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. […]

MEdIC Series: The Case of the Overwhelmed Senior Resident

By |May 25, 2018|Categories: MEdIC series|0 Comments

Welcome to season 5, episode 8 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! This month, we present a case of a senior resident who is overwhelmed when left to manage a busy department on a night shift while his attending physician is asleep in the back room. The resident debates whether to wake his attending and ask for help, as he worries this may be a sign of [...]

MEdIC Series: The Case of the Orphaned Patient – Expert Review and Curated Community Commentary

By |May 11, 2018|Categories: MEdIC series, Professional Development|0 Comments

Our seventh case of season 5, The Case of the Orphaned Patient, presented the scenario of a junior orthopedic surgery resident rotating in the ED and receiving significant pushback when trying to transfer the care of a clinically deteriorating patient to a more appropriate service. The outcome of this pushback was a patient without a service feeling primarily responsible for further care, leaving the patient “orphaned” in the ED. 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, Eve [...]

How Competitive was Emergency Medicine in the 2018 Match? The answer might surprise you.

By |May 7, 2018|Categories: EM Match Advice, Medical Education|0 Comments

The National Residency Matching Program® (NRMP) recently published its annual Results and Data for the 2018 Main Residency Match®. How competitive was emergency medicine (EM)? Spoiler alert: not much changed! But to understand the full picture, we need to dive into the numbers, which look a lot different from last year. Below is a summary of the most pertinent results for EM, trended from 2011-2018. You will notice some striking differences in the data between the 2017 Match and the 2018 Match. […]

Confronting Stress Before and After High Acuity Shifts: A Discussion with Performance Psychologist Dr. Jason Brooks

By |Apr 30, 2018|Categories: Professional Development, Wellness, Wellness Think Tank|0 Comments

It’s almost the end of your sixth shift in a row. You are trying to finish up notes when you hear an overhead page. You find yourself in the middle of a pediatric code that has a poor outcome and you have 5 minutes to spend with the family before being pulled into another patient’s room. You have no time to address the difficult case you just encountered. As an emergency physician, this may happen on a daily basis but some cases hit closer to home. How do you recover after these shifts, and how do you prepare for the [...]

MEdIC Series: The Case of the Orphaned Patient

By |Apr 27, 2018|Categories: MEdIC series, Professional Development|0 Comments

Welcome to season 5, episode 7 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! This month, we present a case that seems to have become a more common occurrence as patient flow has increased and hospitals must function beyond capacity. The case describes a junior resident tasked with transferring the care of a clinically deteriorating patient to another service. She unfortunately receives significant pushback resulting in no primary service [...]