Hospital Medicine

 THE SPECIALTY OF HOSPITAL MEDICINE AND SYSTEMS OF CARE

  Section 1     Key Issues in Hospital Medicine    ⇢  The Face of Health Care Emerging Issues for Hospitalists ⇢  Global Health and Hospital Medicine ⇢  Racial/Ethnic Disparities in Hospital Care ⇢  The Interface Between Primary Care and Hospital Medicine ⇢  The Core Competencies in Hospital Medicine
  Section 2     Patient Safety    ⇢  Principles of Patient Safety ⇢  The Role of Hospitalists in Creating a Culture of Safety ⇢  Diagnostic Errors ⇢  Communication and Transition Errors ⇢  Medication Errors ⇢  Principles of Evidence-Based Prescribing ⇢  Tools to Identify Problems and Reduce Risks
  Section 3     Quality Improvement    ⇢  Quality Improvement and Safety Research ⇢  Principles and Models of Quality Improvement: Plan-Do-Study-Act ⇢  Measurement and Measures in Hospital Medicine ⇢  Standardization and Reliability ⇢  The Role of Information Technology in Hospital Quality and Safety
  Section 4     Leadership and Practice Management Skills    ⇢  Principles of Leadership ⇢  The Economics of Hospital Care ⇢  Use of Lean Principles in Hospital Process Improvement ⇢  Teamwork in Leadership and Practice-Based Management ⇢  Patient Centered Care ⇢  Finance in the Health Care Sector ⇢  Strategic Planning: Demonstrating Value and Report Cards of Key Performance Measures ⇢  Negotiation and Conflict Resolution ⇢  Building, Growing, and Managing a Hospitalist Practice ⇢  Designing a Hospitalist Compensation and Bonus Plan ⇢  Clinical Documentation for Hospitalists ⇢  Best Practices in Physician Recruitment and Retention ⇢  For the Individual: Career Sustainability and Avoiding Burnout ⇢  Strategies for Cost-Effective Care
  Section 5     Professionalism and Medical Ethics    ⇢  Principles of Medical Ethics ⇢  Common Indications for Ethics Consultation
  Section 6     Medical Legal Issues and Risk Management    ⇢  Medical-Legal Concepts: Advance Directives and Surrogate Decision Making ⇢  Preventing and Managing Adverse Patient Events: Patient Safety and the Hospitalist ⇢  Medical Malpractice
  Section 7     Teaching and Development    ⇢  Principles of Adult Learning and Continuing Medical Education ⇢  Setting a Learning Environment in the Hospital ⇢  Mentorship of Peers and Trainees ⇢  Cultural Sensitivity Training ⇢  The Use of Patient Simulation in Medical Training: From Medical School to Clinical Practice

 MEDICAL CONSULTATION AND CO-MANAGEMENT

  Section 1     Core Tenets of Medical Consultation   ⇢  Role of the Medical Consultant ⇢  Definition, Principles, and Goals of Comanagement
  Section 2     Key Issues Relating to Surgery   ⇢  Physiologic Response to Surgery ⇢  Perioperative Hemostasis ⇢  Postoperative Complications ⇢  Surgical Tubes and Drains
  Section 3     Anesthesia   ⇢  Anesthesia: Choices and Complications ⇢  Perioperative Pain Management
  Section 4     Perioperative Assessment and Management   ⇢  Antimicrobial Prophylaxis in Surgery ⇢  Preoperative Cardiac Risk Assessment and Perioperative Management ⇢  Cardiac Complications After Noncardiac Surgery ⇢  Preoperative Evaluation of Liver Disease ⇢  Nutrition and Metabolic Support ⇢  Preoperative Pulmonary Risk Assessment ⇢  Management of Postoperative Pulmonary Complications ⇢  Assessment and Management of the Renal Patient
  Section 5     Perioperative Antithrombotic Management and Prevention   ⇢  Venous Thromboembolism (VTE) Prophylaxis for Patients Requiring Nonorthopedic Surgery ⇢  Venous Thromboembolism (VTE) Prophylaxis for Patients Requiring Orthopedic Surgery ⇢  Venous Thromboembolism (VTE) Prophylaxis for Hospitalized Medical Patients ⇢  Perioperative Management of Patients who are Receiving Oral Anticoagulant Therapy ⇢  Perioperative Management of Patients who are Receiving Antiplatelet Therapy
  Section 6     Medical Management of Neurosurgical Patients   ⇢  Common Neurosurgical Conditions ⇢  Common Complications in Neurosurgery
  Section 7     Medical Management of Orthopedic Surgery Patients   ⇢  Common Orthopedic Surgical Procedures ⇢  Rehabilitation of the Orthopedic Surgical Patient ⇢  Co-Management of Orthopedic Patients
  Section 8     Bariatric Surgery   ⇢  Common Surgical Options for the Treatment of Obesity

