Journal ArticleAnnals of Internal Medicine Clinical Cases · April 1, 2024
An 18-year-old woman with a recent uncomplicated spontaneous vaginal delivery presented with altered mental status and new ascites. She had elevated ammonia and blood urea nitrogen levels with normal hepatic enzymes. Peritoneal cultures eventually grew Myc ...
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Journal ArticleBMJ Case Rep · January 18, 2024
A man in his 30s, with sinonasal undifferentiated carcinoma status post resection 6 years prior, presented with acute onset of fever, headache and altered mentation. The patient was diagnosed with bacteremia and meningitis due to Streptococcus pneumoniae A ...
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Journal ArticleJournal of hospital medicine · December 2023
BackgroundYoung adults with chronic childhood-onset diseases (CCOD) transitioning care from pediatrics to adult care are at high risk for readmission after hospital discharge. At our institution, we have implemented an inpatient service, the Med-P ...
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Journal ArticleJ Grad Med Educ · April 2023
BACKGROUND: Inadequate time and space to process critical incidents contribute to burnout. Residents do not regularly participate in emotional debriefs. An institutional needs assessment revealed only 11% of surveyed pediatrics and combined medicine-pediat ...
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Journal ArticleJ Gen Intern Med · September 2022
BACKGROUND: Fragmented communication with patients and families during hospitalizations often leaves patients confused about the daily plan. OBJECTIVE: To pilot a supplemental text message-based platform for improving bidirectional communication about the ...
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Journal ArticleCureus · August 2022
Background Young adults with chronic childhood-onset disease (CCOD) are routinely admitted to internal medicine hospitalist services, yet most lack transition preparation to adult care. Providers and patients feel the strain of admissions to adult services ...
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Journal ArticleBMJ Case Rep · April 29, 2022
A transgender man in his late teens presented with signs of multisystem disease, including hepatitis, mucositis and bone marrow suppression. He later developed dyspnoea, leucocytosis and bilateral pulmonary infiltrates on chest radiograph. He was treated f ...
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Journal ArticleJ Patient Saf · December 1, 2021
OBJECTIVES: The aim of the study was to evaluate the impact of a resident-led patient safety council. This study measured change in resident perceptions and knowledge of safety issues for 3 years, as well as behavioral choices to participate in patient saf ...
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Journal ArticleCureus · December 2021
Background Pediatric to adult health care transition (HCT) is an essential process in the care of youth with special health care needs (YSHCN). Many internal medicine-pediatrics (med-peds) residency programs have developed curricula to teach transition kno ...
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Journal ArticleJ Grad Med Educ · April 2019
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) program focuses on aspects of the graduate medical education learning environment, such as patient safety. Data from CLER site visits r ...
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