CU DHM Spring 2023 Newsletter

DHM SPRING 2023 NEWSLETTER

IN THIS ISSUE

#CUDHM Accomplishments

Check out our top five Division of Hospital Medicine (DHM) accomplishments from the last quarter!

Faculty & DHM Highlights

Get to know the newest faces around DHM while learning some recent fast facts about the division.

#CUDHMWins

Stay up to date with the latest wins, recognition, and awards within the DHM.

DHM Daily

Check in on the daily happenings with the DHM that build into our efforts to improve lives through excellence in patient care, education, and cutting edge innovation.

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Spotlight Stay Connected

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We’re highlighting our amazing hospitalists and some ways we celebrated National Hospitalist Day on March 2nd. The three main areas of focus this year was mentorship, advances and challenges/opportunities in hospital medicine, and our residents.

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Stay up to date with the latest DHM announcements, events, social posts and more!

A Message from Marisha

Marisha Burden, MD Hospital Medicine Division Head

Welcome to our Spring Newsletter, where we celebrate the incredible accomplishments of our team. In this issue, we showcase the latest breakthroughs in science and innovation in hospital medicine, demonstrating our relentless pursuit of excellence. As you read this edition, you will see innovation in every aspect of our work – from clinical practice and education to scholarship, research, and leadership. Our primary objective is simple: by investing in our people and our team, we achieve extraordinary results! Moreover, the power of collaboration – both locally and on a larger scale –significantly contributes to our success. We hope you enjoy this edition!

DHM Top 5 Quarterly Accomplishments

These are just five of the many accomplishments for this incredible team. Stay tuned for our next newsletter and follow us on Twitter @CUDivHospMed to hear what we are up to next!

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A Strong Start to 2023

Our division has kicked off 2023 with many accomplishments to show for. We launched our newest service: Med-Peds Consult Service. Learn more about this service from one of our previous blogs that shares the vision and purpose behind the service. We also launched a new education program, the Administrative Scholars Program. Visit our website to learn more and how to apply. We will continue to share our wins and updates with you through our social media, blogs, and future newsletters!

Plenty of Plenaries

Our division is going big at the upcoming Society of Hospital Medicine (SHM) Annual Conference, SHM Converge at the end of March. Beyond the several research sessions our faculty are speaking at, we have CUDHM representation at two different plenary sessions. These session topics cover research on Grittywork: An Evidence-Based Approach to Building Optimal Hospitalist Staffing Models, and A Randomized Controlled Trial of Physician Rounding Styles. We are thrilled to share highlights from the conference! In addition to the SHM conference, we are excited for the SGIM Annual conference to be in our hometown this year in Aurora, CO this May.

#CUDHM Exploring Further Hospitalist Community Reach

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Our marketing and social media efforts for the division are run by our Website and Digital Content Senior Specialist, Kelsey Hussey, BA. Since joining the team at the beginning of 2022, Kelsey has improved our reach within the healthcare community at CU Anschutz and around the country. We have implemented a quarterly newsletter that is distributed via email and shared on social media. We have expanded our social media engagement and impressions on Twitter, Facebook, Instagram, and LinkedIn while gaining 500+ followers/likes across all platforms. This work is paying off! Some of the Division’s tweets have reached viral levels with over 300,000 views!

Quality is Key

Our patient quality and safety program allows us to continuously improve through key performance metrics while also developing hospitalist careers in quality and patient safety. We’re so thankful for our Quality Action Team that prioritizes analyzing data that can better serve our patients. That team includes Anunta Virapongse, MD, MPH, Li Ngov, MD, Sam Porter, MD, and Sarah Scarpato, MD, and Tara Ward, NP, with the help of our Data and Analytics Team. We’re making our community a better place thanks to the work that this team is doing.

Pushing the Boundaries with Research for Housing-Health

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Sarah Stella, MD, is a hospitalist at Denver Health with a passion for improving health outcomes through housing-health partnerships. She has conducted impactful communitypartnered research to better understand and address the unmet health needs of patients experiencing homelessness. Her involvement in the community and several projects have exemplified her commitment to promoting health equity and ensuring access to permanent supportive housing for high needs patients. Check out how else we have pushed the boundaries with research by clicking here.

