{"title":"Letting go with time management","authors":"Benjamin Kinnear MD, PhD, MEd","doi":"10.1002/jhm.70193","DOIUrl":"10.1002/jhm.70193","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to: Letting go with time management","authors":"Sherine Salib MD, MRCP, FACP","doi":"10.1002/jhm.70192","DOIUrl":"10.1002/jhm.70192","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brent Kennis MD, John P. Gerstenberger MD, Lara Hayes MD
Peripheral intravenous catheters (PIVCs) are widely used in hospitalized patients and are often maintained even after the need for intravenous therapy has resolved. This article challenges the routine practice of maintaining idle PIVCs in clinically stable patients. While PIVCs offer convenient access for emergent treatment, they are associated with risks—including local infections, phlebitis, and vascular damage—as well as significant patient discomfort. Notably, although PIVCs carry a lower individual risk of bloodstream infection compared with central venous catheters, their widespread use makes them responsible for up to one-third of Staphylococcus aureus catheter-related bacteremia. Furthermore, idle PIVCs often fail before use, and intraosseous access provides an effective alternative in true emergencies. As many intravenous medications can be safely and effectively administered orally, the continued use of PIVCs in stable patients may offer little benefit while introducing avoidable harms and costs. Clinicians should regularly reassess the need for intravenous access and remove idle PIVCs when appropriate to promote patient safety and comfort.
{"title":"Things We Do for No Reason™: Routinely maintaining intravenous access in hospitalized patients","authors":"Brent Kennis MD, John P. Gerstenberger MD, Lara Hayes MD","doi":"10.1002/jhm.70191","DOIUrl":"10.1002/jhm.70191","url":null,"abstract":"<p>Peripheral intravenous catheters (PIVCs) are widely used in hospitalized patients and are often maintained even after the need for intravenous therapy has resolved. This article challenges the routine practice of maintaining idle PIVCs in clinically stable patients. While PIVCs offer convenient access for emergent treatment, they are associated with risks—including local infections, phlebitis, and vascular damage—as well as significant patient discomfort. Notably, although PIVCs carry a lower individual risk of bloodstream infection compared with central venous catheters, their widespread use makes them responsible for up to one-third of <i>Staphylococcus aureus</i> catheter-related bacteremia. Furthermore, idle PIVCs often fail before use, and intraosseous access provides an effective alternative in true emergencies. As many intravenous medications can be safely and effectively administered orally, the continued use of PIVCs in stable patients may offer little benefit while introducing avoidable harms and costs. Clinicians should regularly reassess the need for intravenous access and remove idle PIVCs when appropriate to promote patient safety and comfort.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 2","pages":"197-199"},"PeriodicalIF":2.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrick Rizk MD, MPH, Adrian Umpierrez MD, FACP, Leonard Feldman MD, FACP, FAAP, MHM
Internists routinely replete potassium to a high-goal serum level of ≥4 mmol/L in patients with acute myocardial infarction to reduce the risk of ventricular arrhythmias and mortality. Recent literature demonstrates that a potassium goal of >3.5 mmol/L likely coincides with the lowest risk of mortality. Based on these data, internists should individualize potassium goals rather than routinely aiming for a high-goal serum level of ≥4 mmol/L.
{"title":"Things We Do for No Reason™: Routine potassium replacement to achieve goal serum potassium ≥4.0 mmol/L in patients with acute myocardial infarction","authors":"Patrick Rizk MD, MPH, Adrian Umpierrez MD, FACP, Leonard Feldman MD, FACP, FAAP, MHM","doi":"10.1002/jhm.70189","DOIUrl":"10.1002/jhm.70189","url":null,"abstract":"<p>Internists routinely replete potassium to a high-goal serum level of ≥4 mmol/L in patients with acute myocardial infarction to reduce the risk of ventricular arrhythmias and mortality. Recent literature demonstrates that a potassium goal of >3.5 mmol/L likely coincides with the lowest risk of mortality. Based on these data, internists should individualize potassium goals rather than routinely aiming for a high-goal serum level of ≥4 mmol/L.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 1","pages":"73-77"},"PeriodicalIF":2.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica L. Markham MD, MSc, Jason Newland MD, Med, Alaina Burns PharmD, BCPPS, Ann L. Wirtz PharmD, BCPPS, Jennifer L. Goldman MD, MSc
{"title":"The institutional antibiogram: Time for a makeover?","authors":"Jessica L. Markham MD, MSc, Jason Newland MD, Med, Alaina Burns PharmD, BCPPS, Ann L. Wirtz PharmD, BCPPS, Jennifer L. Goldman MD, MSc","doi":"10.1002/jhm.70185","DOIUrl":"10.1002/jhm.70185","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 1","pages":"89-92"},"PeriodicalIF":2.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rethinking the threshold: Timing matters in red blood cell transfusions during hospitalization","authors":"Anna L. Parks MD","doi":"10.1002/jhm.70187","DOIUrl":"10.1002/jhm.70187","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 2","pages":"218-219"},"PeriodicalIF":2.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do caregivers hold the key to deimplementation of continuous pulse oximetry in bronchiolitis?","authors":"Jodi Ehrmann MD, Katherine Salada MD, Sanjay Mahant MD","doi":"10.1002/jhm.70188","DOIUrl":"10.1002/jhm.70188","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 1","pages":"96-97"},"PeriodicalIF":2.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Attila Nemeth MD, Heather Briggs MD, PhD, Blair P. Golden MD, MS, Kierstin Kennedy MD, MSHA
