• Closed Door

Article Review: Premature diagnostic closure

By |Jul 26, 2010|Categories: Education Articles, Medical Education|0 Comments

You are taking care of a patient, who frequently presents to the ED for polysubstance use. You are pretty sure his altered mental status is from polysubstance use again. He was found in his home next to drug paraphernalia. He intermittently becomes severely agitated, and so you give him sedatives. He has a low-grade fever, but you attribute that to his psychomotor agitation and likely stimulant use. Because he remains confused and lethargic after 8 hours, you admit him to an inpatient team to await further metabolism of his recreational drugs and your sedation medications.  The next day, you learn [+]

How to teach procedures in the Emergency Department

By |Jul 15, 2010|Categories: Medical Education|Tags: |0 Comments

As I was going through the free EM-RAP Educator’s Edition podcasts, somehow missed the March 2010 podcast on how to teach procedures in the Emergency Department. In the 36-minute podcast, Dr. Mak Moayedi (Univ of Maryland) discusses a framework to teaching procedures. Check it out. More specifically, Dr. Moayedi talks about how teaching procedures has moved beyond the antiquated “see one, do one, teach one” philosophy. Instead, we should follow principles based on accepted adult learning theories. [+]

  • Baton Handoff

Video: Caution about patient hand-offs in the ED

By |Jul 1, 2010|Categories: Medical Education|Tags: |0 Comments

Kudos to Dr. Vineet Arora (Univ of Chicago) on creating a great video on the importance of clear, concise, and updated hand-off information on patients. This is especially important in the Emergency Department where patients are constantly being “signed out” to other residents for continued acute care. Whatever hand-off process you are using now, we can always do better. [+]

  • Grades

Article Review: Evaluating students using RIME method

By |Jun 28, 2010|Categories: Education Articles, Medical Education|Tags: |1 Comment

How do evaluate medical students and residents, who are rotating through your Emergency Department? Do you have a structured framework for assessing their competencies? Have you heard of the RIME method of evaluating learners on their clinical rotation? Dr. Lou Pangaro (Vice Chair for Educational Programs in the Dept of Medicine at the Uniformed Services University) published a landmark article in 1999 on his simple yet effective approach in evaluating medical students and residents. I had the pleasure of briefly meeting Dr. Pangaro when he gave CDEM’s keynote speech in 2008.  [+]

  • CPR animation

Article Review: Impact of family presence in a code

By |Jun 21, 2010|Categories: Medical Education|0 Comments

Family presence in the ED resuscitation of a dying patient is a controversial topic. Some surveys suggest that families favor this practice and would repeat it again in a similar situation. An article in Critical Care Medicine examines the impact of family presence on the ED personnel’s actions, rather than the impact on the families themselves. Second and third-year EM residents were randomized into paired teams in simulation exercises. All resuscitations involved a cardiac arrest patient. Each team was exposed to one of three types of resuscitation groups: No family witness Non-obstructive family witness (quiet person) – quiet crying and [+]

  • Reflection

Article Review: Conceptual Model on Learner Reflection

By |Jun 7, 2010|Categories: Education Articles, Medical Education|0 Comments

Reflective journals and electronic portfolios are becoming increasingly popular within undergraduate and graduate medical education. I’m starting to be a believer in this learning approach, which teaches learners about professional development and life-long learning principles. Academic Medicine just published a great qualitative paper proposing a conceptual model for reflection. [+]

SAEM 2010 (June 2-6, 2010)

By |Jun 1, 2010|Categories: Medical Education|Tags: , |0 Comments

The Society of Academic Emergency Medicine’s (SAEM) annual meeting starts this week. Instead of my regular posts, I thought I’d try using the Twitter widget to post real-time, first-hand accounts and photos from the conference. SAEM is a very dynamic and productive conference, where academicians in Emergency Medicine meet to pow-wow about the future of our specialty. [+]