HIGHLIGHTS FACULTY & DHM

Our Expanding Team

We want to give a warm welcome to our newest faculty and staff CUDHM team members!

Welcome Advanced Practice Fellows (APF) March 2023 Cohort!

Learn more about our Current Advanced Practice Fellows!

New Administrative Scholars Program

We are offering a scholars program with a focus on Administrative Hospital Medicine. This 2-year fellowship program gives scholars the flexibility to choose their own adventure in what they want to accomplish and learn in Hospital Medicine. Our core focuses for this program include:

Operations

Workforce Management

Hospital/Clinical Operations

Program Leadership:

Innovation

IT/Digital Tech

Data Analytics

Finance

Business of Medicine

Transformative

Leadership

Change Management

Organizational Behavior

We are currently looking for 1-2 scholars for this program. Please visit our website by clicking here for questions and additional details about the program.

Emma Butler PA-C

Emily Equitz PA-C

Michael Krowka NP

Kirsten Bolstad PA-C

Kashif Mohammed PA

Marisha Burden, MD Emily Gottenborg, MD

Darlene Tad-y, MD, MBA

Gina Daley BA | Business Services Professional

Mario Rubio BS | Project & Transition of Care Coordinator

Kasia Mastalerz MD

Claudia Camaucho BA | Patient Navigator for Latinos in Dialysis

Anita Moudgal MD

Kirsten DeRoode PA-C

Amanda Miller NP

DHM WellDOM Representation - Cultivating a Strong Culture

Per the CU Department of Medicine Website, The Department of Medicine’s Wellness Committee (WellDOM) was formed in 2018 with the vision that all faculty, staff and trainees will be thriving. The committee developed focus groups to address the following goals:

1. Understand the leadership qualities that are most important for the development of a culture of wellness.

2. Examine the barriers to wellness that currently exist and find ways to remove the barriers to focus on solutions.

We are excited to have two faculty and two staff to represent CUDHM in the WellDOM Group. They attend monthly meetings and connect to brainstorm new innovative ways to spread wellness among our team.

Hospital Medicine WellDOM Champions

Writing Challenge Wrap Up

Each year, we hold a Hospital Medicine National Writing Challenge in partnership with members of the Society of Hospital Medicine Research Committee. The purpose of this writing challenge is to provide an opportunity to build the daily habit of writing by asking participants to complete a small amount of suggested/required words per day. Over the course of this challenge, 61 of the 79 registered participants logged a total of 366,377 words! See the highlights below and mark your calendars - the next writing challenge will take place in July 2023.

# of Writing Sessions:

Kelsey Hussey – 20

Joel B – 19

Tie: Toby Kinney & Catherine Bilyeu - 18

Team PM&R - 68

Team CU PT – 57

Team Always Write

# of Words Written:

Ashley Jenkins - 38,470

Kristin Uhler - 36,208

Matt Pappas - 28,275

# of Different Writing Projects:

Gopi Astik – 8

Tie: Toby Kinney, Jen Readlynn & Kristin Uhler - 7

Tie: Ashley Jenkins, Catherine Bilyeu & Mike Tchou - 6

Team CU PT - 60,567

Team PM&R - 52,362

Team Always Write - 48,891

Team PM&R - 11

Tie: Team CU PT, SpectaculUR Hospitalists Team & The Quarantinis - 9

Team PedsHM - 8

Lexie Gallant, PA-C

Katherine Frank, BA, MA Kelsey Hussey, BA

Zuzanna Czernik, MD

An Era of Research

15+ Society of Hospital Medicine Converge Conference Research Posters

10+ Society of General Internal Medicine Conference Research Posters

Medical Education (Med Ed)

This Med Ed Article is a CUDHM three-fer published by Chris King, MD, Jack Cunningham, MD, and Adrienne Mann, MD. The objectives of this research study were to develop a curriculum using a blended educational model including lecture, focused educational videos, flipped classroom, and team-based learning to teach a systematic approach to ECG interpretation and enhance the ability of students to identify common and life-threatening electrocardiographic abnormalities. They found that using a blended learning model with multiple educational modalities resulted in significant improvement in learners’ performance and confidence in ECG interpretation.

