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)

Sunday, July 10, 2011

Resident Duty Hours

by Neil Winawer, PASHA's director:
As those of you in the medical profession know, July 1st was a symbolic date, as now interns can no longer work more than 16 hours in a row. Residency training programs have scrambled to fill this void and make it work. While these new rules were bound to happen given the current climate, the real question is whether these changes make patients any safer. With that in mind I was asked to reflect upon the old days when we use to routinely work 80+ hour weeks. My colleague and close friend, Dr. Kimberly Manning has a medical blog called, Reflections of a Grady Doctor. It was voted one of the top literary medical blogs of the year by Oprah Mag and was in the running for top medical web blogs of 2010. Check it out if you have time. 
Anyway, she asked me to post my story about the time about a time during my internship when I was overworked and blacked out (she did a part I & I’m part II). I can see those of you who know the story chuckle, but for those of who do not, please take a trip down memory lane and read the post and even make a comment should you see fit. 

http://www.gradydoctor.com/2011/07/duty-hours-pre-form-part-2-no-sleep-til.html

Saturday, June 25, 2011

Hospital Medicine in Argentina – First Official Meeting

Hospital Universitario Austral




The first official meeting is scheduled for 8:00 am, September 23, 2011 at Hospital Universitario Austral, Pilar, Argentina (next to Buenos Aires).






Daniel Gonzalo Grassi and Roberto Martinez are in charge of the organization and they would like to invite you invite to participate. 

Friday, September 23, 2011

08:00 am - 08:45 am
Registration

08:45 am - 09:00 am
Opening Greetings
Eduardo Schnitzler (Director of the Hospital Universitario Austral, Argentina)
Guillherme Barcellos (President of the PASHA, Brazil)

09:00 am - 09:45 am
Hospital and hospitalist
James Newman (USA)

09:45 am -10:45 am
DVT prevencion
Fernando Rivera (USA)
Eduardo Abbott (Chile)
Magdalena Princz (Argentina)

10:45 am - 11:00 am
Break

11:00 am - 12:05 pm
Palliative care
Sergio Carlini (Argentina)
Daniel Weissbrod (Argentina)
Alejandra Juliarena (Argentina)

12:05 pm - 12:30 pm
Bullous diseases for the hospitalist
Cathy Newman (USA)

12:30 pm - 01:00 pm
Patient safety in the emergency room
Lucas Santos Zambon (Brasil)

01:00 pm - 02:00 pm
Break

02:00 pm - 03:00 pm
Patient safety
James Newman (USA)
Ariel Palacios (Argentina)

03:00 pm - 04:00 pm
Acute renal failure in the hospital: How to avoid it and how to manage it
Eddie Greene (USA)

04:00 pm - 04:15 pm
Break

04:15 pm - 05:15 pm
Transitions of care
Fernando Rivera (USA)
Eduardo Abbot (Chile)
Matías Tisi Baña (Argentina)

05:15 pm - 05:45 pm
Blood transfusion in the hospitalized patient
Tiago Daltoé (Brasil)

Saturday, September 24, 2011

09:00 am - 09:45 am
Update in Hospital Medicine
Neil Winawer (USA)

09:45 am - 10:45 am
The Pharmacist as team member on partient care
Ana Fajreldines (Argentina)
Magdalena Princz (Argentina)
Cristián Ortíz (Argentina)

10:45 am - 11:00 am
Break

11:00 am - 12:05 pm
Inpatient hyperglycemia
Matías Re (Argentina)
Sebastian Sevilla (Argentina)
Juan Carlos Rodriguez (Chile)

12:05 pm - 12:35 pm
Delirium in the hospitalized patient
Neil Winawer (USA)

12:35 pm - 02:00 pm
Break

02:00 pm - 03:00 pm
Cardiac evaluation before non cardiac surgery
Guillherme Barcellos (Brazil)

03:00 pm - 04:00 pm
Hospital Infection
Rodolfo Quirós (Argentina)
Alberto Cremona (Argentina)
Juan Carlos Rodríguez (Chile)

04:00 pm - 04:15 pm
Break

04:15 pm - 06:15 pm
Hospital Medicine in South America
Guillherme Barcellos (Brazil)
Juan Carlos Rodriguez (Chile)
Manuel Klein (Argentina)
Roberto Martinez (Argentina)
Daniel Grassi (Argentina)
Gibran Avelino Frandoloso (Brazil)

Monday, May 16, 2011

The Hospitalist Field Turns 15: What The Past Says About The Future


By 2000, when I assumed SHM’s presidency, I worried terribly about our field being branded as being all about saving money for hospitals – not a particularly satisfying self-identify for a professional, and highly vulnerable to caricature (think “death panels” and you’ll know what I mean).

Luckily, in 2000 the Institute of Medicine published To Err is Human. After that seminal publication, I strongly suspected that the field of patient safety would take off, and it didn’t take a genius to realize that a parallel healthcare quality movement would follow closely behind. We recognized that hospitalists had a once-in-a-lifetime opportunity to brand ourselves as being about quality improvement and patient safety, not just cost-savings.

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.

Wednesday, March 30, 2011

Save the Date: PASHA Meeting with Bob Wachter - WAITING FOR A NEW DATE

Reflections on the Hospitalist Field on its 15th Birthday with...

the 'father' of hospitalist medicine
Robert M. Wachter, MD, professor and associate chair of the Department of Medicine at UCSF, was recently named the tenth most influential physician-executive in the United States by Modern Physician magazine.

Readers voted for one of 100 physician executives who made up the final ballot, with the 50 physicians who received the most votes making the final list. The ranking was determined by the number of votes received.

Wachter’s tenth-place ranking puts him in good company. Others in the top ten include the national coordinator of the health information technology office, the directors of the Food and Drug Administration, Agency for Healthcare Research and Quality, National Institutes of Health, Centers for Disease Control and Prevention and Joint Commission and the US Surgeon General – all individuals controlling large national organizations. In fact, Wachter’s ranking at number 10 marks him as the most influential academic physician in the country for the third consecutive year.

A national leader in the fields of patient safety and health care quality, Wachter wears many hats at UCSF. He is professor and chief of the Division of Hospital Medicine at UCSF, where he holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine and serves as chief of the Medical Service at UCSF Medical Center.

This is Wachter’s fourth time in the top 50 of the nation’s top physician executives. His previous high point was No. 19 in 2008.

Wacther has published more than 200 articles and six books in the fields of quality, safety, and health policy. He coined the term “hospitalist” in a 1996 New England Journal of Medicine article, and is past president of the Society of Hospital Medicine. He is generally considered the “father” of the hospitalist field, the fastest growing specialty in the history of modern medicine.

Wachter is editor of AHRQ WebM&M, a case-based patient safety journal on the web, and AHRQ Patient Safety Network (PSNet), the leading federal patient safety portal. Together, the sites receive nearly two million visitors a year.

He has written two bestselling books on patient safety: Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes (Rugged Land, 2004), and Understanding Patient Safety (McGraw-Hill, 2008).

Wachter is widely sought out by the media. He has discussed patient safety and quality on “Good Morning America”, PBS’s “NewsHour,” and NPR’s “Talk of the Nation,” and has been quoted in virtually every major newspaper and newsmagazine.

He received one of the 2004 John M. Eisenberg Awards, the nation’s top honor in patient safety. Wachter is a member of the Board of Directors of the American Board of Internal Medicine and has served on the health care advisory boards of several companies, including Google and Epocrates. His blog, Wachter’s World, is one of the nation’s most popular health care blogs.