 CLINICAL PROBLEM-SOLVING IN HOSPITAL MEDICINE
⇢  Principles of Evidence-Based Medicine ⇢  The Quality of Evidence ⇢  Role of Diagnostic Testing in Patient Care ⇢  Systematic Reviews and Meta-Analysis ⇢  Knowledge Translations to Clinical Practice

 APPROACH TO THE PATIENT AT THE BEDSIDE
⇢  Acute Abdominal Pain ⇢  Acute Back Pain ⇢  Bleeding and Coagulopathy ⇢  Chest Pain ⇢  Constipation ⇢  Delirium ⇢  Diarrhea ⇢  Disorders of the Eye ⇢  Dizziness and Vertigo ⇢  Dyspnea ⇢  Edema ⇢  Falls ⇢  Fever and Rash ⇢  Headache ⇢  Hemoptysis ⇢  Hypertension ⇢  Hyperthermia and Fever ⇢  Hypotension ⇢  Hypothermia ⇢  Hypoxia ⇢  Insomnia: Assessment and Management of Sleep Disorders ⇢  Nausea and Vomiting ⇢  Pain ⇢  Significant Co-Morbid Disease ⇢  Suspected Intoxication and Overdose ⇢  Syncope ⇢  Tachyarrthymias

 HOSPITALIST SKILLS

  Section 1     Interpretation of Common Tests   ⇢  The Simplest Diagnostic Tests ⇢  The Resting Electrocardiogram ⇢  Pulmonary Function Testing ⇢  Urinalysis and Urine Electrolytes
  Section 2     Optimizing Utilization of Radiology Services   ⇢  Introduction to Radiology ⇢  Patient Safety Issues in Radiology ⇢  Basic Chest Radiography (CXR) ⇢  Advanced Cardiothoracic Imaging ⇢  Basic Abdominal Imaging ⇢  Advanced Abdominal Imaging ⇢  Neurologic Imaging ⇢  Critical Thinking
  Section 3     Procedures   ⇢  Introduction to Procedures ⇢  Lumbar Puncture ⇢  Central Line Placement ⇢  Paracentesis ⇢  Thoracentesis ⇢  Arthrocentesis ⇢  Placement of Nasogastric Tube

