This spring was a busy time for those who like to collect their hospital medicine education in person. Our last issue brought updates from Hospital Medicine 2018 in Orlando, Fla., and in this issue, we cover ACP's own Internal Medicine Meeting 2018, which took place in New Orleans from April 19 to 21. There was much fun had and knowledge gained, so read on to share in both (although mostly the latter, since the former is hard to transmit with the written word—sorry!).
Our coverage starts with advice on how to modernize an old standby of hospital practice: the morbidity and mortality conference. The concept might seem outdated, but our article explains how with a few tweaks, these meetings can achieve goals of contemporary hospitalist practice, such as quality improvement (QI). Speaking of QI, another article in this issue focuses specifically on how to do it well, with tips from internists who've led large projects. One target for such a project might be your hospital's medication reconciliation process. If so, learn the components of a “med rec” bundle that has worked for some hospitals. Unsurprisingly, it involves improving multidisciplinary collaboration, which is also key to effective orthopedic comanagement, the focus of another article. Finally, gain expertise on treating delirium, starting with interventions as simple as having the clock set at the correct time!
This month's Coding Corner covers another condition common among hospitalized elders—dementia. The Brief Case section reports some less typical diagnoses, including medication-associated microscopic colitis and Brugada syndrome from the University of Wisconsin and a case of leptospirosis seen at a hospital in Puerto Rico after Hurricane Maria. Submit your own cases with an email.