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Hospitalist movers and shakers - June/July 2017
Three members of the hospital medicine community – Thiruvoipati Nanda Kumar, MD; Anthony Aghenta, MD, MS, FACP; and Angela Aboutalib, MD – recently were honored for their work by the International Association of HealthCare Professionals, earning spots in its publication, The Leading Physicians of the World.
Hospitalist and internist Dr. Nanda Kumar serves patients at Vibra Hospital in Redding, Calif., where he is also a clinical associate professor at the University of California at Davis. He is a member of both the Society of Hospital Medicine and the American Diabetes Association.
Dr. Aghenta is a 17-year veteran internist who currently serves as medical director for Coronado Healthcare Center in Phoenix. There, he also is affiliated with St. Joseph’s Hospital and Medical Center. A member of SHM, Dr. Aghenta also has the title of Fellow of the American College of Physicians.
Dr. Aboutalib, whose experience as an internist includes expertise in hospital medicine, serves as hospitalist and medical director of clinical operations at U.S. Acute Care Solutions, Canton, Ohio. Previously, this member of the American College of Physicians served South Physicians as a hospitalist at Mercy Hospital in Chicago.
Andrew Dunn, MD, MPH, FACP, SFHM, recently was named chair-elect of the Board of Regents of the American College of Physicians (ACP), the national organization of internists. He assumed the role at the start of the ACP’s annual scientific meeting held in San Diego, March 30–April 1.
Dr. Dunn is chief of hospital medicine of the Mount Sinai Health System, New York, and serves as professor of medicine at the Icahn Mount Sinai School of Medicine. He has been an ACP Board of Regents member and was chair of its Board of Governors, as well as governor of the ACP’s Manhattan/Bronx chapter.
Susan Herson, MD, has been named the new chief of staff at the Bath, N.Y., Veterans Affairs Medical Center. Dr. Herson comes to Bath from the Sioux Falls (S.D.) VA, where she was a hospitalist, a hospitalist-clinician educator, and medical director of clinical documentation improvement, while also serving as clinical assistant professor for New York Medical College and medical director at Norwalk (Conn.) Hospital.
Dr. Herson served in the U.S. Navy, doing her training at Walter Reed Medical Center, Bethesda, Md. She was a general medical officer while stationed at U.S. Marine Corps Base Camp Lejeune in Jacksonville, N.C.
Chad Whelan, MD, has been elevated to president of the Loyola (Ill.) University Medical Center, moving up from his chair as senior vice president and chief medical officer. This longtime hospitalist also serves as a professor of medicine in the Loyola Chicago Stritch School of Medicine.
Dr. Whelan is a former director of hospital medicine at Loyola and has held various positions, including associate chief medical officer, at the University of Chicago. He is an associate editor of the Journal of Hospital Medicine.
Kevin Tulipana, DO, recently was promoted to medical director of hospital medicine at Cancer Treatment Centers of America’s Southwest Regional Medical Center in Tulsa, Okla. Previously, Dr. Tulipana was a hospitalist in the special care unit at CTCA Tulsa.
Mustafa Sardini, MD, has been named Envision Physician Services’ 2017 Hospital Medicine Physician of the Year. Dr. Sardini is the site medical director as Baylor Scott & White Medical Center, Sunnyvale, Texas. EPS presents the award to a hospitalist who peers deem as a leader in the industry.
Business moves
Physicians’ Alliance, (PAL) recently announced plans to partner with Penn State Health. As the largest independent physician group in Lancaster County, Pa., they will bring its more than 120 physicians, hospitalists, and dieticians to central Pennsylvania giant Penn State.
The alliance will allow patients of PAL physicians access to advanced care at Milton S. Hershey Medical Center and Penn State Children’s Hospital in Hershey.
Envision Healthcare, Greenwood Village, Colo. has created the Envision Physical Services (EPS) as a result of a merger with AmSurg ambulatory surgical center in December 2016. EPS combines EmCare and Sheridan Healthcare’s physician services divisions.
EPS specializes in hospital medicine, anesthesia, emergency medicine, radiology, and surgical services.
Three members of the hospital medicine community – Thiruvoipati Nanda Kumar, MD; Anthony Aghenta, MD, MS, FACP; and Angela Aboutalib, MD – recently were honored for their work by the International Association of HealthCare Professionals, earning spots in its publication, The Leading Physicians of the World.
Hospitalist and internist Dr. Nanda Kumar serves patients at Vibra Hospital in Redding, Calif., where he is also a clinical associate professor at the University of California at Davis. He is a member of both the Society of Hospital Medicine and the American Diabetes Association.
Dr. Aghenta is a 17-year veteran internist who currently serves as medical director for Coronado Healthcare Center in Phoenix. There, he also is affiliated with St. Joseph’s Hospital and Medical Center. A member of SHM, Dr. Aghenta also has the title of Fellow of the American College of Physicians.
Dr. Aboutalib, whose experience as an internist includes expertise in hospital medicine, serves as hospitalist and medical director of clinical operations at U.S. Acute Care Solutions, Canton, Ohio. Previously, this member of the American College of Physicians served South Physicians as a hospitalist at Mercy Hospital in Chicago.
Andrew Dunn, MD, MPH, FACP, SFHM, recently was named chair-elect of the Board of Regents of the American College of Physicians (ACP), the national organization of internists. He assumed the role at the start of the ACP’s annual scientific meeting held in San Diego, March 30–April 1.
Dr. Dunn is chief of hospital medicine of the Mount Sinai Health System, New York, and serves as professor of medicine at the Icahn Mount Sinai School of Medicine. He has been an ACP Board of Regents member and was chair of its Board of Governors, as well as governor of the ACP’s Manhattan/Bronx chapter.
Susan Herson, MD, has been named the new chief of staff at the Bath, N.Y., Veterans Affairs Medical Center. Dr. Herson comes to Bath from the Sioux Falls (S.D.) VA, where she was a hospitalist, a hospitalist-clinician educator, and medical director of clinical documentation improvement, while also serving as clinical assistant professor for New York Medical College and medical director at Norwalk (Conn.) Hospital.
Dr. Herson served in the U.S. Navy, doing her training at Walter Reed Medical Center, Bethesda, Md. She was a general medical officer while stationed at U.S. Marine Corps Base Camp Lejeune in Jacksonville, N.C.
Chad Whelan, MD, has been elevated to president of the Loyola (Ill.) University Medical Center, moving up from his chair as senior vice president and chief medical officer. This longtime hospitalist also serves as a professor of medicine in the Loyola Chicago Stritch School of Medicine.
Dr. Whelan is a former director of hospital medicine at Loyola and has held various positions, including associate chief medical officer, at the University of Chicago. He is an associate editor of the Journal of Hospital Medicine.
Kevin Tulipana, DO, recently was promoted to medical director of hospital medicine at Cancer Treatment Centers of America’s Southwest Regional Medical Center in Tulsa, Okla. Previously, Dr. Tulipana was a hospitalist in the special care unit at CTCA Tulsa.
Mustafa Sardini, MD, has been named Envision Physician Services’ 2017 Hospital Medicine Physician of the Year. Dr. Sardini is the site medical director as Baylor Scott & White Medical Center, Sunnyvale, Texas. EPS presents the award to a hospitalist who peers deem as a leader in the industry.
Business moves
Physicians’ Alliance, (PAL) recently announced plans to partner with Penn State Health. As the largest independent physician group in Lancaster County, Pa., they will bring its more than 120 physicians, hospitalists, and dieticians to central Pennsylvania giant Penn State.
The alliance will allow patients of PAL physicians access to advanced care at Milton S. Hershey Medical Center and Penn State Children’s Hospital in Hershey.
Envision Healthcare, Greenwood Village, Colo. has created the Envision Physical Services (EPS) as a result of a merger with AmSurg ambulatory surgical center in December 2016. EPS combines EmCare and Sheridan Healthcare’s physician services divisions.
EPS specializes in hospital medicine, anesthesia, emergency medicine, radiology, and surgical services.
Three members of the hospital medicine community – Thiruvoipati Nanda Kumar, MD; Anthony Aghenta, MD, MS, FACP; and Angela Aboutalib, MD – recently were honored for their work by the International Association of HealthCare Professionals, earning spots in its publication, The Leading Physicians of the World.
Hospitalist and internist Dr. Nanda Kumar serves patients at Vibra Hospital in Redding, Calif., where he is also a clinical associate professor at the University of California at Davis. He is a member of both the Society of Hospital Medicine and the American Diabetes Association.
Dr. Aghenta is a 17-year veteran internist who currently serves as medical director for Coronado Healthcare Center in Phoenix. There, he also is affiliated with St. Joseph’s Hospital and Medical Center. A member of SHM, Dr. Aghenta also has the title of Fellow of the American College of Physicians.
Dr. Aboutalib, whose experience as an internist includes expertise in hospital medicine, serves as hospitalist and medical director of clinical operations at U.S. Acute Care Solutions, Canton, Ohio. Previously, this member of the American College of Physicians served South Physicians as a hospitalist at Mercy Hospital in Chicago.
Andrew Dunn, MD, MPH, FACP, SFHM, recently was named chair-elect of the Board of Regents of the American College of Physicians (ACP), the national organization of internists. He assumed the role at the start of the ACP’s annual scientific meeting held in San Diego, March 30–April 1.
Dr. Dunn is chief of hospital medicine of the Mount Sinai Health System, New York, and serves as professor of medicine at the Icahn Mount Sinai School of Medicine. He has been an ACP Board of Regents member and was chair of its Board of Governors, as well as governor of the ACP’s Manhattan/Bronx chapter.
Susan Herson, MD, has been named the new chief of staff at the Bath, N.Y., Veterans Affairs Medical Center. Dr. Herson comes to Bath from the Sioux Falls (S.D.) VA, where she was a hospitalist, a hospitalist-clinician educator, and medical director of clinical documentation improvement, while also serving as clinical assistant professor for New York Medical College and medical director at Norwalk (Conn.) Hospital.
Dr. Herson served in the U.S. Navy, doing her training at Walter Reed Medical Center, Bethesda, Md. She was a general medical officer while stationed at U.S. Marine Corps Base Camp Lejeune in Jacksonville, N.C.
Chad Whelan, MD, has been elevated to president of the Loyola (Ill.) University Medical Center, moving up from his chair as senior vice president and chief medical officer. This longtime hospitalist also serves as a professor of medicine in the Loyola Chicago Stritch School of Medicine.
Dr. Whelan is a former director of hospital medicine at Loyola and has held various positions, including associate chief medical officer, at the University of Chicago. He is an associate editor of the Journal of Hospital Medicine.
Kevin Tulipana, DO, recently was promoted to medical director of hospital medicine at Cancer Treatment Centers of America’s Southwest Regional Medical Center in Tulsa, Okla. Previously, Dr. Tulipana was a hospitalist in the special care unit at CTCA Tulsa.
Mustafa Sardini, MD, has been named Envision Physician Services’ 2017 Hospital Medicine Physician of the Year. Dr. Sardini is the site medical director as Baylor Scott & White Medical Center, Sunnyvale, Texas. EPS presents the award to a hospitalist who peers deem as a leader in the industry.
Business moves
Physicians’ Alliance, (PAL) recently announced plans to partner with Penn State Health. As the largest independent physician group in Lancaster County, Pa., they will bring its more than 120 physicians, hospitalists, and dieticians to central Pennsylvania giant Penn State.
The alliance will allow patients of PAL physicians access to advanced care at Milton S. Hershey Medical Center and Penn State Children’s Hospital in Hershey.
Envision Healthcare, Greenwood Village, Colo. has created the Envision Physical Services (EPS) as a result of a merger with AmSurg ambulatory surgical center in December 2016. EPS combines EmCare and Sheridan Healthcare’s physician services divisions.
EPS specializes in hospital medicine, anesthesia, emergency medicine, radiology, and surgical services.
Hospitalists and cost control in the U.S. health care system
The rising cost of care has been a major concern in the U.S. health care system. In 1990, about $714 million was spent on health care. In 2010, the cost had risen exponentially to about $2.6 trillion.1 An estimated $750 billion dollars is attributed to health care waste.2
Health care waste includes spending on laboratory testing, diagnostic imaging, procedures or other treatments. Below is a list of the various sources that contribute to health care spending waste:2
1. Unnecessary Services ($210 billion)
2. Excessive Administrative Costs (190 billion)
3. Inefficient Service Delivery ($130 billion)
4. Overpricing ($105 billion)
5. Fraud ($75 billion)
6. Treatment for services that could have been prevented ($55 billion)
The patient and payers view cost as the price that is paid for a service rendered. It includes charges for such services as prescriptions and doctor visits, as well as the premiums paid for health insurance. The provider views cost as the price for producing health services, such as rent, salaries, and equipment costs. From the government perspective, health care costs includes what the nation spends on the delivery of health care. It is a reflection of what providers charge and how much is utilized by consumers.
Reducing the cost of care
The predominant fee-for-service method of reimbursement does not encourage hospitals or providers to try to control areas of waste. One strategy that puts pressure on the providers of health care to control these areas of waste is the bundled payment system. Bundled payment systems deter unnecessary testing and procedures and encourage care coordination between care providers to promote efficiency.
As hospitalists, we play a key role in the bundled payment arena. Hospitalists are strategically placed to ensure that each episode of care is provided in the most cost-efficient way possible without sacrificing quality.
Training about the evidence supporting bundled payments can be incorporated into medical school and the residency curriculum. Hospitalists can serve as educators for trainees regarding the benefits of bundled payments. This will help drive sustainability by making sure new doctors entering the health field are already equipped with knowledge about bundled payments and their advantages.
Hospitalists can also help spur innovation by engaging with hospital leadership to develop new bundled systems. Payment incentives to organizations that participate will help to drive hospitalist engagement. Hospitalists can also advocate for the development of a risk adjustment system to ensure that each patient’s severity is reflected in the payment. This will allow for more buy-in by hospitals and providers.
Improving the quality of care
The Institute of Medicine published a report that made recommendations for improving the quality of the U.S. health care system by identifying six dimensions that need to be addressed:
1. Safety
2. Effectiveness
3. Patient-centeredness
4. Timeliness
5. Efficiency
6. Equity
The Value Based Purchasing program aims to address these dimensions. The fee-for-service system does not provide an incentive to provide quality care, similar to the way it does not drive cost-conscious care. By linking reimbursement to quality care, hospitals and providers have a significant incentive to ensure that their patients receive high quality care. The passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is another step in the direction of rewarding providers for quality of care rendered, not just quantity.
Role of hospitalists
Again, hospitalists should serve as educators about the importance of value based purchasing on quality outcomes,\ and its potential for cost savings through rendering appropriate and effective care.
Hospitalists should advocate for expanding value based purchasing across all payers. This will encourage providers to treat all their patients the same, with the expectation of improving quality of care for all patients and not just a limited insurance pool.
Hospitalists can also advocate for the utilization of the same measure for determining quality across all payers. This will allow for more efficient administrative efforts by eliminating the time used to report different measures to different insurance companies.
Unfortunately, the digital era has not made the same advances in the field of medicine as it has in other areas of life. As hospitalists, our clinical perspective puts us in a position of leadership in the area of informatics. We are uniquely qualified to exploit the power of the hospital’s information technology service and push it to its full potential.
Dr. Arole is chief hospitalist, Griffin Faculty Physicians, at Griffin Hospital in Derby, Conn.
References
1. The Healthcare Imperative: Lowering Costs and Improving Outcomes – Workshop Series Summary. 2011 Feb 24. The Institute of Medicine.
2. Health Affairs Policy Brief; Reducing Waste in Health Care. http://www.healthaffairs.org/healthpolicybriefs/brief.
The rising cost of care has been a major concern in the U.S. health care system. In 1990, about $714 million was spent on health care. In 2010, the cost had risen exponentially to about $2.6 trillion.1 An estimated $750 billion dollars is attributed to health care waste.2
Health care waste includes spending on laboratory testing, diagnostic imaging, procedures or other treatments. Below is a list of the various sources that contribute to health care spending waste:2
1. Unnecessary Services ($210 billion)
2. Excessive Administrative Costs (190 billion)
3. Inefficient Service Delivery ($130 billion)
4. Overpricing ($105 billion)
5. Fraud ($75 billion)
6. Treatment for services that could have been prevented ($55 billion)
The patient and payers view cost as the price that is paid for a service rendered. It includes charges for such services as prescriptions and doctor visits, as well as the premiums paid for health insurance. The provider views cost as the price for producing health services, such as rent, salaries, and equipment costs. From the government perspective, health care costs includes what the nation spends on the delivery of health care. It is a reflection of what providers charge and how much is utilized by consumers.
Reducing the cost of care
The predominant fee-for-service method of reimbursement does not encourage hospitals or providers to try to control areas of waste. One strategy that puts pressure on the providers of health care to control these areas of waste is the bundled payment system. Bundled payment systems deter unnecessary testing and procedures and encourage care coordination between care providers to promote efficiency.
As hospitalists, we play a key role in the bundled payment arena. Hospitalists are strategically placed to ensure that each episode of care is provided in the most cost-efficient way possible without sacrificing quality.
Training about the evidence supporting bundled payments can be incorporated into medical school and the residency curriculum. Hospitalists can serve as educators for trainees regarding the benefits of bundled payments. This will help drive sustainability by making sure new doctors entering the health field are already equipped with knowledge about bundled payments and their advantages.
Hospitalists can also help spur innovation by engaging with hospital leadership to develop new bundled systems. Payment incentives to organizations that participate will help to drive hospitalist engagement. Hospitalists can also advocate for the development of a risk adjustment system to ensure that each patient’s severity is reflected in the payment. This will allow for more buy-in by hospitals and providers.
Improving the quality of care
The Institute of Medicine published a report that made recommendations for improving the quality of the U.S. health care system by identifying six dimensions that need to be addressed:
1. Safety
2. Effectiveness
3. Patient-centeredness
4. Timeliness
5. Efficiency
6. Equity
The Value Based Purchasing program aims to address these dimensions. The fee-for-service system does not provide an incentive to provide quality care, similar to the way it does not drive cost-conscious care. By linking reimbursement to quality care, hospitals and providers have a significant incentive to ensure that their patients receive high quality care. The passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is another step in the direction of rewarding providers for quality of care rendered, not just quantity.
Role of hospitalists
Again, hospitalists should serve as educators about the importance of value based purchasing on quality outcomes,\ and its potential for cost savings through rendering appropriate and effective care.
Hospitalists should advocate for expanding value based purchasing across all payers. This will encourage providers to treat all their patients the same, with the expectation of improving quality of care for all patients and not just a limited insurance pool.
Hospitalists can also advocate for the utilization of the same measure for determining quality across all payers. This will allow for more efficient administrative efforts by eliminating the time used to report different measures to different insurance companies.
Unfortunately, the digital era has not made the same advances in the field of medicine as it has in other areas of life. As hospitalists, our clinical perspective puts us in a position of leadership in the area of informatics. We are uniquely qualified to exploit the power of the hospital’s information technology service and push it to its full potential.
Dr. Arole is chief hospitalist, Griffin Faculty Physicians, at Griffin Hospital in Derby, Conn.
References
1. The Healthcare Imperative: Lowering Costs and Improving Outcomes – Workshop Series Summary. 2011 Feb 24. The Institute of Medicine.
2. Health Affairs Policy Brief; Reducing Waste in Health Care. http://www.healthaffairs.org/healthpolicybriefs/brief.
The rising cost of care has been a major concern in the U.S. health care system. In 1990, about $714 million was spent on health care. In 2010, the cost had risen exponentially to about $2.6 trillion.1 An estimated $750 billion dollars is attributed to health care waste.2
Health care waste includes spending on laboratory testing, diagnostic imaging, procedures or other treatments. Below is a list of the various sources that contribute to health care spending waste:2
1. Unnecessary Services ($210 billion)
2. Excessive Administrative Costs (190 billion)
3. Inefficient Service Delivery ($130 billion)
4. Overpricing ($105 billion)
5. Fraud ($75 billion)
6. Treatment for services that could have been prevented ($55 billion)
The patient and payers view cost as the price that is paid for a service rendered. It includes charges for such services as prescriptions and doctor visits, as well as the premiums paid for health insurance. The provider views cost as the price for producing health services, such as rent, salaries, and equipment costs. From the government perspective, health care costs includes what the nation spends on the delivery of health care. It is a reflection of what providers charge and how much is utilized by consumers.
Reducing the cost of care
The predominant fee-for-service method of reimbursement does not encourage hospitals or providers to try to control areas of waste. One strategy that puts pressure on the providers of health care to control these areas of waste is the bundled payment system. Bundled payment systems deter unnecessary testing and procedures and encourage care coordination between care providers to promote efficiency.
As hospitalists, we play a key role in the bundled payment arena. Hospitalists are strategically placed to ensure that each episode of care is provided in the most cost-efficient way possible without sacrificing quality.
Training about the evidence supporting bundled payments can be incorporated into medical school and the residency curriculum. Hospitalists can serve as educators for trainees regarding the benefits of bundled payments. This will help drive sustainability by making sure new doctors entering the health field are already equipped with knowledge about bundled payments and their advantages.
Hospitalists can also help spur innovation by engaging with hospital leadership to develop new bundled systems. Payment incentives to organizations that participate will help to drive hospitalist engagement. Hospitalists can also advocate for the development of a risk adjustment system to ensure that each patient’s severity is reflected in the payment. This will allow for more buy-in by hospitals and providers.
Improving the quality of care
The Institute of Medicine published a report that made recommendations for improving the quality of the U.S. health care system by identifying six dimensions that need to be addressed:
1. Safety
2. Effectiveness
3. Patient-centeredness
4. Timeliness
5. Efficiency
6. Equity
The Value Based Purchasing program aims to address these dimensions. The fee-for-service system does not provide an incentive to provide quality care, similar to the way it does not drive cost-conscious care. By linking reimbursement to quality care, hospitals and providers have a significant incentive to ensure that their patients receive high quality care. The passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is another step in the direction of rewarding providers for quality of care rendered, not just quantity.
Role of hospitalists
Again, hospitalists should serve as educators about the importance of value based purchasing on quality outcomes,\ and its potential for cost savings through rendering appropriate and effective care.
Hospitalists should advocate for expanding value based purchasing across all payers. This will encourage providers to treat all their patients the same, with the expectation of improving quality of care for all patients and not just a limited insurance pool.
Hospitalists can also advocate for the utilization of the same measure for determining quality across all payers. This will allow for more efficient administrative efforts by eliminating the time used to report different measures to different insurance companies.
Unfortunately, the digital era has not made the same advances in the field of medicine as it has in other areas of life. As hospitalists, our clinical perspective puts us in a position of leadership in the area of informatics. We are uniquely qualified to exploit the power of the hospital’s information technology service and push it to its full potential.
Dr. Arole is chief hospitalist, Griffin Faculty Physicians, at Griffin Hospital in Derby, Conn.
References
1. The Healthcare Imperative: Lowering Costs and Improving Outcomes – Workshop Series Summary. 2011 Feb 24. The Institute of Medicine.
