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MEdIC Series: Case of the Solo Senior – Expert Review and Curated Community Commentary


The Case of the Solo Senior outlined a scenario of an emergency attending who questioned the common consultant call-etiquette of not activating back-up call, whether that be another resident or the attending physician, on a busy call shift when the “solo senior” is obviously overwhelmed. 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 expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case!

This follow-up post includes

  • Responses from our solicited experts:
    • Dr. Lindsay Melvin (@LMelvinMD) is a General Internist at the University Health Network in Toronto, Canada. She recently completed her General Internal Medicine subspecialty training at the University of Toronto after finishing her core residency at McMaster University. Lindsay also recently completed her Masters of Health Professions Education at Maastricht University. Her academic interests include workplace-based learning, resident assessment and technology in learning.
    • Dr. Alim Pardhan (@AlimPardhan) is an Emergency Physician at the Hamilton Health Sciences and McMaster Children’s Hospital in Hamilton, Ontario. He is the Program Director of the McMaster University’s Royal College training program in Emergency Medicine and is the physician site lead for the Hamilton General Hospital Emergency Department. Alim graduated from the University of Manitoba Medical School and completed his residency in Emergency Medicine at McMaster. He subsequently completed an MBA at the Richard Ivey School of Business. His interests include medical education, physician leadership and hospital administration.
  • 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: A Complicated Interplay Between Autonomy, Supervision, Trust, and the Hidden Curriculum (Dr. Lindsay Melvin)
Expert Response 2: Prioritizing Patients First (Dr. Alim Pardhan)
Curated from the Community (Dr. Alkarim Velji)

Case and Responses for Download

Click here (or on the picture below) to download the case and responses as a PDF (299 kb).

Tamara McColl, MD FRCPC

Tamara McColl, MD FRCPC

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