<p>Hospitalists rise in the academic ranks at a lower rate than other specialties, with most hospitalists remaining at the instructor or assistant professor level. Literature has shown that only 11.7% of adult hospitalists have ascended to the rank of associate (9%) or full professor (2.7%).<span><sup>1, 2</sup></span> Several factors contribute to this disparity, including substantial clinical responsibilities that limit time for research and scholarship, lack of research infrastructure, funding, and formal training, as well as the relative youth of the specialty, which can result in limited mentorship within a given institution.<span><sup>1, 3</sup></span></p><p>Building a strong professional network is one potential strategy to fill these gaps. A professional network can facilitate your academic career development by fostering mentorship and collaboration, providing access to professional opportunities, and even protecting against burnout.<span><sup>4-6</sup></span> Within hospital medicine, the ability to cultivate strong professional relationships across institutions may be particularly important given the potential scarcity of promoted hospitalist faculty at your own institution. This paper highlights the importance of networking when pursuing academic promotion, offers strategies on building a strong professional network, and provides tips for how you can support junior faculty after your successful promotion.</p><p>Networking is crucial to building a robust portfolio for promotion. In fact, the reach of your network has a positive correlation with success in academic promotion.<span><sup>7</sup></span> Leveraging the skill of networking to build relationships in advance can enhance knowledge, promote professional development, foster innovation, and create opportunities for collaboration and scholarship, as well as create a ready pool of potential colleagues to support your promotion candidacy, by demonstrating a reputation beyond your immediate sphere of practice. For example, collaboration with individuals outside of your organization can enhance your visibility and convey your reputation to others with whom you are not directly connected.<span><sup>7</sup></span> Building a network of colleagues with similar professional interests and scholarly activity with whom you can collaborate can yield effective letters of support because these individuals can speak to the caliber and impact of your work. Peer mentors may also provide mutual support and offer a fresh perspective on challenges and opportunities available at your own institution. Strategic networking with colleagues from other institutions also allows them to speak to the transferability of your work beyond your home institution and how you measure against another institution's standards of promotion.</p><p>Furthermore, networking can help increase your ability to navigate the promotion process, which can be unfamiliar and stressful for junior faculty.<span><sup>8</sup></span> Leve
{"title":"Pathways to promotion: Leveraging your network for academic success","authors":"Attila Nemeth MD, Heather Briggs MD, PhD, Blair P. Golden MD, MS, Kierstin Kennedy MD, MSHA","doi":"10.1002/jhm.70175","DOIUrl":"10.1002/jhm.70175","url":null,"abstract":"<p>Hospitalists rise in the academic ranks at a lower rate than other specialties, with most hospitalists remaining at the instructor or assistant professor level. Literature has shown that only 11.7% of adult hospitalists have ascended to the rank of associate (9%) or full professor (2.7%).<span><sup>1, 2</sup></span> Several factors contribute to this disparity, including substantial clinical responsibilities that limit time for research and scholarship, lack of research infrastructure, funding, and formal training, as well as the relative youth of the specialty, which can result in limited mentorship within a given institution.<span><sup>1, 3</sup></span></p><p>Building a strong professional network is one potential strategy to fill these gaps. A professional network can facilitate your academic career development by fostering mentorship and collaboration, providing access to professional opportunities, and even protecting against burnout.<span><sup>4-6</sup></span> Within hospital medicine, the ability to cultivate strong professional relationships across institutions may be particularly important given the potential scarcity of promoted hospitalist faculty at your own institution. This paper highlights the importance of networking when pursuing academic promotion, offers strategies on building a strong professional network, and provides tips for how you can support junior faculty after your successful promotion.</p><p>Networking is crucial to building a robust portfolio for promotion. In fact, the reach of your network has a positive correlation with success in academic promotion.<span><sup>7</sup></span> Leveraging the skill of networking to build relationships in advance can enhance knowledge, promote professional development, foster innovation, and create opportunities for collaboration and scholarship, as well as create a ready pool of potential colleagues to support your promotion candidacy, by demonstrating a reputation beyond your immediate sphere of practice. For example, collaboration with individuals outside of your organization can enhance your visibility and convey your reputation to others with whom you are not directly connected.<span><sup>7</sup></span> Building a network of colleagues with similar professional interests and scholarly activity with whom you can collaborate can yield effective letters of support because these individuals can speak to the caliber and impact of your work. Peer mentors may also provide mutual support and offer a fresh perspective on challenges and opportunities available at your own institution. Strategic networking with colleagues from other institutions also allows them to speak to the transferability of your work beyond your home institution and how you measure against another institution's standards of promotion.</p><p>Furthermore, networking can help increase your ability to navigate the promotion process, which can be unfamiliar and stressful for junior faculty.<span><sup>8</sup></span> Leve","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 2","pages":"215-217"},"PeriodicalIF":2.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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