Best Practices and Quality Improvements

13 Grants Awarded to Faculty for DHM Small Grants Program

Adrienne Mann, MD and Tyra Fainstad, MD (General Internal Medicine)

This qualitative analysis on life coaching and wellness included a 6-month, web-based group coaching program, Better Together Physician Coaching (“Better Together”), was developed and facilitated by trained life coaches and physicians to decrease burnout. Participants found the Better Together coaching program improved well-being by using metacognition as a coping tool, and also because of the vulnerable shared experiences they navigated together, which combated isolation and burnout. Learn more about the Better Together Study and how its future positive impacts on physicians.

To relieve hospital capacity strain, hospitals often encourage clinicians to prioritize early morning discharges which may have unintended consequences. This research study with CUDHM Division Head, Marisha Burden, MD, aimed to test the effects of hospitalist physicians prioritizing discharging patients first compared to usual rounding style. We found that prioritizing discharging patients first did not result in significantly earlier discharges or reduced length of stay. Check out the Twitter post to the right and click the photo to see the thread.

Faculty Development

This Faculty Development in Academic Hospital Medicine: a Scoping Review with CUDHM collaborators Greg Misky, MD and Maria (Gaby) Frank, MD, sought to identify and describe the state of academic faculty development programs in hospital medicine and other specialties. They reviewed faculty development content, structure, metrics of success including facilitators, barriers, and sustainability to create a framework and inform leadership and faculty development initiatives. Some common themes included the need for program structure and support, aligning areas of skill development with faculty values, and longitudinal mentoring/ coaching. It’s clear that programs require dedicated program leadership, support for faculty time and participation, curricula focused on skills development, and mentoring and sponsorship.

28 Applicants for the DHM Small Grants Program

An Era of Research Faculty Training Programs

SCORE is a two-year program within ACCORDS and is designed to train outstanding physician-researchers in clinical translational and outcomes research, focusing on surgeons and subspecialists interested in research training while offering candidates the opportunity to obtain advanced degrees.

CFSP is a program within CCTSI and helps emerging investigators to obtain a career development award through guided project development, educational seminars, grant writing classes, and mentorship from experienced senior researchers.

Past Participants:

Sarguni Singh, MD

Sridharan Raghavan, MD

Lilia Cervantes, MD

Susan Calcaterra, MD, MPH

Christine Jones, MD

Anna Maw, MD

SCORE: Erin Bredenberg, MD, MPH is an academic hospitalist who is passionate about care for underserved populations. Her research interests are in factors that affect the care of patients with substance use disorders and those experiencing housing insecurity. She joins the SCORE Fellowship with the goals of further focusing her research interests and gaining concrete skills in data analysis, epidemiologic methods, and qualitative research.

SCORE (completed) & CFSP: Elizabeth Boggs, MD, MS completed foundational training in research through the Surgical / Subspecialists Clinical Outcomes Research (SCORE) Fellowship in June and is continuing to develop her skills in the Clinical Faculty Scholars Program. Her research interests involve the intersection of Medicaid policy and coverage, health, and utilization outcomes for low-income patients and their families.

SCORE (completed) & CFSP: Amy Yu, MD focused her research on care transitions of hospitalized patients, specifically patients who undergo transfers between acute care hospitals also known as inter-hospital transfers (IHTs). She’s working to characterize barriers and facilitators to interhospital transfers with the goal of developing guidelines and best practices to make those transfers safer for IHT patients and their providers.

Healthcare Collaboration Programs Hospital Medicine Reengineering Network (HOMERuN)

Currently run at UCSF, HOMERuN was established in 2011 by Dr. Andrew Auerbach and Dr. Peter K. Lindenauer as a collaboration across 13 academic medical centers. HOMERuN seeks to advance the field of Hospital Medicine by supporting and conducting rigorous research studies to improve the care of patients with acute illnesses. Their efforts have led to more than 30 peer-reviewed publications, 4 R01 grants, and 8 collaborative working groups. Outside of the research study below, learn more about their different programs and how they impact the healthcare community: HOMERuN, UPSIDE, and ADEPT.