2. Health Affairs Policy Brief; Reducing Waste in Health Care. http://www.healthaffairs.org/healthpolicybriefs/brief.
New SHM Members – February/March 2017
The Society of Hospital Medicine welcomes its newest members:
Kwie-Hoa Siem, MD, Alaska
Frank Abene, Alabama
Kayla Maldonado, Alabama
Kenny Murray, MD, Alabama
Shanthan Ramidi, MD, Alabama
Lauren Hancock, APRN, Arkansas
William Hawkins, MD, Arkansas
Matthew Law, Arkansas
Emily Smith, MD, Arkansas
Firas Abbas, MBchB, Arizona
Shahid Ahmad, MD, MBBS, Arizona
Praveen Bheemanathini, Arizona
Atoosa Hosseini, Arizona
William McGrade, DO, Arizona
Konstantin Mazursky, DO, Arizona
Ibrahim Taweel, MD, Arizona
Kevin Virk, MD, FACP, Arizona
Kevin Virk, MD, FACP, Arizona
Mohemmedd Khalid Abbas, Arizona
Hasan Chaudhry, MD, Arizona
Kelly Kelleher, FAAP, Arizona
Priyanka Sultania Dudani, MBBS, Arizona
Krishna Kasireddy, MD, Arizona
Melanie Meguro, Arizona
Puneet Tuli, MD, Arizona
Jonathan Byrdy, DO, Arizona
Sarah Corral, DO, Arizona
Edward Maharam, MD, Arizona
Arvind Satyanarayan, DO, Arizona
Mayank Aggarwal, MD, Arizona
Syed Jafri, Arizona
Bujji Ainapurapu, MD, Arizona
Aaron Fernandes, MD, Arizona
Sonal Gandhi, Arizona
Sudhir Tutiki, Arizona
Navaneeth Kumar, MD, Arizona
Brian T. Courtney, MD, California
Won Jin Jeon, California
Veena Panduranga, MD, California
Jennifer Tinloy, DO, California
Debra Buckland Coffey, MCUSN, MD, California
Kathleen Teves, MD, California
Paul Goebel, MD, ACMPE, California
Shainy Hegde, California
Summaiya Muhammad, California
Desmond Wah, California
Chonn Khristin Ng, California
Almira Yang, DO, California
Salimah Boghani, MD, California
Stella Abhyankar, California
Cherie Ginwalla, MD, California
Armond Esmaili, California
Sarah Schaeffer, MD, MPH, California
Sophia Virani, MD, California
Dipti Munshi, MD, California
Judy Nguyen, DO, California
Daniel Owyang, DO, California
Christian Chiavetta, DO, California
David Reinert, DO, California
Joseph Pawlowski, MD, California
Eleanor Yang, California
Adrian Campo, MD, California
Emerson De Jesus, MD, California
Zachary Edmonds, MD, California
Trit Garg, California
Alexandra G. Ianculescu, MD, PhD, California
Felix Karp, MD, California
Cara Lai, California
Kristen Lew, MD, California
John Mogannam, California
Ameer Moussa, California
Neil Parikh, MD, MBA, California
Priya Reddy, California
Adam Simons, California
Sanjay Vadgama, MD, California
Kristofer Wills, DO, California
Michael Yang, MD, MS, California
Victor Ekuta, California,
Donna Colobong, PA-C, Colorado
Janna B. Dreason, FNP-C, Colorado
Cheryl English, NP-C, Colorado
Melanie Gerrior, MD, Colorado
Marciann Harris, NP, Colorado
Marsha Henke, MD, Colorado
Brett Hesse, Colorado
Naomi J Hipp, MD, Colorado
Aurell Horing, Colorado
Rachel Koch, DO, Colorado
Ed Marino, PA-C, Colorado
Marcus Reinhardt, MD, Colorado
Carol Runge, Colorado
Harshal Shah, Colorado
Leo Soehnlen, DO, Colorado
Anna Villalobos, MD, Colorado
Kathryn Whitfield, PA-C, Colorado
Jonathan Bei-Shing Young, MD, Colorado
Leah Damiani, MD, Colorado
Kathy Lynch, MD, Colorado
Micah Friedman, Colorado
Rachael Hilton, MD, Colorado
Madeline Koerner, Colorado
Chi Zheng, MD, Colorado
Chin-Kun Baw, MD, Connecticut
Alexandra Hawkins, NP, Connecticut
Vasundhara Singh, MD, MBBS, Connecticut
Ryan Quarles, MD, Connecticut
Debra Hernandez, APRN, BC, Connecticut
Karine Karapetyan, MD, Delaware
Choosak Burr, ARNP, Florida
Nelsi Mora, Florida
Mary Quillinan, Florida
Thuntanat Rachanakul, Florida
Samual W. Sauer, MD, MPH, Florida
Jennifer Tibangin, Florida
Keith Williams, MD, Florida
Eric Penedo, MD, Florida
Margaret Webb, Florida
Mark Bender, Florida
Brett Waress, MD, MHA, Florida
Giselle Racho, Florida
Bryan Thiel, Florida
Juan Loor Tuarez, MD, Florida
Christine Stopyra, Florida
Betsy Screws, ARNP, Florida
Jaimie Weber, MD, Florida
Priti Amin, MHA, Georgia
Naga Doddapaneni, Georgia
Stephanie Fletcher, Georgia
Disha Spath, MD, Georgia
Rafaela Wesley, DO, Georgia
Nikky Keer, DO, Georgia
James Kim, Georgia
Todd Martin, Georgia
Eli Mlaver, Georgia
Andrew Ritter, Georgia
Ali Al-Zubaidi, MBchB, Georgia
Deann Bing, MD, Georgia
Tushar Shah, Georgia
Cameron Straughn, DO, Georgia
Nobuhiro Ariyoshi, MEd, Hawaii
Prerna Kumar, Iowa
Jonathan Sebolt, MD, Iowa
Amy Tesar, DO, Iowa
Houng Chea, NP, Idaho
Finnegan Greer, PA-C, Idaho
Thao Nelson, PA, Idaho
Malatesha Gangappa, Idaho
Gloria Alumona, ACNP, Illinois
Ram Sanjeev Alur, Illinois
James Antoon, MD, FAAP, PhD, Illinois
Stefania Bailuc, MD, Illinois
Richard Huh, Illinois
Bhakti Patel, MD, Illinois
Frances Uy, ACNP, Illinois
Fernando Velazquez Vazquez, MD, Illinois
Tiffany White, MD, Illinois
Bryan P. Tully, MD, Illinois
Swati Gobhil, MBBS, Illinois
Lianghe Gao, Illinois
Gopi Astik, MD, Illinois
Marina Kovacevic, MD, Illinois
Abbie Raymond, DO, Illinois
Timothy Yung, Illinois
Ahmed Zahid, MD, Illinois
Cristina Corsini, MEd, Illinois
Faisal Rashid, MD, FACP, Illinois
Mansoor Ahmad, MD, Illinois
Matthew A. Strauch, DO, Illinois
Purshotham Reddy Grinne, Illinois
Nadia Nasreen, MD, Illinois
Maham Ashraf, MD, Indiana
Jennifer Gross, Indiana
Debasmita Mohapatra, MBBS, Indiana
Eric Scheper, Indiana
Katherine Gray, APRNBC, FNP, Indiana
Venkata Kureti, Indiana
Omer Al-Buoshkor, MD, Indiana
David Johnson, FNP, MSN, Indiana
Jonathan Salisbury, MD, Indiana
Debra Shapert, MSN, RN, Iowa
Lisa Carter, ARNP, Iowa
Matthew Woodham, Iowa
Tomoharu Suzuki, MD, Pharm, Japan
Khaldoun Haj, Kansas
Will Rogers, ACMPE, MA, MBA, Kansas
Karen Shumate, Kansas
Lisa Unruh, MD, Kansas
Matthew George, Kansas
Katie Washburn, DO, Kansas
Edwin Avallone, DO, Kentucky
Matthew Morris, Kentucky
Samantha Cappetto, MD, Kentucky
Jaison John, Kentucky
Ammar Al Jajeh, Kentucky
Joseph Bolger, MD, PhD, Louisiana
Clairissa Mulloy, Louisiana
Harish Talla, MD, Louisiana
John Amadon, Louisiana
Karthik Krishnareddy, Louisiana
Cheryl DeGrandpre, PA-C, Maine
Katherine Liu, MD, Maine
Sarah Sedney, MD, Maine
Aksana Afanasenka, MD, Maryland
Syed Nazeer Mahmood, MBBS, Maryland
Joseph Apata, MD, Maryland
Russom Ghebrai, MD, Maryland
Musa Momoh, MD, Maryland
Antanina Voit, Maryland
Dejene Kassaye, MD, MSC, Maryland
Shams Quazi, MD, FACP, MS, Maryland
Dawn Roelofs, FNP, MSN, Maryland
Kirsten Austad, MD, Massachusetts
Yoel Carrasquillo Vega, MD, Massachusetts
Michele Gaudet, NP, Massachusetts
Karina Mejias, Massachusetts
Peter Rohloff, MD, PhD, Massachusetts
Jennifer Schaeffer, Massachusetts
James Shaw, MD, Massachusetts
Renee Wheeler, Massachusetts
Angela Freeman, PA, PA-C, Massachusetts
Supriya Parvatini, MD, Massachusetts
Karen Jiang, MD, Massachusetts
Roula E. Abou-Nader, MD, Massachusetts
Shreekant Vasudhev, MD, Massachusetts
Nivedita Adabala, MD, MBBS, Michigan
Robert Behrendt, RN, BSN, Michigan
Molly Belisle, Michigan
Christine Dugan, MD, Michigan
Baljinder Gill, Michigan
Kellie Herringa, PA-C, Michigan
Christine Klingert, Michigan
Kathy Mitchell, Michigan
Aimee Vos, Michigan
Alyssa Churchill, DO, Michigan
Mailvaganam Sridharan, MD, Michigan
Atul Kapoor, MD, MBBS, Michigan
Anitha Kompally, MD, MBBS, Michigan
Nicole Webb, PA-C, Michigan
Abdulqadir Ahmad, MD, Minnesota
John Patrick Eikens, Minnesota
Bobbi Jo Jensen, PA-C, Minnesota
Rachel Keuseman, Minnesota
Stephen Palmquist, Minnesota
Manit Singla, MD, Minnesota
Douglas Berg, Minnesota
Nathan Palmolea, Minnesota
Molly Tureson, PAC, Minnesota
Mehdi Dastrange, MD, MHA, Minnesota
Kent Svee, Minnesota
Ashley Viere, PA-C, Minnesota
Molly Yang, MD, Minnesota
Paige Sams, DO, Minnesota
Amit Reddy, MBBS, Mississippi
Jacqueline Brooke Banks, FNP-C, Mississippi
Lori Foxworth, CFNP, Mississippi
Nicki Lawson, FNP-C, Mississippi
Bikash Acharya, Missouri
Zafar Ahmad, PA-C, Missouri
Harleen Chela, MD, Missouri
Jeffrey Chung, MD, Missouri
Daniel Kornfeld, Missouri
Erika Leung, MD, MSc, Missouri
Lisa Moser, PA, Missouri
Mark Stiffler, Missouri
Tushar Tarun, MBBS, Missouri
Nicole McLaughlin, Missouri
Katy Lohmann, PA-C, Missouri
Jayasree Bodagala, MD, Missouri
Ravi Kiran Morumuru, ACMPE, Missouri
Matthew Brown, MD, FAAFP, Missouri
Ravikanth Tadi, Missouri
Bazgha Ahmad, DO, Missouri
Monica Hawkins, RN, Missouri
Karri Vesey, BSN, Montana
Madison Vertin, PA-C, Montana
Urmila Mukherjee, MD, Nebraska
Noah Wiedel, MD, Nebraska
Sidrah Sheikh, MD, MBBS, Nebraska
Mohammad Esmadi, MBBS, Nebraska
Jill Zabih, MD, Nebraska
Jody Frey-Burns, RN, Nevada
Adnan Akbar, MD, Nevada
Peter Gayed, MRCP, New Hampshire
Jonathan T. Huntington, MD, New Hampshire
Meghan Meehan, ACNP, New Hampshire
Saurabh Mehta, MD, New Jersey
Hanaa Benchekroun Belabbes, MD, MHA, New Jersey
Hwan Kim, MD, New Jersey
Mary Tobiasson, USA, New Jersey
Muhammad Khakwani, MD, New Jersey
Amita Maibam, MD, MPH, New Jersey
Kumar Rohit, MBBS, New Jersey
Crystal Benjamin, MD, New Jersey
Rafael Garabis, New Mexico
Sam MacBride, MD, New Mexico
Indra Peram, MD, New Mexico
Sarah Vertrees, DO, New Mexico
Aswani Kumar Alavala, MD, New Mexico
Christopher Anstine, New Mexico
Prathima Guruguri, MD, New Mexico
Diedre Hofinger, MD, FACP, New Mexico
Katharine Juarez, New Mexico
Amtul Mahavesh, MD, New Mexico
Francisco Marquez, New Mexico
Payal Sen, MD, New Mexico
Morgan Wong, DO, New Mexico
Kelly Berchou, New York
Ronald Cho, New York
Nishil Dalsania, New York
Carolyn Drake, MD, MPH, New York
Leanne Forman, New York
Valerie Gausman, New York
Laurie Jacobs, New York
Janice Jang, MD, New York
Sonia Kohli, MD, New York
Nancy Lee, PA, New York
Allen Lee, MD, New York
Matthew McCarthy, FACP, New York
Akram Mohammed, MD, New York
Jennifer Nead, New York
Kristal Persaud, PA, New York
Mariya Rozenblit, MD, New York
Christian Torres, MD, New York
Sasha De Jesus, MD, New York
Gabriella Polyak, New York
Nataliya Yuklyaeva, MD, New York
Riyaz Kamadoli, MD, New York
Ramanuj Chakravarty, New York
Adil Zaidi, MD, New York
Allison Walker, MD, New York
Himali Gandhi, New York
Alexey Yanilshtein, MD, New York
Ramsey Al-Khalil, New York
Latoya Codougan, MD, New York
Khan Najmi, MD, New York
Sara Stream, MD, New York
Bhuwan Poudyal, MD, New York
Khalil Anchouche, New York
Sarah Azarchi, New York
Susana Bejar, New York
Brian Chang, New York
Jonathan Chen, New York
Hailey Gupta, MD, New York
Medhavi Gupta, New York
Ali Khan, New York
Benjamin Kwok, MD, New York
Billy Lin, New York
Katherine Ni, New York
Jina Park, New York
Gabriel Perreault, New York
Luis Alberto Romero, New York
Payal Shah, New York
Punita Shroff, New York
Scott Statman, New York
Maria Sunseri, New York
Benjamin Verplanke, New York
Audrey Zhang, New York
Gaby Razzouk, MD, New York
Pranitha Mantrala, MD, New York
Marsha Antoine, New York
Kanica Yashi, New York
Navid Ahmed, New York
Tasha Richards, PA, New York
Connor Tryon, MD, New York
Naveen Yarlagadda, MD, New York
Alex Hogan, New York
Andrew Donohoe, CCM, MD, North Carolina
Brittany Forshay, MD, North Carolina
Kelly Hammerbeck, FNP, North Carolina
Jennifer Hausman, North Carolina
Babajide Obisesan, North Carolina
Kwadwo Ofori, MD, North Carolina
Eric Ofosu, MD, North Carolina
Kale Roth, North Carolina
Robert Soma, PA-C, North Carolina
Sommany Weber, North Carolina
Ronnie Jacobs, North Carolina
Muhammad Ghani, MD, MACP, MBBS, North Carolina
Madeline Treasure, North Carolina
Andrew McWilliams, MD, North Carolina
Karen Payne, ACNP, MPH, North Carolina
Rafal Poplawski, MD, North Carolina
James Seal, PA-C, North Carolina
Farheen Qureshi, DO, North Carolina
Basavatti Sowmya, MD, MBBS, North Carolina
Eshwar Lal, MD, North Carolina
Catherine Hathaway, MD, North Carolina
Sherif Naguib, FAAFP, North Carolina
Sara Skavroneck, North Carolina
Charles Ofosu, North Carolina
Alex Alburquerque, MD, Ohio
Isha Butler, DO, Ohio
Anne Carrol, MD, Ohio
Scott Childers, MD, Ohio
Philip Jonas, MD, Ohio
Ahmadreza Karimianpour, Ohio
Rahul Kumar, MD, Ohio
George Maidaa, MD, Ohio
Kevin McAninch, Ohio
Jill Mccourt, FNP, Ohio
Roxanne Oliver, Ohio
Farah Hussain, Ohio
Natasha Axton, PA-C, Ohio
Brooke Harris, ACNP, Ohio
Vidhya Murukesan, MD, Ohio
Sara Dong, Ohio
Christie Astor, FNP, Ohio
Sunita Mall, MD, Ohio
Sunita Mall, MD, Ohio
Fouzia Tariq, MD, Ohio
Kaveri Sivaruban, MD, Ohio
Eunice Quicho, Ohio
Smitha Achuthankutty, MD, Ohio
Harmanpreet Shinh, MD, Ohio
Maereg Tesfaye, Ohio
Kalyn Jolivette, MD, Ohio
Richelle Voth, PA-C, Oklahoma
Samuel J. Ratermann, MD, FAAFP, Oklahoma
Richelle Voth, PA-C, Oklahoma
Alden Forrester, MD, Oregon
Nicholas Brown, DO, Oregon
Ian Pennell-Walklin, MD, Oregon
Bruce Ramsey, Oregon
Kyle Brekke, DO, Oregon
Sarah Webber, MD, Oregon
Brian Beaudoin, MD, Pennsylvania
Glenn Bedell, MHSA, Pennsylvania
Cristina Green, AGACNP-DNP, Pennsylvania
Andrew Groff, Pennsylvania
Sulman Masood Hashmi, MBBS, Pennsylvania
Eric Kasprowicz, MD, MPH, Pennsylvania
Laura Leuenberger, Pennsylvania
James Liszewski, MD, Pennsylvania
Caitlyn Moss, Pennsylvania
Paul Seunghyun Nho, Pennsylvania
Rishan Patel, MD, Pennsylvania
Dilli R. Poudel, MBBS, Pennsylvania
Naveen Yellappa, MBBS, Pennsylvania
Usman Zulfiqar, Pennsylvania
Nina Jain, Pennsylvania
Bhumika Patel, DO, Pennsylvania
Jenna M. Diasio, PA-C, Pennsylvania
Malachi Courtney, MD, Pennsylvania
Sonia Arneja, MD, Pennsylvania
Ross Ellis, MD, Pennsylvania
Samreen Siddiqui, Pennsylvania
Jillian Zavodnick, Pennsylvania
Kinan Kassar, MD, Pennsylvania
Maritsa M. Scoulos-Hanson, Pennsylvania
Jennifer Taylor, PA-C, Pennsylvania
Steven Delaveris, DO, Pennsylvania
Danica Buzniak, DO, Rhode Island
Paul Browning, MD, South Carolina
Matt Coones, MD, South Carolina
Cedric Fisher, MD, South Carolina
Aloysius Jackson, MD, South Carolina
Katharine DuPont, MD, South Carolina
Michael Jenkins, MD, South Carolina
Jessica Hamilton, APRN, BC, FNP, South Carolina
Pamela Pyle, DO, South Carolina
Shakeel Ahmed, MBBS, MD, South Dakota
D. Bruce Eaton, MD, South Dakota
Drew Jorgensen, MD, South Dakota
Shelly Turbak, MSN, RN, South Dakota
Tamera Sturm, DO, South Dakota
Peggy Brooks, Tennessee
Joseph Garrido, MD, Tennessee
Lisa Grimes, FNP, Tennessee
Chennakesava Kummathi, MBBS, Tennessee
Victoria Okafor, Tennessee
Ashley Smith, Tennessee
Monisha Bhatia, Tennessee
Belinda Jenkins, APRN-BC, Tennessee
Kim Zahnke, MD, Tennessee
Robert Arias, Texas
Nicolas Batterton, MD, Texas
Scott DePaul, MD, Texas
Nancy Foster, Texas
Larry Hughes, Texas
Erin Koval, Texas
Femi Layiwola, MD, Texas
Krysta Lin, Texas
James J. Onorato, MD, PhD, Texas
Allison Stephenson, PA-C, Texas
Brandon Stormes, Texas
Rubin Simon, MD, Texas
Brian Anderson, DO, Texas
Hatim Chhatriwala, MD, Texas
Aziz Hammoud, Texas
Haru Yamamoto, MD, Texas
Lauren Schiegg, Texas
Victoria Grasso, DO, Texas
Victor Salcedo, MD, Texas
Rajiv Bhattarai, Texas
Iram Qureshi, DO, Texas
Lisa Hafemeister, FACHE, MHA, Texas
Helena Kurian, MD, Texas
Jessica Lin, Texas
Nathan Nowalk, MD, Texas
Keely Smith, MD, Texas
Jonathan Weiser, MD, Texas
Roland Prezas, DO, FAAFP, Texas
Allan Recto, AHIP, Texas
Regina Dimbo, Texas
Venkata Ghanta, Texas
Richmond Hunt, Texas
Vishal Patel, MD, Texas
Zain Sharif, MD, Texas
Rommel Del Rosario, MD, Texas
Khawer Khadimally, DO, Texas
Diogenes Valderrama, MD, Texas
Charles Ewoh, MD, Texas
Deepika Kilaru, Texas
Tilahun Belay, MD, Texas
Chandra S Reddy Navuluri, MD, Texas
Bradley Goad, DO, FACP, Virginia
Patrick Higdon, MD, Virginia
Gabriella Miller, MD, HMDC, Virginia
Miklos Szentirmai, MD, Virginia
Hyder Tamton, Virginia
Andra Mirescu, MD, Virginia
Olukayode Ojo, Virginia
Robert Szeles, MD, Virginia
Anya Cope, DO, Virginia
OsCiriah Press, MD, Virginia
Rikin Kadakia, MD, Virginia
Bryant Self, DO, Virginia
Sarah Sabo, ACNP, Virginia
Pedro A. Gonzales Alvarez, MD, Virginia
William Best, Virginia
Pushpanjali Basnyat, MD, Washington
Nikki Hartley-Jonason, Washington
Helen Johnsonwall, MD, Washington
Eric LaMotte, MD, Washington
Maher Muraywid, Washington
Evan Neal Paul, MD, Washington
Sarah Rogers, MD, Washington
Lindee Strizich, Washington
Maryam Tariq, MBBS, Washington
Meghaan Walsh, MD, Washington
Oleg Zbirun, MD, Washington
Meeta Sabnis, MD, Washington
James Kuo, MD, Washington
Liang Du, Washington
Syed Farhan Tabraiz Hashmi, MD, Washington
Jessica Jung, MD, Washington
Joshua Pelley, MD, Washington
Alex Yu, MD, Washington
Alfred Curnow, MD, Washington
Duhwan Kang, Washington
Gilbert Daniel, MD, Washington, D.C.
Eleanor Fitall, Washington, D.C.
Vinay Srinivasan, Washington, D.C.
