Impact on Patient Outcomes of Continuous Vital Sign Monitoring on Medical Wards: Propensity-Matched Analysis.

Background: Continuous and wireless vital sign (VS) monitoring on hospital wards is superior to intermittent VS monitoring at detecting VS abnormalities; however, the impact on clinical outcomes remains to be confirmed. A recent propensity-matched study of primary surgical patients found decreased odds of intensive care unit (ICU) admission and mortality in patients receiving continuous monitoring. Primary surgical patients are inherently different from their medical counterparts who typically have high morbidity, including frailty.

Engaging Virtually: Assessing the Impact of Schwartz Rounds in the Digital Era.

Burnout and emotional strain among healthcare professionals are prevalent issues, impacting their personal wellbeing and affecting the quality of care they provide to patients. The Schwartz Center for Compassionate Healthcare (Boston, Massachusetts, United States) attempted to address some of these challenges by creating Schwartz Rounds®, which is a platform for caregivers to openly discuss the social and emotional aspects of their work. Our study evaluates the role played by virtual Schwartz Rounds in supporting healthcare workers during the COVID-19 pandemic.

Objective Criteria for the Equitable and Fair Distribution of Inpatient Teaching Weeks for Academic Hospitalist Attendings in an Academic Learning Health System.

When pursuing a career as an academic hospitalist, the opportunity to work with learners on inpatient teaching services is a top priority. The opportunity to work on these inpatient services is coveted. It has been a consistent challenge to distribute inpatient teaching weeks equitably and fairly to our academic hospitalists.

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.

Sending a Signal: Evaluating the Impact of Program and Geographic Preference Signaling on the Internal Medicine Residency Match.

Background For over a decade, the number of residency applications has surged, a trend known as "application inflation." COVID-19 further intensified this trend, leading the Association of American Medical Colleges (AAMC) to address the issue by introducing a supplemental application in the 2021-2022 cycle, allowing programs to identify applicants with a connection to their program or geographic region. For the 2022-2023 cycle, the number of program signals increased from five to seven.