Deception and Simulation
Have you ever created a simulation case with hidden objectives that the learners were not aware of? Would you ever purposefully try to trick or deceive learners in a simulation case? Simulation can be used to reinforce clinical and procedural knowledge. It can teach important teamwork skills. It can also be used to learn about ourselves in morally and ethically challenging situations. [+]
App Review: EMRA Basics of Emergency Medicine
The app EMRA Basics of Emergency Medicine covers the 20 most common EM complaints in a concise manner. I first heard about it from Dr. Rob Orman’s (@emergencypdx) podcast (ERCast) where he endorsed it when it was only in book format. The book is great, thin, and it fits in a white coat pocket. Here is an in-depth review of the app. [+]
Death and Simulation
Should the manikin ever die in a simulation scenario? Effective simulations require suspension of disbelief and willingness by learners to play along with the game created by the facilitators. Without this buy-in, learners could argue against discrepancies, simply on the basis that the scenario is not real. Learners give their trust that the educators will also play the same game, and that the rules will not change. [+]
Coping with Simulation Case Derailment
The simulation scenario starts and things are going well. The learners are on their game. Instability – recognized, managed. Initial orders – done. And then it all falls apart. We’ve all been there. [+]
Learning Information Management instead of Evidence Based Medicine?
Keeping up with the literature these days is quite a daunting task. Medical information has increased exponentially over the past few decades and continues to do so. We spend a great deal of time and energy memorizing information which soon may become obsolete (see excerpt from the book The Half-Life of Facts by Arbesman). Expecting physicians to keep a busy practice AND keep up with all the most current literature is impractical. By the time textbooks are published, the information is already a few years old and this puts us at risk of not practicing the most up to date [+]
Poll: Disability Insurance – Yes or No?
I am set to graduate residency this June 2013 and among all the other things on my to-do list such as credentialing paperwork for my future employer is to explore disability insurance. Because I know very little about insurance, I decided to do some research. What is disability insurance? Why should I get it? Do I need it as a physician? Do I need it as an emergency physician? Take a poll and see the crowd-sourced results… [+]
Sim Case Series: Perimortem C-Section
Case Writer: Clare Desmond, MD Peer Reviewer and Editor: Nikita Joshi, MD Keywords: Cardiac arrest, Perimortem C-section [+]
Sim Case Series: Incorporating ABEM Milestones
In this week’s simulation case, you will notice the addition of a table which is a description of ABEM Milestone #9 – General approach to Procedures (PC9). I created this table after attending a workshop from Dr. Danielle Hart (Assistant Residency Director and Director of Simulation at Hennepin County Medical Center). During the 2013 CORD assembly in Denver, Dr. Hart held a session in which she described a novel method by which to incorporate the ABEM milestones into simulation cases. This would accomplish two things: Provide an evaluation tool for the learners Easily incorporate milestones to evaluate residents [+]
Be a great speaker: 10 practical pearls (part 5 of 5)
For the CORD Distinguished Educator’s Coaching Program, Dr. Gus Garmel has kindly offered to share his top 50 points to improve one’s speaking skills. These tips are great for anyone who plans to do public speaking. Thus far, this “be a great speaker” series has reviewed 40 pearls. [+]
10 Tips to Success as a Junior Faculty in Academic Medicine
As I am getting into my 3rd year of practice as a faculty in Emergency Medicine and Internal Medicine, I have begun to wish I had a better framework for success in academic medicine. Currently, almost on a daily basis, I have to answer about 100 emails, decide if I want to be on different committees, develop curricula, give lectures, do research, work clinically, mentor residents/medical students, and have a work-life balance. Does this sound familiar, and at the same time overwhelming? Recently I read several articles on this very topic and thought maybe I would give some perspective on [+]

