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IDEA Series: Building a High Fidelity Biosimulation Task Trainer for Resuscitative Hysterotomy

By |Aug 28, 2018|Categories: IDEA series, Simulation|0 Comments

The Problem The peri-mortem cesarean section, rebranded in recent years as the “Resuscitative Hysterotomy”, is a potentially lifesaving procedure for both a pregnant mother and her child. It is both daunting and infrequently performed, necessitating frequent review of indications, techniques, and pitfalls to ensure the best possible outcome for mother and baby. The decision to perform this procedure should be made only in pulseless women with a uterine fundus above the umbilicus, which indicates a gestation of >20 weeks.1,2 Prior studies suggest the procedure should be performed within 5 minutes of maternal cardiac arrest in order to maximize the probability of [...]

TLDR Book Review: “make it stick: The Science of Successful Learning”

By |Aug 21, 2018|Categories: Book Club, TLDR|Tags: |0 Comments

Bookstore shelves and Amazon lists are filled with self-help titles that promise to make you a better manager, a better parent, or a better fishmonger. But most of them suffer from the same weakness: 2 pages of good practical advice is padded with 298 pages of filler. Our new column TLDR (Too Long Didn’t Read) is a solution to what we call the McNugget Problem: trying to find the 5 bullet points of meaty goodness suspended within a mass of stale anecdotes, overcooked platitudes, and bad food analogies. Our TLDR goal is to find the critical take-aways in each book [...]

From One Medical Student to Another: 5 Tips for Research Success

By |Aug 7, 2018|Categories: Medical Education|0 Comments

One of the most challenging aspects of medical school is the sheer volume of information that must be absorbed in a short period. This can pose a problem for those interested in developing research skills and pursuing an independent project. As colleagues, we know that our inherent curiosity is satisfied by discovering new information as much as it is by learning clinical content. We believe that it is important to showcase our hard work through a formal research project, but there are systematic barriers to finding a research mentor and team. Although there are many resources to guide you on [...]

MEdIC Series: The Case of the Medication Mishap – Expert Review and Curated Community Commentary

By |Jul 20, 2018|Categories: MEdIC series|0 Comments

Our last case of season 5, The Case of the Medication Mishap, presented the scenario of a senior resident, Tim, who inadvertently administers an incorrect medication dose that leads to a serious adverse event. He then struggles with how to handle this situation as we often aren’t coached on the approach to physician errors and disclosing adverse events throughout our medical training. Physicians aren’t allowed to make mistakes, right? If you haven’t had a chance yet, we urge you to check out the case and share your thoughts on this important topic! The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, [...]

MEdIC Series: The Case of the Medication Mishap

By |Jul 6, 2018|Categories: MEdIC series|0 Comments

Welcome to season 5, episode 9 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, Eve Purdy, John Eicken, Sarah Luckett-Gatopoulos, Alkarim Velji, and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine! In our last case of the year, we present the scenario of a senior resident, Tim, who inadvertently administers an incorrect medication dose that leads to a serious adverse event. He then struggles with how to deal with this error as we often aren’t coached on situations like these throughout our training. Physicians aren’t allowed [...]

EM Fellowship Match Advice: Global Health Fellowship

By |Jul 3, 2018|Categories: EM Match Advice|0 Comments

EM Fellowship Match Advice, now its in third season, is back to put the focus on Global Health Fellowships. A panel of three outstanding fellowship directors discuss the reasons why a resident may consider advanced training in this global health, future job opportunities, and the difference in approach between some of these programs. Hosted by Drs. Michael Gisondi and Michelle Lin, watch the video Google Hangout or listen to the Soundcloud podcast to learn more about Global Health! […]

EM Match Advice: Program Directors Reflect on the 2018 Match

By |Jun 19, 2018|Categories: EM Match Advice|0 Comments

A new academic year is upon us! Across the country, emergency medicine interns are orienting to their new hospitals and preparing for their first day as “doctor.” But before we look forward, what lessons can we learn from 2018 EM Residency Match cycle? In this EM Match Advice series installment, Dr. Michael Gisondi (Stanford), Dr. Michelle Lin (UCSF), and an esteemed panel of program directors discuss how competitive EM was in 2018, the standardized video interview, and the number of programs an average applicant should apply to this year. Bonus: we introduce the Lin-Gisondi correction factor, a (mostly facetious) tool to [...]

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MEdIC Series: The Case of the Overwhelmed Senior Resident – Expert Review and Curated Community Commentary

By |Jun 15, 2018|Categories: MEdIC series|0 Comments

Our eighth case of season 5, The Case of the Overwhelmed Senior Resident, presented the scenario of a senior resident who felt overwhelmed when left to manage the department on a busy night shift while his attending physician was asleep in the back room. The resident debated whether to wake his attending to ask for help, but worried that it could be perceived as a sign of weakness or that he couldn’t “handle things” with autonomy. If you haven’t had a chance yet, we urge you to check out the case and share your thoughts on this important topic! The MEdIC [...]

IDEA Series: Implementing an Integrative Longitudinal Online Ultrasound Curriculum

By |Jun 10, 2018|Categories: IDEA series, Ultrasound|0 Comments

The Problem Emergency ultrasound (EUS) has quickly become a fundamental aspect of emergency medicine (EM) residency training. While still relatively novel to the field, there has been a significant focus on curriculum development in accordance with the core ultrasound application guidelines set forth by the American College of Emergency Physicians (ACEP).1 Currently, there is no consensus on the optimal approach to EUS education that will provide learners with true clinical competence post-matriculation. Furthermore, a recent survey demonstrated that there is conflict between what ACEP guidelines consider to be competence in EUS and resident opinion on the matter.2 One potential identified [...]

IDEA Series | Chopped EM: A ‘Palatable’ Way to Teach a Challenging Topic to EM Residents

By |Jun 3, 2018|Categories: IDEA series|0 Comments

The Problem Psychiatric and substance use disorder complaints comprise up to 12% of all Emergency Department (ED) visits.1–3 These conditions can present in a multitude of ways, making it essential for emergency physicians (EPs) to be aware of nuanced diagnostic characteristics of psychiatric illnesses in order to provide timely and appropriate care for these patients. […]