, C-suite executives, recruiters, and educators. Your decision to join your colleagues at HM17 demonstrates your commitment to not only the specialty of hospital medicine but also to the patients you serve.

 

This year’s renowned speakers will present important sessions addressing the rapidly evolving healthcare landscape. To open the main meeting on Tuesday, Karen DeSalvo, MD, MPH, MSc, former acting assistant secretary for health for the U.S. Department of Health & Human Services, will present her featured address, “Rethinking Health: The Vital Role of Hospitals and the Hospitalist.” On Wednesday, Patrick Conway, MD, MSc, MHM, an SHM member, the Centers for Medicare & Medicaid Services deputy administrator for innovation and quality, and director of the Center for Medicare and Medicaid Innovation, will speak about “Health Care System Transformation.”

Dr. Larry Wellikson
On Thursday, HM17 concludes with the closing keynote, “Planning for the Future in a World of Constant Change: What Should Hospitalists Do?” presented by Bob Wachter, MD, MHM, chief of the internal medicine department at the University of California, San Francisco, and author of “Hospital Medicine” and “The Digital Doctor.”

Please make sure to download the HM17 at Hand meeting app, a wonderful resource for every HM17 attendee that puts the meeting at your fingertips. Create an individualized conference experience from your smartphone, tablet, or laptop.

Don’t miss the opportunity to meet one on one with members of SHM’s Board of Directors, who will be available in the exhibit hall in the SHM booth during scheduled visit times. Please consult the Meet the Board schedule in the HM17 at Hand app for further information.

On behalf of the SHM Board of Directors and staff, welcome to HM17 and to Las Vegas. Through this meeting’s rich selection of educational opportunities, research offerings, and networking events, SHM continues its mission to promote excellence in the practice of hospital medicine. SHM remains at the forefront of health care today, continuing to transform medical care and revolutionize patient care.
 

Dr. Wellikson is CEO of SHM.

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Start your day with meditation

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Take a breather from conferencing and join your colleagues for a meditation session on Tuesday, May 2, 7–8 a.m., and Thursday, May 4, 7–7:40 a.m.

Physician facilitators with training in mindfulness practices will lead you in exercises that will attune you with the five senses, the language of your mind and body, and the healing power of your breath.

The session will sustain you throughout the day.
 

Tuesday, May 2 7–8 a.m.
Mandalay Bay K

Facilitators:
Elizabeth Harry, MD, instructor of medicine, Harvard Medical School, Brigham and Women’s Hospital, and Christie Masters, MD, assistant clinical professor, UCLA Hospitalist Service
 

Thursday, May 4 7–7:40 a.m.
Mandalay Bay K

Facilitator:
Aditi Dave, MD, Carolina East Medical Center, Wake Forest University

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Take a breather from conferencing and join your colleagues for a meditation session on Tuesday, May 2, 7–8 a.m., and Thursday, May 4, 7–7:40 a.m.

Physician facilitators with training in mindfulness practices will lead you in exercises that will attune you with the five senses, the language of your mind and body, and the healing power of your breath.

The session will sustain you throughout the day.
 

Tuesday, May 2 7–8 a.m.
Mandalay Bay K

Facilitators:
Elizabeth Harry, MD, instructor of medicine, Harvard Medical School, Brigham and Women’s Hospital, and Christie Masters, MD, assistant clinical professor, UCLA Hospitalist Service
 

Thursday, May 4 7–7:40 a.m.
Mandalay Bay K

Facilitator:
Aditi Dave, MD, Carolina East Medical Center, Wake Forest University

Take a breather from conferencing and join your colleagues for a meditation session on Tuesday, May 2, 7–8 a.m., and Thursday, May 4, 7–7:40 a.m.

Physician facilitators with training in mindfulness practices will lead you in exercises that will attune you with the five senses, the language of your mind and body, and the healing power of your breath.

The session will sustain you throughout the day.
 

Tuesday, May 2 7–8 a.m.
Mandalay Bay K

Facilitators:
Elizabeth Harry, MD, instructor of medicine, Harvard Medical School, Brigham and Women’s Hospital, and Christie Masters, MD, assistant clinical professor, UCLA Hospitalist Service
 

Thursday, May 4 7–7:40 a.m.
Mandalay Bay K

Facilitator:
Aditi Dave, MD, Carolina East Medical Center, Wake Forest University

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Enjoy Las Vegas and HM17

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Fri, 09/14/2018 - 12:00

 

Welcome to HM17 and Las Vegas! We invite you to network and get to know more than 4,000 of your closest colleagues over the next 3 days. Please have fun taking advantage of the many unique learning opportunities we have developed for this year’s meeting. We hope you will be pleased with the offerings that our Annual Meeting Committee has produced on your behalf. You will see committee members wearing buttons that identify them as members of the Annual Meeting Committee. Please take the time to give them your feedback about the meeting and, if you feel so inclined, thank them for the time and energy they committed to create this year’s meeting.

We think you will find this meeting and the precourses have something (many things!) for everyone. Whether you are a community or an academic hospitalist, a newly minted hospitalist or a seasoned veteran, a clinician who takes care of the young or the old (and everyone in between), an advanced practice clinician or hospital medicine administrator, a researcher or educator or clinician (or any combination of the three), we had you in mind as we developed the content for HM17.

Dr. Lenny Feldman
HM17 includes the most clinical content ever presented at our annual meeting. We used the SHM core competencies as the framework to ensure we included all of the critical topics the HM community faces daily. Enjoy the rapid-fire, clinical update, and potpourri sessions, as well as the new tracks that focus on the clinician, including high-value care, comanagement/perioperative medicine, and diagnostic reasoning tracks. We will even repeat some of the most popular talks on Wednesday, so you will be able to attend all of the “can’t miss” sessions.

