Effects of Aligning Residency Note Templates with CMS Evaluation and Management Documentation Requirements.

Background The Centers for Medicare & Medicaid Services (CMS) introduced changes in outpatient and inpatient evaluation and management (E/M) current procedural terminology (CPT) codes in 2021 and 2023, which were intended to streamline providers' clinical documentation. Objectives To study the effects of aligning inpatient and outpatient note templates with updated CMS guidelines on character length and documentation time per note at an internal medicine residency program in the southeastern United States. Methods In April 2023, the Atrium Health Wake Forest Baptist Internal Medicine Residency Program's inpatient and outpatient note templates were updated according to the most recent CMS guidelines.

Association Between Family Income, Subclinical Myocardial Injury, and Cardiovascular Mortality in the General Population.

Introduction: Both low family income and subclinical myocardial injury (SCMI) are risk factors for cardiovascular disease (CVD) mortality. However, the impact of their joint association on CVD mortality is unclear.

Methods: This analysis from the third National Health and Nutrition Examination Survey included 6805 participants (age 59.

Flecainide Toxicity in a Patient with a Functioning Pacemaker.

Flecainide is a class Ic anti-arrhythmic that demonstrates use dependence, meaning the medication has an increased effect on the myocardium at high heart rates. Flecainide toxicity can be identified by wide QRS complexes on an electrocardiogram (ECG). We discuss a case of a 75-year-old patient with a pacemaker who presented with concern for flecainide toxicity.

Use of Three-Dimensional Echocardiography to Identify an Unusual Cause of Aortic Regurgitation.

• New-onset AR after coronary angiography should raise suspicion for AV injury. • Consider 3D imaging if no clear etiology found with 2D imaging. • Three-dimensional imaging showed a partial tear of RCC.

Variation in donation after circulatory death hospital policies in a single donor service area.

Background: Historically, there has been wide variation among hospital policies for donation after circulatory death (DCD) processes. With more DCD donors as well as more organs from DCD donors being utilized, it is time to revisit the variability in DCD hospital policies.

Methods: Collection of hospital characteristics, DCD referrals and completions, and DCD policies from the Southwest Transplant Alliance Donor Service Area.