22 07, 2016

MEdIC Series: Case of the Honorary Authorship – Expert Review & Curated Commentary

By | July 22nd, 2016|MEdIC series, Medical Education|0 Comments

journal-articles-canstockphoto3359042-200x300The Case of the Honorary Authorship outlined a scenario of a senior academic scientist interacting with two more junior researchers, raising issues around publication ethics and professionalism. This month the MEdIC team (Brent Thoma, Sarah Luckett-Gatopoulos, Tamara McColl, Eve Purdy, John Eicken, and Teresa Chan), hosted a discussion around these questions with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our 2 expert opinions. Thank-you to all our participants for contributing to the very rich discussions last week.


20 07, 2016

Trick of the Trade: Tibial Intraosseous Line Stabilization in an Agitated Patient

By | July 20th, 2016|Critical Care/ Resus, Tricks of the Trade|0 Comments

Tibial intraosseous lineWith the advent of commercial intraosseous (IO) needles for vascular access, administering IV medications for patients in extremis has been made much easier. Securing the IO needle to the patient’s tibia, femur, or humerus, however, is a different story. After successful patient resuscitation, these needles often tenuously secured through creative uses of sterile gauze, trimmed paper cups, bag valve masks, and/or just tape. Stabilization of tibial IO lines can be difficult in a sedated, intubated patient. This can be even more difficult in an agitated, moving patient.


18 07, 2016

Extensor tendon injuries of the hand: Emergency Department management

By | July 18th, 2016|Expert Peer Reviewed (Clinical), Orthopedic|6 Comments

handlac-225x300You are working in the treatment area with a medical student and she is ready to review a “straightforward” case with you. She presents a young, healthy 27-year-old man with a laceration over the dorsal surface of the left hand after a kitchen mishap. It appears clean, and she doesn’t suspect a foreign body. The neurovascular status seems okay with the intact ability to extend the fingers. Her plan is to repair the wound and send the patient for follow up in 7 to 10 days with his family physician for suture removal. The wound appears superficial, but you are an astute clinician and wonder if the skin laceration might not be the only injury. Is there an associated extensor tendon injury?


16 07, 2016

I am Dr. Howard Ovens, Department Chief: How I Stay Healthy in EM

By | July 16th, 2016|Healthy in EM|0 Comments

How I Stay Healthy logoDr. Howard Ovens is an emergency physician and the Chief of the Emergency Department at Mount Sinai Hospital in Toronto. Dr. Ovens takes his personal health and wellness seriously, and is very committed to maintaining his physical fitness. No matter what the challenge or set back is, Dr. Ovens still makes it a top priority to keep his wellness in mind. Here’s how he stays healthy in EM!



12 07, 2016

Escaping Addiction with Dignity as a Medical Student

By | July 12th, 2016|Medical Education|2 Comments|Editors: Michael Gisondi, MD

drugs alcohol canstockphoto0265835“The most obvious, ubiquitous, important realities are often the ones that are the hardest to see and talk about.” –David Foster Wallace

Addiction can be a nightmare of isolation and shame, but it doesn’t have to be.

I will always remember my last night of withdraw; sitting in the busy waiting room of my training hospital. I kept thinking about what might happen if one of my EM attendings were to care for me. To see me sick, weak, and vulnerable. Nobody other than my family knew I struggled with alcohol abuse, and I was exhausted with the neverending cycle of trying to manage addiction on my own. This had to stop.


10 07, 2016

EM Match Advice: Program Directors Reflect on the 2016 Match

By | July 10th, 2016|EM Match Advice|0 Comments

EM Match advice icon

The new emergency medicine (EM) residency application season is upon us! Senior medical students are arranging away EM electives, asking for letters of recommendations, and thinking about what residency programs to apply to. But before we look forward, what lessons can we learn from the 2016 EM Residency Match? In this EM Match Advice series installment, an esteemed panel of program directors reflect on the trends, surprises, and lessons learned from the 2015-16 year.


8 07, 2016

MEdIC Case: The Case of the Honorary Authorship

By | July 8th, 2016|MEdIC series, Medical Education|14 Comments

authorship journal-articles-canstockphoto3359042-200x300Welcome to season 3, episode 9 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 the practice of academic medicine! In this month’s case a junior staff person is unsure of whether or not to include a senior staff on a paper.