Scott Wine, West Virginia
Trevor Miller, MBA, PA-C, West Virginia
Audrey Hiltunen, Wisconsin
Elina Litinskaya, Wisconsin
John M. Murphy, MD, Wisconsin
Tanya Pedretti, PA, Wisconsin
Adine Rodemeyer, MD, Wisconsin
Oghomwen Sule, MBBS, Wisconsin
Terrence Witt, MD, Wisconsin
Mayank Arora, Wisconsin
John D. MacDonald, MD, Wisconsin
Abigail Cook, Wisconsin
Mohamed Ibrahim, MD, Wisconsin
Aymen Khogali, MD, Wisconsin
Nicholas Haun, Wisconsin
Sandra Brown, Victoria, Australia
Alessandra Gessner, Alberta, Canada
Courtney Carlucci, British Columbia, Canada
Muhanad Y. Al Habash, Canada
Karen Tong, MD, Canada
Taku Yabuki, Japan
Liza van Loon, the Netherlands
Edward Gebuis, MD, the Netherlands
Abdisalan Afrah, MD, Qatar
Akhnuwkh Jones, Qatar
Mashuk Uddin, MBBS, MRCP, FRCP, Qatar
Ibrahim Yusuf Abubeker, MRCP, Qatar
Chih-Wei Tseng, Taiwan
Sawsan Abdel-Razig, MD, FACP, United Arab Emirates
The Society of Hospital Medicine welcomes its newest members:
Kwie-Hoa Siem, MD, Alaska
Frank Abene, Alabama
Kayla Maldonado, Alabama
Kenny Murray, MD, Alabama
Shanthan Ramidi, MD, Alabama
Lauren Hancock, APRN, Arkansas
William Hawkins, MD, Arkansas
Matthew Law, Arkansas
Emily Smith, MD, Arkansas
Firas Abbas, MBchB, Arizona
Shahid Ahmad, MD, MBBS, Arizona
Praveen Bheemanathini, Arizona
Atoosa Hosseini, Arizona
William McGrade, DO, Arizona
Konstantin Mazursky, DO, Arizona
Ibrahim Taweel, MD, Arizona
Kevin Virk, MD, FACP, Arizona
Kevin Virk, MD, FACP, Arizona
Mohemmedd Khalid Abbas, Arizona
Hasan Chaudhry, MD, Arizona
Kelly Kelleher, FAAP, Arizona
Priyanka Sultania Dudani, MBBS, Arizona
Krishna Kasireddy, MD, Arizona
Melanie Meguro, Arizona
Puneet Tuli, MD, Arizona
Jonathan Byrdy, DO, Arizona
Sarah Corral, DO, Arizona
Edward Maharam, MD, Arizona
Arvind Satyanarayan, DO, Arizona
Mayank Aggarwal, MD, Arizona
Syed Jafri, Arizona
Bujji Ainapurapu, MD, Arizona
Aaron Fernandes, MD, Arizona
Sonal Gandhi, Arizona
Sudhir Tutiki, Arizona
Navaneeth Kumar, MD, Arizona
Brian T. Courtney, MD, California
Won Jin Jeon, California
Veena Panduranga, MD, California
Jennifer Tinloy, DO, California
Debra Buckland Coffey, MCUSN, MD, California
Kathleen Teves, MD, California
Paul Goebel, MD, ACMPE, California
Shainy Hegde, California
Summaiya Muhammad, California
Desmond Wah, California
Chonn Khristin Ng, California
Almira Yang, DO, California
Salimah Boghani, MD, California
Stella Abhyankar, California
Cherie Ginwalla, MD, California
Armond Esmaili, California
Sarah Schaeffer, MD, MPH, California
Sophia Virani, MD, California
Dipti Munshi, MD, California
Judy Nguyen, DO, California
Daniel Owyang, DO, California
Christian Chiavetta, DO, California
David Reinert, DO, California
Joseph Pawlowski, MD, California
Eleanor Yang, California
Adrian Campo, MD, California
Emerson De Jesus, MD, California
Zachary Edmonds, MD, California
Trit Garg, California
Alexandra G. Ianculescu, MD, PhD, California
Felix Karp, MD, California
Cara Lai, California
Kristen Lew, MD, California
John Mogannam, California
Ameer Moussa, California
Neil Parikh, MD, MBA, California
Priya Reddy, California
Adam Simons, California
Sanjay Vadgama, MD, California
Kristofer Wills, DO, California
Michael Yang, MD, MS, California
Victor Ekuta, California,
Donna Colobong, PA-C, Colorado
Janna B. Dreason, FNP-C, Colorado
Cheryl English, NP-C, Colorado
Melanie Gerrior, MD, Colorado
Marciann Harris, NP, Colorado
Marsha Henke, MD, Colorado
Brett Hesse, Colorado
Naomi J Hipp, MD, Colorado
Aurell Horing, Colorado
Rachel Koch, DO, Colorado
Ed Marino, PA-C, Colorado
Marcus Reinhardt, MD, Colorado
Carol Runge, Colorado
Harshal Shah, Colorado
Leo Soehnlen, DO, Colorado
Anna Villalobos, MD, Colorado
Kathryn Whitfield, PA-C, Colorado
Jonathan Bei-Shing Young, MD, Colorado
Leah Damiani, MD, Colorado
Kathy Lynch, MD, Colorado
Micah Friedman, Colorado
Rachael Hilton, MD, Colorado
Madeline Koerner, Colorado
Chi Zheng, MD, Colorado
Chin-Kun Baw, MD, Connecticut
Alexandra Hawkins, NP, Connecticut
Vasundhara Singh, MD, MBBS, Connecticut
Ryan Quarles, MD, Connecticut
Debra Hernandez, APRN, BC, Connecticut
Karine Karapetyan, MD, Delaware
Choosak Burr, ARNP, Florida
Nelsi Mora, Florida
Mary Quillinan, Florida
Thuntanat Rachanakul, Florida
Samual W. Sauer, MD, MPH, Florida
Jennifer Tibangin, Florida
Keith Williams, MD, Florida
Eric Penedo, MD, Florida
Margaret Webb, Florida
Mark Bender, Florida
Brett Waress, MD, MHA, Florida
Giselle Racho, Florida
Bryan Thiel, Florida
Juan Loor Tuarez, MD, Florida
Christine Stopyra, Florida
Betsy Screws, ARNP, Florida
Jaimie Weber, MD, Florida
Priti Amin, MHA, Georgia
Naga Doddapaneni, Georgia
Stephanie Fletcher, Georgia
Disha Spath, MD, Georgia
Rafaela Wesley, DO, Georgia
Nikky Keer, DO, Georgia
James Kim, Georgia
Todd Martin, Georgia
Eli Mlaver, Georgia
Andrew Ritter, Georgia
Ali Al-Zubaidi, MBchB, Georgia
Deann Bing, MD, Georgia
Tushar Shah, Georgia
Cameron Straughn, DO, Georgia
Nobuhiro Ariyoshi, MEd, Hawaii
Prerna Kumar, Iowa
Jonathan Sebolt, MD, Iowa
Amy Tesar, DO, Iowa
Houng Chea, NP, Idaho
Finnegan Greer, PA-C, Idaho
Thao Nelson, PA, Idaho
Malatesha Gangappa, Idaho
Gloria Alumona, ACNP, Illinois
Ram Sanjeev Alur, Illinois
James Antoon, MD, FAAP, PhD, Illinois
Stefania Bailuc, MD, Illinois
Richard Huh, Illinois
Bhakti Patel, MD, Illinois
Frances Uy, ACNP, Illinois
Fernando Velazquez Vazquez, MD, Illinois
Tiffany White, MD, Illinois
Bryan P. Tully, MD, Illinois
Swati Gobhil, MBBS, Illinois
Lianghe Gao, Illinois
Gopi Astik, MD, Illinois
Marina Kovacevic, MD, Illinois
Abbie Raymond, DO, Illinois
Timothy Yung, Illinois
Ahmed Zahid, MD, Illinois
Cristina Corsini, MEd, Illinois
Faisal Rashid, MD, FACP, Illinois
Mansoor Ahmad, MD, Illinois
Matthew A. Strauch, DO, Illinois
Purshotham Reddy Grinne, Illinois
Nadia Nasreen, MD, Illinois
Maham Ashraf, MD, Indiana
Jennifer Gross, Indiana
Debasmita Mohapatra, MBBS, Indiana
Eric Scheper, Indiana
Katherine Gray, APRNBC, FNP, Indiana
Venkata Kureti, Indiana
Omer Al-Buoshkor, MD, Indiana
David Johnson, FNP, MSN, Indiana
Jonathan Salisbury, MD, Indiana
Debra Shapert, MSN, RN, Iowa
Lisa Carter, ARNP, Iowa
Matthew Woodham, Iowa
Tomoharu Suzuki, MD, Pharm, Japan
Khaldoun Haj, Kansas
Will Rogers, ACMPE, MA, MBA, Kansas
Karen Shumate, Kansas
Lisa Unruh, MD, Kansas
Matthew George, Kansas
Katie Washburn, DO, Kansas
Edwin Avallone, DO, Kentucky
Matthew Morris, Kentucky
Samantha Cappetto, MD, Kentucky
Jaison John, Kentucky
Ammar Al Jajeh, Kentucky
Joseph Bolger, MD, PhD, Louisiana
Clairissa Mulloy, Louisiana
Harish Talla, MD, Louisiana
John Amadon, Louisiana
Karthik Krishnareddy, Louisiana
Cheryl DeGrandpre, PA-C, Maine
Katherine Liu, MD, Maine
Sarah Sedney, MD, Maine
Aksana Afanasenka, MD, Maryland
Syed Nazeer Mahmood, MBBS, Maryland
Joseph Apata, MD, Maryland
Russom Ghebrai, MD, Maryland
Musa Momoh, MD, Maryland
Antanina Voit, Maryland
Dejene Kassaye, MD, MSC, Maryland
Shams Quazi, MD, FACP, MS, Maryland
Dawn Roelofs, FNP, MSN, Maryland
Kirsten Austad, MD, Massachusetts
Yoel Carrasquillo Vega, MD, Massachusetts
Michele Gaudet, NP, Massachusetts
Karina Mejias, Massachusetts
Peter Rohloff, MD, PhD, Massachusetts
Jennifer Schaeffer, Massachusetts
James Shaw, MD, Massachusetts
Renee Wheeler, Massachusetts
Angela Freeman, PA, PA-C, Massachusetts
Supriya Parvatini, MD, Massachusetts
Karen Jiang, MD, Massachusetts
Roula E. Abou-Nader, MD, Massachusetts
Shreekant Vasudhev, MD, Massachusetts
Nivedita Adabala, MD, MBBS, Michigan
Robert Behrendt, RN, BSN, Michigan
Molly Belisle, Michigan
Christine Dugan, MD, Michigan
Baljinder Gill, Michigan
Kellie Herringa, PA-C, Michigan
Christine Klingert, Michigan
Kathy Mitchell, Michigan
Aimee Vos, Michigan
Alyssa Churchill, DO, Michigan
Mailvaganam Sridharan, MD, Michigan
Atul Kapoor, MD, MBBS, Michigan
Anitha Kompally, MD, MBBS, Michigan
Nicole Webb, PA-C, Michigan
Abdulqadir Ahmad, MD, Minnesota
John Patrick Eikens, Minnesota
Bobbi Jo Jensen, PA-C, Minnesota
Rachel Keuseman, Minnesota
Stephen Palmquist, Minnesota
Manit Singla, MD, Minnesota
Douglas Berg, Minnesota
Nathan Palmolea, Minnesota
Molly Tureson, PAC, Minnesota
Mehdi Dastrange, MD, MHA, Minnesota
Kent Svee, Minnesota
Ashley Viere, PA-C, Minnesota
Molly Yang, MD, Minnesota
Paige Sams, DO, Minnesota
Amit Reddy, MBBS, Mississippi
Jacqueline Brooke Banks, FNP-C, Mississippi
Lori Foxworth, CFNP, Mississippi
Nicki Lawson, FNP-C, Mississippi
Bikash Acharya, Missouri
Zafar Ahmad, PA-C, Missouri
Harleen Chela, MD, Missouri
Jeffrey Chung, MD, Missouri
Daniel Kornfeld, Missouri
Erika Leung, MD, MSc, Missouri
Lisa Moser, PA, Missouri
Mark Stiffler, Missouri
Tushar Tarun, MBBS, Missouri
Nicole McLaughlin, Missouri
Katy Lohmann, PA-C, Missouri
Jayasree Bodagala, MD, Missouri
Ravi Kiran Morumuru, ACMPE, Missouri
Matthew Brown, MD, FAAFP, Missouri
Ravikanth Tadi, Missouri
Bazgha Ahmad, DO, Missouri
Monica Hawkins, RN, Missouri
Karri Vesey, BSN, Montana
Madison Vertin, PA-C, Montana
Urmila Mukherjee, MD, Nebraska
Noah Wiedel, MD, Nebraska
Sidrah Sheikh, MD, MBBS, Nebraska
Mohammad Esmadi, MBBS, Nebraska
Jill Zabih, MD, Nebraska
Jody Frey-Burns, RN, Nevada
Adnan Akbar, MD, Nevada
Peter Gayed, MRCP, New Hampshire
Jonathan T. Huntington, MD, New Hampshire
Meghan Meehan, ACNP, New Hampshire
Saurabh Mehta, MD, New Jersey
Hanaa Benchekroun Belabbes, MD, MHA, New Jersey
Hwan Kim, MD, New Jersey
Mary Tobiasson, USA, New Jersey
Muhammad Khakwani, MD, New Jersey
Amita Maibam, MD, MPH, New Jersey
Kumar Rohit, MBBS, New Jersey
Crystal Benjamin, MD, New Jersey
Rafael Garabis, New Mexico
Sam MacBride, MD, New Mexico
Indra Peram, MD, New Mexico
Sarah Vertrees, DO, New Mexico
Aswani Kumar Alavala, MD, New Mexico
Christopher Anstine, New Mexico
Prathima Guruguri, MD, New Mexico
Diedre Hofinger, MD, FACP, New Mexico
Katharine Juarez, New Mexico
Amtul Mahavesh, MD, New Mexico
Francisco Marquez, New Mexico
Payal Sen, MD, New Mexico
Morgan Wong, DO, New Mexico
Kelly Berchou, New York
Ronald Cho, New York
Nishil Dalsania, New York
Carolyn Drake, MD, MPH, New York
Leanne Forman, New York
Valerie Gausman, New York
Laurie Jacobs, New York
Janice Jang, MD, New York
Sonia Kohli, MD, New York
Nancy Lee, PA, New York
Allen Lee, MD, New York
Matthew McCarthy, FACP, New York
Akram Mohammed, MD, New York
Jennifer Nead, New York
Kristal Persaud, PA, New York
Mariya Rozenblit, MD, New York
Christian Torres, MD, New York
Sasha De Jesus, MD, New York
Gabriella Polyak, New York
Nataliya Yuklyaeva, MD, New York
Riyaz Kamadoli, MD, New York
Ramanuj Chakravarty, New York
Adil Zaidi, MD, New York
Allison Walker, MD, New York
Himali Gandhi, New York
Alexey Yanilshtein, MD, New York
Ramsey Al-Khalil, New York
Latoya Codougan, MD, New York
Khan Najmi, MD, New York
Sara Stream, MD, New York
Bhuwan Poudyal, MD, New York
Khalil Anchouche, New York
Sarah Azarchi, New York
Susana Bejar, New York
Brian Chang, New York
Jonathan Chen, New York
Hailey Gupta, MD, New York
Medhavi Gupta, New York
Ali Khan, New York
Benjamin Kwok, MD, New York
Billy Lin, New York
Katherine Ni, New York
Jina Park, New York
Gabriel Perreault, New York
Luis Alberto Romero, New York
Payal Shah, New York
Punita Shroff, New York
Scott Statman, New York
Maria Sunseri, New York
Benjamin Verplanke, New York
Audrey Zhang, New York
Gaby Razzouk, MD, New York
Pranitha Mantrala, MD, New York
Marsha Antoine, New York
Kanica Yashi, New York
Navid Ahmed, New York
Tasha Richards, PA, New York
Connor Tryon, MD, New York
Naveen Yarlagadda, MD, New York
Alex Hogan, New York
Andrew Donohoe, CCM, MD, North Carolina
Brittany Forshay, MD, North Carolina
Kelly Hammerbeck, FNP, North Carolina
Jennifer Hausman, North Carolina
Babajide Obisesan, North Carolina
Kwadwo Ofori, MD, North Carolina
Eric Ofosu, MD, North Carolina
Kale Roth, North Carolina
Robert Soma, PA-C, North Carolina
Sommany Weber, North Carolina
Ronnie Jacobs, North Carolina
Muhammad Ghani, MD, MACP, MBBS, North Carolina
Madeline Treasure, North Carolina
Andrew McWilliams, MD, North Carolina
Karen Payne, ACNP, MPH, North Carolina
Rafal Poplawski, MD, North Carolina
James Seal, PA-C, North Carolina
Farheen Qureshi, DO, North Carolina
Basavatti Sowmya, MD, MBBS, North Carolina
Eshwar Lal, MD, North Carolina
Catherine Hathaway, MD, North Carolina
Sherif Naguib, FAAFP, North Carolina
Sara Skavroneck, North Carolina
Charles Ofosu, North Carolina
Alex Alburquerque, MD, Ohio
Isha Butler, DO, Ohio
Anne Carrol, MD, Ohio
Scott Childers, MD, Ohio
Philip Jonas, MD, Ohio
Ahmadreza Karimianpour, Ohio
Rahul Kumar, MD, Ohio
George Maidaa, MD, Ohio
Kevin McAninch, Ohio
Jill Mccourt, FNP, Ohio
Roxanne Oliver, Ohio
Farah Hussain, Ohio
Natasha Axton, PA-C, Ohio
Brooke Harris, ACNP, Ohio
Vidhya Murukesan, MD, Ohio
Sara Dong, Ohio
Christie Astor, FNP, Ohio
Sunita Mall, MD, Ohio
Sunita Mall, MD, Ohio
Fouzia Tariq, MD, Ohio
Kaveri Sivaruban, MD, Ohio
Eunice Quicho, Ohio
Smitha Achuthankutty, MD, Ohio
Harmanpreet Shinh, MD, Ohio
Maereg Tesfaye, Ohio
Kalyn Jolivette, MD, Ohio
Richelle Voth, PA-C, Oklahoma
Samuel J. Ratermann, MD, FAAFP, Oklahoma
Richelle Voth, PA-C, Oklahoma
Alden Forrester, MD, Oregon
Nicholas Brown, DO, Oregon
Ian Pennell-Walklin, MD, Oregon
Bruce Ramsey, Oregon
Kyle Brekke, DO, Oregon
Sarah Webber, MD, Oregon
Brian Beaudoin, MD, Pennsylvania
Glenn Bedell, MHSA, Pennsylvania
Cristina Green, AGACNP-DNP, Pennsylvania
Andrew Groff, Pennsylvania
Sulman Masood Hashmi, MBBS, Pennsylvania
Eric Kasprowicz, MD, MPH, Pennsylvania
Laura Leuenberger, Pennsylvania
James Liszewski, MD, Pennsylvania
Caitlyn Moss, Pennsylvania
Paul Seunghyun Nho, Pennsylvania
Rishan Patel, MD, Pennsylvania
Dilli R. Poudel, MBBS, Pennsylvania
Naveen Yellappa, MBBS, Pennsylvania
Usman Zulfiqar, Pennsylvania
Nina Jain, Pennsylvania
Bhumika Patel, DO, Pennsylvania
Jenna M. Diasio, PA-C, Pennsylvania
Malachi Courtney, MD, Pennsylvania
Sonia Arneja, MD, Pennsylvania
Ross Ellis, MD, Pennsylvania
Samreen Siddiqui, Pennsylvania
Jillian Zavodnick, Pennsylvania
Kinan Kassar, MD, Pennsylvania
Maritsa M. Scoulos-Hanson, Pennsylvania
Jennifer Taylor, PA-C, Pennsylvania
Steven Delaveris, DO, Pennsylvania
Danica Buzniak, DO, Rhode Island
Paul Browning, MD, South Carolina
Matt Coones, MD, South Carolina
Cedric Fisher, MD, South Carolina
Aloysius Jackson, MD, South Carolina
Katharine DuPont, MD, South Carolina
Michael Jenkins, MD, South Carolina
Jessica Hamilton, APRN, BC, FNP, South Carolina
Pamela Pyle, DO, South Carolina
Shakeel Ahmed, MBBS, MD, South Dakota
D. Bruce Eaton, MD, South Dakota
Drew Jorgensen, MD, South Dakota
Shelly Turbak, MSN, RN, South Dakota
Tamera Sturm, DO, South Dakota
Peggy Brooks, Tennessee
Joseph Garrido, MD, Tennessee
Lisa Grimes, FNP, Tennessee
Chennakesava Kummathi, MBBS, Tennessee
Victoria Okafor, Tennessee
Ashley Smith, Tennessee
Monisha Bhatia, Tennessee
Belinda Jenkins, APRN-BC, Tennessee
Kim Zahnke, MD, Tennessee
Robert Arias, Texas
Nicolas Batterton, MD, Texas
Scott DePaul, MD, Texas
Nancy Foster, Texas
Larry Hughes, Texas
Erin Koval, Texas
Femi Layiwola, MD, Texas
Krysta Lin, Texas
James J. Onorato, MD, PhD, Texas
Allison Stephenson, PA-C, Texas
Brandon Stormes, Texas
Rubin Simon, MD, Texas
Brian Anderson, DO, Texas
Hatim Chhatriwala, MD, Texas
Aziz Hammoud, Texas
Haru Yamamoto, MD, Texas
Lauren Schiegg, Texas
Victoria Grasso, DO, Texas
Victor Salcedo, MD, Texas
Rajiv Bhattarai, Texas
Iram Qureshi, DO, Texas
Lisa Hafemeister, FACHE, MHA, Texas
Helena Kurian, MD, Texas
Jessica Lin, Texas
Nathan Nowalk, MD, Texas
Keely Smith, MD, Texas
Jonathan Weiser, MD, Texas
Roland Prezas, DO, FAAFP, Texas
Allan Recto, AHIP, Texas
Regina Dimbo, Texas
Venkata Ghanta, Texas
Richmond Hunt, Texas
Vishal Patel, MD, Texas
Zain Sharif, MD, Texas
Rommel Del Rosario, MD, Texas
Khawer Khadimally, DO, Texas
Diogenes Valderrama, MD, Texas
Charles Ewoh, MD, Texas
Deepika Kilaru, Texas
Tilahun Belay, MD, Texas
Chandra S Reddy Navuluri, MD, Texas
Bradley Goad, DO, FACP, Virginia
Patrick Higdon, MD, Virginia
Gabriella Miller, MD, HMDC, Virginia
Miklos Szentirmai, MD, Virginia
Hyder Tamton, Virginia
Andra Mirescu, MD, Virginia
Olukayode Ojo, Virginia
Robert Szeles, MD, Virginia
Anya Cope, DO, Virginia
OsCiriah Press, MD, Virginia
Rikin Kadakia, MD, Virginia
Bryant Self, DO, Virginia
Sarah Sabo, ACNP, Virginia
Pedro A. Gonzales Alvarez, MD, Virginia
William Best, Virginia
Pushpanjali Basnyat, MD, Washington
Nikki Hartley-Jonason, Washington
Helen Johnsonwall, MD, Washington
Eric LaMotte, MD, Washington
Maher Muraywid, Washington
Evan Neal Paul, MD, Washington
Sarah Rogers, MD, Washington
Lindee Strizich, Washington
Maryam Tariq, MBBS, Washington
Meghaan Walsh, MD, Washington
Oleg Zbirun, MD, Washington
Meeta Sabnis, MD, Washington
James Kuo, MD, Washington
Liang Du, Washington
Syed Farhan Tabraiz Hashmi, MD, Washington
Jessica Jung, MD, Washington
Joshua Pelley, MD, Washington
Alex Yu, MD, Washington
Alfred Curnow, MD, Washington
Duhwan Kang, Washington
Gilbert Daniel, MD, Washington, D.C.
Eleanor Fitall, Washington, D.C.
Vinay Srinivasan, Washington, D.C.
