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Prep for IM Inpatient Recertification the easy way! Spark's comprehensive, continuously updated questions ensure you have the confidence you need for a stress-free exam, whether you choose the LKA or 10 year.
14
 134.5 CME available  134.5 ABIM-MOC available  134.5 Participation available
Move beyond basic scanning by building a portfolio of specific images for faculty review and master technique through expert-guided curation. The Image Portfolio isn't just practice—it's personalized feedback to ensure you acquire and retain the advanced skills needed for high-quality, diagnostic-level image acquisition every time.
4
 17 CME available  17 ABIM-MOC available  17 Participation available
Bedside decisions can’t wait. In this case-based, hospitalist-focused course, develop a rapid, structured approach to oncologic emergencies—stabilization first, then disease context—using location, pace, and patient factors to set urgency. Describe stepwise care for hypercalcemia, recognize immune-related toxicities, identify visceral crisis, and construct plans for malignant spinal cord compression to improve outcomes.
On-Demand
 1 CME available  1 ABIM-MOC available  1 Participation available
Bedside decisions in the fentanyl era can make or break a hospitalization. This rapid update helps you manage withdrawal with person‑first communication and assessment that goes beyond COWS by explicitly evaluating cravings, applying fentanyl pharmacology for safe timing and dosing. Use stepwise protocols to dose short‑acting full‑agonists with IV rescue, escalate methadone, or initiate low‑dose buprenorphine—within legal guardrails—to keep patients in care and cut self‑directed discharges.
On-Demand
 1 CME available  1 Participation available
Rounds move fast; pain relief should keep pace. Through realistic, on‑demand cases, hospitalists will learn to design multimodal analgesia, use opioids safely, and set expectations from admission to discharge. You’ll manage chronic therapy, sickle cell crises, and cancer pain with precise titration, apply a strong non‑opioid toolbox, then plan safer home regimens with brief tapers, harm reduction, naloxone, and MOUD—sharpening prescribing and outcomes across the ward.
On-Demand
 0.75 CME available  0.75 ABIM-MOC available  0.75 Participation available
Learn to tackle two of the most legally and ethically fraught moments in hospital medicine--patient-directed discharges and administrative discharges--and turn them into a clear, evidence-based playbook you can actually use at the bedside. The session walks through using capacity assessments, care expectation plans, and documentation strategies that protect both your patients and your team from real malpractice and safety risks. If you've ever felt stuck between respecting autonomy and ensuring safe care, this session gives you the framework to handle these discharges with confidence, compassion, and legal soundness.
On-Demand
 0.25 CME available  0.25 Participation available

Nearly half of hospitalized patients experience emotional distress, and escalating aggression is a reality every healthcare worker will face. Most of us have never received formal training in how to respond. This presentation delivers evidence-based de-escalation techniques, communication frameworks, and boundary-setting strategies that protect both patient dignity and staff safety. You'll walk away with practical tools, from early warning sign recognition to documentation best practices, that you can apply in your very next challenging encounter.
On-Demand
 0.25 CME available  0.25 Participation available
This session cracks open the financial and documentation realities every hospitalist needs but is rarely taught, from the real dollar gap between observation and inpatient status to the myths around the 2-midnight and 3-midnight rules. We translate dense concepts like CMI, DRG, GMLOS, SOI/ROM, and CC/MCC capture into practical bedside habits that protect reimbursement, boost quality scores, and shorten length of stay. 
On-Demand
 0.25 CME available  0.25 Participation available
Reputation isn’t accidental—rating systems quietly steer referrals, contracts, and reimbursement. This session explains why external metrics matter even when patients rarely read them, and reviews USNWR, Leapfrog, CMS Stars, Vizient, Joint Commission, and state/specialty programs. You'll learn how documentation shapes scores and leave ready to influence results ethically and ensure excellent care is reflected. 
On-Demand
 0.25 CME available  0.25 Participation available
Rounds run cleaner when physicians and APPs operate as one team. In this course, you’ll understand APP training and scopes and discuss how to collaborate and design workflows that fit real hospital practice—skills that synthesize into smoother care and greater efficiency to improve patient outcomes. 
