60-Second Soapbox: New podcast series featuring Drs. Lin, Riddell, Shaikh

aliem_soapboxWe are excited to announce our new podcast series, 60-Second Soapbox! Each episode, one lucky individual gets exactly 1 whole minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. Don’t worry if your are microphone-shy. We will carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!

The first 3 episodes feature ALiEM team members Drs. Michelle Lin, Sam Shaikh, and Jeff Riddell. There are a few extra tagged individuals to help get things rolling. If you like these, subscribe using any of these podcast options:

 

Dr. Michelle Lin
Editor-in-Chief, ALiEM
UCSF Academy Endowed Chair in Emergency Medicine Education


#FutureSoapboxChallenge

  • Mike Abernethy
  • Kavita Babu
  • Shawna Bellew
  • Tom Bouthillet
  • Mike Callaham
  • Rich Cantor
  • Kristopher Maday
  • Amal Mattu
  • Ryan Radecki
  • Damian Roland
  • Ian Stiell
  • Mike Stone
  • Rob Vissers
  • The ALiEM Editorial Team

References

1.
Gupta K, Hooton T, Naber K, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103-20. [PubMed]

shaikh_circle2

Dr. Sam Shaikh
Editor, 60-Second Soapbox
Chief Resident – DMC Sinai-Grace


#FutureSoapboxChallenge

  • Gloria Kuhn
  • Brian O’Neil
  • Mark Favot
  • Bram Dolcourt
  • Anne Messman
  • Prashant Mahajan
  • Andrew King
  • Tamara Augustine

References

1.
Esposito T, Ingraham A, Luchette F, et al. Reasons to omit digital rectal exam in trauma patients: no fingers, no rectum, no useful additional information. J Trauma. 2005;59(6):1314-1319. [PubMed]
2.
Shlamovitz G, Mower W, Bergman J, et al. Poor test characteristics for the digital rectal examination in trauma patients. Ann Emerg Med. 2007;50(1):25-33, 33.e1. [PubMed]

Dr. Jeff Riddell
Editor, Diagnose on Sight series
Medical Education Fellow, University of Washington


#FutureSoapboxChallenge

  • Kenny Banh
  • Fiona Gallahue
  • Stuart Swadron

References

1.
Park S, Lee S, Chen Y. The effects of EMR deployment on doctors’ work practices: a qualitative study in the emergency department of a teaching hospital. Int J Med Inform. 2012;81(3):204-217. [PubMed]
2.
Neri P, Redden L, Poole S, et al. Emergency medicine resident physicians’ perceptions of electronic documentation and workflow: a mixed methods study. Appl Clin Inform. 2015;6(1):27-41. [PubMed]
Sam Shaikh, DO

Sam Shaikh, DO

Editor, 60-Second Soapbox series
Assistant Clinical Professor, Rocky Vista University
Clinical Instructor, University of Colorado School of Medicine
2014-15 ALiEM-CORD Social Media and Digital Scholarship Fellow
  • M. Doug McGuff, MD, FAAEM

    Why do we always say “EMR is not going away anytime soon”. Why is this a foregone conclusion? In the age of EBM it would be all too easy to accumulate the data for why this is bad for patients….you even cited statistics for why this is so. Why can’t we make this a public outcry over what really is a public health crisis. We need to organize and just say NO. Academic centers should be leading the charge on this.

    • jeff riddell

      You make a good point and I appreciate you challenging the assumption. It is hard in 60 seconds to get into the pro/con of the EMR when the point was to focus on teaching, but I’m glad you commented. I focused on the teaching aspect because that is what I know. The EMR has been really hard on education.

      That being said there may be other benefits to the EMR that are above my pay-grade. The reason I said EMR isn’t going away soon is because that is the answer I’ve been given over and over again by leadership when challenging the almighty EMR. And by “soon” I left us the option to slowly chip away at it.

      I don’t see the entire big picture of the EMR, but from an education stand-point we need to figure out how to restore what we know works while producing data that will guide us going forward. If the data shows EMR is bad for patients and learners, then I will be the first to join the revolution.

      • M. Doug McGuff, MD

        Dr. Riddell,

        Thanks for your thoughtful reply, but especially thanks for your soapbox rant. You may be too young to have actually experienced the utter joy of voice dictation and the ability to generate a comprehensive chart in 30-60 seconds. This actually left time for face to face interactions with patients as well as serial exams that often allowed avoidance of excess testing. It also allowed more bedside teaching. I can personally attest that I learned the most when an attending listened to me present and then had me observe while he/she carried out their own H&P as I observed.

        All of this is definitely above all of our pay grades as it was born out of political action groups lobbying Congressmen and Senate subcommittees in order to secure for themselves a requirement that their technology be used by every hospital and practice in this country (or be financially penalized). Given that most residencies are CMS funded and the majority of hospital revenue comes from CMS I don’t see hospital “leadership” offering any help in this fight, especially since so many of their jobs involve administering the inputs and analyzing the outputs of these systems.

        The way to chip away at this problem is to the kind of evidence-based studies which you cite in your 60 second soap box. I believe that it is pretty self evident that spending 65% of a clinical shift in front of a computer is not good for patients or learners. As it stands, the only way to restore what works involves staying 2-3 hours after your shift to finish your charts.

  • Tim Davie

    Is there a way to subscribe using a different podcatcher (e.g., iTunes, Pocket Casts)? Would love to follow along but don’t want to have to download a new app (SoundCloud). Thanks!