Scott Wine, West Virginia
Trevor Miller, MBA, PA-C, West Virginia
Audrey Hiltunen, Wisconsin
Elina Litinskaya, Wisconsin
John M. Murphy, MD, Wisconsin
Tanya Pedretti, PA, Wisconsin
Adine Rodemeyer, MD, Wisconsin
Oghomwen Sule, MBBS, Wisconsin
Terrence Witt, MD, Wisconsin
Mayank Arora, Wisconsin
John D. MacDonald, MD, Wisconsin
Abigail Cook, Wisconsin
Mohamed Ibrahim, MD, Wisconsin
Aymen Khogali, MD, Wisconsin
Nicholas Haun, Wisconsin
Sandra Brown, Victoria, Australia
Alessandra Gessner, Alberta, Canada
Courtney Carlucci, British Columbia, Canada
Muhanad Y. Al Habash, Canada
Karen Tong, MD, Canada
Taku Yabuki, Japan
Liza van Loon, the Netherlands
Edward Gebuis, MD, the Netherlands
Abdisalan Afrah, MD, Qatar
Akhnuwkh Jones, Qatar
Mashuk Uddin, MBBS, MRCP, FRCP, Qatar
Ibrahim Yusuf Abubeker, MRCP, Qatar
Chih-Wei Tseng, Taiwan
Sawsan Abdel-Razig, MD, FACP, United Arab Emirates
The Society of Hospital Medicine welcomes its newest members:
Kwie-Hoa Siem, MD, Alaska
Frank Abene, Alabama
Kayla Maldonado, Alabama
Kenny Murray, MD, Alabama
Shanthan Ramidi, MD, Alabama
Lauren Hancock, APRN, Arkansas
William Hawkins, MD, Arkansas
Matthew Law, Arkansas
Emily Smith, MD, Arkansas
Firas Abbas, MBchB, Arizona
Shahid Ahmad, MD, MBBS, Arizona
Praveen Bheemanathini, Arizona
Atoosa Hosseini, Arizona
William McGrade, DO, Arizona
Konstantin Mazursky, DO, Arizona
Ibrahim Taweel, MD, Arizona
Kevin Virk, MD, FACP, Arizona
Kevin Virk, MD, FACP, Arizona
Mohemmedd Khalid Abbas, Arizona
Hasan Chaudhry, MD, Arizona
Kelly Kelleher, FAAP, Arizona
Priyanka Sultania Dudani, MBBS, Arizona
Krishna Kasireddy, MD, Arizona
Melanie Meguro, Arizona
Puneet Tuli, MD, Arizona
Jonathan Byrdy, DO, Arizona
Sarah Corral, DO, Arizona
Edward Maharam, MD, Arizona
Arvind Satyanarayan, DO, Arizona
Mayank Aggarwal, MD, Arizona
Syed Jafri, Arizona
Bujji Ainapurapu, MD, Arizona
Aaron Fernandes, MD, Arizona
Sonal Gandhi, Arizona
Sudhir Tutiki, Arizona
Navaneeth Kumar, MD, Arizona
Brian T. Courtney, MD, California
Won Jin Jeon, California
Veena Panduranga, MD, California
Jennifer Tinloy, DO, California
Debra Buckland Coffey, MCUSN, MD, California
Kathleen Teves, MD, California
Paul Goebel, MD, ACMPE, California
Shainy Hegde, California
Summaiya Muhammad, California
Desmond Wah, California
Chonn Khristin Ng, California
Almira Yang, DO, California
Salimah Boghani, MD, California
Stella Abhyankar, California
Cherie Ginwalla, MD, California
Armond Esmaili, California
Sarah Schaeffer, MD, MPH, California
Sophia Virani, MD, California
Dipti Munshi, MD, California
Judy Nguyen, DO, California
Daniel Owyang, DO, California
Christian Chiavetta, DO, California
David Reinert, DO, California
Joseph Pawlowski, MD, California
Eleanor Yang, California
Adrian Campo, MD, California
Emerson De Jesus, MD, California
Zachary Edmonds, MD, California
Trit Garg, California
Alexandra G. Ianculescu, MD, PhD, California
Felix Karp, MD, California
Cara Lai, California
Kristen Lew, MD, California
John Mogannam, California
Ameer Moussa, California
Neil Parikh, MD, MBA, California
Priya Reddy, California
Adam Simons, California
Sanjay Vadgama, MD, California
Kristofer Wills, DO, California
Michael Yang, MD, MS, California
Victor Ekuta, California,
Donna Colobong, PA-C, Colorado
Janna B. Dreason, FNP-C, Colorado
Cheryl English, NP-C, Colorado
Melanie Gerrior, MD, Colorado
Marciann Harris, NP, Colorado
Marsha Henke, MD, Colorado
Brett Hesse, Colorado
Naomi J Hipp, MD, Colorado
Aurell Horing, Colorado
Rachel Koch, DO, Colorado
Ed Marino, PA-C, Colorado
Marcus Reinhardt, MD, Colorado
Carol Runge, Colorado
Harshal Shah, Colorado
Leo Soehnlen, DO, Colorado
Anna Villalobos, MD, Colorado
Kathryn Whitfield, PA-C, Colorado
Jonathan Bei-Shing Young, MD, Colorado
Leah Damiani, MD, Colorado
Kathy Lynch, MD, Colorado
Micah Friedman, Colorado
Rachael Hilton, MD, Colorado
Madeline Koerner, Colorado
Chi Zheng, MD, Colorado
Chin-Kun Baw, MD, Connecticut
Alexandra Hawkins, NP, Connecticut
Vasundhara Singh, MD, MBBS, Connecticut
Ryan Quarles, MD, Connecticut
Debra Hernandez, APRN, BC, Connecticut
Karine Karapetyan, MD, Delaware
Choosak Burr, ARNP, Florida
Nelsi Mora, Florida
Mary Quillinan, Florida
Thuntanat Rachanakul, Florida
Samual W. Sauer, MD, MPH, Florida
Jennifer Tibangin, Florida
Keith Williams, MD, Florida
Eric Penedo, MD, Florida
Margaret Webb, Florida
Mark Bender, Florida
Brett Waress, MD, MHA, Florida
Giselle Racho, Florida
Bryan Thiel, Florida
Juan Loor Tuarez, MD, Florida
Christine Stopyra, Florida
Betsy Screws, ARNP, Florida
Jaimie Weber, MD, Florida
Priti Amin, MHA, Georgia
Naga Doddapaneni, Georgia
Stephanie Fletcher, Georgia
Disha Spath, MD, Georgia
Rafaela Wesley, DO, Georgia
Nikky Keer, DO, Georgia
James Kim, Georgia
Todd Martin, Georgia
Eli Mlaver, Georgia
Andrew Ritter, Georgia
Ali Al-Zubaidi, MBchB, Georgia
Deann Bing, MD, Georgia
Tushar Shah, Georgia
Cameron Straughn, DO, Georgia
Nobuhiro Ariyoshi, MEd, Hawaii
Prerna Kumar, Iowa
Jonathan Sebolt, MD, Iowa
Amy Tesar, DO, Iowa
Houng Chea, NP, Idaho
Finnegan Greer, PA-C, Idaho
Thao Nelson, PA, Idaho
Malatesha Gangappa, Idaho
Gloria Alumona, ACNP, Illinois
Ram Sanjeev Alur, Illinois
James Antoon, MD, FAAP, PhD, Illinois
Stefania Bailuc, MD, Illinois
Richard Huh, Illinois
Bhakti Patel, MD, Illinois
Frances Uy, ACNP, Illinois
Fernando Velazquez Vazquez, MD, Illinois
Tiffany White, MD, Illinois
Bryan P. Tully, MD, Illinois
Swati Gobhil, MBBS, Illinois
Lianghe Gao, Illinois
Gopi Astik, MD, Illinois
Marina Kovacevic, MD, Illinois
Abbie Raymond, DO, Illinois
Timothy Yung, Illinois
Ahmed Zahid, MD, Illinois
Cristina Corsini, MEd, Illinois
Faisal Rashid, MD, FACP, Illinois
Mansoor Ahmad, MD, Illinois
Matthew A. Strauch, DO, Illinois
Purshotham Reddy Grinne, Illinois
Nadia Nasreen, MD, Illinois
Maham Ashraf, MD, Indiana
Jennifer Gross, Indiana
Debasmita Mohapatra, MBBS, Indiana
Eric Scheper, Indiana
Katherine Gray, APRNBC, FNP, Indiana
Venkata Kureti, Indiana
Omer Al-Buoshkor, MD, Indiana
David Johnson, FNP, MSN, Indiana
Jonathan Salisbury, MD, Indiana
Debra Shapert, MSN, RN, Iowa
Lisa Carter, ARNP, Iowa
Matthew Woodham, Iowa
Tomoharu Suzuki, MD, Pharm, Japan
Khaldoun Haj, Kansas
Will Rogers, ACMPE, MA, MBA, Kansas
Karen Shumate, Kansas
Lisa Unruh, MD, Kansas
Matthew George, Kansas
Katie Washburn, DO, Kansas
Edwin Avallone, DO, Kentucky
Matthew Morris, Kentucky
Samantha Cappetto, MD, Kentucky
Jaison John, Kentucky
Ammar Al Jajeh, Kentucky
Joseph Bolger, MD, PhD, Louisiana
Clairissa Mulloy, Louisiana
Harish Talla, MD, Louisiana
John Amadon, Louisiana
Karthik Krishnareddy, Louisiana
Cheryl DeGrandpre, PA-C, Maine
Katherine Liu, MD, Maine
Sarah Sedney, MD, Maine
Aksana Afanasenka, MD, Maryland
Syed Nazeer Mahmood, MBBS, Maryland
Joseph Apata, MD, Maryland
Russom Ghebrai, MD, Maryland
Musa Momoh, MD, Maryland
Antanina Voit, Maryland
Dejene Kassaye, MD, MSC, Maryland
Shams Quazi, MD, FACP, MS, Maryland
Dawn Roelofs, FNP, MSN, Maryland
Kirsten Austad, MD, Massachusetts
Yoel Carrasquillo Vega, MD, Massachusetts
Michele Gaudet, NP, Massachusetts
Karina Mejias, Massachusetts
Peter Rohloff, MD, PhD, Massachusetts
Jennifer Schaeffer, Massachusetts
James Shaw, MD, Massachusetts
Renee Wheeler, Massachusetts
Angela Freeman, PA, PA-C, Massachusetts
Supriya Parvatini, MD, Massachusetts
Karen Jiang, MD, Massachusetts
Roula E. Abou-Nader, MD, Massachusetts
Shreekant Vasudhev, MD, Massachusetts
Nivedita Adabala, MD, MBBS, Michigan
Robert Behrendt, RN, BSN, Michigan
Molly Belisle, Michigan
Christine Dugan, MD, Michigan
Baljinder Gill, Michigan
Kellie Herringa, PA-C, Michigan
Christine Klingert, Michigan
Kathy Mitchell, Michigan
Aimee Vos, Michigan
Alyssa Churchill, DO, Michigan
Mailvaganam Sridharan, MD, Michigan
Atul Kapoor, MD, MBBS, Michigan
Anitha Kompally, MD, MBBS, Michigan
Nicole Webb, PA-C, Michigan
Abdulqadir Ahmad, MD, Minnesota
John Patrick Eikens, Minnesota
Bobbi Jo Jensen, PA-C, Minnesota
Rachel Keuseman, Minnesota
Stephen Palmquist, Minnesota
Manit Singla, MD, Minnesota
Douglas Berg, Minnesota
Nathan Palmolea, Minnesota
Molly Tureson, PAC, Minnesota
Mehdi Dastrange, MD, MHA, Minnesota
Kent Svee, Minnesota
Ashley Viere, PA-C, Minnesota
Molly Yang, MD, Minnesota
Paige Sams, DO, Minnesota
Amit Reddy, MBBS, Mississippi
Jacqueline Brooke Banks, FNP-C, Mississippi
Lori Foxworth, CFNP, Mississippi
Nicki Lawson, FNP-C, Mississippi
Bikash Acharya, Missouri
Zafar Ahmad, PA-C, Missouri
Harleen Chela, MD, Missouri
Jeffrey Chung, MD, Missouri
Daniel Kornfeld, Missouri
Erika Leung, MD, MSc, Missouri
Lisa Moser, PA, Missouri
Mark Stiffler, Missouri
Tushar Tarun, MBBS, Missouri
Nicole McLaughlin, Missouri
Katy Lohmann, PA-C, Missouri
Jayasree Bodagala, MD, Missouri
Ravi Kiran Morumuru, ACMPE, Missouri
Matthew Brown, MD, FAAFP, Missouri
Ravikanth Tadi, Missouri
Bazgha Ahmad, DO, Missouri
Monica Hawkins, RN, Missouri
Karri Vesey, BSN, Montana
Madison Vertin, PA-C, Montana
Urmila Mukherjee, MD, Nebraska
Noah Wiedel, MD, Nebraska
Sidrah Sheikh, MD, MBBS, Nebraska
Mohammad Esmadi, MBBS, Nebraska
Jill Zabih, MD, Nebraska
Jody Frey-Burns, RN, Nevada
Adnan Akbar, MD, Nevada
Peter Gayed, MRCP, New Hampshire
Jonathan T. Huntington, MD, New Hampshire
Meghan Meehan, ACNP, New Hampshire
Saurabh Mehta, MD, New Jersey
Hanaa Benchekroun Belabbes, MD, MHA, New Jersey
Hwan Kim, MD, New Jersey
Mary Tobiasson, USA, New Jersey
Muhammad Khakwani, MD, New Jersey
Amita Maibam, MD, MPH, New Jersey
Kumar Rohit, MBBS, New Jersey
Crystal Benjamin, MD, New Jersey
Rafael Garabis, New Mexico
Sam MacBride, MD, New Mexico
Indra Peram, MD, New Mexico
Sarah Vertrees, DO, New Mexico
Aswani Kumar Alavala, MD, New Mexico
Christopher Anstine, New Mexico
Prathima Guruguri, MD, New Mexico
Diedre Hofinger, MD, FACP, New Mexico
Katharine Juarez, New Mexico
Amtul Mahavesh, MD, New Mexico
Francisco Marquez, New Mexico
Payal Sen, MD, New Mexico
Morgan Wong, DO, New Mexico
Kelly Berchou, New York
Ronald Cho, New York
Nishil Dalsania, New York
Carolyn Drake, MD, MPH, New York
Leanne Forman, New York
Valerie Gausman, New York
Laurie Jacobs, New York
Janice Jang, MD, New York
Sonia Kohli, MD, New York
Nancy Lee, PA, New York
Allen Lee, MD, New York
Matthew McCarthy, FACP, New York
Akram Mohammed, MD, New York
Jennifer Nead, New York
Kristal Persaud, PA, New York
Mariya Rozenblit, MD, New York
Christian Torres, MD, New York
Sasha De Jesus, MD, New York
Gabriella Polyak, New York
Nataliya Yuklyaeva, MD, New York
Riyaz Kamadoli, MD, New York
Ramanuj Chakravarty, New York
Adil Zaidi, MD, New York
Allison Walker, MD, New York
Himali Gandhi, New York
Alexey Yanilshtein, MD, New York
Ramsey Al-Khalil, New York
Latoya Codougan, MD, New York
Khan Najmi, MD, New York
Sara Stream, MD, New York
Bhuwan Poudyal, MD, New York
Khalil Anchouche, New York
Sarah Azarchi, New York
Susana Bejar, New York
Brian Chang, New York
Jonathan Chen, New York
Hailey Gupta, MD, New York
Medhavi Gupta, New York
Ali Khan, New York
Benjamin Kwok, MD, New York
Billy Lin, New York
Katherine Ni, New York
Jina Park, New York
Gabriel Perreault, New York
Luis Alberto Romero, New York
Payal Shah, New York
Punita Shroff, New York
Scott Statman, New York
Maria Sunseri, New York
Benjamin Verplanke, New York
Audrey Zhang, New York
Gaby Razzouk, MD, New York
Pranitha Mantrala, MD, New York
Marsha Antoine, New York
Kanica Yashi, New York
Navid Ahmed, New York
Tasha Richards, PA, New York
Connor Tryon, MD, New York
Naveen Yarlagadda, MD, New York
Alex Hogan, New York
Andrew Donohoe, CCM, MD, North Carolina
Brittany Forshay, MD, North Carolina
Kelly Hammerbeck, FNP, North Carolina
Jennifer Hausman, North Carolina
Babajide Obisesan, North Carolina
Kwadwo Ofori, MD, North Carolina
Eric Ofosu, MD, North Carolina
Kale Roth, North Carolina
Robert Soma, PA-C, North Carolina
Sommany Weber, North Carolina
Ronnie Jacobs, North Carolina
Muhammad Ghani, MD, MACP, MBBS, North Carolina
Madeline Treasure, North Carolina
Andrew McWilliams, MD, North Carolina
Karen Payne, ACNP, MPH, North Carolina
Rafal Poplawski, MD, North Carolina
James Seal, PA-C, North Carolina
Farheen Qureshi, DO, North Carolina
Basavatti Sowmya, MD, MBBS, North Carolina
Eshwar Lal, MD, North Carolina
Catherine Hathaway, MD, North Carolina
Sherif Naguib, FAAFP, North Carolina
Sara Skavroneck, North Carolina
Charles Ofosu, North Carolina
Alex Alburquerque, MD, Ohio
Isha Butler, DO, Ohio
Anne Carrol, MD, Ohio
Scott Childers, MD, Ohio
Philip Jonas, MD, Ohio
Ahmadreza Karimianpour, Ohio
Rahul Kumar, MD, Ohio
George Maidaa, MD, Ohio
Kevin McAninch, Ohio
Jill Mccourt, FNP, Ohio
Roxanne Oliver, Ohio
Farah Hussain, Ohio
Natasha Axton, PA-C, Ohio
Brooke Harris, ACNP, Ohio
Vidhya Murukesan, MD, Ohio
Sara Dong, Ohio
Christie Astor, FNP, Ohio
Sunita Mall, MD, Ohio
Sunita Mall, MD, Ohio
Fouzia Tariq, MD, Ohio
Kaveri Sivaruban, MD, Ohio
Eunice Quicho, Ohio
Smitha Achuthankutty, MD, Ohio
Harmanpreet Shinh, MD, Ohio
Maereg Tesfaye, Ohio
Kalyn Jolivette, MD, Ohio
Richelle Voth, PA-C, Oklahoma
Samuel J. Ratermann, MD, FAAFP, Oklahoma
Richelle Voth, PA-C, Oklahoma
Alden Forrester, MD, Oregon
Nicholas Brown, DO, Oregon
Ian Pennell-Walklin, MD, Oregon
Bruce Ramsey, Oregon
Kyle Brekke, DO, Oregon
Sarah Webber, MD, Oregon
Brian Beaudoin, MD, Pennsylvania
Glenn Bedell, MHSA, Pennsylvania
Cristina Green, AGACNP-DNP, Pennsylvania
Andrew Groff, Pennsylvania
Sulman Masood Hashmi, MBBS, Pennsylvania
Eric Kasprowicz, MD, MPH, Pennsylvania
Laura Leuenberger, Pennsylvania
James Liszewski, MD, Pennsylvania
Caitlyn Moss, Pennsylvania
Paul Seunghyun Nho, Pennsylvania
Rishan Patel, MD, Pennsylvania
Dilli R. Poudel, MBBS, Pennsylvania
Naveen Yellappa, MBBS, Pennsylvania
Usman Zulfiqar, Pennsylvania
Nina Jain, Pennsylvania
Bhumika Patel, DO, Pennsylvania
Jenna M. Diasio, PA-C, Pennsylvania
Malachi Courtney, MD, Pennsylvania
Sonia Arneja, MD, Pennsylvania
Ross Ellis, MD, Pennsylvania
Samreen Siddiqui, Pennsylvania
Jillian Zavodnick, Pennsylvania
Kinan Kassar, MD, Pennsylvania
Maritsa M. Scoulos-Hanson, Pennsylvania
Jennifer Taylor, PA-C, Pennsylvania
Steven Delaveris, DO, Pennsylvania
Danica Buzniak, DO, Rhode Island
Paul Browning, MD, South Carolina
Matt Coones, MD, South Carolina
Cedric Fisher, MD, South Carolina
Aloysius Jackson, MD, South Carolina
Katharine DuPont, MD, South Carolina
Michael Jenkins, MD, South Carolina
Jessica Hamilton, APRN, BC, FNP, South Carolina
Pamela Pyle, DO, South Carolina
Shakeel Ahmed, MBBS, MD, South Dakota
D. Bruce Eaton, MD, South Dakota
Drew Jorgensen, MD, South Dakota
Shelly Turbak, MSN, RN, South Dakota
Tamera Sturm, DO, South Dakota
Peggy Brooks, Tennessee
Joseph Garrido, MD, Tennessee
Lisa Grimes, FNP, Tennessee
Chennakesava Kummathi, MBBS, Tennessee
Victoria Okafor, Tennessee
Ashley Smith, Tennessee
Monisha Bhatia, Tennessee
Belinda Jenkins, APRN-BC, Tennessee
Kim Zahnke, MD, Tennessee
Robert Arias, Texas
Nicolas Batterton, MD, Texas
Scott DePaul, MD, Texas
Nancy Foster, Texas
Larry Hughes, Texas
Erin Koval, Texas
Femi Layiwola, MD, Texas
Krysta Lin, Texas
James J. Onorato, MD, PhD, Texas
Allison Stephenson, PA-C, Texas
Brandon Stormes, Texas
Rubin Simon, MD, Texas
Brian Anderson, DO, Texas
Hatim Chhatriwala, MD, Texas
Aziz Hammoud, Texas
Haru Yamamoto, MD, Texas
Lauren Schiegg, Texas
Victoria Grasso, DO, Texas
Victor Salcedo, MD, Texas
Rajiv Bhattarai, Texas
Iram Qureshi, DO, Texas
Lisa Hafemeister, FACHE, MHA, Texas
Helena Kurian, MD, Texas
Jessica Lin, Texas
Nathan Nowalk, MD, Texas
Keely Smith, MD, Texas
Jonathan Weiser, MD, Texas
Roland Prezas, DO, FAAFP, Texas
Allan Recto, AHIP, Texas
Regina Dimbo, Texas
Venkata Ghanta, Texas
Richmond Hunt, Texas
Vishal Patel, MD, Texas
Zain Sharif, MD, Texas
Rommel Del Rosario, MD, Texas
Khawer Khadimally, DO, Texas
Diogenes Valderrama, MD, Texas
Charles Ewoh, MD, Texas
Deepika Kilaru, Texas
Tilahun Belay, MD, Texas
Chandra S Reddy Navuluri, MD, Texas
Bradley Goad, DO, FACP, Virginia
Patrick Higdon, MD, Virginia
Gabriella Miller, MD, HMDC, Virginia
Miklos Szentirmai, MD, Virginia
Hyder Tamton, Virginia
Andra Mirescu, MD, Virginia
Olukayode Ojo, Virginia
Robert Szeles, MD, Virginia
Anya Cope, DO, Virginia
OsCiriah Press, MD, Virginia
Rikin Kadakia, MD, Virginia
Bryant Self, DO, Virginia
Sarah Sabo, ACNP, Virginia
Pedro A. Gonzales Alvarez, MD, Virginia
William Best, Virginia
Pushpanjali Basnyat, MD, Washington
Nikki Hartley-Jonason, Washington
Helen Johnsonwall, MD, Washington
Eric LaMotte, MD, Washington
Maher Muraywid, Washington
Evan Neal Paul, MD, Washington
Sarah Rogers, MD, Washington
Lindee Strizich, Washington
Maryam Tariq, MBBS, Washington
Meghaan Walsh, MD, Washington
Oleg Zbirun, MD, Washington
Meeta Sabnis, MD, Washington
James Kuo, MD, Washington
Liang Du, Washington
Syed Farhan Tabraiz Hashmi, MD, Washington
Jessica Jung, MD, Washington
Joshua Pelley, MD, Washington
Alex Yu, MD, Washington
Alfred Curnow, MD, Washington
Duhwan Kang, Washington
Gilbert Daniel, MD, Washington, D.C.
Eleanor Fitall, Washington, D.C.
Vinay Srinivasan, Washington, D.C.
Scott Wine, West Virginia
Trevor Miller, MBA, PA-C, West Virginia
Audrey Hiltunen, Wisconsin
Elina Litinskaya, Wisconsin
John M. Murphy, MD, Wisconsin
Tanya Pedretti, PA, Wisconsin
Adine Rodemeyer, MD, Wisconsin
Oghomwen Sule, MBBS, Wisconsin
Terrence Witt, MD, Wisconsin
Mayank Arora, Wisconsin
John D. MacDonald, MD, Wisconsin
Abigail Cook, Wisconsin
Mohamed Ibrahim, MD, Wisconsin
Aymen Khogali, MD, Wisconsin
Nicholas Haun, Wisconsin
Sandra Brown, Victoria, Australia
Alessandra Gessner, Alberta, Canada
Courtney Carlucci, British Columbia, Canada
Muhanad Y. Al Habash, Canada
Karen Tong, MD, Canada
Taku Yabuki, Japan
Liza van Loon, the Netherlands
Edward Gebuis, MD, the Netherlands
Abdisalan Afrah, MD, Qatar
Akhnuwkh Jones, Qatar
Mashuk Uddin, MBBS, MRCP, FRCP, Qatar
Ibrahim Yusuf Abubeker, MRCP, Qatar
Chih-Wei Tseng, Taiwan
Sawsan Abdel-Razig, MD, FACP, United Arab Emirates
Committee and chapter involvement allows SHM member to give back
Editor’s note: Each month, SHM puts the spotlight on some of our most active members who are making substantial contributions to hospital medicine. Log on to www.hospitalmedicine.org/getinvolved for more information on how you can lend your expertise to help SHM improve the care of hospitalized patients.
This month, The Hospitalist spotlights Paul Grant, MD, SFHM, assistant professor of medicine at the University of Michigan Medical School, Ann Arbor. Dr. Grant is the chair of SHM’s Membership Committee and an active member of SHM’s Michigan Chapter.
Why did you choose a career in hospital medicine, and how did you become an SHM member?
During my internal medicine residency, I tried hard to find a subspecialty I could see myself doing for the rest of my career. But I couldn’t. What I loved about general medicine was the variety of patients I saw on a daily basis. My next decision was whether to do hospital medicine or ambulatory medicine. This was a tough choice for me, but choosing hospital medicine was one of the best career decisions I’ve ever made.
After residency, I completed a hospital medicine fellowship at the Cleveland Clinic. During my fellowship, I joined SHM. At that time, I knew nothing about the society, but that soon changed. My fellowship required me to attend the annual meeting and submit an abstract in the RIV competition, which was an extremely valuable experience for me. Not only was I blown away by the meeting, but my poster won the clinical vignette competition, as well! Needless to say, I’ve been an SHM member ever since.
What prompted you to join the Membership Committee? Can you discuss some of the projects the committee is currently working on?
Because SHM has done so much for my career as a hospitalist, I’ve tried to give back by volunteering on committees. After spending several years on the Early Career Hospitalist Committee, I felt the transition to the Membership Committee was a natural fit. Because SHM membership had been growing every year, our committee felt some pressure to keep this trend going. Thankfully, we have continued to see growth each year in every membership category.
Our committee has been working on several projects. One of the key demographics we have been targeting is the resident member. Residents play a significant role in the future of hospital medicine, as well as SHM membership. We are developing ways to reach out to residency program directors – particularly those running a hospital medicine track – to find ways they can benefit from SHM’s educational offerings. Additionally, our committee has been discussing ways to attract international members to SHM. Because hospital medicine is quite developed in the United States, we believe we have much to offer to hospitalists around the world.
Tell TH about your involvement with SHM’s Michigan Chapter. What does a typical chapter meeting entail?
A few years ago, at the end of SHM’s annual meeting, several of my hospital medicine colleagues in southeast Michigan happened to be on the same flight home. At the departure gate in the airport, we all agreed we should start an SHM chapter. After drawing straws, it was decided that I would be chapter president for our inaugural year. In a few short years, our chapter has grown into one of the largest in the country.
