Group #1: Jamie Newman (USA); Guilherme Barcellos (Brazil); Andrés Aizman (Chile); Fernando Rivera (USA); Luiz Rojas Orellana (Chile); Neil Winawer (USA); Esteban Gandara (Canada); Jairo Roa (Colombia)

Group#2 (2010-now): Guilherme Barcellos (Brazil); Jamie Newman (USA); Andrés Aizman (Chile); Daniel Grassi (Argentina); Fernando Rivera (USA); Luiz Rojas Orellana (Chile); Roberto Daniel Martinez (Argentina); Lucas Zambon (Brazil); Neil Winawer (USA); Esteban Gandara (Canada); Fabiana Rolla (Brazil)

Friday, April 15, 2011

"Hospitalist" Opportunity in Jabaquara/Brazil

Job opportunities as a "hospitalist"

"We are looking for doctors to work in a hospital at the region of Jabaquara. Very calm work as a hospitalist, you would only take care of the emergency needs of the patients we have on the wards and fulfill institutional protocols. Free parking on the parking lot! During the work period, we will cover your meals! Internal Medicine certification is recommendable or at least you should be an Internal Medicine resident, ok?"

This is true! Read more

Constructive criticism is welcome.

Monday, April 4, 2011

An increased insight perspective into quality and safety - Musings of a hospitalist

In the current era of Medicine, hospitalists are in the front line of improvement and innovation in quality of patient care and safety. I'm unsure whether this is an unwanted privilege or honor; however, certainly, our job in the extremely complex environment that a Hospital pose, make us witnesses and actors in this fascinating and challenging journey that is the patient safety.

Hospitals by definition are dangerous places. The patients are very sick, the healthcare providers are overworked, the duty hours are demanding, but in addition there are multiple levels at which errors can occur. It is our responsibility to identify those errors and pursue a proactive role in attempting to minimize any preventable error. We need to be humble. Knowledge can easily overpower us. It is impossible to master all knowledge, and in pursuit of the best of patient care, sometimes it is not knowledge, but organization, time to think, good documentation practices, and evidence-based simple practices (such as using checklists, washing hands, etc.) which will allow patient care to be safer.

In this blog post, I discuss on some thoughts that my recent ventures into patient quality and safety have inspired me.

As I concluded in the blog post, "we all need to be on board of the train of safety and quality, as this journey will be the most exciting ever, and as a hospitalist, we are passengers in the First class coach."

Friday, April 1, 2011

Day-log Internal Medicine 2011 Hospital Medicine Precouse will track one patient´s journey

There must be a way to tie the bread-and-butter topics of hospital medicine together so they are relevant yet fun, thought James S. Newman, FACP, director of the new hospital medicine precourse at Internal Medicine 2011, as he planned the course agenda last year.

“Instead of disparate lectures on this and that, I thought, ‘The course should follow a hospitalization from admission to discharge.’ Then I thought of the fact that so much of our testing and lectures in medicine is case-based, which is how I got the idea to make the course about the sequence of one patient's hospitalization,” said Dr. Newman, a hospitalist at the Mayo Clinic in Rochester, Minn. and the editorial advisor for ACP Hospitalist.

The precourse, which runs from 8 a.m. to 5 p.m. on Wednesday, April 6, starts with the admission of fictional patient Francis Xavier, a 78-year-old man admitted directly to the hospital service from a nursing home with fever and myalgias. The admission scenario is a springboard for a short introductory talk on the administrative and historical aspects of admission, including utilization review, Dr. Newman said.

It's official: Patients like hospitalis​ts

Survey results published by Press Ganey indicate that facilities with hospitalists may have higher patient satisfaction scores. The company, which specializes in measuring health care performance, found that hospitals with hospitalists score better in terms of patient satisfaction with nursing and personal issues, which include privacy and facility response to complaints. According to survey results, the advantages that hospitalists bring in scoring were particularly marked in teaching hospitals and large facilities. Survey results were published in the American Journal of Medical Quality. Read more in the American Journal Medical Quality.