July 2019 FUTURE HOSPITALIST KEY CLINICAL QUESTION IN THE LITERATURE Volume 23 No. 7 Becoming a high-value Gram-negative Complications of p10 care physician p14 bacteremia p18 midline catheters The hospitalist-led High Value Care team at Mount Sinai Hospital, New York, won the 2019 SHM Teamwork in QI award. (Shared on Twitter by Harry Cho, MD.) National Hospitalist Day in Pictures he inaugural National Hospitalist Day was celebrat- practice administrators, C-suite executives, and academic ed on Thursday, March 7, 2019. Occurring the first hospitalists. Thursday in March annually, National Hospitalist In 2019, SHM also launched the first #HowWeHospitalist Day will serve to acknowledge the fastest-growing social media contest. Nearly 1,000 submissions across all so- Tspecialty in modern medicine and hospitalists’ enduring cial media platforms exuded pride and passion for hospital contributions to the evolving health care landscape. medicine. Hospitalists described the contributions they and National Hospitalist Day was approved by the National their colleagues make to improving patient care, what makes Day Calendar and was 1 of approximately 30 national days them proud to be hospitalists, and how they make a differ- to be approved for 2019 out of an applicant pool of more ence in their hospitals and in the lives of their patients. than 18,000. We have collected a selection of these images shared on a In addition to celebrating hospitalists’ contributions to variety of social media platforms. Find more by searching patient care on this date every year, the Society of Hospi- the hashtag #HowWeHospitalist. tal Medicine plans to highlight the varied career paths of Save the date for next year’s National Hospitalist Day: hospital medicine professionals, from frontline hospitalist March 5, 2020! ® physicians, nurse practitioners, and physician assistants to For more images of National Hospitalist Day, see p. 16 the-hospitalist.org SURVEY INSIGHTS HOSPITALIST INSIGHTS Tierza Stephan, Richard Bottner, MD PA-C Dealing with staffing The hospitalist role Lebanon Jct. KY Jct. Lebanon Denville, NJ 07834-3000 NJ Denville, Permit No. 384 No. Permit p9 shortfalls. p31 in treating opioid use PAID P.O. Box 3000, 3000, Box P.O. U.S. Postage U.S. CHANGE SERVICE REQUESTED SERVICE CHANGE THE HOSPITALIST THE disorder. Presorted Standard Standard Presorted July 2019 Volumeolume 23 No. 7 PHYSICIAN EDITOR THE SOCIETY OF HOSPITAL MEDICINE Danielle B. Scheurer, MD, SFHM, MSCR; Phone: 800-843-3360 [email protected] Fax: 267-702-2690 PEDIATRIC EDITOR Website: www.HospitalMedicine.org Weijen Chang, MD, FACP, SFHM Laurence Wellikson, MD, MHM, CEO [email protected] Vice President of Marketing & Communications COORDINATING EDITORS Lisa Zoks Dennis Chang, MD [email protected] THE FUTURE HOSPITALIST Marketing Communications Manager Jonathan Pell, MD Brett Radler KEY CLINICAL GUIDELINES [email protected] CONTRIBUTING WRITERS SHM BOARD OF DIRECTORS Rami Abdo, MD; Krystle D. Apodaca, President DNP, FHM; Bibhusan Basnet, MD; Richard Christopher Frost, MD, SFHM Bottner, PA-C; Doug Brunk; President-Elect Sarah J. Burns, MD; Krystal Chan, MD; Danielle Scheurer, MD, MSCR, SFHM Celine Goetz, MD; Jacob G. Imber, MD; Treasurer Aparna Kamath, MD, MS, SFHM; Tracy Cardin, ACNP-BC, SFHM Mary Lacy, MD; Yasmin Marcantonio, MD, Secretary MPH; Shree Menon, DO. MPH; Bianca Rachel Thompson, MD, MPH, SFHM Nogrady;Shyam Odeti, MD, MS, FAAFP, Immediate Past President FHM;Matt Pesyna; Kris Rehm, MD, SFHM; Nasim Afsar, MD, MBA, SFHM Danielle Richardson, MD, MPH; Board of Directors Poonam Sharma, MD, SFHM; Steven B. Deitelzweig, MD, MMM, SFHM Bryce Gartland, MD, FHM Amith Skandhan, MD, SFHM; Flora Kisuule, MD, MPH, SFHM Neil