As for a typical meeting, each starts with a cocktail hour to encourage our members to network. We have a guest speaker, who presents on a hospital medicine topic, and then, we end the evening with a business meeting. We encourage students and residents to attend. More recently, we’ve been using interactive technology to broadcast our meetings to large hospital medicine groups in the western and northern parts of the state. Our chapter was thrilled to learn that we’d won the Outstanding Chapter award this year!
What value do you find in connecting with hospital medicine professionals at the local level?
Whether it’s a hospitalist working at a large, tertiary care center or one working in a small rural setting, it seems we all face similar challenges.
As a chapter, we can pull together our resources to address these issues. Furthermore, we have the ability to reach out to more trainees and show them what hospital medicine is all about. Our chapter has been able to partially fund both medical students and residents so they could attend SHM’s annual meeting. I’m always amazed at what I can learn from other hospitalists – in the state of Michigan and beyond.
Find a chapter near you and get involved at the local level at hospitalmedicine.org/chapters .
Felicia Steele is SHM’s communications coordinator.
Editor’s note: Each month, SHM puts the spotlight on some of our most active members who are making substantial contributions to hospital medicine. Log on to www.hospitalmedicine.org/getinvolved for more information on how you can lend your expertise to help SHM improve the care of hospitalized patients.
This month, The Hospitalist spotlights Paul Grant, MD, SFHM, assistant professor of medicine at the University of Michigan Medical School, Ann Arbor. Dr. Grant is the chair of SHM’s Membership Committee and an active member of SHM’s Michigan Chapter.
Why did you choose a career in hospital medicine, and how did you become an SHM member?
During my internal medicine residency, I tried hard to find a subspecialty I could see myself doing for the rest of my career. But I couldn’t. What I loved about general medicine was the variety of patients I saw on a daily basis. My next decision was whether to do hospital medicine or ambulatory medicine. This was a tough choice for me, but choosing hospital medicine was one of the best career decisions I’ve ever made.
After residency, I completed a hospital medicine fellowship at the Cleveland Clinic. During my fellowship, I joined SHM. At that time, I knew nothing about the society, but that soon changed. My fellowship required me to attend the annual meeting and submit an abstract in the RIV competition, which was an extremely valuable experience for me. Not only was I blown away by the meeting, but my poster won the clinical vignette competition, as well! Needless to say, I’ve been an SHM member ever since.
What prompted you to join the Membership Committee? Can you discuss some of the projects the committee is currently working on?
Because SHM has done so much for my career as a hospitalist, I’ve tried to give back by volunteering on committees. After spending several years on the Early Career Hospitalist Committee, I felt the transition to the Membership Committee was a natural fit. Because SHM membership had been growing every year, our committee felt some pressure to keep this trend going. Thankfully, we have continued to see growth each year in every membership category.
Our committee has been working on several projects. One of the key demographics we have been targeting is the resident member. Residents play a significant role in the future of hospital medicine, as well as SHM membership. We are developing ways to reach out to residency program directors – particularly those running a hospital medicine track – to find ways they can benefit from SHM’s educational offerings. Additionally, our committee has been discussing ways to attract international members to SHM. Because hospital medicine is quite developed in the United States, we believe we have much to offer to hospitalists around the world.
Tell TH about your involvement with SHM’s Michigan Chapter. What does a typical chapter meeting entail?
A few years ago, at the end of SHM’s annual meeting, several of my hospital medicine colleagues in southeast Michigan happened to be on the same flight home. At the departure gate in the airport, we all agreed we should start an SHM chapter. After drawing straws, it was decided that I would be chapter president for our inaugural year. In a few short years, our chapter has grown into one of the largest in the country.
As for a typical meeting, each starts with a cocktail hour to encourage our members to network. We have a guest speaker, who presents on a hospital medicine topic, and then, we end the evening with a business meeting. We encourage students and residents to attend. More recently, we’ve been using interactive technology to broadcast our meetings to large hospital medicine groups in the western and northern parts of the state. Our chapter was thrilled to learn that we’d won the Outstanding Chapter award this year!
What value do you find in connecting with hospital medicine professionals at the local level?
Whether it’s a hospitalist working at a large, tertiary care center or one working in a small rural setting, it seems we all face similar challenges.
As a chapter, we can pull together our resources to address these issues. Furthermore, we have the ability to reach out to more trainees and show them what hospital medicine is all about. Our chapter has been able to partially fund both medical students and residents so they could attend SHM’s annual meeting. I’m always amazed at what I can learn from other hospitalists – in the state of Michigan and beyond.
Find a chapter near you and get involved at the local level at hospitalmedicine.org/chapters .
Felicia Steele is SHM’s communications coordinator.
Editor’s note: Each month, SHM puts the spotlight on some of our most active members who are making substantial contributions to hospital medicine. Log on to www.hospitalmedicine.org/getinvolved for more information on how you can lend your expertise to help SHM improve the care of hospitalized patients.
This month, The Hospitalist spotlights Paul Grant, MD, SFHM, assistant professor of medicine at the University of Michigan Medical School, Ann Arbor. Dr. Grant is the chair of SHM’s Membership Committee and an active member of SHM’s Michigan Chapter.
Why did you choose a career in hospital medicine, and how did you become an SHM member?
During my internal medicine residency, I tried hard to find a subspecialty I could see myself doing for the rest of my career. But I couldn’t. What I loved about general medicine was the variety of patients I saw on a daily basis. My next decision was whether to do hospital medicine or ambulatory medicine. This was a tough choice for me, but choosing hospital medicine was one of the best career decisions I’ve ever made.
After residency, I completed a hospital medicine fellowship at the Cleveland Clinic. During my fellowship, I joined SHM. At that time, I knew nothing about the society, but that soon changed. My fellowship required me to attend the annual meeting and submit an abstract in the RIV competition, which was an extremely valuable experience for me. Not only was I blown away by the meeting, but my poster won the clinical vignette competition, as well! Needless to say, I’ve been an SHM member ever since.
What prompted you to join the Membership Committee? Can you discuss some of the projects the committee is currently working on?
Because SHM has done so much for my career as a hospitalist, I’ve tried to give back by volunteering on committees. After spending several years on the Early Career Hospitalist Committee, I felt the transition to the Membership Committee was a natural fit. Because SHM membership had been growing every year, our committee felt some pressure to keep this trend going. Thankfully, we have continued to see growth each year in every membership category.
Our committee has been working on several projects. One of the key demographics we have been targeting is the resident member. Residents play a significant role in the future of hospital medicine, as well as SHM membership. We are developing ways to reach out to residency program directors – particularly those running a hospital medicine track – to find ways they can benefit from SHM’s educational offerings. Additionally, our committee has been discussing ways to attract international members to SHM. Because hospital medicine is quite developed in the United States, we believe we have much to offer to hospitalists around the world.
Tell TH about your involvement with SHM’s Michigan Chapter. What does a typical chapter meeting entail?
A few years ago, at the end of SHM’s annual meeting, several of my hospital medicine colleagues in southeast Michigan happened to be on the same flight home. At the departure gate in the airport, we all agreed we should start an SHM chapter. After drawing straws, it was decided that I would be chapter president for our inaugural year. In a few short years, our chapter has grown into one of the largest in the country.
As for a typical meeting, each starts with a cocktail hour to encourage our members to network. We have a guest speaker, who presents on a hospital medicine topic, and then, we end the evening with a business meeting. We encourage students and residents to attend. More recently, we’ve been using interactive technology to broadcast our meetings to large hospital medicine groups in the western and northern parts of the state. Our chapter was thrilled to learn that we’d won the Outstanding Chapter award this year!
What value do you find in connecting with hospital medicine professionals at the local level?
Whether it’s a hospitalist working at a large, tertiary care center or one working in a small rural setting, it seems we all face similar challenges.
As a chapter, we can pull together our resources to address these issues. Furthermore, we have the ability to reach out to more trainees and show them what hospital medicine is all about. Our chapter has been able to partially fund both medical students and residents so they could attend SHM’s annual meeting. I’m always amazed at what I can learn from other hospitalists – in the state of Michigan and beyond.
Find a chapter near you and get involved at the local level at hospitalmedicine.org/chapters .
Felicia Steele is SHM’s communications coordinator.
Scheduling patterns: Time for a change?
Bob Wachter, MD, created buzz in March 2016 when, at the SHM annual meeting in San Diego, he displayed a slide titled “What did we get wrong?” The slide contained the copy, “Hospitalist shifts run 7 a.m.-7 p.m.; 10 a.m.-10 p.m. 7on/7off” circled in bold red.
Over the last several years, thought leaders in the hospital medicine field have expressed concern that this one-size-fits-all schedule model is a threat to the well-being of many physicians and, by extension, the sustainability of their hospital medicine groups. Despite this, the 2016 State of Hospital Medicine Report reveals relatively little change in the way hospital medicine groups schedule their physicians.
Most groups (69.2%), report the duration of scheduled day shifts to be between 12 and 13.9 hours, similar to the 65.4% reported in the 2014 survey for this same metric. Likely, most of these shifts are the traditional 12-hour shift displayed on Dr. Wachter’s slide. Groups reporting shorter shifts tended to be either very large, with the number of bodies needed to develop flexible scheduling, or in academic settings where they could utilize house-staff coverage.
Night shifts echo this trend. There is an even greater number of groups utilizing the 12- to 13.9-hour shift length (79%), which has also varied less at just approximately 5% in either direction over the last two surveys. It is likely very hard to be creative with the shift length for your night physicians when the group is structured predominately around a 12-hour day position.
The 12-hour shift scheduled in long blocks is straightforward to employ for the scheduler, limits hand offs of care, and maximizes number of days off. So, why are Wachter et al. calling for change? Seven day stretches off may seem attractive when you are just starting out, but, as physicians mature, the very long day competes with family time that cannot be made up on weekday mornings when others are at school and work. Furthermore, the very long hours for 7 days straight lead to burn out and eventually retention issues as well. Some argue that this design promotes disengagement. It sets the expectation that, during “off” weeks, physicians might be unavailable for email responses, committee meetings, or participation in quality improvement initiatives, which disrupts integration into the larger hospital community and perhaps even our own career advancement.
Some groups are trying to address these concerns with innovative approaches to block scheduling. While the hallmark hospital medicine schedule of 7on/7off blocks remains the predominant model – 38.1% of all groups – this represents a drop of approximately 15%, compared with the prior survey. A new large contingent of groups entering the survey this year utilize a Monday-Friday model with rotating moonlighter/weekend coverage. This lifestyle and family-friendly model predominates in the Midwest. It is also found more in smaller groups, which may employ this model to keep the most system-knowledgeable worker around during high volume times, as well as to preserve the well-being and retention of their limited physician work force.
Of note, reconfiguring the 7on/7off model does not necessarily translate into more time off. The median number of shifts per year is also relatively stable at 182 which is the exact number of shifts per year in a strict 7on/7off schedule. This number does not vary by region of the country, group size, or teaching status. Some might argue that working 182 annual shifts is ideal, giving hospitalists a “vacation” every other week. However, this line of thought does not take into account the very long workdays, nor the 52 weekend days spent in the hospital – far more than most specialty peers who serve fewer weekend calls often with more limited in-house hours. In addition, one might argue that defining ourselves as available only during our 182 clinical “on” days is not in our own best interest, as it is the important nonclinical quality and committee service activities that are likely to lead to professional recognition and advancement.
Our hospital medicine group has deviated from this scheduling mainstay and requires only 160 shifts per year. We have set this number based on removal of the number of shifts equivalent to the vacation hours received by our medical group peers. The model poses a challenge in terms of matching our productivity up to benchmarks when talking to system leaders. This challenge pales in comparison to the increased buy-in from our physicians, as they feel equitable vacation time signifies respect from the medical group leadership.
In addition, our group has had success in being flexible around the number of days worked in a continuity stretch. We utilize everything from a 3-day block over holidays to a 7-day block. In general, we allow physicians to select their desired block length. The scheduler then works to accommodate that stretch as much as is feasible. The upfront work in this system is significant, but the downstream effect is decreased turnover costs. Even our own entrenched standard of 7on/7off schedules for house staff services (designed to protect continuity for the learner) have been the target of change. A pilot of alternating 4 and 5 day runs in a 4-week stretch has been implemented over the last few months. The number of days the residents are exposed to a given attending is the same in this model, but there is one additional switch day. The additional switch day puts the residents at risk of managing a change in care plan related to change in attending, but this was mitigated by paring attendings with very similar teaching and patient management styles. For our group, the extra administrative effort needed to work around the 7on/7off model has always paid off in terms of provider satisfaction and retention.
On the other hand, although I lead a large academic group, we have not yet developed flexibility around the shift length. Only one of the 29 roles our providers fill each 24-hour period is not a 12-hour shift. Over the years, I have tried to offer alternate models with shorter shifts to improve flow, reduce burn out, and increase family time. No matter how eloquent the reasoning, the response from the group was always the same: a resounding “no.” Most providers felt that they would wind up with a very similar work load and not actually leave the hospital earlier. Other reasons included not wanting to come in more days per month and concerns about increased handoffs/cross coverage.
There is some reason to think change may actually come. For one, burnout is high and may lead physicians to try a new model even with fear of the unknown. Our practice may be reconsidering this one-size-fits-all shift length in the very near future as an increasing percentage of candidates seeking to join our group express a strong interest in finding more accommodating hours.
Overall, I am hopeful that, in the coming years, my hospital medicine group, as well as many others, will heed the thoughts expressed by Dr. Wachter. Finding the flexibility to break out of these rigid scheduling models will be a first step in promoting both physician and system well being.
Dr. Eisenstock, MD, FHM, is clinical chief, division of hospital medicine, at the University of Massachusetts Memorial Health Care, Worcester.
Bob Wachter, MD, created buzz in March 2016 when, at the SHM annual meeting in San Diego, he displayed a slide titled “What did we get wrong?” The slide contained the copy, “Hospitalist shifts run 7 a.m.-7 p.m.; 10 a.m.-10 p.m. 7on/7off” circled in bold red.
Over the last several years, thought leaders in the hospital medicine field have expressed concern that this one-size-fits-all schedule model is a threat to the well-being of many physicians and, by extension, the sustainability of their hospital medicine groups. Despite this, the 2016 State of Hospital Medicine Report reveals relatively little change in the way hospital medicine groups schedule their physicians.
Most groups (69.2%), report the duration of scheduled day shifts to be between 12 and 13.9 hours, similar to the 65.4% reported in the 2014 survey for this same metric. Likely, most of these shifts are the traditional 12-hour shift displayed on Dr. Wachter’s slide. Groups reporting shorter shifts tended to be either very large, with the number of bodies needed to develop flexible scheduling, or in academic settings where they could utilize house-staff coverage.
Night shifts echo this trend. There is an even greater number of groups utilizing the 12- to 13.9-hour shift length (79%), which has also varied less at just approximately 5% in either direction over the last two surveys. It is likely very hard to be creative with the shift length for your night physicians when the group is structured predominately around a 12-hour day position.
The 12-hour shift scheduled in long blocks is straightforward to employ for the scheduler, limits hand offs of care, and maximizes number of days off. So, why are Wachter et al. calling for change? Seven day stretches off may seem attractive when you are just starting out, but, as physicians mature, the very long day competes with family time that cannot be made up on weekday mornings when others are at school and work. Furthermore, the very long hours for 7 days straight lead to burn out and eventually retention issues as well. Some argue that this design promotes disengagement. It sets the expectation that, during “off” weeks, physicians might be unavailable for email responses, committee meetings, or participation in quality improvement initiatives, which disrupts integration into the larger hospital community and perhaps even our own career advancement.
Some groups are trying to address these concerns with innovative approaches to block scheduling. While the hallmark hospital medicine schedule of 7on/7off blocks remains the predominant model – 38.1% of all groups – this represents a drop of approximately 15%, compared with the prior survey. A new large contingent of groups entering the survey this year utilize a Monday-Friday model with rotating moonlighter/weekend coverage. This lifestyle and family-friendly model predominates in the Midwest. It is also found more in smaller groups, which may employ this model to keep the most system-knowledgeable worker around during high volume times, as well as to preserve the well-being and retention of their limited physician work force.
Of note, reconfiguring the 7on/7off model does not necessarily translate into more time off. The median number of shifts per year is also relatively stable at 182 which is the exact number of shifts per year in a strict 7on/7off schedule. This number does not vary by region of the country, group size, or teaching status. Some might argue that working 182 annual shifts is ideal, giving hospitalists a “vacation” every other week. However, this line of thought does not take into account the very long workdays, nor the 52 weekend days spent in the hospital – far more than most specialty peers who serve fewer weekend calls often with more limited in-house hours. In addition, one might argue that defining ourselves as available only during our 182 clinical “on” days is not in our own best interest, as it is the important nonclinical quality and committee service activities that are likely to lead to professional recognition and advancement.
Our hospital medicine group has deviated from this scheduling mainstay and requires only 160 shifts per year. We have set this number based on removal of the number of shifts equivalent to the vacation hours received by our medical group peers. The model poses a challenge in terms of matching our productivity up to benchmarks when talking to system leaders. This challenge pales in comparison to the increased buy-in from our physicians, as they feel equitable vacation time signifies respect from the medical group leadership.
In addition, our group has had success in being flexible around the number of days worked in a continuity stretch. We utilize everything from a 3-day block over holidays to a 7-day block. In general, we allow physicians to select their desired block length. The scheduler then works to accommodate that stretch as much as is feasible. The upfront work in this system is significant, but the downstream effect is decreased turnover costs. Even our own entrenched standard of 7on/7off schedules for house staff services (designed to protect continuity for the learner) have been the target of change. A pilot of alternating 4 and 5 day runs in a 4-week stretch has been implemented over the last few months. The number of days the residents are exposed to a given attending is the same in this model, but there is one additional switch day. The additional switch day puts the residents at risk of managing a change in care plan related to change in attending, but this was mitigated by paring attendings with very similar teaching and patient management styles. For our group, the extra administrative effort needed to work around the 7on/7off model has always paid off in terms of provider satisfaction and retention.
On the other hand, although I lead a large academic group, we have not yet developed flexibility around the shift length. Only one of the 29 roles our providers fill each 24-hour period is not a 12-hour shift. Over the years, I have tried to offer alternate models with shorter shifts to improve flow, reduce burn out, and increase family time. No matter how eloquent the reasoning, the response from the group was always the same: a resounding “no.” Most providers felt that they would wind up with a very similar work load and not actually leave the hospital earlier. Other reasons included not wanting to come in more days per month and concerns about increased handoffs/cross coverage.
There is some reason to think change may actually come. For one, burnout is high and may lead physicians to try a new model even with fear of the unknown. Our practice may be reconsidering this one-size-fits-all shift length in the very near future as an increasing percentage of candidates seeking to join our group express a strong interest in finding more accommodating hours.
Overall, I am hopeful that, in the coming years, my hospital medicine group, as well as many others, will heed the thoughts expressed by Dr. Wachter. Finding the flexibility to break out of these rigid scheduling models will be a first step in promoting both physician and system well being.
Dr. Eisenstock, MD, FHM, is clinical chief, division of hospital medicine, at the University of Massachusetts Memorial Health Care, Worcester.
Bob Wachter, MD, created buzz in March 2016 when, at the SHM annual meeting in San Diego, he displayed a slide titled “What did we get wrong?” The slide contained the copy, “Hospitalist shifts run 7 a.m.-7 p.m.; 10 a.m.-10 p.m. 7on/7off” circled in bold red.
Over the last several years, thought leaders in the hospital medicine field have expressed concern that this one-size-fits-all schedule model is a threat to the well-being of many physicians and, by extension, the sustainability of their hospital medicine groups. Despite this, the 2016 State of Hospital Medicine Report reveals relatively little change in the way hospital medicine groups schedule their physicians.
Most groups (69.2%), report the duration of scheduled day shifts to be between 12 and 13.9 hours, similar to the 65.4% reported in the 2014 survey for this same metric. Likely, most of these shifts are the traditional 12-hour shift displayed on Dr. Wachter’s slide. Groups reporting shorter shifts tended to be either very large, with the number of bodies needed to develop flexible scheduling, or in academic settings where they could utilize house-staff coverage.
Night shifts echo this trend. There is an even greater number of groups utilizing the 12- to 13.9-hour shift length (79%), which has also varied less at just approximately 5% in either direction over the last two surveys. It is likely very hard to be creative with the shift length for your night physicians when the group is structured predominately around a 12-hour day position.
The 12-hour shift scheduled in long blocks is straightforward to employ for the scheduler, limits hand offs of care, and maximizes number of days off. So, why are Wachter et al. calling for change? Seven day stretches off may seem attractive when you are just starting out, but, as physicians mature, the very long day competes with family time that cannot be made up on weekday mornings when others are at school and work. Furthermore, the very long hours for 7 days straight lead to burn out and eventually retention issues as well. Some argue that this design promotes disengagement. It sets the expectation that, during “off” weeks, physicians might be unavailable for email responses, committee meetings, or participation in quality improvement initiatives, which disrupts integration into the larger hospital community and perhaps even our own career advancement.
Some groups are trying to address these concerns with innovative approaches to block scheduling. While the hallmark hospital medicine schedule of 7on/7off blocks remains the predominant model – 38.1% of all groups – this represents a drop of approximately 15%, compared with the prior survey. A new large contingent of groups entering the survey this year utilize a Monday-Friday model with rotating moonlighter/weekend coverage. This lifestyle and family-friendly model predominates in the Midwest. It is also found more in smaller groups, which may employ this model to keep the most system-knowledgeable worker around during high volume times, as well as to preserve the well-being and retention of their limited physician work force.
Of note, reconfiguring the 7on/7off model does not necessarily translate into more time off. The median number of shifts per year is also relatively stable at 182 which is the exact number of shifts per year in a strict 7on/7off schedule. This number does not vary by region of the country, group size, or teaching status. Some might argue that working 182 annual shifts is ideal, giving hospitalists a “vacation” every other week. However, this line of thought does not take into account the very long workdays, nor the 52 weekend days spent in the hospital – far more than most specialty peers who serve fewer weekend calls often with more limited in-house hours. In addition, one might argue that defining ourselves as available only during our 182 clinical “on” days is not in our own best interest, as it is the important nonclinical quality and committee service activities that are likely to lead to professional recognition and advancement.
Our hospital medicine group has deviated from this scheduling mainstay and requires only 160 shifts per year. We have set this number based on removal of the number of shifts equivalent to the vacation hours received by our medical group peers. The model poses a challenge in terms of matching our productivity up to benchmarks when talking to system leaders. This challenge pales in comparison to the increased buy-in from our physicians, as they feel equitable vacation time signifies respect from the medical group leadership.
In addition, our group has had success in being flexible around the number of days worked in a continuity stretch. We utilize everything from a 3-day block over holidays to a 7-day block. In general, we allow physicians to select their desired block length. The scheduler then works to accommodate that stretch as much as is feasible. The upfront work in this system is significant, but the downstream effect is decreased turnover costs. Even our own entrenched standard of 7on/7off schedules for house staff services (designed to protect continuity for the learner) have been the target of change. A pilot of alternating 4 and 5 day runs in a 4-week stretch has been implemented over the last few months. The number of days the residents are exposed to a given attending is the same in this model, but there is one additional switch day. The additional switch day puts the residents at risk of managing a change in care plan related to change in attending, but this was mitigated by paring attendings with very similar teaching and patient management styles. For our group, the extra administrative effort needed to work around the 7on/7off model has always paid off in terms of provider satisfaction and retention.
On the other hand, although I lead a large academic group, we have not yet developed flexibility around the shift length. Only one of the 29 roles our providers fill each 24-hour period is not a 12-hour shift. Over the years, I have tried to offer alternate models with shorter shifts to improve flow, reduce burn out, and increase family time. No matter how eloquent the reasoning, the response from the group was always the same: a resounding “no.” Most providers felt that they would wind up with a very similar work load and not actually leave the hospital earlier. Other reasons included not wanting to come in more days per month and concerns about increased handoffs/cross coverage.
There is some reason to think change may actually come. For one, burnout is high and may lead physicians to try a new model even with fear of the unknown. Our practice may be reconsidering this one-size-fits-all shift length in the very near future as an increasing percentage of candidates seeking to join our group express a strong interest in finding more accommodating hours.
Overall, I am hopeful that, in the coming years, my hospital medicine group, as well as many others, will heed the thoughts expressed by Dr. Wachter. Finding the flexibility to break out of these rigid scheduling models will be a first step in promoting both physician and system well being.
Dr. Eisenstock, MD, FHM, is clinical chief, division of hospital medicine, at the University of Massachusetts Memorial Health Care, Worcester.
Will artificial intelligence make us better doctors?
