Article
SIG Spotlight: Quality Improvement
June 1, 2022
More than 25 years ago, hospital medicine was born out of the now obvious-seeming conceit that medical care for hospitalized patients could be qualitatively improved. So it’s no surprise that...
Article
New HHS Guidance for Increasing Number of Buprenorphine Clinicians Who Can Treat OUD
June 1, 2022
Does your state allow it? The ongoing opioid epidemic The U.S. hit a grim milestone of more than 100,000 drug overdose deaths,1 most opioid-involved, in the 12 months ending April 2021. This...
Article
Alcohol Withdrawal: Looking Beyond Benzodiazepines
June 1, 2022
Case Mr. Smith is a 48-year-old man with alcohol use disorder (AUD) and compensated cirrhosis who presented to the emergency department with alcohol withdrawal. He had been consuming one pint of...
A Look Back at The Masters in HM
May 12, 2022
Every year since, 2009, SHM has awarded the Master in Hospital Medicine (MHM) designation to those members who reach the apex of distinguished prestige in the hospital medicine community. These...
Self-identified black patients experience higher rates of occult hypoxemia
May 2, 2022
Dr. Long Clinical question: Are there disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and, if so, is there an association with clinical...
Prescriptions for health and happiness
May 2, 2022
In addition to all the fear and chaos it has wreaked, COVID-19 has changed the way we think about our health. Thanks to the psychological, and even the physical, impacts of protracted quarantines and...
Article
Interpretation of the Urine Drug Screen
May 2, 2022
Dr. Cunningham Case A 40-year-old male with depression, post-traumatic stress disorder, and chronic pain presents with somnolence and a respiratory rate of 10 breaths per minute that responded to...
Article
Chapter Spotlight: Kentucky
May 2, 2022
Inpatient beds in Kentucky run the gamut of locations. There are academic medical centers in Lexington and Louisville, a Fort Campbell field hospital along the Tennessee border, and the rural...
Article
SHM’s New President, Dr. Thompson, Talks about the Future
May 2, 2022
Dr. Thompson In February of 2019, I wrote The Amazing Work We Get To Do 10 months before the first case of COVID-19 at Providence Everett in Washington was diagnosed. In that article, I wrote of...
Article
SIG Spotlight: Hospital Medicine Administrators
May 2, 2022
The opening minutes of the monthly online gathering for SHM’s Hospital Medicine Administrators (HMA) Special Interest Group (SIG) can sound more like a support group than anything else. “We go...