Quality and Safety
Our Hospitalists have been engaged in numerous institutional quality improvement and safety initiatives. Recent successful projects include significantly reducing the number of unnecessary labs performed on our inpatients, reducing the time to admission orders for patients being admitted though the Emergency Department and improvement in completion of accurate problem lists at the time of discharge. In addition, we have developed or modified order sets to improve the quality and consistency of care, with specific interventions for patients presenting with an exacerbation of chronic obstructive lung disease and patients being discharged, with a focus on those patients being transferred to skilled nursing.
Our faculty teaches general internal medicine and hospital medicine to medical students, resident physicians, professional colleagues, and community members.
Hospitalists serve as teaching attendings for the 4 General Medicine teaching teams throughout the year – offering clinical supervision, bedside education, lectures, and evaluation to resident physicians and medical students. Additionally, our inpatient faculty physicians lead the Medicine Consult elective for residents and medical students, including residents from Orthopedic Surgery.
Our faculty are regular participants and facilitators at Resident Morning Report and Intern Report. Amy Teleron has taken the lead in updating our Adult Code training for our resident, with a focus on team dynamics and communication – resulting in recognized improvement in code performance. Several of our faculty also serve as preceptors for the Internal Medicine Resident Clinic.
Dr. Pasanen and Dr. Eldakar-Hein serve as the Director and Associate Director for the Internal Medicine Residency Program, respectively. Our faculty members have been recognized numerous times by the resident physicians for teaching excellence. Dr. Foerg received the William Osler, M.D. Award for Outstanding Teacher of the Year in General Internal Medicine once again in 2016.
At the UVM College of Medicine, our primary teaching is in the hospital setting, focusing on the Internal Medicine Inpatient Clerkship, Internal Medicine Acting Internship and the Clinical Tutor program (which is directed by one of our Hospitalists, Dr. Anawati). However, our faculty are also involved in other teaching activities including Foundation and Professionalism, Communication and Reflection.
We educate our colleagues locally, regionally and nationally in a variety of venues. This includes the University of Vermont Continuing Medical Education Course in Hospital Medicine with a national audience and faculty largely from the Division of Hospital Medicine along with numerous divisions of the Department of Medicine.
The Internal Medicine Hospitalist Service faculty are also very involved in mentorship and advising. This includes advising numerous medical students on career choice and residency match issues. Residents also frequently seek out our hospitalists to serve as advisors, especially those going into the growing field of Hospital Medicine.
In addition to our clinical work and focus on quality and safety, we have a diversity of scholarly interests among our faculty. This includes externally funded clinical trials of immunizations and high value laboratory ordering practices. In addition, internal funding supports work in teamwork with a focus on communication during rapid response calls, a particularly challenging issue. Other areas of interest include narcotic-related adverse events in inpatients, interosseus access by EMTs prior to hospitalization, adult code communication and performance and VTE prevention in acute medically ill patients.