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A New Paradigm in Hospital Medicine: Evaluating the Effects of Geographical Cohorting on Health Care Delivery.
HCA Healthc J Med
February 2025
Pennsylvania State Health Milton S Hershey Medical Center, Hershey, Pennsylvania.
Background: Geographical cohorting in hospital settings represents a significant shift from traditional patient rounding practices and aims to enhance the efficiency of health care delivery. This model assigns hospitalists to a particular inpatient unit, where most of their patients are located. While this model has several benefits, including streamlining health care procedures, optimizing resource allocation, and fostering better provider communication, its implementation is not without its challenges.
View Article and Find Full Text PDFAnger De-escalation: A Standardized Patient Workshop for Third- and Fourth-Year Medical Students.
MedEdPORTAL
March 2025
Associate Professor, Department of Internal Medicine and Office of Medical Education, University of Kentucky College of Medicine and Lexington Veterans Affairs Health Care.
Introduction: During clinical training, medical students frequently encounter angry patients and loved ones but feel inadequately prepared to de-escalate these encounters. This unpreparedness might contribute to feelings of shame and anger among medical students and burnout among practicing physicians. Challenging patient scenarios abound in the standardized patient (SP) literature, but no published didactic tool exists focusing exclusively on identification and nonpharmaceutical management of patient anger with a target audience of senior medical students.
View Article and Find Full Text PDFEthics in Patient Preferences for Artificial Intelligence-Drafted Responses to Electronic Messages.
JAMA Netw Open
March 2025
Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Importance: The rise of patient messages sent to clinicians via a patient portal has directly led to physician burnout and dissatisfaction, prompting uptake of artificial intelligence (AI) to alleviate this burden. It is important to understand patient preferences around AI in patient-clinician communication as ethical guidelines on appropriate use and disclosure (patient notification of AI use) are developed.
Objective: To analyze patient preferences regarding use of AI in electronic messages.
Emergency Medicine began as a clinical specialty focused on the provision of pre-hospital and hospital emergency room based care. Fifty years later, it has matured into a new paradigm: it is a complex specialty with a global reach and expansive practice in a variety of geographic and clinical arenas. "E .
View Article and Find Full Text PDFFactors influencing occupational burnout among palliative care practitioners in China.
J Pain Symptom Manage
March 2025
Department of Palliative Medicine,West China School Of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China. Electronic address:
Objective: The aim of this investigation was to examine the job burnout status among health practitioners in palliative care wards within a specific province of China and to analyze associated factors.
Methods: A multicenter cross-sectional study design was utilized from August to October 2023,enrolling 164 health practitioners from 9 hospitals within the palliative care wards of the specified province. Data collection involved anonymous questionnaires covering basic personal information, job characteristics, and levels of occupational burnout.
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