29 04, 2016


By |April 29th, 2016|MEdIC series|0 Comments

MEdICYear2BookCoverThe ALiEM Medical Education in Cases (MEdIC) Series has been a regular feature of our website for almost 3 years.  It has been previously featured as a Top 5 What Works abstract at the International Conference on Residency Education in 2014. At the time of our ICRE presentation, we presented our free e-book of our first years’ cases.  Now, it’s time for our second edition.


27 04, 2016

Synthetic cannabinoid use reaches new heights: K2 is not just a mountain on the China-Pakistan boarder

By |April 27th, 2016|Tox & Medications|0 Comments

K2You are working a shift in the emergency department, and you hear the ambulance sirens. EMS is bringing you two patients, friends from a nearby shelter. Per report, the two men were “smoking drugs” together outside of the shelter. Bystanders noted that the 29-year-old man became increasingly agitated, shouting, banging on the door, and threatening his other shelter mates, while the other, a 50-year-old man, laid down on the sidewalk. EMS also reports picking up these patients in an area known for high “K2” use.


26 04, 2016

Did the Affordable Care Act actually reduce ED visits as politicians promised?

By |April 26th, 2016|Public Policy|0 Comments


The Affordable Care Act (ACA) was supposed to expand coverage to the uninsured and many politicians claimed this would result in lower use of “expensive emergency rooms” for the treatment of patients’ acute complaints. Ignore, for the moment, the controversy about whether or not the emergency department (ED) is an expensive or appropriate place for patients to seek care. A new survey [PDF] from the Center for Disease Control and Prevention (CDC), asked the question: Did the ACA actually reduce ED visits as politicians promised [1]?


25 04, 2016

Top 10 Educational Initiatives from the Chief Resident Incubator

By |April 25th, 2016|Incubator, Medical Education|0 Comments

crincubator_logoThe 2015-2016 academic year was a revolutionary one for EM chief residents across the country. ALiEM introduced the Chief Resident Incubator, known colloquially as the CRincubator, which for the first time brought together in one virtual space chief residents from EM programs coast to coast. The inaugural class used this opportunity to meet with mentors in EM, discuss difficult situations of being chief residents, and collaborate on projects in areas of education, wellness/public health, leadership and administration. As the academic year comes to an end we want to highlight the top 10 projects that were accomplished by chiefs involved in the CRincubator.


23 04, 2016

I am Dr. Masashi Rotte, Emergency Physician and Assistant Professor: How I Stay Healthy in EM

By |April 23rd, 2016|Healthy in EM|0 Comments

How I Stay Healthy logoDr. Rotte is an emergency physician currently practicing in New York. His passion for traveling, love of hiking, and commitment to eating right are some of his secrets on how he maintains wellness. Dr. Rotte shares how he is able to get away, travel, and stay well, while keeping up with his work demands. We could all use a little of Dr. Rotte’s passion for life long learning! Here is how he stays healthy in EM!



22 04, 2016

MEdIC Series: The Case of the Fibbing First Year

By |April 22nd, 2016|MEdIC series|13 Comments

Welcome to season 3, episode 7 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Brent Thoma, Sarah Luckett-Gatopoulos, Tamara McColl, Eve Purdy, John Eicken, and Teresa Chan) is pleased to welcome you to our online community of practice where we discuss difficult medical education cases each month. As usual, the community discussion will be reviewed using qualitative research methods to produce a curated summary that will be combined with two expert responses to create a functional teaching resource.

This month’s case dives into the truth omitting or fibbing resident. Why do some learners lie and how should staff respond?


21 04, 2016

Ultrasound For the Win! Case – 43-year-old Man with Syncope #US4TW

By |April 21st, 2016|Cardiovascular, Ultrasound|6 Comments

Ultrasound-For-The-WinWelcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In this case, a 43-year-old man presents to the Emergency Department after a syncopal episode.