On-Demand
 0.25 CME available  0.25 Participation available
Precision starts at the bedside: learn to bill time-based hospital visits, code CPT for what you did, and document ICD‑10 for why it mattered. Connect provider billing to RVUs and determine DRGs from principal diagnoses, then evaluate scenarios to apply clean, defensible notes. By the end, you’ll design a workflow that reduces denials and elevates both compensation and patient care.
On-Demand
 0.25 CME available  0.25 Participation available
Picture rounding notes that actually pay off. In part two of billing and coding tips for hospitalists, you’ll address MDM versus time-based billing, review what counts in inpatient and observation care, rate problem complexity and risk, determine when documentation supports the most appropriate billing choice, and code confidently through a case you can apply tomorrow. 
On-Demand
 0.25 CME available  0.25 Participation available
Interested in becoming a better consult attending? Dr. Alfred Burger distills decades of evidence into a tight playbook of necessary skills and tips. If you're a hospitalist, resident, or anyone who consults or gets consulted, this is the brief masterclass that will sharpen how you practice tomorrow.
On-Demand
 0.25 CME available  0.25 Participation available
Skin speaks fast at the bedside. In this rapid, morphology-first update, you'll synthesize cutaneous clues and timing cues to the Gell and Coombs spectrum, then triage "sick vs not sick" with confidence. Spot SJS/TEN early, differentiate vasculitis from vasculopathy, identify invasive fungal or necrotizing threats, and recognize pyoderma gangrenosum—then apply targeted next steps for safer, faster hospital decisions.
On-Demand
 1 ABIM-MOC available  1 CME available  1 Participation available
Stress hyperglycemia turns routine admissions risky; transform that risk into reliable care. In this rapid update, recognize how inpatient glucose drives infections, ICU use, and length of stay, then apply evidence from landmark trials and ADA standards to design safer targets and replace sliding-scale with basal-based regimens. Master steroid and nutrition scenarios, avoid high-risk agents, consider modern adjuncts, and finish with a discharge playbook and a look to inpatient CGM.
On-Demand
 1 CME available  1 Participation available
Fentanyl-era surgery demands sharper perioperative pain plans—do yours align with MOUD best practice? In this on-demand session, continue or initiate buprenorphine, including microinduction, then apply multimodal and regional analgesia (ketamine, lidocaine, nerve blocks) to reduce tolerance and hyperalgesia. Evaluate algorithms for methadone and naltrexone, treat withdrawal quickly, and enhance team workflows that carry inpatient starts into durable outpatient care.
On-Demand
 0.75 CME available  0.75 ABIM-MOC available  0.75 Participation available
Measurable well-being, not slogans. Hospitalists and clinical leaders explore current burnout science and discuss high-impact drivers, then learn to apply SHM’s Well-being Toolkit across clinician, team, and system levels; implement RISE, gratitude handoffs, and safe listening sessions; and measure results with NAM metrics, leaving with a ready-to-use plan that improves retention, performance, and patient outcomes.
On-Demand
 1 CME available  1 Participation available
Rethink inpatient analgesia with a case-based, protocol-driven deep dive into sub‑anesthetic ketamine. Apply mechanisms that matter to transform care, use PK to design dependable dosing, and deliver rapid relief with fewer opioids. Manage psychomimetic and cardiovascular effects safely, and align teams on policies, order sets, and ICU‑to‑ward workflows to accelerate recovery in acute and cancer‑related pain.
On-Demand
 0.75 CME available  0.75 ABIM-MOC available  0.75 Participation available
When stakes are high, even routine encounters can derail. In this clinician-led session, develop a practical framework for why conflicts arise, understand how illness shapes behaviors, and list key physician, patient, and family factors. Identify effective responses and describe system-level fixes that align teams with patients and families—so you reduce escalations, strengthen trust, and deliver calmer, safer care.
On-Demand
 1 CME available  1 Participation available
Clinicians meeting a patient curled by tumor pain need speed and precision. In this on‑demand, case‑driven training, you identify opioid‑naïve vs tolerant, profile nociceptive vs neuropathic patterns, and perform targeted exams that drive therapy; then choose agents, routes, and doses using clear frameworks and bedside algorithms. Apply a five‑step PCA method, preempt side effects, execute confident conversions including fentanyl/methadone, and deliver reproducible relief on your next shift.
On-Demand
 0.75 CME available  0.75 ABIM-MOC available  0.75 Participation available
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