Illustration by David Rosenman
Newman's Notions | August 6, 2025 | FREE
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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.

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Sync with psych

There are many ways to optimize psych consults, including a model that provides proactive involvement of psychiatry teams.

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Rules for consults

A hospital medicine team worked with the ED and subspecialists to create guidelines for consultations.

ATS updates guideline on community-acquired pneumonia

The guideline from the American Thoracic Society (ATS) provides recommendations on use of lung ultrasound, antibiotics, and corticosteroids in nonsevere and severe community-acquired pneumonia.

OPAT with vancomycin via midline catheters associated with higher complication risk

Major device complications and earlier catheter removal were more common in patients receiving outpatient parenteral antimicrobial therapy (OPAT) with vancomycin than in those who got other medications, a study found.

Outcomes improved with synergistic colistin plus meropenem for resistant gram-negative infections

Patients with pneumonia or bloodstream infection due to carbapenem-resistant gram-negative bacilli were less likely to experience clinical failure with colistin and meropenem that had passed in vitro synergy testing than with nonsynergistic combo therapy or colistin alone, a recent study found.

Paramedian approach to lumbar puncture increased procedure service's success rates

A hospitalist procedure service implemented a standardized curriculum to teach a point-of-care ultrasound-assisted paramedian approach to lumbar puncture and increased their success rate from 72.6% to 85.4%.

The long tail of infection

Patients recently hospitalized with an infection appear to have higher heart failure risk. A researcher discusses what to do about it.

Photo courtesy of Dr Demmer

Ventilators, other devices recalled

The FDA also gave lenacapavir approval for twice-yearly HIV pre-exposure prophylaxis, among other recent actions.


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