Physician burnout can feel like an impassable mountain. 🏔️ But this Perspective offers hope: 💙 Small steps matter 💙 Community is essential 💙 Change is possible 💙 You're not alone 🔗 doi.org/10.1002/jhm.70064 #MentalHealthMatters #HospitalMedicine #PhysicianWellness

"Denies" "Admits" "Refused" We've used these terms to "sound objective" in our documentation but are they actually objective, or just unnecessary stigma? Watch and let's talk about it! https://bit.ly/3J92lbC 📝: Julia B Caton #VisualAbstract: Leah Jones 🎥: @docwithbowtie.bsky.social#VisualAbstract

Digital scholarship = real scholarship. Podcasts, blogs, videos deserve recognition in promotion decisions. It's time for academic medicine to catch up! 🔗 doi.org/10.1002/jhm.70027 🖼️ Visual Abstract by Sophie Sun

🧩 Clinical Conundrum Alert! A patient presents with classic meningitis...but is it? Ready to solve the mystery? 🔍 🔗 doi.org/10.1002/jhm.70134 #MedicalEducation #ClinicalReasoning #HospitalMedicine #DiagnosticChallenge

Are we unnecessarily withholding IV contrast from patients with kidney disease? - Risk of contrast-induced nephropathy may be overstated - Withholding contrast can delay diagnosis This may be a #TWDFNR! 🔗 doi.org/10.1002/jhm.70063 🖼️ Visual Abstract by C Coleman + JHM Team

Systematic review: How hospitalists really spend their time 📊 Direct patient care = smaller % than you think 💻 EHR time = massive ⚡ Interruptions = constant 🔗 doi.org/10.1002/jhm.70092 🖼️ Visual Abstract by Sophie Sun #MedSky #HospitalMedicine

Phenobarbital for alcohol withdrawal: safe & effective alternative to benzos. More studies needed, but evidence is growing. 🔗 doi.org/10.1002/jhm.70088 #MedSKy #HospitalMedicine #AddictionMedicine

Faculty awards are impactful! Recognition is strategic, not random. Key: Build an "awards dossier," plan awards like a project, & support your peers. 🔗 doi.org/10.1002/jhm.70110 #AcademicMedicine #CareerTips

#Vaccine-preventable diseases some of us previously only read about are being seen in hospitals more frequently. Time for a refresher? Check out our Living Special Issue! #Measles #Pertussis #Polio 📝https://bit.ly/3ZtxmMi Issue Collated by @SamirShahmd.bsky.social 🎥: @docwithbowtie.bsky.social

Faculty evaluations in hospital medicine: What's working? Top tools: 1:1s, self-assessments Barriers: Time, low engagement Framework for improvement described. 🔗 doi.org/10.1002/jhm.70028 #MedTwitter #AcademicMedicine

"Denies" "Admits" "Refused" We've used these terms to "sound objective" in our documentation but are they actually objective, or just unnecessary stigma? Watch and let's talk about it! https://bit.ly/3J92lbC 📝: Julia B Caton #VisualAbstract: Leah Jones 🎥: @docwithbowtie.bsky.social#VisualAbstract

Hospitalized patients with chronic pain & opioid risk need specialized care. New pilot study shows multidisciplinary intervention can help. #PainManagement #OpioidSafety 🔗 doi.org/10.1002/jhm.70066

#Vaccine-preventable diseases some of us previously only read about are being seen in hospitals more frequently. Time for a refresher? Check out our Living Special Issue! #Measles #Pertussis #Polio 📝https://bit.ly/3ZtxmMi Issue Collated by @SamirShahmd.bsky.social 🎥: @docwithbowtie.bsky.social

Children with medical complexity deserve timely care decisions. This study raised early code status documentation from 5% to 61%. 🖼️ Visual Abstract by Taylor Broome, MD #Pediatrics #QualityImprovement

What do pediatric hospital medicine fellows want in their first job? Work-life balance, mentorship, & competitive comp top the list. 🔗 doi.org/10.1002/jhm.70054

Heart failure patients with multiple readmissions reveal gaps in care communication & education. Better education = better care. 🔗 doi.org/10.1002/jhm.70051 #HeartFailure #PatientCare

Hospitalization = opportunity for addiction treatment. New research: Electronic pathways increased meds for alcohol use disorder & reduced readmissions. We can do better at treating substance use in acute settings. #AddictionMedicine #HospitalMedicine #PatientCare

Write more, worry less. 📝 New guidance from our Editor-in-Chief on building sustainable academic writing habits & overcoming perfectionism. 🔗 doi.org/10.1002/jhm.13502 🖼️ Visual Abstract by Sophie Sun #MedTwitter #AcademicMedicine #WritingTips

🗳️ “I’ve heard you raise your voices, and I know how powerful they are.” #TaylorSwift #TheLifeOfAShowgirl reminds us to show up authentically, check your voter registration today! (1/3) 🔗:https://t.co/bHXPsfK0TC ✍️:@jenreadlynn.bsky.social @michellebr00ks.bsky.social#TaylorSwift#TheLifeOfAShowgirl#MoreThanAJournal #LeadTheVote

