Monthly Newsletter | May 2022
News
Andy Auerbach presented his plenary (Best of Research) at the Society of Hospital Medicine Annual Conference, SHM Converge, titled "Prevalence And Causes Of Diagnostic Errors In Patients Who Died Or Were Transferred To An ICU: Preliminary Results From The Utility Of Predictive Systems In Diagnostic Errors (UPSIDE) Study." 
Sunny Kishore
Assistant Clinical Professor
Lauren Linett will be the next Medical Director of the UCSF Hospitalist Service at St. Mary’s Medical Center (SMMC).
Ben Rosner participated in authoring the Digital Quality Measurement Strategic Roadmap on behalf of CMS, with colleagues at Yale New Haven's Center for Outcomes Research and Evaluation. The roadmap was published in April to CMS' eCQI website.
Reminder to please complete your Gallup survey by May 6. Thank you in advance for providing the input that will help shape the future of our division!
Akshar Rambachan was awarded a pilot study grant for 2022-2023 to the Center for Aging in Diverse Communities (CADC) for his work, "Assessing inpatient disparities in pain assessment and management for older minority patients." 
Cat Lau was awarded the Excellence in Teaching for Clinical Faculty Award by the graduating medical student class of 2022.
Andy Lai served on American College of Radiology task forces to co-author new ACR Appropriateness Criteria for "Staging and Follow-up of Esophageal Cancer" and updates ones for "Suspected Pulmonary Hypertension."
A Jay Holmgren (CLIIR) was on a panel for the Healthcare Leadership Council with several health IT industry experts.
Pictures of DHM at SHM Converge have been compiled in Box.
Equity & Belonging in Hospital Medicine
This month, I wanted to highlight this article from The Joint Commission Journal on Quality and Patient Safety, emphasizing competence, caring, and communication as factors in building trust in hospital care. This inspired me to think about:
COMPETENCE: effectively treating symptoms and pain as well as underlying medical conditions, welcoming knowledge and expertise from all providers on the healthcare team, sharing tasks in teams in order to efficiently serve patient needs, acknowledging medical errors
CARING: prioritizing patient comfort (grabbing a warm blanket or cup of ice), creating a physical environment that is easier to exist within (ensuring the call button is in the bed, putting down the rail if they are heading to the bathroom), checking in on patients (remembering their pet dog's name and who's taking care of it, asking them how their kids are doing or what helps to pass time in the hospital, etc), eliciting a patient narrative about their pride and joy, asking for patient agenda first before inserting ours (What else is on your mind? Tell me more. What other questions do you have?)
COMMUNICATION: explaining small details of plans, asking how patients prefer to communicate with the healthcare team, asking how patients best learn about medical conditions (reading, writing themselves, recording, pictorials, telling a loved one, etc.), discussing discharge plans with loved ones, problem-solving together using patient expertise of their lives and bodies.
Sharpening my knowledge in communication has helped me significantly in re-building trust with patients who have experienced harm in medicine. Check out these offerings by UCSF's Center for Enhancement of Communication in Healthcare, featuring some of our very own admired DHM colleagues as facilitators!
For feedback, or to share pearls in the next DHM newsletter, please email Yalda.Shahram@ucsf.edu
Publications
Sri Shamasunder, Bassem Ghali, Cristina Rivera Carpenter, James Harrison, and colleagues published a study in PLOS One that describes the lessons learned from the UCSF HEAL Navajo Nation response during COVID-19.
Elizabeth Cummings, Michelle Mourad, and Sandra Oreper published a study in BMJ Open Quality on the factors associated with persistent lack of primary care after hospitalization. 
James Harrison supported the Hospital Medicine Reengineering Network (HOMERuN) Patient & Family Advisory Council in their advocacy detailing how hospitalists can earn patient and caregiver trust in the most recent issue of the Journal of Hospital Medicine
Priya Ramaswamy and Xinran Liu were coauthors on a paper recently published in the Journal of the American Medical Informatics Association which details a blueprint for now to apply the World Health Organization's Clinical Progression Scale to EHR data in order to track disease severity and hospitalization due to COVID-19.
Charumathi Raghu Subramanian was coauthor on a study published in the Journal of the American Heart Association that evaluated the association of women authors with women enrollment in clinical trials of atrial fibrillation. 
Shradha Kulkarni, Margaret Fang, and Brad Sharpe published a study in BMC Medical Education identifying job characteristics, satisfiers, and barriers to success for early-career academic hospitalists over an 11-year period.
More Publications from DHM
The DHM Quality Post
Jennifer Lee
"A massive shout out and kudos to Jen Lee who painstakingly and manually compiled the information for each presentation. Such a wonderful feat and a lot of time and energy."

-Kirsten Kangelaris
Lena Loo
"Thank you, Lena Loo, for organizing the DHM dinner at SHM! The venue was awesome (we all needed a break from Broadway), and the food and drinks were great!"

-Rosemary Yau
Archna Eniasivam
"Thank you, Archna Eniasivam, for organizing the DHM dinner at SGIM!"

-Rosemary Yau
Pater Barish, James Harrison, Kirsten Kangelaris, Emily Insetta, and Rosemary Yau
"What an amazing set of social and professional events coordinated by the DHM@SHM Fun Committee – you really made SHM special for all who attended! It was a group effort, but wanted to specifically highlight Peter Barish, James Harrison, Kirsten Kangelaris, Emily Insetta, and Rosemary Yau – thank you!"
 
-Margaret Fang
If you have content you would like to share for an upcoming newsletter, please reach out to Tiffany.Lee@ucsf.edu.