Exciting advances are being made in stroke treatment. As our cover story reports, recent large successful trials have brought definitive proof that endovascular clot removal can improve patient outcomes. However, it's still uncertain how easily this new technique—so far only performed by experts at large academic centers—can spread to the facilities where most hospitalists practice. The article looks at the obstacles, such as cost and expertise, to widespread implementation of endovascular therapy and another recent innovation in stroke treatment, mobile stroke units.
This issue also includes our coverage of Hospital Medicine 2015, the annual meeting of the Society of Hospital Medicine, held this year in March in National Harbor, Md. On the clinical side, we cover advice on launching a bedside procedure service, evaluating rheumatic diseases, and managing atrial fibrillation. (Atrial fibrillation is also the subject of this month's Test Yourself.)
Then, read about a session on how to get the most out of a computerized physician order entry (CPOE) system, maximizing both efficiency and safety. Finally, for physicians speaking at future national conferences or just during grand rounds, we've got tips on making any medical lecture memorable. (Those, like me, who more often find themselves in the audience of medical lectures can learn the subtle reasons why some speakers hold your attention and others put you to sleep.)
This month's Success Story, which covers a new design for academic rounds, also comes from Hospital Medicine 2015. Our Coding Corner revisits acute kidney injury, often the cause of documentation confusion, while Newman's Notions offers a medical parody of a popular television show.
Want to share your successful practice innovations or your thoughts on this issue? E-mail us anytime.
Editor-in-Chief, ACP Hospitalist