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VR training appears effective for teaching management of clinical deterioration

Medical and nursing students had similar stress responses and performance outcomes when learning to manage sepsis patients via virtual reality (VR) or face-to-face simulation.
https://acphospitalist.acponline.org/archives/2022/05/11/vr-training-appears-effective-for-teaching-management-of-clinical-deterioration.htm
11 May 2022

Few internal medicine residency programs provide clinical opioid-related training

A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/4.htm
10 Nov 2021

Five steps to a better discharge

Research has shown that patients have a few common priorities at discharge, and hospitalists can tweak their practices to make it more likely these desires are fulfilled.
https://acphospitalist.acponline.org/archives/2022/05/04/free/five-steps-to-a-better-discharge.htm
4 May 2022

Education, feedback for clinicians did not affect inpatient or postdischarge heart failure outcomes

An intervention targeting hospital clinicians had no significant effect on time to first heart failure rehospitalization or death or quality-of-care scores among patients discharged after hospitalization for acute heart failure with reduced ejection fraction, a recent trial found.
https://acphospitalist.acponline.org/weekly/archives/2021/08/04/3.htm
4 Aug 2021

Electronic alert based on deterioration score associated with lower inpatient mortality

The pre/post design of the study meant that causation could not be established, but a significant increase in ICU transfers, a decrease in time to ICU transfer, and an increase in vital sign reassessments suggested that the alerts helped, the study authors said.
https://acphospitalist.acponline.org/archives/2022/05/04/electronic-alert-based-on-deterioration-score-associated-with-lower-inpatient-mortality.htm
4 May 2022

COVID-19's effects on medical training, stroke care in August ACP Hospitalist

The August ACP Hospitalist is online and in the mail, with articles about academic medicine that focus on pandemic effects, procedure training, and the closure of a residency program. There's also expert advice on strokes associated with COVID-19 and on insulin switches.
https://acphospitalist.acponline.org/weekly/archives/2020/08/12/2.htm
12 Aug 2020

May 11, 2022

ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2022/05/11/

More than a third of residents unsure who's responsible for patient education at discharge

In a multi-institutional survey of internal medicine residents, 35% were not sure who was primarily responsible for patient education at discharge, with the next most common responses being the intern, the resident, the nurse, and the attending.
https://acphospitalist.acponline.org/weekly/archives/2021/02/10/3.htm
10 Feb 2021

Lights, camera, medicine

Patient requests to record hospital care on video are likely to be increasingly common, and hospitalists should prepare by learning the relevant rules and appropriate responses.
https://acphospitalist.acponline.org/archives/2022/04/13/lights-camera-medicine.htm
13 Apr 2022

Machine learning approach estimated individual treatment effect of steroids in septic shock

Researchers used individual-patient data from four trials on corticosteroid supplementation in adults with septic shock to model the individual treatment effect, with the machine learning-derived individualized treatment strategy yielding a positive net mortality benefit.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/4.htm
16 Dec 2020

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