Given the amount of time physicians spend entering data, clicking through screens, navigating pages, and logging in to computers, one would have hoped that substantial near-term payback for such efforts would have materialized.
Many of us believed this would take the form of health information exchange – the ability to easily access clinical information from hospitals or clinics other than our own, creating a more complete picture of the patient before us. To our disappointment, true information exchange has yet to materialize. (We won’t debate here whether politics or technology is culpable.) We are left to look elsewhere for the benefits of the digitization of the medical records and other sources of health care knowledge.
Lately, there has been a lot of talk about the promise of machine learning and artificial intelligence (AI) in health care. Much of the resurgence of interest in AI can be traced to IBM Watson’s appearance as a contestant on Jeopardy in 2011. Watson, a natural language supercomputer with enough power to process the equivalent of a million books per second, had access to 200 million pages of content, including the full text of Wikipedia, for Jeopardy.1 Watson handily outperformed its human opponents – two Jeopardy savants who were also the most successful contestants in game show history – taking the $1 million first prize but struggling in categories with clues containing only a few words.
MD Anderson and Watson: Dashed hopes follow initial promise
As a result of growing recognition of AI’s potential in health care, IBM began collaborations with a number of health care organizations to deploy Watson.
In 2013, MD Anderson Cancer Center and IBM began a pilot to develop an oncology clinical decision support technology tool powered by Watson to aid MD Anderson “in its mission to eradicate cancer.” Recently, it was announced that the project – which cost the cancer center $62 million – has been put on hold, and MD Anderson is looking for other contractors to replace IBM.
While administrative problems are at least partly responsible for the project’s challenges, the undertaking has raised issues with the quality and quantity of data in health care that call into question the ability of AI to work as well in health care as it did on Jeopardy, at least in the short term.
Health care: Not as data rich as you might think
“We are not ‘Big Data’ in health care, yet.” – Dale Sanders, Health Catalyst.2
In its quest for Jeopardy victory, Watson accessed a massive data storehouse subsuming a vast array of knowledge assembled over the course of human history. Conversely, for health care, Watson is limited to a few decades of scientific journals (that may not contribute to diagnosis and treatment as much as one might think), claims data geared to billing without much clinical information like outcomes, and clinical data from progress notes (plagued by inaccuracies, serial “copy and paste,” and nonstandardized language and numeric representations), and variable-format reports from lab, radiology, pathology, and other disciplines.
To articulate how data-poor health care is, Dale Sanders, executive vice president for software at Health Catalyst, notes that a Boeing 787 generates 500GB of data in a six hour flight while one patient may generate just 100MB of data in an entire year.2 He pointed out that, in the near term, AI platforms like Watson simply do not have enough data substrate to impact health care as many hoped it would. Over the longer term, he says, if health care can develop a coherent, standard approach to data content, AI may fulfill its promise.
What can AI and related technologies achieve in the near-term?
“AI seems to have replaced Uber as the most overused word or phrase in digital health.” – Reporter Stephanie Baum, paraphrasing from an interview with Bob Kocher, Venrock Partners.3
My observations tell me that we have already made some progress and are likely to make more strides in the coming years, thanks to AI, machine learning, and natural language processing. A few areas of potential gain are:
Clinical documentation
Technology that can derive meaning from words or groups of words can help with more accurate clinical documentation. For example, if a patient has a documented UTI but also has in the record an 11 on the Glasgow Coma Scale, a systolic BP of 90, and a respiratory rate of 24, technology can alert the physician to document sepsis.
Quality measurement and reporting
Similarly, if technology can recognize words and numbers, it may be able to extract and report quality measures (for example, an ejection fraction of 35% in a heart failure patient) from progress notes without having a nurse-abstractor manually enter such data into structured fields for reporting, as is currently the case.
Predicting readmissions, mortality, other events
While machine learning has had mixed results in predicting future clinical events, this is likely to change as data integrity and algorithms improve. Best-of-breed technology will probably use both clinical and machine learning tools for predictive purposes in the future.
In 2015, I had the privilege of meeting Vinod Khosla, cofounder of SUN Microsystems and venture capitalist, who predicts that computers will largely supplant physicians in the future, at least in domains relying on access to data. As he puts it, “the core functions necessary for complex diagnoses, treatments, and monitoring will be driven by machine judgment instead of human judgment.”4
While the benefits of technology, especially in health care, are often oversold, I believe AI and related technologies will some day play a large role alongside physicians in the care of patients. However, for AI to deliver, we must first figure out how to collect and organize health care data so that computers are able to ingest, digest and use it in a purposeful way.
Note: Dr. Whitcomb is founder and advisor to Zato Health, which uses natural language processing and discovery technology in health care.
He is chief medical officer at Remedy Partners in Darien, Conn., and a cofounder and past president of SHM.
References
1. Zimmer, Ben. Is It Time to Welcome Our New Computer Overlords?. The Atlantic. https://www.theatlantic.com/technology/archive/2011/02/is-it-time-to-welcome-our-new-computer-overlords/71388/. Accessed 23 Apr 2017.
2. Sanders, Dale. The MD Anderson / IBM Watson Announcement: What does it mean for machine learning in healthcare? Webinar. https://www.slideshare.net/healthcatalyst1/the-md-anderson-ibm-watson-announcement-what-does-it-mean-for-machine-learning-in-healthcare. Accessed 23 Apr 2017.
3. Baum, Stephanie. Venrock survey predicts a flight to quality for digital health investments. MedCity News. 12 Apr 2017. http://medcitynews.com/2017/04/venrock-survey-predicts-flight-quality-digital-health-investment/. Accessed 22 Apr 2017.
4. Khosla, Vinod. The Reinvention Of Medicine: Dr. Algorithm V0-7 And Beyond. TechCrunch. 22 Sept 2014. https://techcrunch.com/2014/09/22/the-reinvention-of-medicine-dr-algorithm-version-0-7-and-beyond/. Accessed 22 Apr 2017.
Given the amount of time physicians spend entering data, clicking through screens, navigating pages, and logging in to computers, one would have hoped that substantial near-term payback for such efforts would have materialized.
Many of us believed this would take the form of health information exchange – the ability to easily access clinical information from hospitals or clinics other than our own, creating a more complete picture of the patient before us. To our disappointment, true information exchange has yet to materialize. (We won’t debate here whether politics or technology is culpable.) We are left to look elsewhere for the benefits of the digitization of the medical records and other sources of health care knowledge.
Lately, there has been a lot of talk about the promise of machine learning and artificial intelligence (AI) in health care. Much of the resurgence of interest in AI can be traced to IBM Watson’s appearance as a contestant on Jeopardy in 2011. Watson, a natural language supercomputer with enough power to process the equivalent of a million books per second, had access to 200 million pages of content, including the full text of Wikipedia, for Jeopardy.1 Watson handily outperformed its human opponents – two Jeopardy savants who were also the most successful contestants in game show history – taking the $1 million first prize but struggling in categories with clues containing only a few words.
MD Anderson and Watson: Dashed hopes follow initial promise
As a result of growing recognition of AI’s potential in health care, IBM began collaborations with a number of health care organizations to deploy Watson.
In 2013, MD Anderson Cancer Center and IBM began a pilot to develop an oncology clinical decision support technology tool powered by Watson to aid MD Anderson “in its mission to eradicate cancer.” Recently, it was announced that the project – which cost the cancer center $62 million – has been put on hold, and MD Anderson is looking for other contractors to replace IBM.
While administrative problems are at least partly responsible for the project’s challenges, the undertaking has raised issues with the quality and quantity of data in health care that call into question the ability of AI to work as well in health care as it did on Jeopardy, at least in the short term.
Health care: Not as data rich as you might think
“We are not ‘Big Data’ in health care, yet.” – Dale Sanders, Health Catalyst.2
In its quest for Jeopardy victory, Watson accessed a massive data storehouse subsuming a vast array of knowledge assembled over the course of human history. Conversely, for health care, Watson is limited to a few decades of scientific journals (that may not contribute to diagnosis and treatment as much as one might think), claims data geared to billing without much clinical information like outcomes, and clinical data from progress notes (plagued by inaccuracies, serial “copy and paste,” and nonstandardized language and numeric representations), and variable-format reports from lab, radiology, pathology, and other disciplines.
To articulate how data-poor health care is, Dale Sanders, executive vice president for software at Health Catalyst, notes that a Boeing 787 generates 500GB of data in a six hour flight while one patient may generate just 100MB of data in an entire year.2 He pointed out that, in the near term, AI platforms like Watson simply do not have enough data substrate to impact health care as many hoped it would. Over the longer term, he says, if health care can develop a coherent, standard approach to data content, AI may fulfill its promise.
What can AI and related technologies achieve in the near-term?
“AI seems to have replaced Uber as the most overused word or phrase in digital health.” – Reporter Stephanie Baum, paraphrasing from an interview with Bob Kocher, Venrock Partners.3
My observations tell me that we have already made some progress and are likely to make more strides in the coming years, thanks to AI, machine learning, and natural language processing. A few areas of potential gain are:
Clinical documentation
Technology that can derive meaning from words or groups of words can help with more accurate clinical documentation. For example, if a patient has a documented UTI but also has in the record an 11 on the Glasgow Coma Scale, a systolic BP of 90, and a respiratory rate of 24, technology can alert the physician to document sepsis.
Quality measurement and reporting
Similarly, if technology can recognize words and numbers, it may be able to extract and report quality measures (for example, an ejection fraction of 35% in a heart failure patient) from progress notes without having a nurse-abstractor manually enter such data into structured fields for reporting, as is currently the case.
Predicting readmissions, mortality, other events
While machine learning has had mixed results in predicting future clinical events, this is likely to change as data integrity and algorithms improve. Best-of-breed technology will probably use both clinical and machine learning tools for predictive purposes in the future.
In 2015, I had the privilege of meeting Vinod Khosla, cofounder of SUN Microsystems and venture capitalist, who predicts that computers will largely supplant physicians in the future, at least in domains relying on access to data. As he puts it, “the core functions necessary for complex diagnoses, treatments, and monitoring will be driven by machine judgment instead of human judgment.”4
While the benefits of technology, especially in health care, are often oversold, I believe AI and related technologies will some day play a large role alongside physicians in the care of patients. However, for AI to deliver, we must first figure out how to collect and organize health care data so that computers are able to ingest, digest and use it in a purposeful way.
Note: Dr. Whitcomb is founder and advisor to Zato Health, which uses natural language processing and discovery technology in health care.
He is chief medical officer at Remedy Partners in Darien, Conn., and a cofounder and past president of SHM.
References
1. Zimmer, Ben. Is It Time to Welcome Our New Computer Overlords?. The Atlantic. https://www.theatlantic.com/technology/archive/2011/02/is-it-time-to-welcome-our-new-computer-overlords/71388/. Accessed 23 Apr 2017.
2. Sanders, Dale. The MD Anderson / IBM Watson Announcement: What does it mean for machine learning in healthcare? Webinar. https://www.slideshare.net/healthcatalyst1/the-md-anderson-ibm-watson-announcement-what-does-it-mean-for-machine-learning-in-healthcare. Accessed 23 Apr 2017.
3. Baum, Stephanie. Venrock survey predicts a flight to quality for digital health investments. MedCity News. 12 Apr 2017. http://medcitynews.com/2017/04/venrock-survey-predicts-flight-quality-digital-health-investment/. Accessed 22 Apr 2017.
4. Khosla, Vinod. The Reinvention Of Medicine: Dr. Algorithm V0-7 And Beyond. TechCrunch. 22 Sept 2014. https://techcrunch.com/2014/09/22/the-reinvention-of-medicine-dr-algorithm-version-0-7-and-beyond/. Accessed 22 Apr 2017.
Given the amount of time physicians spend entering data, clicking through screens, navigating pages, and logging in to computers, one would have hoped that substantial near-term payback for such efforts would have materialized.
Many of us believed this would take the form of health information exchange – the ability to easily access clinical information from hospitals or clinics other than our own, creating a more complete picture of the patient before us. To our disappointment, true information exchange has yet to materialize. (We won’t debate here whether politics or technology is culpable.) We are left to look elsewhere for the benefits of the digitization of the medical records and other sources of health care knowledge.
Lately, there has been a lot of talk about the promise of machine learning and artificial intelligence (AI) in health care. Much of the resurgence of interest in AI can be traced to IBM Watson’s appearance as a contestant on Jeopardy in 2011. Watson, a natural language supercomputer with enough power to process the equivalent of a million books per second, had access to 200 million pages of content, including the full text of Wikipedia, for Jeopardy.1 Watson handily outperformed its human opponents – two Jeopardy savants who were also the most successful contestants in game show history – taking the $1 million first prize but struggling in categories with clues containing only a few words.
MD Anderson and Watson: Dashed hopes follow initial promise
As a result of growing recognition of AI’s potential in health care, IBM began collaborations with a number of health care organizations to deploy Watson.
In 2013, MD Anderson Cancer Center and IBM began a pilot to develop an oncology clinical decision support technology tool powered by Watson to aid MD Anderson “in its mission to eradicate cancer.” Recently, it was announced that the project – which cost the cancer center $62 million – has been put on hold, and MD Anderson is looking for other contractors to replace IBM.
While administrative problems are at least partly responsible for the project’s challenges, the undertaking has raised issues with the quality and quantity of data in health care that call into question the ability of AI to work as well in health care as it did on Jeopardy, at least in the short term.
Health care: Not as data rich as you might think
“We are not ‘Big Data’ in health care, yet.” – Dale Sanders, Health Catalyst.2
In its quest for Jeopardy victory, Watson accessed a massive data storehouse subsuming a vast array of knowledge assembled over the course of human history. Conversely, for health care, Watson is limited to a few decades of scientific journals (that may not contribute to diagnosis and treatment as much as one might think), claims data geared to billing without much clinical information like outcomes, and clinical data from progress notes (plagued by inaccuracies, serial “copy and paste,” and nonstandardized language and numeric representations), and variable-format reports from lab, radiology, pathology, and other disciplines.
To articulate how data-poor health care is, Dale Sanders, executive vice president for software at Health Catalyst, notes that a Boeing 787 generates 500GB of data in a six hour flight while one patient may generate just 100MB of data in an entire year.2 He pointed out that, in the near term, AI platforms like Watson simply do not have enough data substrate to impact health care as many hoped it would. Over the longer term, he says, if health care can develop a coherent, standard approach to data content, AI may fulfill its promise.
What can AI and related technologies achieve in the near-term?
“AI seems to have replaced Uber as the most overused word or phrase in digital health.” – Reporter Stephanie Baum, paraphrasing from an interview with Bob Kocher, Venrock Partners.3
My observations tell me that we have already made some progress and are likely to make more strides in the coming years, thanks to AI, machine learning, and natural language processing. A few areas of potential gain are:
Clinical documentation
Technology that can derive meaning from words or groups of words can help with more accurate clinical documentation. For example, if a patient has a documented UTI but also has in the record an 11 on the Glasgow Coma Scale, a systolic BP of 90, and a respiratory rate of 24, technology can alert the physician to document sepsis.
Quality measurement and reporting
Similarly, if technology can recognize words and numbers, it may be able to extract and report quality measures (for example, an ejection fraction of 35% in a heart failure patient) from progress notes without having a nurse-abstractor manually enter such data into structured fields for reporting, as is currently the case.
Predicting readmissions, mortality, other events
While machine learning has had mixed results in predicting future clinical events, this is likely to change as data integrity and algorithms improve. Best-of-breed technology will probably use both clinical and machine learning tools for predictive purposes in the future.
In 2015, I had the privilege of meeting Vinod Khosla, cofounder of SUN Microsystems and venture capitalist, who predicts that computers will largely supplant physicians in the future, at least in domains relying on access to data. As he puts it, “the core functions necessary for complex diagnoses, treatments, and monitoring will be driven by machine judgment instead of human judgment.”4
While the benefits of technology, especially in health care, are often oversold, I believe AI and related technologies will some day play a large role alongside physicians in the care of patients. However, for AI to deliver, we must first figure out how to collect and organize health care data so that computers are able to ingest, digest and use it in a purposeful way.
Note: Dr. Whitcomb is founder and advisor to Zato Health, which uses natural language processing and discovery technology in health care.
He is chief medical officer at Remedy Partners in Darien, Conn., and a cofounder and past president of SHM.
References
1. Zimmer, Ben. Is It Time to Welcome Our New Computer Overlords?. The Atlantic. https://www.theatlantic.com/technology/archive/2011/02/is-it-time-to-welcome-our-new-computer-overlords/71388/. Accessed 23 Apr 2017.
2. Sanders, Dale. The MD Anderson / IBM Watson Announcement: What does it mean for machine learning in healthcare? Webinar. https://www.slideshare.net/healthcatalyst1/the-md-anderson-ibm-watson-announcement-what-does-it-mean-for-machine-learning-in-healthcare. Accessed 23 Apr 2017.
3. Baum, Stephanie. Venrock survey predicts a flight to quality for digital health investments. MedCity News. 12 Apr 2017. http://medcitynews.com/2017/04/venrock-survey-predicts-flight-quality-digital-health-investment/. Accessed 22 Apr 2017.
4. Khosla, Vinod. The Reinvention Of Medicine: Dr. Algorithm V0-7 And Beyond. TechCrunch. 22 Sept 2014. https://techcrunch.com/2014/09/22/the-reinvention-of-medicine-dr-algorithm-version-0-7-and-beyond/. Accessed 22 Apr 2017.
A case for building our leadership skills
Let me ask you a question: When was the last time you used the Krebs cycle in the hospital?
Now another question: When did you last have to persuade your boss to give you additional resources?
My guess is that your need for additional resources comes up more frequently than the Krebs cycle. It’s interesting that we spent so much time in our training focused on biochemical pathways and next to nothing on leadership skills, such as ways to motivate our health care teams or the most effective way to provide feedback – skills that we use on a regular basis. Yet, these skills are just as critical as understanding the science behind our daily work.
I’ll give you an example. I’ve been involved in quality improvement and operational work for a decade, so I often find myself in front of groups of health care professionals convincing them to implement new pathways and protocols.
In the past, I would present my case in the following way:
1. Highlight the importance of the ask.
2. Leverage data to prove the point.
3. Illustrate large-scale implications of the ask.
4. Make the ask.
I’ll use a project to increase DVT prophylaxis rates to illustrate this point:
1. Highlight the importance of DVT prophylaxis: I would focus on statistics that would surprise the audience, such as “Hospital acquired venous thromboembolism leads to significant morbidity and mortality, including more than 100,000 deaths.”1
2. Leverage data to prove the point: “Worldwide, only 40%-60% of patients who require DVT prophylaxis actually receive it in the hospital.2 Our performance leaves tremendous room for improvement – we’re currently at 68%.”
3. Illustrate large-scale implications of the ask: “If we do this, it enhances our reputation as a group, and it will improve hospital revenues.”
4. Make the ask: “I have an evidence-based protocol that we need to implement to achieve results.”
Through leadership courses over the past couple of years, I’ve changed my approach significantly. By leveraging concepts from behavioral economics, we can significantly improve the effect of our work. Here’s how I would conduct that same meeting:
1. Connect with the audience in a genuine way: Start off with “You are quality-minded providers who have taken on major challenges in the past and successfully delivered results, like the time you reduced the rates of catheter associated urinary tract infections.”
2. Make the ask: “I’m here to talk to you about improving our DVT prophylaxis rates. Here’s the protocol we need to implement.”
3. Leverage data to prove the point: “DVT prophylaxis rates at the hospital across town (or at another unit in the hospital) are at 82%. What do you think our numbers are? We’re actually at 68%!”
4. Illustrate large-scale implications of the ask: “We all know this. Patients under our care will die or be seriously harmed if we don’t improve our practice. The hospital will also lose money, which will ultimately impact us. So, we have two options: a) We can continue what we’ve been doing – work as hard as we can and our practice will not improve. b) Or we can decide today to pilot this new protocol and change our practice and performance.”
Let’s look at the changes above in greater detail:
Connect with the audience in a genuine way: Instead of highlighting the importance of the ask with statistics, use an attention getter to connect with the group. Highlighting the fact that the group is “quality-minded” and has surmounted challenging obstacles in the past reinforces the providers’ sense of identity.3 This helps the group think more openly about the proposal.
Make the ask: Now that you’ve captured their attention, make your ask, clearly and concisely, upfront. Remember, in today’s health care settings, we have short attention spans. You’re minutes away from someone getting paged away from the meeting or people checking their emails or the latest Facebook post. Don’t schedule the protocol review as the last item on the agenda.
Leverage data to prove your point: Data are powerful, but only if presented in the right way. Use questions to keep your audience engaged (“What do you think our numbers are?”), particularly around data, where most people decide to switch their attention to their smartphones. Based on your access to data sources, find another unit or institution with a higher performance than yours. State that upfront. It anchors,the group to a higher number, so, when you reveal your current performance, the gap is highlighted. 3,4 In the first case, when the lower national average of 40-60% is presented initially, the group will be happy that their performance is in fact better at 68%.
Illustrate large-scale implications of the ask: There are two concepts at work here: First, loss aversion.3,4 We tend to experience greater psychological burden with losses versus gains. Changing the framing from the fact that the hospital will lose money, versus making money in the first case, changes how we perceive the information. Second, active choice.3 Emphasizing that a decision has to be made today and giving the group a choice around it increases the likelihood of walking out of the meeting with a decision.
With some simple, yet thoughtful, modifications, the message takes on a more effective tone, and, based on my experience, it is significantly more impactful.
So, while I’m a fan of biochemical pathways that enable us to generate energy, I also hope we can integrate leadership lessons into our day-to-day learning and life.
Dr. Afsar is an assistant clinical professor in the departments of medicine and neurosurgery and the associate chief medical officer at UCLA Hospitals.
References
1. The Surgeon General’s Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). Office of the Surgeon General (US). 2008.
2. Cohen AT, Tapson VF, Bergmann JF, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): A multinational cross-sectional study. Lancet. 2008;371(9610):387-94.
3. Soman D. The Last Mile. 2015.
4. Thaler RH, Sunstein CR. Nudge. 2009.
Let me ask you a question: When was the last time you used the Krebs cycle in the hospital?
Now another question: When did you last have to persuade your boss to give you additional resources?
My guess is that your need for additional resources comes up more frequently than the Krebs cycle. It’s interesting that we spent so much time in our training focused on biochemical pathways and next to nothing on leadership skills, such as ways to motivate our health care teams or the most effective way to provide feedback – skills that we use on a regular basis. Yet, these skills are just as critical as understanding the science behind our daily work.
I’ll give you an example. I’ve been involved in quality improvement and operational work for a decade, so I often find myself in front of groups of health care professionals convincing them to implement new pathways and protocols.
In the past, I would present my case in the following way:
1. Highlight the importance of the ask.
2. Leverage data to prove the point.
3. Illustrate large-scale implications of the ask.
4. Make the ask.
I’ll use a project to increase DVT prophylaxis rates to illustrate this point:
1. Highlight the importance of DVT prophylaxis: I would focus on statistics that would surprise the audience, such as “Hospital acquired venous thromboembolism leads to significant morbidity and mortality, including more than 100,000 deaths.”1
2. Leverage data to prove the point: “Worldwide, only 40%-60% of patients who require DVT prophylaxis actually receive it in the hospital.2 Our performance leaves tremendous room for improvement – we’re currently at 68%.”
3. Illustrate large-scale implications of the ask: “If we do this, it enhances our reputation as a group, and it will improve hospital revenues.”
4. Make the ask: “I have an evidence-based protocol that we need to implement to achieve results.”
Through leadership courses over the past couple of years, I’ve changed my approach significantly. By leveraging concepts from behavioral economics, we can significantly improve the effect of our work. Here’s how I would conduct that same meeting:
1. Connect with the audience in a genuine way: Start off with “You are quality-minded providers who have taken on major challenges in the past and successfully delivered results, like the time you reduced the rates of catheter associated urinary tract infections.”
2. Make the ask: “I’m here to talk to you about improving our DVT prophylaxis rates. Here’s the protocol we need to implement.”
3. Leverage data to prove the point: “DVT prophylaxis rates at the hospital across town (or at another unit in the hospital) are at 82%. What do you think our numbers are? We’re actually at 68%!”
4. Illustrate large-scale implications of the ask: “We all know this. Patients under our care will die or be seriously harmed if we don’t improve our practice. The hospital will also lose money, which will ultimately impact us. So, we have two options: a) We can continue what we’ve been doing – work as hard as we can and our practice will not improve. b) Or we can decide today to pilot this new protocol and change our practice and performance.”
