When you hear some hospitalists talk about it, point-of-care ultrasound (POCUS) sounds almost like magic, given the way it allows quick, painless investigation of a variety of symptoms and signs. But the challenge is how hospitalist programs safely and effectively integrate this relatively new technology into routine practice. Our cover story this month looks at what hospitalist leaders around the country have done to tackle that challenge and reviews the resources available from ACP and other organizations to get physicians up to speed on POCUS. The issue also includes a related Test Yourself.
Our other feature articles focus on a couple of geographically diverse clinical issues. First is an article about assisting refugees, specifically how hospitalists can address the unique health care issues these patients may face, from tropical diseases to a history of trauma. Then, learn about what it's like to practice hospital medicine at high altitude, including the conditions, signs, and symptoms that appear in patients at increased elevations.
This month's Q&A and Success Story shift the focus to patients who might need less care than they receive. The Q&A features an author of a recent study on the use of do-not-hospitalize orders, while the Success Story describes how one hospital has improved antibiotic stewardship by automating parts of the process.
This issue also includes features multiple examples of reader-written content, including an Expert Analysis about diagnosing pulmonary embolism and a Coding Corner of questions and answers. As always, we encourage you to submit your ideas and questions to us.