Letter from the Editor

This month's issue examines efforts to learn from inpatient mortality, the focused practice recertification pathway for hospital medicine, colistin resistance, and more.

No one wants to lose a patient, and the traditional model of an M&M conference has often added to the pain for physicians, putting their actions and decisions under a harsh spotlight. This month's cover story explores how some hospitals are finding new ways to learn from inpatient deaths. This revised approach to mortality review focuses on systemic issues and even includes attention to the grief felt by physicians and other clinicians when a patient dies in the hospital. acph-201609-morbidity-mortality-conference

Also on the topic of learning, a feature story looks at the focused practice in hospital medicine pathway for board recertification. The exam has been an option for more than 5 years now, so I asked physicians involved in its development to review the history and motivation behind the pathway, as well the response it has received. A selection of hospitalists also offered their reasons for choosing to follow the pathway or recertify in general internal medicine. acph-201609-focused-practice-hospital-medicine

Exams may be frightening for those about to take them, but colistin resistance is scary for all of us. Our feature story looks at the recent discovery of colistin-resistant E. coli in a patient in Pennsylvania. Learn what the experts are doing to fight this type of resistance and how hospitalists can contribute to their efforts. acph-201609-colistin-resistance Hospitalists can also join efforts to improve care for patients on old or new types of anticoagulation, by referring them to anticoagulation clinics. Our story reports current work and thinking on how such clinics should be used. acph-201609-redefining-anticoagulation-clinics

This issue also includes the latest edition of the Brief Case, with a group of cases from Saint Louis University and an individual case from Harlem Hospital Center. acph-201609-brief-case If you and your colleagues have dealt with some interesting medical diagnoses recently, think about submitting them to our Brief Case section. Visit our website or e-mail us for guidelines and details.

Stacey Butterfield