Let’s look at the changes above in greater detail:
Connect with the audience in a genuine way: Instead of highlighting the importance of the ask with statistics, use an attention getter to connect with the group. Highlighting the fact that the group is “quality-minded” and has surmounted challenging obstacles in the past reinforces the providers’ sense of identity.3 This helps the group think more openly about the proposal.
Make the ask: Now that you’ve captured their attention, make your ask, clearly and concisely, upfront. Remember, in today’s health care settings, we have short attention spans. You’re minutes away from someone getting paged away from the meeting or people checking their emails or the latest Facebook post. Don’t schedule the protocol review as the last item on the agenda.
Leverage data to prove your point: Data are powerful, but only if presented in the right way. Use questions to keep your audience engaged (“What do you think our numbers are?”), particularly around data, where most people decide to switch their attention to their smartphones. Based on your access to data sources, find another unit or institution with a higher performance than yours. State that upfront. It anchors,the group to a higher number, so, when you reveal your current performance, the gap is highlighted. 3,4 In the first case, when the lower national average of 40-60% is presented initially, the group will be happy that their performance is in fact better at 68%.
Illustrate large-scale implications of the ask: There are two concepts at work here: First, loss aversion.3,4 We tend to experience greater psychological burden with losses versus gains. Changing the framing from the fact that the hospital will lose money, versus making money in the first case, changes how we perceive the information. Second, active choice.3 Emphasizing that a decision has to be made today and giving the group a choice around it increases the likelihood of walking out of the meeting with a decision.
With some simple, yet thoughtful, modifications, the message takes on a more effective tone, and, based on my experience, it is significantly more impactful.
So, while I’m a fan of biochemical pathways that enable us to generate energy, I also hope we can integrate leadership lessons into our day-to-day learning and life.
Dr. Afsar is an assistant clinical professor in the departments of medicine and neurosurgery and the associate chief medical officer at UCLA Hospitals.
References
1. The Surgeon General’s Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). Office of the Surgeon General (US). 2008.
2. Cohen AT, Tapson VF, Bergmann JF, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): A multinational cross-sectional study. Lancet. 2008;371(9610):387-94.
3. Soman D. The Last Mile. 2015.
4. Thaler RH, Sunstein CR. Nudge. 2009.
Let me ask you a question: When was the last time you used the Krebs cycle in the hospital?
Now another question: When did you last have to persuade your boss to give you additional resources?
My guess is that your need for additional resources comes up more frequently than the Krebs cycle. It’s interesting that we spent so much time in our training focused on biochemical pathways and next to nothing on leadership skills, such as ways to motivate our health care teams or the most effective way to provide feedback – skills that we use on a regular basis. Yet, these skills are just as critical as understanding the science behind our daily work.
I’ll give you an example. I’ve been involved in quality improvement and operational work for a decade, so I often find myself in front of groups of health care professionals convincing them to implement new pathways and protocols.
In the past, I would present my case in the following way:
1. Highlight the importance of the ask.
2. Leverage data to prove the point.
3. Illustrate large-scale implications of the ask.
4. Make the ask.
I’ll use a project to increase DVT prophylaxis rates to illustrate this point:
1. Highlight the importance of DVT prophylaxis: I would focus on statistics that would surprise the audience, such as “Hospital acquired venous thromboembolism leads to significant morbidity and mortality, including more than 100,000 deaths.”1
2. Leverage data to prove the point: “Worldwide, only 40%-60% of patients who require DVT prophylaxis actually receive it in the hospital.2 Our performance leaves tremendous room for improvement – we’re currently at 68%.”
3. Illustrate large-scale implications of the ask: “If we do this, it enhances our reputation as a group, and it will improve hospital revenues.”
4. Make the ask: “I have an evidence-based protocol that we need to implement to achieve results.”
Through leadership courses over the past couple of years, I’ve changed my approach significantly. By leveraging concepts from behavioral economics, we can significantly improve the effect of our work. Here’s how I would conduct that same meeting:
1. Connect with the audience in a genuine way: Start off with “You are quality-minded providers who have taken on major challenges in the past and successfully delivered results, like the time you reduced the rates of catheter associated urinary tract infections.”
2. Make the ask: “I’m here to talk to you about improving our DVT prophylaxis rates. Here’s the protocol we need to implement.”
3. Leverage data to prove the point: “DVT prophylaxis rates at the hospital across town (or at another unit in the hospital) are at 82%. What do you think our numbers are? We’re actually at 68%!”
4. Illustrate large-scale implications of the ask: “We all know this. Patients under our care will die or be seriously harmed if we don’t improve our practice. The hospital will also lose money, which will ultimately impact us. So, we have two options: a) We can continue what we’ve been doing – work as hard as we can and our practice will not improve. b) Or we can decide today to pilot this new protocol and change our practice and performance.”
Let’s look at the changes above in greater detail:
Connect with the audience in a genuine way: Instead of highlighting the importance of the ask with statistics, use an attention getter to connect with the group. Highlighting the fact that the group is “quality-minded” and has surmounted challenging obstacles in the past reinforces the providers’ sense of identity.3 This helps the group think more openly about the proposal.
Make the ask: Now that you’ve captured their attention, make your ask, clearly and concisely, upfront. Remember, in today’s health care settings, we have short attention spans. You’re minutes away from someone getting paged away from the meeting or people checking their emails or the latest Facebook post. Don’t schedule the protocol review as the last item on the agenda.
Leverage data to prove your point: Data are powerful, but only if presented in the right way. Use questions to keep your audience engaged (“What do you think our numbers are?”), particularly around data, where most people decide to switch their attention to their smartphones. Based on your access to data sources, find another unit or institution with a higher performance than yours. State that upfront. It anchors,the group to a higher number, so, when you reveal your current performance, the gap is highlighted. 3,4 In the first case, when the lower national average of 40-60% is presented initially, the group will be happy that their performance is in fact better at 68%.
Illustrate large-scale implications of the ask: There are two concepts at work here: First, loss aversion.3,4 We tend to experience greater psychological burden with losses versus gains. Changing the framing from the fact that the hospital will lose money, versus making money in the first case, changes how we perceive the information. Second, active choice.3 Emphasizing that a decision has to be made today and giving the group a choice around it increases the likelihood of walking out of the meeting with a decision.
With some simple, yet thoughtful, modifications, the message takes on a more effective tone, and, based on my experience, it is significantly more impactful.
So, while I’m a fan of biochemical pathways that enable us to generate energy, I also hope we can integrate leadership lessons into our day-to-day learning and life.
Dr. Afsar is an assistant clinical professor in the departments of medicine and neurosurgery and the associate chief medical officer at UCLA Hospitals.
References
1. The Surgeon General’s Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). Office of the Surgeon General (US). 2008.
2. Cohen AT, Tapson VF, Bergmann JF, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): A multinational cross-sectional study. Lancet. 2008;371(9610):387-94.
3. Soman D. The Last Mile. 2015.
4. Thaler RH, Sunstein CR. Nudge. 2009.
Here’s what’s trending at SHM
HM17 On Demand now available
Couldn’t make it to Las Vegas for SHM’s annual meeting, Hospital Medicine 2017? HM17 On Demand gives you access to over 80 online audio and slide recordings from the hottest tracks, including clinical updates, rapid fire, pediatrics, comanagement, quality, and high-value care.
Additionally, you can earn up to 70 American Medical Association Physician Recognition Award Category 1 Credit(s) and up to 30 American Board of Internal Medicine Maintenance of Certification credits. HM17 attendees can also benefit by earning additional credits on the sessions you missed out on.
To easily access content through SHM’s Learning Portal, visit shmlearningportal.org/hm17-demand to learn more.
Chapter Excellence Awards
SHM is proud to recognize outstanding chapters for the fourth annual Chapter Excellence Awards. Each year, chapters strive to demonstrate growth, sustenance, and innovation within their chapter activities.
View more at www.hospitalmedicine.org/chapterexcellence. Please join SHM in congratulating the following chapters on their success!
Silver Chapters
Boston Association of Academic Hospital Medicine (BAAHM)
Charlotte Metro Area
Houston
Kentucky
Los Angeles
Minnesota
North Jersey
Pacific Northwest
Philadelphia Tri-State
Rocky Mountain
San Francisco Bay
South Central PA
Gold Chapters
New Mexico
Wiregrass
Platinum Chapters
IowaMaryland
Michigan
NYC/Westchester
St. Louis
Outstanding Chapter of the Year
Michigan
Rising Star Chapter
Wiregrass
Student Hospitalist Scholar grant winners
SHM’s Student Hospitalist Scholar Grant provides funds with which medical students can conduct mentored scholarly projects related to quality improvement and patient safety in the field of hospital medicine. The program offers a summer and a longitudinal option.
Congratulations to the 2017-2018 Student Hospitalist Scholar Grant recipients:Summer Program
Anton Garazha
Rosalind Franklin University of Medicine and Science
“Effectiveness of Communication During ICU to Ward Transfer and Association with Medical ICU Readmission”
Cole Hirschfeld
Weill Cornell Medical College
“The Role of Diagnostic Bone Biopsies in the Management of Osteomyelitis”
Farah Hussain
University of Cincinnati College of Medicine
“Better Understanding Clinical Deterioration in a Children’s Hospital”
Longitudinal Program
Monisha Bhatia
Vanderbilt University School of Medicine
“Using Electronic Medical Record Phenotypic Data to Predict Discharge Destination”
Victor Ekuta
University of California, San Diego School of Medicine
“Reducing CAUTI with Noninvasive UC Alternatives and Measure-vention”
Yun Li
Geisel School of Medicine at Dartmouth
“Developing and implementing clinical pathway(s) for hospitalized injection drug users due to injection-related infection sequelae”
Learn more about the Student Hospitalist Scholar Grant at hospitalmedicine.org/scholargrant.
SPARK ONE: A tool to teach residents
SPARK ONE is a comprehensive, online self-assessment tool created specifically for hospital medicine professionals. The activity contains 450+ vignette-style multiple-choice questions covering 100% of the American Board of Internal Medicine’s Focused Practice in Hospital Medicine (FPHM) exam blueprint. This online tool can be utilized as a training mechanism for resident education on hospital medicine.
As a benefit of SHM membership, residents will receive a free subscription. SPARK ONE provides in-depth review of the following content areas:
- Cardiology
- Pulmonary Disease and Critical Care Medicine
- Gastroenterology and Hepatology
- Nephrology and Urology
- Endocrinology
- Hematology and Oncology
- Neurology
- Allergy, Immunology, Dermatology, Rheumatology and Transitions in Care
- Palliative Care, Medical Ethics and Decision-making
- Perioperative Medicine and Consultative Co-management
- Patient Safety
- Quality, Cost and Clinical Reasoning
“SPARK ONE provides a unique platform for academic institutions, engaging learners in directed learning sessions, reinforcing teaching points as we encounter specific conditions.” – Rachel E. Thompson, MD, MPH, SFHM
Visit hospitalmedicine.org/sparkone to learn more.
Sharpen your coding with the updated CODE-H
SHM’s Coding Optimally by Documenting Effectively for Hospitalists (CODE-H) has launched an updated program with all new content. It will now include eight recorded webinar sessions presented by expert faculty, downloadable resources, and an interactive discussion forum through the Hospital Medicine Exchange (HMX), enabling participants to ask questions and learn the most relevant best practices.
Following each webinar, learners will have the opportunity to complete an evaluation to redeem continuing medical education credits.
Webinars in the series include:
- E/M Basics Part I
- E/M Basics Part II
- Utilizing Other Providers in Your Practice
- EMR and Mitigating Risk
- Putting Time into Critical Care Documentation
- Time Based Services
- Navigating the Rules for Hospitalist Visits
- Challenges of Concurrent Care
To purchase CODE-H, visit hospitalmedicine.org/CODEH. If you have questions about the new program, please contact [email protected].
Set yourself apart as a Fellow in Hospital Medicine
The Fellow in Hospital Medicine (FHM) designation signals your commitment to the hospital medicine specialty and dedication to quality improvement and patient safety. This designation is available for hospital medicine practitioners, including practice administrators, nurse practitioners, and physician assistants. If you meet the prerequisites and complete the requirements, which are rooted in the Core Competencies in Hospital Medicine, you can apply for this prestigious designation and join more than 1,100 FHMs who are dedicated to the field of hospital medicine. Learn more and apply at hospitalmedicine.org/fellow.
New guide & modules on multimodal pain strategies for postoperative pain management
Pain management can pose multiple challenges in the acute care setting for hospitalists and front-line prescribers. While their first priority is to optimally manage pain in their patients, they also face the challenges of treating diverse patient populations, managing patient expectations, and considering how pain control and perceptions affect Hospital Consumer Assessment of Healthcare Providers and Systems scores. Furthermore, because of the ongoing opioid epidemic, prescribers must ensure that pain is managed responsibly and ethically.
To address these issues, SHM developed a guide to address how to work in an interdisciplinary team, identify impediments to implementation, and provide examples of appropriate pain management. In accompaniment with this Multimodal Pain Strategies Guide for Postoperative Pain Management, there are three modules presented by the authors which supplement the electronic guide.
To download the guide or view the modules, visit hospitalmedicine.org/pain.
Proven excellence through a unique education style: Academic Hospitalist Academy
Don’t miss the eighth annual Academic Hospitalist Academy (AHA), Sept. 25-28, 2017, at the Lakeway Resort and Spa in Austin, Texas. AHA attendees experience an energizing, interactive learning environment featuring didactics, small-group exercise and skill-building breakout sessions. Each full day of learning is facilitated by leading clinician-educators, hospitalist researchers, and clinical administrators in a 1 to 10 faculty to student ratio.
The Principal Goals of the Academy are to:
- Develop junior academic hospitalists as the premier teachers and educational leaders at their institutions
- Help academic hospitalists develop scholarly work and increase scholarly output
- Enhance awareness of the value of quality improvement and patient safety work
- Support academic promotion of all attendees
Don’t miss out on this unique, hands-on experience. Register before July 18, 2017, to receive the early-bird rates. Visit academichospitalist.org to learn more.
Choosing Wisely Case Study compendium now available
The Choosing Wisely Case Study Competition, hosted by SHM, sought submissions from hospitalists on innovative improvement initiatives implemented in their respective institutions. These initiatives reflect and promote movement toward reducing unnecessary medical tests and procedures and changing a culture that dictates, “More care is better care.”
Submissions were judged by the Choosing Wisely Subcommittee, a panel of SHM members, under adult and pediatric categories. One grand prize winner and three honorable mentions were selected from these categories. The compendium includes these case studies along with additional exemplary submissions.
View the Choosing Wisely Case Study Compendium at hospitalmedicine.org/choosingwisely.
Strengthen your interactions with the 5 Rs of Cultural Humility
Look inside this issue for your 5 Rs of Cultural Humility pocket card. It can be easily referenced on rounds and shared with colleagues. We hope to achieve heightened awareness of effective interactions. In addition to the definitions of each of the Rs, the card features questions to ask yourself before, during, and after every interaction to aid in attaining cultural humility.
For more information, visit hospitalmedicine.org/5Rs.
Brett Radler is communications specialist at the Society of Hospital Medicine.
HM17 On Demand now available
Couldn’t make it to Las Vegas for SHM’s annual meeting, Hospital Medicine 2017? HM17 On Demand gives you access to over 80 online audio and slide recordings from the hottest tracks, including clinical updates, rapid fire, pediatrics, comanagement, quality, and high-value care.
Additionally, you can earn up to 70 American Medical Association Physician Recognition Award Category 1 Credit(s) and up to 30 American Board of Internal Medicine Maintenance of Certification credits. HM17 attendees can also benefit by earning additional credits on the sessions you missed out on.
To easily access content through SHM’s Learning Portal, visit shmlearningportal.org/hm17-demand to learn more.
Chapter Excellence Awards
SHM is proud to recognize outstanding chapters for the fourth annual Chapter Excellence Awards. Each year, chapters strive to demonstrate growth, sustenance, and innovation within their chapter activities.
View more at www.hospitalmedicine.org/chapterexcellence. Please join SHM in congratulating the following chapters on their success!
Silver Chapters
Boston Association of Academic Hospital Medicine (BAAHM)
Charlotte Metro Area
Houston
Kentucky
Los Angeles
Minnesota
North Jersey
Pacific Northwest
Philadelphia Tri-State
Rocky Mountain
San Francisco Bay
South Central PA
Gold Chapters
New Mexico
Wiregrass
Platinum Chapters
IowaMaryland
Michigan
NYC/Westchester
St. Louis
Outstanding Chapter of the Year
Michigan
Rising Star Chapter
Wiregrass
Student Hospitalist Scholar grant winners
SHM’s Student Hospitalist Scholar Grant provides funds with which medical students can conduct mentored scholarly projects related to quality improvement and patient safety in the field of hospital medicine. The program offers a summer and a longitudinal option.
Congratulations to the 2017-2018 Student Hospitalist Scholar Grant recipients:Summer Program
Anton Garazha
Rosalind Franklin University of Medicine and Science
“Effectiveness of Communication During ICU to Ward Transfer and Association with Medical ICU Readmission”
Cole Hirschfeld
Weill Cornell Medical College
“The Role of Diagnostic Bone Biopsies in the Management of Osteomyelitis”
Farah Hussain
University of Cincinnati College of Medicine
“Better Understanding Clinical Deterioration in a Children’s Hospital”
Longitudinal Program
Monisha Bhatia
Vanderbilt University School of Medicine
“Using Electronic Medical Record Phenotypic Data to Predict Discharge Destination”
Victor Ekuta
University of California, San Diego School of Medicine
“Reducing CAUTI with Noninvasive UC Alternatives and Measure-vention”
Yun Li
Geisel School of Medicine at Dartmouth
“Developing and implementing clinical pathway(s) for hospitalized injection drug users due to injection-related infection sequelae”
Learn more about the Student Hospitalist Scholar Grant at hospitalmedicine.org/scholargrant.
SPARK ONE: A tool to teach residents
SPARK ONE is a comprehensive, online self-assessment tool created specifically for hospital medicine professionals. The activity contains 450+ vignette-style multiple-choice questions covering 100% of the American Board of Internal Medicine’s Focused Practice in Hospital Medicine (FPHM) exam blueprint. This online tool can be utilized as a training mechanism for resident education on hospital medicine.
As a benefit of SHM membership, residents will receive a free subscription. SPARK ONE provides in-depth review of the following content areas:
- Cardiology
- Pulmonary Disease and Critical Care Medicine
- Gastroenterology and Hepatology
- Nephrology and Urology
- Endocrinology
- Hematology and Oncology
- Neurology
- Allergy, Immunology, Dermatology, Rheumatology and Transitions in Care
- Palliative Care, Medical Ethics and Decision-making
- Perioperative Medicine and Consultative Co-management
- Patient Safety
- Quality, Cost and Clinical Reasoning
“SPARK ONE provides a unique platform for academic institutions, engaging learners in directed learning sessions, reinforcing teaching points as we encounter specific conditions.” – Rachel E. Thompson, MD, MPH, SFHM
Visit hospitalmedicine.org/sparkone to learn more.
Sharpen your coding with the updated CODE-H
SHM’s Coding Optimally by Documenting Effectively for Hospitalists (CODE-H) has launched an updated program with all new content. It will now include eight recorded webinar sessions presented by expert faculty, downloadable resources, and an interactive discussion forum through the Hospital Medicine Exchange (HMX), enabling participants to ask questions and learn the most relevant best practices.
Following each webinar, learners will have the opportunity to complete an evaluation to redeem continuing medical education credits.
Webinars in the series include:
- E/M Basics Part I
- E/M Basics Part II
- Utilizing Other Providers in Your Practice
- EMR and Mitigating Risk
- Putting Time into Critical Care Documentation
- Time Based Services
- Navigating the Rules for Hospitalist Visits
- Challenges of Concurrent Care
To purchase CODE-H, visit hospitalmedicine.org/CODEH. If you have questions about the new program, please contact [email protected].
Set yourself apart as a Fellow in Hospital Medicine
The Fellow in Hospital Medicine (FHM) designation signals your commitment to the hospital medicine specialty and dedication to quality improvement and patient safety. This designation is available for hospital medicine practitioners, including practice administrators, nurse practitioners, and physician assistants. If you meet the prerequisites and complete the requirements, which are rooted in the Core Competencies in Hospital Medicine, you can apply for this prestigious designation and join more than 1,100 FHMs who are dedicated to the field of hospital medicine. Learn more and apply at hospitalmedicine.org/fellow.
New guide & modules on multimodal pain strategies for postoperative pain management
Pain management can pose multiple challenges in the acute care setting for hospitalists and front-line prescribers. While their first priority is to optimally manage pain in their patients, they also face the challenges of treating diverse patient populations, managing patient expectations, and considering how pain control and perceptions affect Hospital Consumer Assessment of Healthcare Providers and Systems scores. Furthermore, because of the ongoing opioid epidemic, prescribers must ensure that pain is managed responsibly and ethically.
To address these issues, SHM developed a guide to address how to work in an interdisciplinary team, identify impediments to implementation, and provide examples of appropriate pain management. In accompaniment with this Multimodal Pain Strategies Guide for Postoperative Pain Management, there are three modules presented by the authors which supplement the electronic guide.
To download the guide or view the modules, visit hospitalmedicine.org/pain.
Proven excellence through a unique education style: Academic Hospitalist Academy
Don’t miss the eighth annual Academic Hospitalist Academy (AHA), Sept. 25-28, 2017, at the Lakeway Resort and Spa in Austin, Texas. AHA attendees experience an energizing, interactive learning environment featuring didactics, small-group exercise and skill-building breakout sessions. Each full day of learning is facilitated by leading clinician-educators, hospitalist researchers, and clinical administrators in a 1 to 10 faculty to student ratio.
The Principal Goals of the Academy are to:
- Develop junior academic hospitalists as the premier teachers and educational leaders at their institutions
- Help academic hospitalists develop scholarly work and increase scholarly output
- Enhance awareness of the value of quality improvement and patient safety work
- Support academic promotion of all attendees
Don’t miss out on this unique, hands-on experience. Register before July 18, 2017, to receive the early-bird rates. Visit academichospitalist.org to learn more.
Choosing Wisely Case Study compendium now available
The Choosing Wisely Case Study Competition, hosted by SHM, sought submissions from hospitalists on innovative improvement initiatives implemented in their respective institutions. These initiatives reflect and promote movement toward reducing unnecessary medical tests and procedures and changing a culture that dictates, “More care is better care.”
Submissions were judged by the Choosing Wisely Subcommittee, a panel of SHM members, under adult and pediatric categories. One grand prize winner and three honorable mentions were selected from these categories. The compendium includes these case studies along with additional exemplary submissions.
View the Choosing Wisely Case Study Compendium at hospitalmedicine.org/choosingwisely.
Strengthen your interactions with the 5 Rs of Cultural Humility
Look inside this issue for your 5 Rs of Cultural Humility pocket card. It can be easily referenced on rounds and shared with colleagues. We hope to achieve heightened awareness of effective interactions. In addition to the definitions of each of the Rs, the card features questions to ask yourself before, during, and after every interaction to aid in attaining cultural humility.
For more information, visit hospitalmedicine.org/5Rs.
Brett Radler is communications specialist at the Society of Hospital Medicine.
HM17 On Demand now available
Couldn’t make it to Las Vegas for SHM’s annual meeting, Hospital Medicine 2017? HM17 On Demand gives you access to over 80 online audio and slide recordings from the hottest tracks, including clinical updates, rapid fire, pediatrics, comanagement, quality, and high-value care.
Additionally, you can earn up to 70 American Medical Association Physician Recognition Award Category 1 Credit(s) and up to 30 American Board of Internal Medicine Maintenance of Certification credits. HM17 attendees can also benefit by earning additional credits on the sessions you missed out on.
To easily access content through SHM’s Learning Portal, visit shmlearningportal.org/hm17-demand to learn more.
Chapter Excellence Awards
SHM is proud to recognize outstanding chapters for the fourth annual Chapter Excellence Awards. Each year, chapters strive to demonstrate growth, sustenance, and innovation within their chapter activities.
View more at www.hospitalmedicine.org/chapterexcellence. Please join SHM in congratulating the following chapters on their success!
Silver Chapters
Boston Association of Academic Hospital Medicine (BAAHM)
Charlotte Metro Area
Houston
Kentucky
Los Angeles
Minnesota
North Jersey
Pacific Northwest
Philadelphia Tri-State
Rocky Mountain
San Francisco Bay
South Central PA
Gold Chapters
New Mexico
Wiregrass
Platinum Chapters
IowaMaryland
Michigan
NYC/Westchester
St. Louis
Outstanding Chapter of the Year
Michigan
Rising Star Chapter
Wiregrass
Student Hospitalist Scholar grant winners
SHM’s Student Hospitalist Scholar Grant provides funds with which medical students can conduct mentored scholarly projects related to quality improvement and patient safety in the field of hospital medicine. The program offers a summer and a longitudinal option.
