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[PMID]: 28459909 [Au] Autor: Theisen-Toupal J; Ronan MV; Moore A; Rosenthal ES [Ad] Endereço: Medical Service, VA Medical Center, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC; Uniformed Services University of the Health Sciences, Bethesda, MD. [Ti] Título: Inpatient Management of Opioid Use Disorder: A Review for Hospitalists. [So] Source: J Hosp Med;12(5):369-374, 2017 May. [Is] ISSN: 1553-5606 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The United States is experiencing an epidemic of nonmedical opioid use and opioid overdose-related deaths. As a result, there have been a number of public health interventions aimed at addressing this epidemic. However, these interventions fail to address care of individuals with opioid use disorder during hospitalizations and, therefore, miss a key opportunity for intervention. The role of hospitalists in managing hospitalized patients with opioid use disorder is not established. In this review, we discuss the inpatient management of individuals with opioid use disorder, including the treatment of withdrawal, benefits of medication-assisted treatment, and application of harm-reduction strategies. Journal of Hospital Medicine 2017;12:369-374. [Mh] Termos MeSH primário: Gerenciamento Clínico Medicina Hospitalar/métodos Médicos Hospitalares Hospitalização Transtornos Relacionados ao Uso de Opioides/terapia Papel do Médico [Mh] Termos MeSH secundário: Seres Humanos Transtornos Relacionados ao Uso de Opioides/diagnóstico [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180302 [Lr] Data última revisão: 180302 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.12788/jhm.2731

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[PMID]: 28459902 [Au] Autor: Najafi N; Harrison JD; Duong J; Greenberg A; Cheng HQ [Ad] Endereço: Division of Hospital Medicine, University of California San Francisco, San Francisco, CA. [Ti] Título: It All Just Clicks: Development of an Inpatient E-Consult Program. [So] Source: J Hosp Med;12(5):332-334, 2017 May. [Is] ISSN: 1553-5606 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Although the use of electronic consultations (e-consults) in the outpatient setting is commonplace, there is little evidence of their use in the inpatient setting. Often, the only choice hospitalists have is between requesting a time-consuming in-person consultation or requesting an informal, undocumented "curbside" consultation. For a new, remote hospital in our healthcare system, we developed an e-consult protocol that can be used to address simple consultation questions. In the first year of the program, 143 e-consults occurred; the top 5 consultants were infectious disease, hematology, endocrinology, nephrology, and cardiology. Over the first 4 months, no safety issues were identified in chart review audits; to date, no safety issues have been identified through the hospital's incident reporting system. In surveys, hospitalists were universally pleased with the quality of e-consult recommendations, though only 43% of consultantsagreed. With appropriate care for patient selection, e-consults can be used to safely and efficiently provide subspecialty expertise to a remote inpatient site Journal of Hospital Medicine 2017;12:332-334. [Mh] Termos MeSH primário: Hospitais Universitários/tendências Desenvolvimento de Programas/métodos Encaminhamento e Consulta/tendências Telemedicina/métodos Telemedicina/tendências [Mh] Termos MeSH secundário: Medicina Hospitalar/métodos Medicina Hospitalar/tendências Médicos Hospitalares/tendências Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180302 [Lr] Data última revisão: 180302 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.12788/jhm.2740

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[PMID]: 29202253 [Au] Autor: Myburgh J [Ad] Endereço: University of New South Wales, Sydney, NSW, Australia. j.myburgh@unsw.edu.au. [Ti] Título: The evolution of intensive care medicine: a personal journey. [So] Source: Crit Care Resusc;19(4):287-289, 2017 Dec. [Is] ISSN: 1441-2772 [Cp] País de publicação: Australia [La] Idioma: eng [Mh] Termos MeSH primário: Cuidados Críticos/tendências Docentes de Medicina Corpo Clínico Hospitalar [Mh] Termos MeSH secundário: Austrália Distinções e Prêmios Medicina Hospitalar Seres Humanos Unidades de Terapia Intensiva/organização & administração [Pt] Tipo de publicação: ADDRESSES [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180104 [Lr] Data última revisão: 180104 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171205 [St] Status: MEDLINE