Oh no! Your patient's white cell count rose! But wait...you started steroids yesterday! JHM Digital Media Fellow Eric Burnett discusses about why you don't need to react to the leukocytosis too soon! https://doi.org/10.1002/jhm.70008 #VisualAbstract: Catie Glatz 📹: Eric Burnett

🏆 Faculty awards aren’t just lucky breaks; they’re tools for career growth. Here’s how to win them on purpose. Check out Leadership & Professional Development article on “Faculty awards: Intentional pursuit, collective recognition”! 🧵by #JHM digital media fellow Shaheen Fatima! #MoreThanAJournal 👇

#TWDFNR: Primary/essential hypertension? Or...primary aldosteronism? JHM Digital Media Fellow Eric Burnett discusses why we might not be screening our patients with elevated blood pressures, and why we should! https://bit.ly/4pymLv7 #VisualAbstract: Sophie Sun 📹: @Eric

Behavioral escalation is rising in hospitals—putting staff & patients at risk. New JHM study reveals gaps in training, team response, & EHR alerts, and calls for proactive, bias-aware solutions. 🔗 https://doi.org/10.1002/jhm.70121

A new study looks at secure messaging in inpatient care settings—valued for speed and documentation, but not without downsides like interruptions and unclear norms. Worth reading if your hospital uses these tools! 🔗https://doi.org/10.1002/jhm.70090 🖼️#VisualAbstract by Sophie Sun

Big changes are coming to #Pediatrics training. 🏥 Less inpatient time 🧠 New required mental health rotation 🩺 More outpatient & individualized curriculum How will this reshape hospital medicine? Read here 👉 https://doi.org/10.1002/jhm.70009

Not all apologies in medicine heal. Some fall flat, or even backfire. 🩺 Psychology reveals 3 keys to making them effective. 💡 Prioritize sincerity 💡 Be emotionally accurate 💡 Consider onlookers Better apologies = better healing. 👉 Read more: https://doi.org/10.1002/jhm.13585

Every year in the US 300-400 physicians die by suicide, one of the highest rates of suicide in the country. Based on reports 49%- 55% of physicians have a peer that has “considered, attempted, or died by suicide”. Do not suffer alone. Ask for help. If in crisis call 988 or chat at 988lifeline.org

Congrats to The Pitt’s Emmy-winning team! 🏆 If you’ve ever been unsure whether the attending outranks the senior resident on TV, you’re not alone—real patients are just as confused. 🔗https://doi.org/10.1002/jhm.12971 🖼️#VisualAbstract by @Jen Readlynn, MD, FHM (she/her)

New #TWDFNR: Not all hypertension is “essential.” 🩺 Primary aldosteronism is a common, treatable cause—yet screening is often missed. Don’t stop BP meds just to test; screen before RAAS‐active agents when possible. 🔗 https://doi.org/10.1002/jhm.70035 🖼️ #VisualAbstract by Sophie Sun

Our hearts are with victims of #GunViolence and their families tonight. For hospitalists and other healthcare workers, #ThisIsOurLane and we work toward prevention for everyone. Swipe through to see JHM articles on turning this pain into action. Read at the link in our bio.

Jeopardy systems are vital in hospital medicine—but often leave clinicians stressed & dissatisfied. New research explores solutions for fair, sustainable backup coverage. Read more: https://doi.org/10.1002/jhm.70045

A 3-month-old with recurrent hyponatremia “looked” like SIADH—but wasn’t. 🧩 Could genetic testing reveal the real diagnosis? Read this salty case of mistaken identity. 🔗 https://doi.org/10.1002/jhm.70122 #ClinicalConundrum #PediatricHospitalMedicine #PHM

New in the #TWDFNR Series: Do your patients with COPD exacerbations & possible hypercarbic RF really need that ABG? 🤔 A VBG with PvCO2 <45 safely rules out hypercarbia—reducing pain & delays. 🔗: https://doi.org/10.1002/jhm.70039

Great British Baking Show #GBBS is back this week, so we have baking on the brain! Today's video features @societyhospmed.bsky.social own @anniemassart.medsky.social and her cookies, a great intro to @emoryhospmed.bsky.social#GBBSSpeaker Exchange Program! Go read the article at JHM! #MoreThanAJournal

⏳ “Time Poverty” is the plague of 21st century medicine. It drains curiosity, narrows thinking, and risks patient care. Physicians can reclaim control: balance yes/no, create margins, and resist toxic productivity. 🔗: https://doi.org/10.1002/jhm.70060 🖼️: #VisualAbstract by Sophie Sun

🤖 AI may be the most revolutionary innovation in decades. JHM’s Editor-in-Chief @samirshahmd.bsky.social introduces our special issue on AI in hospital medicine—covering diagnosis, education, ethics, and safety. Hospitalists must lead the way. #MoreThanAJournal 🔗 https://doi.org/10.1002/jhm.13506

👋 Hi BlueSky! We’re the Journal of Hospital Medicine, excited to join the conversation. This #LaborDay, we celebrate hospitalists and how to keep the workforce strong. Supporting hospitalists = supporting patient care! 🔗 https://doi.org/10.1002/jhm.13506 #Wellness #MoreThanAJournal #MondayMemories