Anticoagulant Reversal in Hemorrhagic Stroke
Acute management of cerebrovascular accidents can be challenging enough, but questions about anticoagulant reversal in the setting of hemorrhagic stroke add another layer of complexity. The ACEP E-QUAL Network podcast, a partnership with ALiEM to promote clinical practice improvements, reviewed this topic with Dr. Joshua Goldstein (Massachusetts General Hospital, Harvard Medical School). Dr. Goldstein addressed common anticoagulants and their reversal agents, summarizing available literature to inform clinical practice. We present highlights from this discussion with Dr. Jason Woods. What is the goal of anticoagulant reversal? Since it is impossible to go back in time to prevent intracranial hemorrhage (ICH), the [+]
How I Work Smarter: Geoff Comp, DO
One word that best describes how you work? Deliberate Current mobile device iPhone 7 Computer MacBook Pro What is something you are working on now? I am working on a series of EM department recommendations for the treatment of various environmental conditions, including heat associated injury and hypothermia, with multiple residents interested in wilderness medicine. How did you come up with this Idea/Project? Like all great projects, these were developed while chatting about interests over beers! We reviewed current recommendations from various sources during a wilderness medicine interest group meeting and discovered the department does not have official guidelines [+]
EM Match Advice: Residency Virtual Interviews in the COVID-19 Era
Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features program directors from esteemed residency programs on all things related to virtual residency interviews. [+]
How I Work Smarter: Meenal Sharkey, MD
One word that best describes how you work? Thoroughly Current mobile device iPhone 11 -- my whole life runs because of this phone! Computer MacBook Pro -- thank goodness for the iCloud that syncs my calendars, notes, and texts What is something you are working on now? Just finished the Grounded in EM curriculum and am now creating a Grand Rounds for Evidence-Based Medicine for Sepsis. One of my weaknesses is public speaking and also evidence-based medicine presentations. I like the concept of sepsis in general, so I picked this topic on purpose. It combined a topic I enjoy and [+]
IDEA Series: 3D-printed pediatric lumbar puncture trainer
Pediatric lumbar puncture trainers are less available than adult trainers; most are the newborn size and quite expensive. Due to age-based practice patterns for fever diagnostic testing, most pediatric lumbar punctures are performed on young infants, and residents have fewer opportunities to perform lumbar punctures on older children.1 Adult lumbar puncture trainers have been created using a 3D-printed spine and ballistics gel, which allows for ultrasound guidance.2 No previous model has been described for pediatric lumbar puncture. [+]
Announcing ERLI and the Education Research Consult Service: Education scholarship is hard, so let us help you
Are you a medical education fellow or budding educator-scholar struggling with ideating, designing, or conducting your education research study? Conducting and publishing education scholarship is incredibly challenging with unique considerations that are different from other forms of research. We are thrilled to announce the ALiEM Education Research Lab and Incubator (ERLI), led by the ERLI Chief Academic Officer Dr. Simiao Li-Sauerwine from The Ohio State University. [+]
EM Match Advice: Administration Fellowship
The EM Administration Fellowship serves to train residents desiring to pursue a leadership position in departments and hospital systems. Many graduates become department chairs and medical directors. Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features fellowship directors from around the country discussing the who, what, when, and why of the fellowship. [+]
A Recipe for Success: Virtual Alternatives to Residency Pre-Interview Receptions
The COVID-19 pandemic forced sweeping changes to graduate medical education over the last several months, and as we plan for the new academic year, it is clear that residency recruitment will fundamentally change as well. The Association of American Medical Colleges (AAMC) released a position statement encouraging medical school, residency, and faculty interviews to be held virtually [1]. While there is precedent for holding residency and fellowship interviews online [2-4], these new circumstances present significant challenges for applicants and residency programs alike. One important change will be the loss of the pre-interview reception. Information exchange between students and residents over [+]
The Leader’s Library: The Power of Moments | Sign Up for the Book Club
Thus far, 2020 has been a year of catastrophic events, some surprising and others disappointingly predictable, and many people are struggling to navigate the chaos, to grasp at some semblance of a routine in the face of an unpredictable near future. Time has become a blur, a coalescence of unremarkable (yet unprecedented) moments. What if we have the possibility to intentionally create these moments, for ourselves and those around us? What if, by reframing the way we view memory, experience, and time, we could be the powerful author of our own moments? [+]
HOT OFF THE PRESS: Free ALiEM MEdIC Series Book – Volume 5
This is a bittersweet moment for the MEdIC Editorial team – the launch of our 5th and final volume of our Medical Education in Cases ebook. We are very excited to showcase the compilation of our final season and hope that it serves you well as you all look to expand your online learning and teaching resources during this incredible time in medical history. We hope that you, your colleagues, and the greater FOAMed community enjoy this collaborative collection of high-quality cases and curated online commentary centered on educational, ethical, and professionalism-based quandaries. Your support, contributions, and enthusiasm for the [+]