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[PMID]: 28600448 [Au] Autor: Jerardi KE; Fisher E; Rassbach C; Maniscalco J; Blankenburg R; Chase L; Shah N; Council of Pediatric Hospital Medicine Fellowship Directors [Ad] Endereço: Department of Pediatrics, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; karen.jerardi@cchmc.org. [Ti] Título: Development of a Curricular Framework for Pediatric Hospital Medicine Fellowships. [So] Source: Pediatrics;140(1), 2017 Jul. [Is] ISSN: 1098-4275 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Pediatric Hospital Medicine (PHM) is an emerging field in pediatrics and one that has experienced immense growth and maturation in a short period of time. Evolution and rapid expansion of the field invigorated the goal of standardizing PHM fellowship curricula, which naturally aligned with the field's evolving pursuit of a defined identity and consideration of certification options. The national group of PHM fellowship program directors sought to establish curricular standards that would more accurately reflect the competencies needed to practice pediatric hospital medicine and meet future board certification needs. In this manuscript, we describe the method by which we reached consensus on a 2-year curricular framework for PHM fellowship programs, detail the current model for this framework, and provide examples of how this curricular framework may be applied to meet the needs of a variety of fellows and fellowship programs. The 2-year PHM fellowship curricular framework was developed over a number of years through an iterative process and with the input of PHM fellowship program directors (PDs), PHM fellowship graduates, PHM leaders, pediatric hospitalists practicing in a variety of clinical settings, and other educators outside the field. We have developed a curricular framework for PHM Fellowships that consists of 8 education units (defined as 4 weeks each) in 3 areas: clinical care, systems and scholarship, and individualized curriculum. [Mh] Termos MeSH primário: Currículo Bolsas de Estudo/organização & administração Medicina Hospitalar/educação Pediatria/educação [Mh] Termos MeSH secundário: Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170831 [Lr] Data última revisão: 170831 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170611 [St] Status: MEDLINE

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[PMID]: 28247875 [Au] Autor: Sun NZ; Fox LP [Ad] Endereço: Department of Dermatology, University of North Carolina, Chapel Hill, North Carolina, USA. nataliezsun@gmail.com. [Ti] Título: Dermatology hospital fellowships: present and future. [So] Source: Semin Cutan Med Surg;36(1):38-40, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The question of what makes a successful dermatology hospitalist has risen to the forefront due to the rapidly increasing number of these providers. Inpatient dermatology fellowships have formed as a direct consequence. Though mostly in their infancy, these programs have primary or secondary goals to train providers in the dermatologic care of the hospitalized patient. This article presents a brief synopsis of the history of traditional hospitalist fellowships and extrapolates these findings to existing hospitalist dermatology fellowships. As more of these programs arise, these fellowships are poised to revolutionize dermatologic inpatient care from a systems perspective. [Mh] Termos MeSH primário: Dermatologia/educação Bolsas de Estudo Medicina Hospitalar/educação Médicos Hospitalares/educação [Mh] Termos MeSH secundário: Currículo Médicos Hospitalares/economia Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.007

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[PMID]: 28247874 [Au] Autor: Micheletti RG [Ad] Endereço: Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. robert.micheletti@uphs.upenn.edu. [Ti] Título: Developing academic work and evidence to guide the practice of inpatient dermatology. [So] Source: Semin Cutan Med Surg;36(1):35-37, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Hospitalist dermatology is a subspecialty dedicated to high-quality care of medically complex hospitalized patients with dermatologic diseases. Significant unanswered questions affecting the diagnosis and management of these patients persist, and research is urgently needed to improve patient care and move the field forward. This article explores strategies for successful conduct of research in hospital dermatology, including the role of cross-collaboration, and draws parallels with strategies utilized in rare diseases research. [Mh] Termos MeSH primário: Pesquisa Biomédica/organização & administração Dermatologia Medicina Hospitalar Dermatopatias [Mh] Termos MeSH secundário: Pesquisa Biomédica/economia Pesquisa Biomédica/métodos Medicina Baseada em Evidências Seres Humanos Doenças Raras/diagnóstico Doenças Raras/terapia Projetos de Pesquisa Dermatopatias/diagnóstico Dermatopatias/terapia Fatores de Tempo [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.005

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[PMID]: 28247873 [Au] Autor: Afifi L; Shinkai K [Ad] Endereço: University of Miami, Miller School of Medicine, Miami, Florida, USA. [Ti] Título: Optimizing education on the inpatient dermatology consultative service. [So] Source: Semin Cutan Med Surg;36(1):28-34, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: A consultative dermatology service plays an important role in patient care and education in the hospital setting. Optimizing education in balance with high-quality dermatology consultative services is both a challenge and an opportunity for dermatology consultation teams. There is an emergence of new information about how dermatology can best be taught in the hospital, much of which relies on principles of workplace learning as well as the science of how learning and teaching best happen in work settings. These best practices are summarized in this narrative review with integrated discussion of concepts from outpatient dermatology education and lessons learned from other inpatient teaching models. In addition, consultative dermatology curricula should utilize a blended curriculum model comprised of patient care and active learning and self-study modalities. Specific educational methods will discuss 2 strategies: (1) direct patient-care activities (ie, bedside teaching rounds) and (2) nonpatient care activities (ie, case presentations, didactic sessions, online modules, and reading lists). [Mh] Termos MeSH primário: Dermatologia/educação Medicina Hospitalar/educação Encaminhamento e Consulta Dermatopatias Visitas com Preceptor [Mh] Termos MeSH secundário: Currículo Educação de Graduação em Medicina/métodos Metas Seres Humanos Aprendizagem Dermatopatias/diagnóstico Dermatopatias/terapia Ensino [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.003

