Mentors for the middle
Hospitalists who are mid-career or not in academia may fall through the cracks of mentorship efforts, say two hospitalists who want to change the situation.
How to motivate your mentees
An expert shares ideas for coaching others through the hurdles of procrastination, perseveration, and perfectionism.
Short-acting, full-agonist opioids linked with less severe withdrawal after admission
Patients' doses of short-acting full-agonist opioids were inversely correlated with their withdrawal severity, even if they were receiving methadone or buprenorphine treatment, a review of 124 hospitalizations at a safety-net hospital found.
Hydrophobic, chlorhexidine PICCs didn't reduce device failure vs. standard polyurethane
There were no significant differences in failure or complication rates among patients randomized to hydrophobic, chlorhexidine, or standard polyurethane peripherally inserted central catheters (PICCs), an Australian trial found.
Private equity hospital acquisition associated with lower patient experience ratings
Hospitals that were acquired by private equity in 2008 to 2019 showed a widening gap in their overall Hospital Consumer Assessment of Healthcare Providers and Systems scores compared to hospitals that were not acquired, a cohort study found.
Postdischarge phone calls don't reduce 30-day readmissions, ED visits
Most trials of postdischarge contact with recently hospitalized patients involved a single phone call, often three days after discharge, and overall, the interventions showed no effect on likelihood of returning to the hospital, a review found.
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The perennial puzzle of pneumonia
Pneumonia diagnoses are often incorrect, studies show, and experts say hospitalists can improve the situation.
GLP-1 receptor agonists get expanded indication, new generic
The FDA approved tirzepatide, a glucagon-like peptide-1 (GLP-1) and dual glucose-dependent insulinotropic polypeptide receptor agonist, for obstructive sleep apnea in some patients, as well as a generic for liraglutide, among other actions.
Differing high flow rates after extubation associated with similar outcomes
A small randomized trial of high-flow nasal cannula in patients being extubated found similar rates of reintubation and noninvasive ventilation with a flow rate of 40 L/min versus 60 L/min.
Hospital closures may redistribute residency slots away from underserved areas
An analysis of 19 closures of hospitals with residency programs found that a total of 819.6 residency full-time equivalents and $123 million in Medicare GME funding were transferred to other hospitals. Receiving hospitals were less likely to be urban and more likely to be large.
Survey finds hospitalist burnout linked with desire to stop, reduce work
Fifty-seven percent of surveyed hospitalists reported high levels of emotional exhaustion, 32% reported high levels of depersonalization, and 69% reported they were considering stopping or reducing their work in the next five years, a study conducted in British Columbia in 2022 found.
Studies describe H5N1 avian influenza cases of 2024
Almost all H5N1 cases reported to the CDC in recent months were associated with animal exposure and led to mild illness, but a Canadian adolescent got severely ill with a variant that showed significant mutations, new research revealed.
Guide to a guideline
The lead author of the 2024 guideline on perioperative cardiovascular evaluation highlights important changes included in it.
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ACE-ing eye exams
An Acute Care for Elders (ACE) unit added vision screening as a routine part of inpatient care.
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