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In a recent talk at the Internal Medicine Meeting 2023, hospitalist Heather Nye emphasized the need to update the “Ten Commandments for Effective Consultations” originally outlined by Lee Goldman and colleagues in 1983. Dr. Nye provided new insights for performing and requesting consults in the 21st century. Some key points she highlighted included the importance of going the extra mile to determine the patient’s condition, establishing urgency, providing clear and written recommendations, documenting all interactions, and following up on recommendations and actions taken. Dr. Nye stressed the significance of clear communication in consult relationships. For hospitalists requesting consults from subspecialists, she advised following the commandments outlined and overcoming reluctance in seeking clarification and follow-up. It was emphasized that hospitalists should manage consultants effectively, ensuring they follow up on recommended studies and document their recommendations in the patient’s chart. Additionally, hospitalists should be proactive in obtaining contact information and communicate with consultants even after they sign off, especially during patient discharge discussions. Overall, Dr. Nye emphasized that effective communication, documentation, and follow-up are essential in providing optimal patient care and ensuring collaboration between hospitalists and subspecialists.

In a randomized controlled trial at three US hospitals over six months in 2021, the researchers randomized 30 attendings to prioritize seeing patients who were expected to be discharged that day before seeing other patients. Marisha Burden, MD, FACP, a professor of medicine and division head of hospital medicine at the University of Colorado School of Medicine in Aurora, and Angela Keniston, MSPH, an assistant professor and director of data and analytics for the division of hospital medicine at the University of Colorado School of Medicine, discuss the study’s findings.

Based on cases reported to the CDC, this study reports an acceleration in case detection, with a dramatic increase in 2021. From 2019 to 2021, 17 states identified their first case of C auris; however, resistance to echinocandins increased threefold in 2021 compared to the previous two years. And because screening is not conducted uniformly across the United States, the true burden of C auris cases is likely higher than reported.

In a review of hospitalization records in Hong Kong, Feb-July 2022, adults hospitalized for COVID and given molnupiravir or nirmatrelvir–ritonavir showed lower all-cause mortality, regardless of vaccination status. However, there was no significant reduction in ICU admission or the need for mechanical ventilation.

Hospitalist pay is up almost 8% since 2020. But is that enough? You can work to increase your compensation by understanding the nuances in your hospital’s incentive calculation and making sure the plan works for you.

The transition from hospital to home post-stroke is fraught with challenges for ensuring the continuation of appropriate care and managing the risk of rehospitalization. This review and recommendation details the potential disruptions to care and provides practical advice for preventing and managing the same.