We Are What We Pre-Attend To Be: Piloting a Pre-Attendingship Rotation in Hospital Medicine

Problem Definition New-to-practice attendings (NPTAs) lack readiness for independent practice Graduated autonomy – understood but not structurally enforced in residency training Curricular expectations not explicitly defined despite experiential differences between graduate training levels of PGY2 and PGY3 internal medicine residents Although residents achieve competencies established by the ACGME prior to graduation, NTPAs feel unprepared suggesting opportunities to change the clinical learning environment to increasehttps://jdc.jefferson.edu/medposters/1022/thumbnail.jp

Improving Outpatient Pneumococcal Vaccination Rates in Patients age \u3c65

Objectives To increase pneumococcal vaccination rates for patients 19-64 at JHAP to reach 70% over 3 months. To increase resident knowledge of indications for pneumococcal vaccination in patients 19-64 by 25% over 3 month

Process design for optimizing text-based communication between physicians and nurses

Background and Aim Communication between physicians and nurses is a cornerstone of high-quality inpatient care. HIPAA-compliant text-based methods offer an alternative to the pager for communication between nurses and physicians. While messaging is popular in the personal setting, text-based professional communication in hospitals may increase the number of messages without improving coordination between care providers. (1) In addition, urgent messages that are more appropriately calls could be missed by the physician, leading to a delay in action. Other institutions use triage systems to communicate a question or clinical change by the urgency of expected physician response, which have attempted to mitigate this issue. (2) We aimed to improve bidirectional communication between housestaff and nursing with a communication process developed jointly by both parties using QI methods such as stakeholder analysis and a structured Work-Out session to brainstorm solutions

Resident Reflection: A Missed Date

Resident Reflection: A Missed Dat

A Rare Case of Acute Hepatitis C Causing Coagulopathy and Severe Transaminitis

Although Hepatitis C (HCV) is extremely common, diagnosis of acute HCV is as rare as it is typically asymptomatic. The following is an uncommon presentation of symptomatic acute HCV resulting in sepsis, transaminitis, jaundice, and coagulopathy.https://jdc.jefferson.edu/medposters/1020/thumbnail.jp

A Confounding Case of Acute Hepatitis A

Hepatitis A (HAV) is a picornavirus transmitted via fecal-oral route that disproportionately affects homeless persons, men who have sex with men, and individuals who use intravenous drugs. Acute HAV typically presents with nausea, vomiting, abdominal pain, and fever. It is most commonly self-limited but can progress to fulminant hepatic failure in less than 1% of cases. The following case is a unique presentation of acute HAV infection requiring diagnostic dexterity and critical thinking