Putting the ‘AI’ in academic internal medicine
Medical educators and their institutions have to work to keep pace with student and trainee use of artificial intelligence (AI), experts say.
Perspectives | August 13, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Academic hospitalists: Time to redefine or fade away
Despite academic hospitalists' contributions to medicine, lack of a clear definition of the role threatens its visibility and sustainability.
ACC issues guidance on diagnosis, management of pericarditis
A consensus statement from the American College of Cardiology (ACC) offers new diagnostic criteria for pericarditis, as well as recommendations on imaging, treatment, and factors that merit hospitalization.
Urban hospitals receiving funding meant to improve rural health, study finds
Between 2017 and 2023, more than 400 hospitals reclassified themselves as simultaneously urban and rural in response to a 2016 rule change by CMS, according to a recent study of Medicare costs.
Likelihood of ED boarding varies by race, insurance type
Patients on Medicaid had higher odds of long ED board times while those on Medicare had lower odds of prolonged boarding, according to an analysis of data from two Massachusetts hospitals.
Alteplase effective up to 24 hours after stroke onset, Chinese trial finds
Forty percent of patients who received alteplase between 4.5 and 24 hours after stroke onset achieved functional independence at 90 days compared with 26% who received standard care, a trial showed.
Take a quiz about the Aug. 6 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.
Platelet parsimony
Recommendations on the use of platelets in lumbar puncture, central venous catheter placement, and other procedures have changed. The lead author of new guidelines explains.
Newman's Notions | August 6, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Say, do you remember?
The MOTYB test can mean more than you'd expect.
New hospitalist hires mostly come from residency, onboarding poses challenges
In a recent survey of academic hospitalist program directors, 47% reported having hired five to nine hospitalist physicians in the past academic year, while 30% had 10 to 19 new hires and 10% more than 20. Most reported that less than a quarter of the new hires had previous experience as hospitalists.
Urinalysis-based cutoff reduced UTI antibiotic use, nudges and decision support did not
When three hospitals implemented efforts to reduce overdiagnosis and overtreatment of urinary tract infections (UTIs), only the one that made urine cultures conditional on the presence of pyuria successfully reduced days of antibiotic therapy, a pre-post study found.
Naloxone, opioid coprescribing increased with clinical decision support tool
After an alert was embedded in the electronic health record, naloxone was more often prescribed to patients getting a high-risk opioid prescription at discharge from a Colorado health system, a pre-post study found.
Family-support nurse in ICU increased communication, emotional support
Family members randomized to have a nurse focused on them during an ICU stay had a small but statistically significant improvement in their overall satisfaction and a larger improvements in their ratings of communication, a multicenter Swiss trial found.
Sync with psych
There are many ways to optimize psych consults, including a model that provides proactive involvement of psychiatry teams.
Rules for consults
A hospital medicine team worked with the ED and subspecialists to create guidelines for consultations.
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