 CLINICAL CONDITIONS

  Section 1     Emergency Medicine   ⇢  The Principles and Practice of Emergency Medicine ⇢  Inpatient Cardiac Arrest and Cardiopulmonary Resuscitation ⇢  Intubation and Airway Support ⇢  Co-management of Patients in the Emergency Department
  Section 2     Cardiovascular Medicine  ⇢  Acute Coronary Syndromes ⇢  Cardioversion ⇢  Supraventricular Tachyarrhythmias ⇢  Bradyarrhythmias ⇢  Ventricular Arrhythmias ⇢  Pacemakers, Defibrillators, and Cardiac Resynchronization Devices in Hospital Medicine ⇢  Heart Failure ⇢  Valvular Heart Disease ⇢  Myocarditis, Pericardial Disease, and Cardiac Tamponade
  Section 3     Critical Care  ⇢  The Role of the Hospitalist in Critical Care ⇢  Acute Respiratory Distress Syndrome ⇢  Analgesia, Paralytics, and Sedation ⇢  Prevention in the Intensive Care Unit Setting ⇢  Respiratory Failure ⇢  Sepsis ⇢  Surgical Critical Care ⇢  The Family Meeting in the ICU
  Section 4     Dermatology  ⇢  Flushing and Urticaria ⇢  Adverse Cutaneous Drug Reactions ⇢  Papulosquamous Disorders ⇢  Pressure Ulcers ⇢  Diabetic Foot Infections ⇢  Venous Ulcers ⇢  Dermatologic Findings in Systemic Disease
  Section 5     Endocrinology  ⇢  Glycemic Emergencies ⇢  Inpatient Management of Diabetes and Hyperglycemia ⇢  Thyroid Emergencies ⇢  Adrenal Insufficiency ⇢  Pituitary Disease
  Section 6     Gastroenterology  ⇢  Dysphagia, Aspiration and Swallowing Dysfunction ⇢  Gastroesophageal Reflux Disease and Esophagitis ⇢  Upper Gastrointestinal Bleeding ⇢  Acute Pancreatitis ⇢  Biliary Disease: Jaundice, Obstruction, and Acute Cholangitis ⇢  Acute Liver Disease ⇢  Cirrhosis and its Complications ⇢  Acute Lower Gastrointestinal Bleeding ⇢  Small Bowel Disorders ⇢  Large Bowel Disorders ⇢  Inflammatory Bowel Disease
  Section 7     Geriatrics  ⇢  Principles of Geriatric Care ⇢  The Geriatric History and Physical Examination ⇢  Agitation in Older Adults ⇢  Elder Mistreatment ⇢  Functional Decline ⇢  The Frail Hospitalized Patient ⇢  Incontinence ⇢  Polypharmacy in the Hospitalized Elderly ⇢  Hospital Discharge to the Nursing Home
  Section 8     Hematology  ⇢  Abnormalities in Red Blood Cells ⇢  Disorders of the White Cell ⇢  Quantitative Abnormalities of Platelets: Thrombocytopenia and Thrombocytosis ⇢  Approach to Patients with Bleeding Disorders ⇢  Transfusion of Blood Components, Derivatives and Their Adverse Effects ⇢  Hypercoagulable States ⇢  Hematologic Malignancies ⇢  Management of Emergencies in Patients with Hematologic Malignancies
  Section 9     Oncology  ⇢  Overview of Cancer and Treatment ⇢  Oncologic Emergencies ⇢  Common Issues Specific to Common Cancers ⇢  Diagnostic Workup of Unknown Primary
  Section 10     Infectious Disease  ⇢  Fundamentals of Antibiotics ⇢  Antibiotic Resistance ⇢  Peritonitis and Intra-Abdominal Abscess ⇢  Clostridium difficile–Associated Disease (CDAD) ⇢  Community-Acquired Pneumonia ⇢  Fever in the Returning Traveler ⇢  Fever of Unknown Origin ⇢  Candida and Aspergillus ⇢  Histoplasmosis, Blastomycosis, Coccidioidomycosis, and Other Dimorphic Fungi ⇢  Healthcare and Hospital-acquired Pneumonia ⇢  Approach to the Patient with HIV ⇢  Intravascular Catheter-Related Infections: Management and Prevention ⇢  Infective Endocarditis ⇢  Infections of the Immunocompromised Host ⇢  Meningitis and Encephalitis ⇢  Osteomyelitis and Septic Arthritis ⇢  Prosthetic Joint Infections ⇢  Sexually Transmitted Infections ⇢  Skin and Soft Tissue Infections ⇢  Tuberculosis ⇢  Urinary Tract Infections and Pyelonephritis ⇢  Viral Infections
  Section 11     Neurology  ⇢  The Neurologic Examination ⇢  Stupor and Coma ⇢  Intracranial Hemorrhage and Related Conditions ⇢  Transient Ischemic Attack and Stroke ⇢  Parkinson Disease and Related Disorders ⇢  Seizures ⇢  Multiple Sclerosis ⇢  Peripheral Neuropathy
  Section 12     Palliative Care  ⇢  Principles of Palliative Care ⇢  Structure and Process: Communication ⇢  Domains of Care: Physical Aspects of Care ⇢  Psychosocial, Cultural, and Spiritual Aspects ⇢  Care of the Imminently Dying Patient
  Section 13     Pregnancy  ⇢  Overview of Physiologic Changes of Pregnancy ⇢  Medication Management ⇢  Critical Care of the Pregnant Patient ⇢  Common Medical Problems in Pregnancy ⇢  Postpartum Consultation for Common Complaints
  Section 14     Psychiatry  ⇢  Mood and Anxiety Disorders ⇢  Assessment and Management of Psychosis ⇢  Decision-Making Capacity ⇢  Eating Disorders ⇢  The Suicidal Patient ⇢  The Difficult Patient ⇢  Approach to the Patient with Multiple Unexplained Somatic Symptoms
  Section 15     Addiction  ⇢  Patients with Multiple Unexplained Somatic Symptoms ⇢  Sedatives ⇢  Opioids ⇢  Stimulants ⇢  Other Drugs of Abuse
  Section 16     Pulmonary and Allergy Immunology  ⇢  Allergy and Anaphylaxis ⇢  Asthma ⇢  Chronic Obstructive Pulmonary Disease ⇢  Cystic Fibrosis ⇢  Interstitial and Diffuse Parenchymal Lung Diseases ⇢  Sleep Apnea and Obesity Hypoventilation Syndrome ⇢  Pleural Diseases ⇢  Pulmonary Hypertension
  Section 17     Renal  ⇢  Acid-base Disorders ⇢  Acute Kidney Injury ⇢  Calcium Disorders ⇢  Chronic Kidney Disease and Dialysis ⇢  Disorders of Sodium and Water Balance ⇢  Potassium and Magnesium Disorders ⇢  Kidney Stones ⇢  Hypertensive Urgencies ⇢  Secondary Hypertension
  Section 18     Rheumatology  ⇢  Rheumatologic Emergencies ⇢  Gout, Pseudogout, and Osteoarthritis ⇢  Systemic Lupus Erythematosus ⇢  Rheumatoid Arthritis and Other Inflammatory Arthritides ⇢  Physical Therapy and Rehabilitation
  Section 19     Vascular Medicine  ⇢  Diagnosis of Venous Thromboembolism ⇢  Treatment of Venous Thromboembolism ⇢  Anticoagulant Therapy ⇢  Diseases of the Aorta ⇢  Peripheral Arterial Disease ⇢  Vasculitis
  Section 20     Wartime Medicine  ⇢  Hospital Disaster Emergency Preparedness ⇢  Bioterrorism ⇢  Combat Stress and Related Disorders ⇢  Blast-induced Traumatic Brain Injury and Polytrauma ⇢  Hospitalists in the Veterans Health Administration: An Integrated Health Care System

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