Rinsing out the SOAP
Two hospitalists debate the value of the Subjective, Objective, Assessment, Plan note format.
Outsmarting MRSA
An infectious diseases specialist offers advice on drugs and strategies to combat methicillin-resistant Staphylococcus aureus (MRSA).
Patients treated by female hospitalists have better outcomes, study finds
An analysis of Medicare data showed hospital patients had lower mortality and readmission rates when treated by female physicians compared with male physicians, with the difference driven by better outcomes in female patients treated by female hospitalists.
Medical center reports recent sharp rise in group A strep bacteremia related to injection drug use
The University of Vermont Medical Center saw three cases of invasive group A Streptococcus in 2020, four in 2021, 19 in 2022, and 45 during the first 10 months of 2023, and many of these infections could be tied to exposure to xylazine in people who inject drugs.
Certain urinary proteins tied to heart failure outcomes
An analysis of patients with heart failure with preserved ejection fraction identified 21 urinary proteins or peptides that may be associated with risk of death or hospital admission.
Mobile app may help assess hospitalist clinicians' perceptions of workload
The newly developed app captured data on 30 clinicians' workload, work environment, leadership support, and well-being in a pilot study at one U.S. academic medical center.
Take a quiz about the April 24 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.
Sepsis and other inpatient emergencies
An intensivist offered hot tips for hospitalists during a precourse at Internal Medicine Meeting 2024.
Malaria, dengue, and traditionally tropical threats
Clinicians far outside the tropics should now keep an eye out for diseases that used to be limited to tropical areas, an expert advises.
New scientific statement covers diagnosis, treatment of cardiac sarcoidosis
The American Heart Association addressed the increasing prevalence of cardiac sarcoidosis and recommended corticosteroids as first-line treatment in a new statement.
Newer antibiotics for gram-negative infections not widely used in years after approval
An analysis of hospitalized patients with gram-negative infections with difficult-to-treat resistance found that more than 40% were treated with only older antibiotics, despite the approval of seven new antibiotics between 2014 and 2019.
Later appendectomies only slightly more common with oral antibiotics for appendicitis
Patients with uncomplicated acute appendicitis who were randomized to oral antibiotic monotherapy instead of combined IV and oral antibiotics had an increase of less than 2 percentage points in risk of surgery or recurrence at three years, according to a Finnish study.
Systematic review looks at effects of transitional care clinics
Implementation of transitional care clinics for recently hospitalized patients without a primary care clinician appeared to be associated with reductions in ED visits and readmissions, but no change in mortality, compared to usual care, according to a review.
Climbing to the C-suite
Hospital executives offered hard-won tips on mentorship, networking, interviewing, and negotiating at CONVERGE 2024.
Where's your niche?
Academic hospitalists explain how to build a fulfilling career by focusing on a small, specific area of education or research.
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