National survey of hospitalists’ experiences with incidental pulmonary nodules

Craig A. Umscheid, Jonathan Wilen, Matthew Garin, Jenna D. Goldstein, Tessa S. Cook, Yulun Liu, Yong Chen, Jennifer S. Myers

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Incidental pulmonary nodules (IPNs) are common and often require follow-up. The Fleischner Society guidelines were created to support IPN management. We developed a 14-item survey to examine hospitalists’ exposure to and management of IPNs. The survey targeted attendees of the 2016 Society of Hospital Medicine (SHM) annual conference. We recruited 174 attendees. In total, 82% were identified as hospitalist physicians and 7% as advanced practice providers; 63% practiced for >5 years and 62% supervised trainees. All reported seeing ≥1 IPN case in the past six months, with 39% seeing three to five cases and 39% seeing six or more cases. Notwithstanding, 42% were unfamiliar with the Fleischner Society guidelines. When determining the IPN follow-up, 83% used radiology report recommendations, 64% consulted national or international guidelines, and 34% contacted radiologists; 34% agreed that determining the follow-up was challenging; only 15% reported availability of automated tracking systems. In conclusion, despite frequent IPN exposure, hospitalists are frequently unaware of the Fleischner Society guidelines and rely on radiologists’ recommendations.

Original languageEnglish (US)
Pages (from-to)353-356
Number of pages4
JournalJournal of hospital medicine
Issue number6
StatePublished - Jun 2019

ASJC Scopus subject areas

  • Internal Medicine
  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis


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