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MEdIC Series: The Case of the Resident at Risk – Expert Review and Curated Commentary


The Case of the Resident at Risk outlined a scenario of junior resident who is unsure of how to proceed when her senior discloses thoughts of suicide while on shift. This month, the MEdIC team (Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji and Brent Thoma), hosted a discussion around this case with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our 3 expert opinions. Thank-you to all participants for contributing to the very rich and very important discussions surrounding this case!

This follow-up post includes

  • Responses from our solicited experts:
    • Dr. Ramin Tabatabai (@tabair25) completed his training at LAC+USC and has worked in a variety of ED settings including both academic and community emergency department environments. He has previously been involved in international medicine as well as event medicine serving as an MD for large local events around Los Angeles. Now serving as an assistant residency program director at LAC+USC, his academic interests include residency wellness, clinical education, and procedural competency through his work with residents in the cadaver lab. Ramon is also Vice Chair of the CORD Resilience Committee.
    • Dr. Dimitri Papanagnou (@dmitripapa) is an Associate Professor of Emergency Medicine and Vice Chair of Education in the Department of EM at the Sidney Kimmel Medical College (SKMC) of Thomas Jefferson University (TJU). He also serves as Assistant Dean for Faculty Development at TJU; Director of the In Situ Simulation Program of TJU Hospitals; and Director of the Medical Education Fellowship Program in the Department of Emergency Medicine. His academic interests include medical education, interprofessional team training, patient safety, and professional development.
    • Dr. Gretchen Diemer (@gretchendiemer) is an Associate Professor and Vice Chair of Education for the Department of Medicine at SKMC/TJU.  She served previously as a program director for a 126 resident program but gave that up to serve in her current position of Associate Dean for GME and Affiliations at SKMC/TJU.  She graduated from University of Virginia Medical School and completed IM residency at Hospital of the University of Pennsylvania.  Her academic interests include medical education, particularly around communication skills and professionalism as well as teaching clinical reasoning.
    • Dr. Margaret Chisolm (@whole_patients) is Associate Professor and Vice Chair for Education in the Johns Hopkins Department of Psychiatry and Behavioral Sciences. She is co-author of a textbook on psychiatric evaluation and editor of a book on social media in medicine. She has written more than 70 scientific and clinical articles about substance use and other psychiatric disorders, humanistic practice, and medical education. Dr. Chisolm is a member of the Miller-Coulson Academy of Clinical Excellence and recipient of the 2014 Johns Hopkins University Alumni Association Excellence in Teaching Award, and has twice been recognized as an Arnold P. Gold Foundation Humanism Scholar.
  • A summary of insights from the ALiEM community derived from the Twitter and blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert Response 1: Suicide Prevention - Identification, Engagement and Referral (Dr. Ramin Tabatabai)
Expert Response 2: A Very Delicate Situation (Dimitrios Papanagnou and Gretchen Diemer)
Expert Response 3: More Common than You May Think: Let's Talk About Suicide (Margaret Chisolm)
Curated from the Community (Dr. Eve Purdy)

Case and Responses for Download

Click here (or on the picture below) to download the case and responses as a PDF (255 kb).

Tamara McColl, MD FRCPC MEd(c)

Tamara McColl, MD FRCPC MEd(c)

Associate Editor, ALiEM MEdIC Series
Emergency Physician, St. Boniface Hospital, WRHA
Academic Lead, Educational Scholarship
Department of Emergency Medicine
University of Manitoba
  • Karula

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