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[PMID]: 28247872 [Au] Autor: Afifi L; Shinkai K [Ad] Endereço: University of Miami Miller School of Medicine, Miami, Florida, USA. [Ti] Título: Communication strategies for a successful inpatient dermatology consultative service: a narrative review. [So] Source: Semin Cutan Med Surg;36(1):23-27, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Inpatient dermatology consultative services care for hospitalized patients with skin disease in collaboration with the primary inpatient team. Effective, efficient communication is important. A consultation service must develop strong relationships with primary inpatient teams requesting consults in order to provide optimal patient care. Prior studies have identified effective communication practices for inpatient consultative services. This narrative review provides a summary of effective communication practices for an inpatient dermatology consultation service organized into 5 domains: (1) features of the initial consult request; (2) best practices in responding to the initial consult; (3) effective communication of recommendations; (4) interventions to improve consultations; and (5) handling curbside consultations. Recommendations include identifying the specific reason for consult; establishing urgency; secure sharing of sensitive clinical information such as photographs; ensuring timely responses; providing clear yet brief documentation of the differential diagnosis, problem list, final diagnosis and recommendations; and limiting curbside consultations. Future studies are needed to validate effective strategies to enhance communication practices within an inpatient dermatology consultative service. [Mh] Termos MeSH primário: Comunicação Dermatologia Medicina Hospitalar Encaminhamento e Consulta [Mh] Termos MeSH secundário: Seres Humanos Fala [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.002

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[PMID]: 28247871 [Au] Autor: Nguyen CV; Miller DD [Ad] Endereço: Department of Dermatology, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. [Ti] Título: The role of dermatopathology in inpatient care. [So] Source: Semin Cutan Med Surg;36(1):17-22, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Skin biopsy remains one of the most important tools in the evaluation of dermatologic disease in hospitalized patients and is diagnostic for many common inpatient dermatoses, including various drug eruptions and cutaneous infections. The dermatopathology team thus plays a crucial role in the care of many of these patients and can add significant value through timely and precise diagnoses. Here, we review the unique challenges of dermatopathology in hospital-based medicine, discuss approaches to timely care, and examine effective clinicopathologic correlation in this setting. [Mh] Termos MeSH primário: Biópsia Dermatologia Medicina Hospitalar Dermatopatias/diagnóstico Dermatopatias/patologia Pele/patologia [Mh] Termos MeSH secundário: Biópsia/métodos Seres Humanos Dermatopatias Infecciosas/microbiologia Dermatopatias Infecciosas/patologia Manejo de Espécimes [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.013

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[PMID]: 28247870 [Au] Autor: Tull R; Wanat KA [Ad] Endereço: Wake Forest School of Medicine, Winston Salem, North Carolina, USA. [Ti] Título: Teledermatology in the inpatient setting. [So] Source: Semin Cutan Med Surg;36(1):12-16, 2017 Mar. [Is] ISSN: 1085-5629 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Teledermatology (TD) is a health care delivery modality that uses telecommunication technology to provide dermatologic care. It has grown to be a reliable and diagnostically accurate means of producing quality care while increasing access and reducing wait times in the outpatient setting. In the inpatient setting, TD may be an effective method to improve access to dermatologic care by remotely triaging, assisting, or providing dermatologic consultative services. For inpatient dermatology, there is the potential for TD to increase access to care in the community setting where dermatologists have full outpatient schedules. Using inpatient TD to triage conditions may be especially helpful in determining if a patient needs to be emergently/urgently seen, or if outpatient care could be appropriate. To best establish TD in the inpatient setting, certain practice guidelines should be considered to ensure the highest quality patient care. These features include Health Insurance Portability and Accountability Act (HIPAA)-consistent protocols to ensure high-quality video sessions and clinical photographs are acquired, stored, and transmitted using secure software and networks, establishing relationships with primary care teams to ensure trust in consulting advice and ensuring consistent communication regarding recommendations, and appropriate patient follow-up. [Mh] Termos MeSH primário: Dermatologia/organização & administração Acesso aos Serviços de Saúde Medicina Hospitalar/organização & administração Hospitais Dermatopatias/diagnóstico Telemedicina/organização & administração [Mh] Termos MeSH secundário: Segurança Computacional Confidencialidade Dermatologia/educação Medicina Hospitalar/educação Seres Humanos Internato e Residência Responsabilidade Legal Guias de Prática Clínica como Assunto Encaminhamento e Consulta Mecanismo de Reembolso Dermatopatias/terapia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170606 [Lr] Data última revisão: 170606 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170302 [St] Status: MEDLINE [do] DOI: https://doi.org/10.12788/j.sder.2017.004

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