Congratulations to the 2017-2018 Student Hospitalist Scholar Grant recipients:Summer Program
Anton Garazha
Rosalind Franklin University of Medicine and Science
“Effectiveness of Communication During ICU to Ward Transfer and Association with Medical ICU Readmission”
Cole Hirschfeld
Weill Cornell Medical College
“The Role of Diagnostic Bone Biopsies in the Management of Osteomyelitis”
Farah Hussain
University of Cincinnati College of Medicine
“Better Understanding Clinical Deterioration in a Children’s Hospital”
Longitudinal Program
Monisha Bhatia
Vanderbilt University School of Medicine
“Using Electronic Medical Record Phenotypic Data to Predict Discharge Destination”
Victor Ekuta
University of California, San Diego School of Medicine
“Reducing CAUTI with Noninvasive UC Alternatives and Measure-vention”
Yun Li
Geisel School of Medicine at Dartmouth
“Developing and implementing clinical pathway(s) for hospitalized injection drug users due to injection-related infection sequelae”
Learn more about the Student Hospitalist Scholar Grant at hospitalmedicine.org/scholargrant.
SPARK ONE: A tool to teach residents
SPARK ONE is a comprehensive, online self-assessment tool created specifically for hospital medicine professionals. The activity contains 450+ vignette-style multiple-choice questions covering 100% of the American Board of Internal Medicine’s Focused Practice in Hospital Medicine (FPHM) exam blueprint. This online tool can be utilized as a training mechanism for resident education on hospital medicine.
As a benefit of SHM membership, residents will receive a free subscription. SPARK ONE provides in-depth review of the following content areas:
- Cardiology
- Pulmonary Disease and Critical Care Medicine
- Gastroenterology and Hepatology
- Nephrology and Urology
- Endocrinology
- Hematology and Oncology
- Neurology
- Allergy, Immunology, Dermatology, Rheumatology and Transitions in Care
- Palliative Care, Medical Ethics and Decision-making
- Perioperative Medicine and Consultative Co-management
- Patient Safety
- Quality, Cost and Clinical Reasoning
“SPARK ONE provides a unique platform for academic institutions, engaging learners in directed learning sessions, reinforcing teaching points as we encounter specific conditions.” – Rachel E. Thompson, MD, MPH, SFHM
Visit hospitalmedicine.org/sparkone to learn more.
Sharpen your coding with the updated CODE-H
SHM’s Coding Optimally by Documenting Effectively for Hospitalists (CODE-H) has launched an updated program with all new content. It will now include eight recorded webinar sessions presented by expert faculty, downloadable resources, and an interactive discussion forum through the Hospital Medicine Exchange (HMX), enabling participants to ask questions and learn the most relevant best practices.
Following each webinar, learners will have the opportunity to complete an evaluation to redeem continuing medical education credits.
Webinars in the series include:
- E/M Basics Part I
- E/M Basics Part II
- Utilizing Other Providers in Your Practice
- EMR and Mitigating Risk
- Putting Time into Critical Care Documentation
- Time Based Services
- Navigating the Rules for Hospitalist Visits
- Challenges of Concurrent Care
To purchase CODE-H, visit hospitalmedicine.org/CODEH. If you have questions about the new program, please contact [email protected].
Set yourself apart as a Fellow in Hospital Medicine
The Fellow in Hospital Medicine (FHM) designation signals your commitment to the hospital medicine specialty and dedication to quality improvement and patient safety. This designation is available for hospital medicine practitioners, including practice administrators, nurse practitioners, and physician assistants. If you meet the prerequisites and complete the requirements, which are rooted in the Core Competencies in Hospital Medicine, you can apply for this prestigious designation and join more than 1,100 FHMs who are dedicated to the field of hospital medicine. Learn more and apply at hospitalmedicine.org/fellow.
New guide & modules on multimodal pain strategies for postoperative pain management
Pain management can pose multiple challenges in the acute care setting for hospitalists and front-line prescribers. While their first priority is to optimally manage pain in their patients, they also face the challenges of treating diverse patient populations, managing patient expectations, and considering how pain control and perceptions affect Hospital Consumer Assessment of Healthcare Providers and Systems scores. Furthermore, because of the ongoing opioid epidemic, prescribers must ensure that pain is managed responsibly and ethically.
To address these issues, SHM developed a guide to address how to work in an interdisciplinary team, identify impediments to implementation, and provide examples of appropriate pain management. In accompaniment with this Multimodal Pain Strategies Guide for Postoperative Pain Management, there are three modules presented by the authors which supplement the electronic guide.
To download the guide or view the modules, visit hospitalmedicine.org/pain.
Proven excellence through a unique education style: Academic Hospitalist Academy
Don’t miss the eighth annual Academic Hospitalist Academy (AHA), Sept. 25-28, 2017, at the Lakeway Resort and Spa in Austin, Texas. AHA attendees experience an energizing, interactive learning environment featuring didactics, small-group exercise and skill-building breakout sessions. Each full day of learning is facilitated by leading clinician-educators, hospitalist researchers, and clinical administrators in a 1 to 10 faculty to student ratio.
The Principal Goals of the Academy are to:
- Develop junior academic hospitalists as the premier teachers and educational leaders at their institutions
- Help academic hospitalists develop scholarly work and increase scholarly output
- Enhance awareness of the value of quality improvement and patient safety work
- Support academic promotion of all attendees
Don’t miss out on this unique, hands-on experience. Register before July 18, 2017, to receive the early-bird rates. Visit academichospitalist.org to learn more.
Choosing Wisely Case Study compendium now available
The Choosing Wisely Case Study Competition, hosted by SHM, sought submissions from hospitalists on innovative improvement initiatives implemented in their respective institutions. These initiatives reflect and promote movement toward reducing unnecessary medical tests and procedures and changing a culture that dictates, “More care is better care.”
Submissions were judged by the Choosing Wisely Subcommittee, a panel of SHM members, under adult and pediatric categories. One grand prize winner and three honorable mentions were selected from these categories. The compendium includes these case studies along with additional exemplary submissions.
View the Choosing Wisely Case Study Compendium at hospitalmedicine.org/choosingwisely.
Strengthen your interactions with the 5 Rs of Cultural Humility
Look inside this issue for your 5 Rs of Cultural Humility pocket card. It can be easily referenced on rounds and shared with colleagues. We hope to achieve heightened awareness of effective interactions. In addition to the definitions of each of the Rs, the card features questions to ask yourself before, during, and after every interaction to aid in attaining cultural humility.
For more information, visit hospitalmedicine.org/5Rs.
Brett Radler is communications specialist at the Society of Hospital Medicine.
HM17 session summary: Nurse Practitioner/Physician Assistant special interest forum
Presenters
Tracy Cardin, ACNP, SFHM ; Emilie Thornhill, PA-C
Session summary
The Nurse Practitioner and Physician Assistant (NP/PA) special interest forum at HM17 drew more than 60 providers, including NPs, PAs, and physicians.
Emilie Thornhill, a certified PA and chair of the NP/PA Committee, and Tracy Cardin, SHM board member, updated the attendees regarding the work of the NP/PA committee over the last year. The committee has created a comprehensive “NP/PA Toolkit,” which was developed over the last 2 years in response to common inquiries about deployment and integration of NPs and PAs into Hospital Medicine practice groups.
The Toolkit includes best practices regarding recruitment, interviewing, retention, orientation and onboarding, models of care, billing and reimbursement, and program evaluation, as well as links to additional resources. The Toolkit will be posted, free of charge to SHM members, as a living document on the SHM website in the near future and will be maintained frequently by the NP/PA Committee.
The committee has also developed several goals for the coming year, including an “Optimization and Implementation Project,” intended to positively impact the shallow supply of highly-skilled and experienced HM NPs and PAs through development of partnerships, new content, and use of existing resources to provide a platform for effective workforce training and on-boarding.
The second half of the session was utilized to hear SHM member feedback and to solicit ideas for meaningful work that the committee could accomplish in order to better serve the SHM community. Members used the time to share and describe practice pattern variations and common shared challenges. Project suggestions included:
- Benchmarking Surveys related to NP/PA burnout, including aspects of protected time, engagement, and workload; scheduling and deployment models; and NP/PA designation as faculty or staff.
- Increased utilization and engagement with HMX as a platform for sharing ideas and success stories to increase HM NP/PA visibility.
- Creation of a “Bizarre Bylaws Blog” to disseminate best practices and improve hospital bylaws through innovative storytelling of antiquated bylaws.
- Improved NP and PA participation and engagement with local chapters.
Key takeaways for HM
- An NP/PA Toolkit resource to be posted on the SHM website.
- The NP/PA committee will transition to a Special Interest Group over the next year.
- Hospital Medicine Exchange (HMX) engagement and participation are encouraged.
- An “Implementation and Optimization Project” to help improve workforce development is pending for the coming year.
Nicolas Houghton is an NP hospitalist in Cleveland and an editorial board member of The Hospitalist.
Presenters
Tracy Cardin, ACNP, SFHM ; Emilie Thornhill, PA-C
Session summary
The Nurse Practitioner and Physician Assistant (NP/PA) special interest forum at HM17 drew more than 60 providers, including NPs, PAs, and physicians.
Emilie Thornhill, a certified PA and chair of the NP/PA Committee, and Tracy Cardin, SHM board member, updated the attendees regarding the work of the NP/PA committee over the last year. The committee has created a comprehensive “NP/PA Toolkit,” which was developed over the last 2 years in response to common inquiries about deployment and integration of NPs and PAs into Hospital Medicine practice groups.
The Toolkit includes best practices regarding recruitment, interviewing, retention, orientation and onboarding, models of care, billing and reimbursement, and program evaluation, as well as links to additional resources. The Toolkit will be posted, free of charge to SHM members, as a living document on the SHM website in the near future and will be maintained frequently by the NP/PA Committee.
The committee has also developed several goals for the coming year, including an “Optimization and Implementation Project,” intended to positively impact the shallow supply of highly-skilled and experienced HM NPs and PAs through development of partnerships, new content, and use of existing resources to provide a platform for effective workforce training and on-boarding.
The second half of the session was utilized to hear SHM member feedback and to solicit ideas for meaningful work that the committee could accomplish in order to better serve the SHM community. Members used the time to share and describe practice pattern variations and common shared challenges. Project suggestions included:
- Benchmarking Surveys related to NP/PA burnout, including aspects of protected time, engagement, and workload; scheduling and deployment models; and NP/PA designation as faculty or staff.
- Increased utilization and engagement with HMX as a platform for sharing ideas and success stories to increase HM NP/PA visibility.
- Creation of a “Bizarre Bylaws Blog” to disseminate best practices and improve hospital bylaws through innovative storytelling of antiquated bylaws.
- Improved NP and PA participation and engagement with local chapters.
Key takeaways for HM
- An NP/PA Toolkit resource to be posted on the SHM website.
- The NP/PA committee will transition to a Special Interest Group over the next year.
- Hospital Medicine Exchange (HMX) engagement and participation are encouraged.
- An “Implementation and Optimization Project” to help improve workforce development is pending for the coming year.
Nicolas Houghton is an NP hospitalist in Cleveland and an editorial board member of The Hospitalist.
Presenters
Tracy Cardin, ACNP, SFHM ; Emilie Thornhill, PA-C
Session summary
The Nurse Practitioner and Physician Assistant (NP/PA) special interest forum at HM17 drew more than 60 providers, including NPs, PAs, and physicians.
Emilie Thornhill, a certified PA and chair of the NP/PA Committee, and Tracy Cardin, SHM board member, updated the attendees regarding the work of the NP/PA committee over the last year. The committee has created a comprehensive “NP/PA Toolkit,” which was developed over the last 2 years in response to common inquiries about deployment and integration of NPs and PAs into Hospital Medicine practice groups.
The Toolkit includes best practices regarding recruitment, interviewing, retention, orientation and onboarding, models of care, billing and reimbursement, and program evaluation, as well as links to additional resources. The Toolkit will be posted, free of charge to SHM members, as a living document on the SHM website in the near future and will be maintained frequently by the NP/PA Committee.
The committee has also developed several goals for the coming year, including an “Optimization and Implementation Project,” intended to positively impact the shallow supply of highly-skilled and experienced HM NPs and PAs through development of partnerships, new content, and use of existing resources to provide a platform for effective workforce training and on-boarding.
The second half of the session was utilized to hear SHM member feedback and to solicit ideas for meaningful work that the committee could accomplish in order to better serve the SHM community. Members used the time to share and describe practice pattern variations and common shared challenges. Project suggestions included:
- Benchmarking Surveys related to NP/PA burnout, including aspects of protected time, engagement, and workload; scheduling and deployment models; and NP/PA designation as faculty or staff.
- Increased utilization and engagement with HMX as a platform for sharing ideas and success stories to increase HM NP/PA visibility.
- Creation of a “Bizarre Bylaws Blog” to disseminate best practices and improve hospital bylaws through innovative storytelling of antiquated bylaws.
- Improved NP and PA participation and engagement with local chapters.
Key takeaways for HM
- An NP/PA Toolkit resource to be posted on the SHM website.
- The NP/PA committee will transition to a Special Interest Group over the next year.
- Hospital Medicine Exchange (HMX) engagement and participation are encouraged.
- An “Implementation and Optimization Project” to help improve workforce development is pending for the coming year.
Nicolas Houghton is an NP hospitalist in Cleveland and an editorial board member of The Hospitalist.
SHM group membership strengthens teams, builds leaders at iNDIGO
When it comes to developing, maintaining, and growing an effective hospital medicine team, James W. Levy, PA-C, SFHM, certified physician assistant and managing partner of iNDIGO Health Partners, credits much of the company’s success to a decision to purchase a group SHM membership for its hospital medicine team. Recognizing the value that membership brings, it was an easy decision to extend a group membership to iNDIGO’s hospital medicine team.
“As a company, we are strong supporters of SHM and its mission,” Mr. Levy said. “This seemed like the best way we could support SHM and allow all our providers access to all the personal and professional benefits of SHM membership.”
Levy says that SHM membership helps new providers identify themselves as hospitalists and develop the leadership skills necessary to build and grow an effective team. To iNDIGO, this also means integrating NPs and PAs into hospitalist practice. Not only does it fortify the iNDIGO team, but it demonstrates to new members that iNDIGO is committed to the hospital medicine specialty and providing its employees with resources to help them develop their hospital medicine career pathway and provide exceptional patient care.
“We’re strong believers in aggressively fostering the deployment of PAs and NPs in hospital medicine, and, as a PA, I value SHM’s efforts to be a ‘big tent’ organization,” Levy said. “SHM, among professional societies, has been a model of inclusiveness, of encouraging all providers, and [for] providing a forum for like-minded people to collaborate.”
This decision has paid off for iNDIGO, whose providers appreciate the opportunities afforded to them through SHM membership. “SHM’s Leadership Academy has been something that our group has participated in for years,” explained Jacques Burgess, MD, MPH, director of the Pediatric Hospitalist Program at Munson Medical Center in Traverse City, Mich. “Not only has the course been valuable for us, regardless of where we are in our careers, but, by attending as a group, we can use the time to gather and talk about how we are going to apply what we’ve learned to actually lead change.”
Even prior to the group membership, Dr. Burgess was an active SHM member, citing SHM as a key driver in his development of iNDIGO’s pediatric hospitalist team. He describes how The Pediatric Hospital Medicine Core Competencies, a publication outlining the key clinical skills and objectives for a pediatric hospital medicine team, continues to be critical in onboarding new colleagues and strengthening teams in community hospitals.
“In a community hospital, we’re somewhat removed from the cutting-edge research and programs being implemented at larger academic institutions,” Dr. Burgess said. “SHM provides that information to us and allows us to see trends and connect with colleagues in larger programs.”
Through SHM’s implementation toolkits and online forums, such as the Hospital Medicine Exchange (HMX), iNDIGO hospitalists have access to resources from leaders in the field that are not typically available in a community hospital. Over the last 2 years, Dr. Burgess’ team has implemented the Pediatric Early Warning System (PEWS), a scoring system presented at Hospital Medicine 2013 to aid in the identification of hospitalized patients at risk for clinical deterioration.
It is not only SHM’s resources that enhance iNDIGO’s hospital medicine practice. “As a former member of SHM’s Public Policy Committee, I especially respect the advocacy that SHM does so effectively in Washington to ensure that federal policy being developed positively affects hospitalists and the patients they serve,” Levy said. SHM’s recent advocacy efforts include work on observation status as well as physician payment and the Medicare Access and CHIP Reauthorization Act (MACRA).
iNDIGO continues to seek out partnerships with SHM at a local and national level, bringing best practices and innovative ideas – like a flexible scheduling system not reflective of the typical 7-on/7-off hospitalist schedule – to SHM and its members throughout the country.
From quality improvement and leadership training to advocacy and education, SHM helps hospital medicine professionals to build successful teams. “One of our goals is to develop great teams rather than just staffing programs,” Levy said. “Great teams need great leaders, and SHM’s resources promote and strengthen our on-the-ground leaders.”
To learn more about the membership opportunities available to you and your hospital medicine team, visit joinshm.org.
Brett Radler is SHM’s communications specialist.
When it comes to developing, maintaining, and growing an effective hospital medicine team, James W. Levy, PA-C, SFHM, certified physician assistant and managing partner of iNDIGO Health Partners, credits much of the company’s success to a decision to purchase a group SHM membership for its hospital medicine team. Recognizing the value that membership brings, it was an easy decision to extend a group membership to iNDIGO’s hospital medicine team.
“As a company, we are strong supporters of SHM and its mission,” Mr. Levy said. “This seemed like the best way we could support SHM and allow all our providers access to all the personal and professional benefits of SHM membership.”
Levy says that SHM membership helps new providers identify themselves as hospitalists and develop the leadership skills necessary to build and grow an effective team. To iNDIGO, this also means integrating NPs and PAs into hospitalist practice. Not only does it fortify the iNDIGO team, but it demonstrates to new members that iNDIGO is committed to the hospital medicine specialty and providing its employees with resources to help them develop their hospital medicine career pathway and provide exceptional patient care.
“We’re strong believers in aggressively fostering the deployment of PAs and NPs in hospital medicine, and, as a PA, I value SHM’s efforts to be a ‘big tent’ organization,” Levy said. “SHM, among professional societies, has been a model of inclusiveness, of encouraging all providers, and [for] providing a forum for like-minded people to collaborate.”
This decision has paid off for iNDIGO, whose providers appreciate the opportunities afforded to them through SHM membership. “SHM’s Leadership Academy has been something that our group has participated in for years,” explained Jacques Burgess, MD, MPH, director of the Pediatric Hospitalist Program at Munson Medical Center in Traverse City, Mich. “Not only has the course been valuable for us, regardless of where we are in our careers, but, by attending as a group, we can use the time to gather and talk about how we are going to apply what we’ve learned to actually lead change.”
Even prior to the group membership, Dr. Burgess was an active SHM member, citing SHM as a key driver in his development of iNDIGO’s pediatric hospitalist team. He describes how The Pediatric Hospital Medicine Core Competencies, a publication outlining the key clinical skills and objectives for a pediatric hospital medicine team, continues to be critical in onboarding new colleagues and strengthening teams in community hospitals.
“In a community hospital, we’re somewhat removed from the cutting-edge research and programs being implemented at larger academic institutions,” Dr. Burgess said. “SHM provides that information to us and allows us to see trends and connect with colleagues in larger programs.”
Through SHM’s implementation toolkits and online forums, such as the Hospital Medicine Exchange (HMX), iNDIGO hospitalists have access to resources from leaders in the field that are not typically available in a community hospital. Over the last 2 years, Dr. Burgess’ team has implemented the Pediatric Early Warning System (PEWS), a scoring system presented at Hospital Medicine 2013 to aid in the identification of hospitalized patients at risk for clinical deterioration.
It is not only SHM’s resources that enhance iNDIGO’s hospital medicine practice. “As a former member of SHM’s Public Policy Committee, I especially respect the advocacy that SHM does so effectively in Washington to ensure that federal policy being developed positively affects hospitalists and the patients they serve,” Levy said. SHM’s recent advocacy efforts include work on observation status as well as physician payment and the Medicare Access and CHIP Reauthorization Act (MACRA).
iNDIGO continues to seek out partnerships with SHM at a local and national level, bringing best practices and innovative ideas – like a flexible scheduling system not reflective of the typical 7-on/7-off hospitalist schedule – to SHM and its members throughout the country.
From quality improvement and leadership training to advocacy and education, SHM helps hospital medicine professionals to build successful teams. “One of our goals is to develop great teams rather than just staffing programs,” Levy said. “Great teams need great leaders, and SHM’s resources promote and strengthen our on-the-ground leaders.”
To learn more about the membership opportunities available to you and your hospital medicine team, visit joinshm.org.
Brett Radler is SHM’s communications specialist.
When it comes to developing, maintaining, and growing an effective hospital medicine team, James W. Levy, PA-C, SFHM, certified physician assistant and managing partner of iNDIGO Health Partners, credits much of the company’s success to a decision to purchase a group SHM membership for its hospital medicine team. Recognizing the value that membership brings, it was an easy decision to extend a group membership to iNDIGO’s hospital medicine team.
“As a company, we are strong supporters of SHM and its mission,” Mr. Levy said. “This seemed like the best way we could support SHM and allow all our providers access to all the personal and professional benefits of SHM membership.”
Levy says that SHM membership helps new providers identify themselves as hospitalists and develop the leadership skills necessary to build and grow an effective team. To iNDIGO, this also means integrating NPs and PAs into hospitalist practice. Not only does it fortify the iNDIGO team, but it demonstrates to new members that iNDIGO is committed to the hospital medicine specialty and providing its employees with resources to help them develop their hospital medicine career pathway and provide exceptional patient care.
“We’re strong believers in aggressively fostering the deployment of PAs and NPs in hospital medicine, and, as a PA, I value SHM’s efforts to be a ‘big tent’ organization,” Levy said. “SHM, among professional societies, has been a model of inclusiveness, of encouraging all providers, and [for] providing a forum for like-minded people to collaborate.”
This decision has paid off for iNDIGO, whose providers appreciate the opportunities afforded to them through SHM membership. “SHM’s Leadership Academy has been something that our group has participated in for years,” explained Jacques Burgess, MD, MPH, director of the Pediatric Hospitalist Program at Munson Medical Center in Traverse City, Mich. “Not only has the course been valuable for us, regardless of where we are in our careers, but, by attending as a group, we can use the time to gather and talk about how we are going to apply what we’ve learned to actually lead change.”
Even prior to the group membership, Dr. Burgess was an active SHM member, citing SHM as a key driver in his development of iNDIGO’s pediatric hospitalist team. He describes how The Pediatric Hospital Medicine Core Competencies, a publication outlining the key clinical skills and objectives for a pediatric hospital medicine team, continues to be critical in onboarding new colleagues and strengthening teams in community hospitals.
“In a community hospital, we’re somewhat removed from the cutting-edge research and programs being implemented at larger academic institutions,” Dr. Burgess said. “SHM provides that information to us and allows us to see trends and connect with colleagues in larger programs.”
Through SHM’s implementation toolkits and online forums, such as the Hospital Medicine Exchange (HMX), iNDIGO hospitalists have access to resources from leaders in the field that are not typically available in a community hospital. Over the last 2 years, Dr. Burgess’ team has implemented the Pediatric Early Warning System (PEWS), a scoring system presented at Hospital Medicine 2013 to aid in the identification of hospitalized patients at risk for clinical deterioration.
It is not only SHM’s resources that enhance iNDIGO’s hospital medicine practice. “As a former member of SHM’s Public Policy Committee, I especially respect the advocacy that SHM does so effectively in Washington to ensure that federal policy being developed positively affects hospitalists and the patients they serve,” Levy said. SHM’s recent advocacy efforts include work on observation status as well as physician payment and the Medicare Access and CHIP Reauthorization Act (MACRA).
iNDIGO continues to seek out partnerships with SHM at a local and national level, bringing best practices and innovative ideas – like a flexible scheduling system not reflective of the typical 7-on/7-off hospitalist schedule – to SHM and its members throughout the country.
From quality improvement and leadership training to advocacy and education, SHM helps hospital medicine professionals to build successful teams. “One of our goals is to develop great teams rather than just staffing programs,” Levy said. “Great teams need great leaders, and SHM’s resources promote and strengthen our on-the-ground leaders.”
To learn more about the membership opportunities available to you and your hospital medicine team, visit joinshm.org.
Brett Radler is SHM’s communications specialist.