We have added medical education and health policy tracks and are bringing back favorites like the young-hospitalist, academic, pediatric, practice management, and quality tracks. Don’t forget to attend our interactive workshops. More than 150 workshop ideas were submitted, and we are proud to feature 18 of the best.

Finally, your HM17 experience will not be complete until you attend the much-anticipated Updates in Hospital Medicine talks and plenary sessions; network with your colleagues at the Research, Innovations, and Clinical Vignettes (RIV) Poster Competition; roam the Exhibit Hall; and join in a Special Interest Forum.

This meeting would not be possible without the tireless effort of the SHM staff and leadership, conference faculty, and committee members. Most importantly, we sincerely thank all of you for attending HM17. We have created this meeting for you, and we hope it is your most valuable educational and networking opportunity of 2017.

Enjoy Las Vegas and HM17, and we will see you in 2018 in Orlando!
 

Dr. Feldman is a hospitalist at Johns Hopkins in Baltimore and course director for HM17.

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Welcome to HM17 and Las Vegas! We invite you to network and get to know more than 4,000 of your closest colleagues over the next 3 days. Please have fun taking advantage of the many unique learning opportunities we have developed for this year’s meeting. We hope you will be pleased with the offerings that our Annual Meeting Committee has produced on your behalf. You will see committee members wearing buttons that identify them as members of the Annual Meeting Committee. Please take the time to give them your feedback about the meeting and, if you feel so inclined, thank them for the time and energy they committed to create this year’s meeting.

We think you will find this meeting and the precourses have something (many things!) for everyone. Whether you are a community or an academic hospitalist, a newly minted hospitalist or a seasoned veteran, a clinician who takes care of the young or the old (and everyone in between), an advanced practice clinician or hospital medicine administrator, a researcher or educator or clinician (or any combination of the three), we had you in mind as we developed the content for HM17.

Dr. Lenny Feldman
HM17 includes the most clinical content ever presented at our annual meeting. We used the SHM core competencies as the framework to ensure we included all of the critical topics the HM community faces daily. Enjoy the rapid-fire, clinical update, and potpourri sessions, as well as the new tracks that focus on the clinician, including high-value care, comanagement/perioperative medicine, and diagnostic reasoning tracks. We will even repeat some of the most popular talks on Wednesday, so you will be able to attend all of the “can’t miss” sessions.

We have added medical education and health policy tracks and are bringing back favorites like the young-hospitalist, academic, pediatric, practice management, and quality tracks. Don’t forget to attend our interactive workshops. More than 150 workshop ideas were submitted, and we are proud to feature 18 of the best.

Finally, your HM17 experience will not be complete until you attend the much-anticipated Updates in Hospital Medicine talks and plenary sessions; network with your colleagues at the Research, Innovations, and Clinical Vignettes (RIV) Poster Competition; roam the Exhibit Hall; and join in a Special Interest Forum.

This meeting would not be possible without the tireless effort of the SHM staff and leadership, conference faculty, and committee members. Most importantly, we sincerely thank all of you for attending HM17. We have created this meeting for you, and we hope it is your most valuable educational and networking opportunity of 2017.

Enjoy Las Vegas and HM17, and we will see you in 2018 in Orlando!
 

Dr. Feldman is a hospitalist at Johns Hopkins in Baltimore and course director for HM17.

 

Welcome to HM17 and Las Vegas! We invite you to network and get to know more than 4,000 of your closest colleagues over the next 3 days. Please have fun taking advantage of the many unique learning opportunities we have developed for this year’s meeting. We hope you will be pleased with the offerings that our Annual Meeting Committee has produced on your behalf. You will see committee members wearing buttons that identify them as members of the Annual Meeting Committee. Please take the time to give them your feedback about the meeting and, if you feel so inclined, thank them for the time and energy they committed to create this year’s meeting.

We think you will find this meeting and the precourses have something (many things!) for everyone. Whether you are a community or an academic hospitalist, a newly minted hospitalist or a seasoned veteran, a clinician who takes care of the young or the old (and everyone in between), an advanced practice clinician or hospital medicine administrator, a researcher or educator or clinician (or any combination of the three), we had you in mind as we developed the content for HM17.

Dr. Lenny Feldman
HM17 includes the most clinical content ever presented at our annual meeting. We used the SHM core competencies as the framework to ensure we included all of the critical topics the HM community faces daily. Enjoy the rapid-fire, clinical update, and potpourri sessions, as well as the new tracks that focus on the clinician, including high-value care, comanagement/perioperative medicine, and diagnostic reasoning tracks. We will even repeat some of the most popular talks on Wednesday, so you will be able to attend all of the “can’t miss” sessions.

We have added medical education and health policy tracks and are bringing back favorites like the young-hospitalist, academic, pediatric, practice management, and quality tracks. Don’t forget to attend our interactive workshops. More than 150 workshop ideas were submitted, and we are proud to feature 18 of the best.

Finally, your HM17 experience will not be complete until you attend the much-anticipated Updates in Hospital Medicine talks and plenary sessions; network with your colleagues at the Research, Innovations, and Clinical Vignettes (RIV) Poster Competition; roam the Exhibit Hall; and join in a Special Interest Forum.

This meeting would not be possible without the tireless effort of the SHM staff and leadership, conference faculty, and committee members. Most importantly, we sincerely thank all of you for attending HM17. We have created this meeting for you, and we hope it is your most valuable educational and networking opportunity of 2017.

Enjoy Las Vegas and HM17, and we will see you in 2018 in Orlando!
 

Dr. Feldman is a hospitalist at Johns Hopkins in Baltimore and course director for HM17.

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Disallow All Ads
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