Stafford, MD; Tierza Stephan, MD; Kris Rehm, MD, SFHM Darlene Tad-y, MD; Adam Wachter, MD Mark W. Shen, MD, SFHM Jerome C. Siy, MD, SFHM FRONTLINE MEDICAL Chad T. Whelan, MD, MHSA, FHM COMMUNICATIONS EDITORIAL STAFF FRONTLINE MEDICAL Editor in Chief Mary Jo M. Dales COMMUNICATIONS ADVERTISING STAFF Executive Editors Denise Fulton, VP/Group Publisher; Director, Kathy Scarbeck FMC Society Partners Editor Richard Pizzi Mark Branca Creative Director Louise A. Koenig National Account Managers Director, Production/Manufacturing Valerie Bednarz, 973-206-8954 Rebecca Slebodnik cell 973-907-0230 [email protected] EDITORIAL ADVISORY BOARD Artie Krivopal, 973-206-8218 Geeta Arora, MD; Michael J. Beck, MD; cell 973-202-5402 [email protected] Harry Cho, MD; Marina S. Farah, MD, Classifi ed Sales Representative MHA; Stella Fitzgibbons, MD, FACP, FHM; Heather Gonroski, 973-290-8259 Benjamin Frizner, MD, FHM; [email protected] Nicolas Houghton, DNP, RN, ACNP-BC; Linda Wilson, 973-290-8243 James Kim, MD; Melody Msiska, MD; [email protected] Venkataraman Palabindala, MD, SFHM; Senior Director of Classifi ed Sales Raj Sehgal, MD, FHM; Rehaan Shaffi e, MD; Tim LaPella, 484-921-5001 THE ONLY Kranthi Sitammagari, MD; cell 610-506-3474 [email protected] Amith Skandhan, MD, FHM; Advertising Offi ces 7 Century Drive, HOSPITALIST-FOCUSED Lonika Sood, MD, FACP, FHM; Suite 302, Parsippany, NJ 07054-4609 Amanda T. Trask, FACHE, MBA, MHA, 973-206-3434, fax 973-206-9378 SFHM; Amit Vashist, MD, FACP; LEADERSHIP PROGRAM Jill Waldman, MD, SFHM THE HOSPITALIST is the official newspaper of the THE HOSPITALIST (ISSN 1553-085X) is published VISIT SHMLEADERSHIPACADEMY.ORG Society of Hospital Medicine, reporting on issues monthly for the Society of Hospital Medicine by and trends in hospital medicine. THE HOSPITALIST Frontline Medical Communications Inc., 7 Century reaches more than 35,000 hospitalists, physician Drive, Suite 302, Parsippany, NJ 07054-4609. Print assistants, nurse practitioners, medical residents, and subscriptions are free for Society of Hospital Medi- health care administrators interested in the practice cine members. Annual paid subscriptions are avail- and business of hospital medicine. Content for able to all others for the following rates: THE HOSPITALIST is provided by Frontline Medical Domestic Communications. 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July 2019 | 2 | The Hospitalist HOSP_7.indd 1 6/17/2019 4:31:12 PM FROM THE SOCIETY July: An important month for pediatric hospital medicine National conferences and grassroots initiatives By Kris Rehm, MD, SFHM are also navigating the road ahead. in all who care for patients in the During 2019, the Pediatric Hospi- hospital; we have an active group ach July, the largest gather- talist Special Interest Group (SIG) of advanced-practice providers, ing of pediatric hospitalists of SHM has been working tirelessly practice administrators, residents, occurs, and 2019 is no differ- on several initiatives, including a students, and academic hospital- ent! This year, hospitalists revision of the Pediatric Hospital ists, and the list goes on and on. Ewho care for children will gather at Medicine Core Competencies as We collaborate with a number of Pediatric Hospital Medicine (PHM) well as additional work to develop spectacular societies dedicated to in Seattle from July 25 to 28, with Choosing Wisely 2.0 recommenda- medical specialties, and we are al- the goal of enhancing participants’ tions. These will help us ensure we ways open to new ways of improv- knowledge and competence in the are developing the best curricula ing the methods of delivering care areas of innovation, clinical med- for the next generation of pediatric to patients,