Total Worker Health (TWH) Society

On March 30th, our CUDHM Division Head, Dr. Marisha Burden, is presenting with Dr. Natalie Schwatka from the Department of Environmental & Occupational Health for the TWH Society Peer Learning Series. The intention of this event is to elevate evidence-based practices and highlight professionals who are actively applying the TWH approach within their organizations and workforce.

Recent Study - HOMERuN Collaborative: Prevention and Management of Behavioral Escalation in Hospitalized Adult Patients Focus Groups

Health care systems are in a constant state of change which have led to great efforts with shared leadership and improving worker safety. Through this HOMERuN project, our group is working to build a system to help prevent and manage behavioral escalation in hospitalized adult patients. We aim to create a better approach to care for patients who demonstrate complex behaviors while creating infrastructure to better support staff, nursing, and providers involved in the care of these patients. Click on the research title above to learn more about the findings and opportunities for improvement in behavioral escalation.

National Hospitalist Day 2023

Mentorship in the Field

Our Faculty Academic Development and Advancement team is committed to the academic success and professional satisfaction of faculty in our division. Our mentorship leads, Maria Klimenko, MD and Moksha Patel, MD, strive to develop faculty satisfaction and engagement in scholarship, teaching, clinical care, and promotions through effective individual and group mentorship

Hospital Medicine Advances & Challenges/Opportunities Ahead

There’s great hospital medicine research out right now that better informs our standard practices as hospitalists. Some research that we’ve has our eyes on includes: Judicious use of fluids in pancreatitis, fluids or pressors in early shock, advances in heart failure diuresis, and how to make inpatient insulin simpler and easier. This is just a portion of the many practice-informing research right now. Keep up to date with our latest work by following us on social and reading our future newsletters (links on last page).

Hospital Medicine Students & Residents

The Hospitalist Training Program for Internal Medicine residents is the first and longest-running hospitalist training track nationally, led by co-directors Emily Gottenborg, MD, and Julia Limes, MD. The track involves tailored clinical training to prepare graduates for careers in hospital medicine and hospital-based subspecialties, and experiential quality improvement training.

STAY CONNECTED

Announcements

Advanced Practice Fellowship (APF) Newsletter

We released the latest Advanced Practice Fellowship Newsletter last month. Please enjoy reading about updates in the program, alumni spotlights, APF award winners and more! View the APF Newsletter here.

Upcoming Events

March 26-29

SHM Converge Conference 2023

Austin, TX

March 30

National Doctors Day

March 31

APF March 2022 Cohort Graduation

May 10-13

SGIM Annual Conference 2023 Aurora, CO

Society of General Internal Medicine (SGIM) 2023 Conference in Colorado

We are looking forward to the upcoming Society of General Internal Medicine Conference to be here in Aurora, CO this year! Keep an eye out on our social media for updates during the conference.

Society of Hospital Medicine (SHM) POCUS Training

We held our annual ultrasound skills training March 4-5, 2023. This course is designed to allow participants to gain knowledge and skill in POCUS image acquisition, interpretation and integration into clinical decision-making. Thank you all who attended our course this year and we look forward to hosting two more courses in 2024! More information can be found at this link: https://medschool.cuanschutz.edu/pocus

CU Department of Medicine Pilot Staff Mentorship Program Comes to a Close

Two of our #CUDHM admin team members, Kelsey Hussey, BA and Katherine Frank, BA, MA, participated in the program pilot year and have nothing but great things to say about it! In addition to the growth and connections this program provided, Katherine was awarded the Leaving a Legacy award. She has been instrumental in overseeing the new faculty onboarding process as well as being a mentor for our staff members. We are so proud of you, Katherine!

@CUDivHospMed

For social media, newsletter or digital marketing content, please send your submission to Kelsey Hussey, BA at kelsey.hussey@cuanschutz.edu for a chance to be featured! You can also use our hashtag #CUDHM or tag us in your post.

@CUDivHospMed

@CUDivHospMed

POCUS Course Faculty