Article review: SAEM Tests

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

This is is a great look back at how SAEM Tests were developed and now used by EM clerkships across the country. Because EM does not have a National Board of Medical Examiners shelf exam, a tremendous effort was made by the authors to create a set of validated questions for clerkship directors to use. Specifically point serial correlation coefficients (range -1 to +1) were calculated for each question. A high coefficient means a high correlation between the performance on the individual test question and the performance on the overall test. After rewriting 25% of the test questions because of [+]

  • EB Medicine

Hot off the press: Free EM Practice articles

By |Feb 25, 2010|Categories: Medical Education|0 Comments

Thanks to EB Medicine, “Emergency Medicine Practice” articles from 2007 and earlier are now free! This series is a well-written and practical evidence-based review resource for EM physicians. It’s a great place to start reading about bread-and-butter EM content, especially for medical students and junior residents. There haven’t been too much change in the past 3 years on many of the topics. [+]

  • Journal Club

Trick of the trade: Spicing up your evidence-based lecture

By |Feb 24, 2010|Categories: Medical Education, Tricks of the Trade|0 Comments

Before I start creating a new talk, I ask myself 3 questions: Who will be in the audience? How can I make my talk more worthwhile to audience members, beyond their just reading the material/handout/articles on their own? Am I giving a talk before or after Dr. Amal Mattu? If so, just be resigned to being second-best. [+]

  • GlideScope

Article review: Glidescope success in difficult airway simulation

By |Feb 8, 2010|Categories: Education Articles, Medical Education|Tags: |12 Comments

Since our department got a Glidescope, it has rapidly become a go-to difficult airway adjunct when intubating patients in the ED. Note: I have no financial ties to Glidescope. This education article Sim Healthcare is a head-to-head comparison between video laryngoscopy (VL) versus direct laryngoscopy (DL) in a difficult airway simulation model. In this prospective, convenience sample of EM attendings and residents who were all novice operators of VL, the subjects were asked intubate 3 types of mannequin scenarios using a Macintosh curve laryngoscope for DL and a Glidescope for VL. [+]

Article review: Feedback in the Emergency Department

By |Jan 18, 2010|Categories: Education Articles, Medical Education|Tags: |0 Comments

Feedback is important in teaching and learning. I am constantly surprised by medical student and resident comments that they rarely receive feedback. In contrast, seemingly on every shift, I hear faculty giving little nuggets of feedback - during the oral presentation, during the resuscitation, after a difficult interaction, etc. There must be some disconnect. This multi-institutional, survey-based, observational study at 17 EM residency programs asked attending physicians and residents about feedback in the ED. The primary outcome measure was overall satisfaction with feedback. Results The response rate was 71% for attendings (373/525) and 60% for residents (356/596). Side note: Survey [+]

  • Apples

Article review: Conference attendance ≠ better test scores

By |Jan 11, 2010|Categories: Medical Education|Tags: |0 Comments

Not all learners should be expected to have the same learning style. This is exemplified in a recent multicenter study, which addresses whether attendance at weekly residency conferences correlates with a better in-service training examination (ITE) score. The ITE score was used as an outcome measure, because it correlates with the resident’s likelihood for passing the official ABEM Board Exams. Both tests draw from questions in the Model of the Clinical Practice of Emergency Medicine. [+]

  • Making List

Top 10 tips when making your rank list

By |Jan 5, 2010|Categories: Medical Education|Tags: |4 Comments

“How do I decide how to order the residency programs on my rank list?” On Feb 24, 2010, every residency applicant will have a brief moment of panic as their rank list is submitted and officially certified. Next week, I’ll be joining a group podcast with Dr. Rob Rogers (Maryland) and Dr. Dave Manthey (Wake Forest) for the next installment of EMRAcast. This new podcast series was created by Rob for EMRA for the specific purpose of providing advice to medical students. I still find it fascinating how much you can get done virtually. We’ll all be using Skype from [+]

  • ER waiting room

Article review: Service versus education

By |Jan 4, 2010|Categories: Education Articles, Medical Education|Tags: |0 Comments

It’s a busy day in the Emergency Department and there are 5 new patients to be seen. The waiting room is overflowing. As the attending, you are getting barraged with a million questions to answer and problems to fix. There is also a case of a full-thickness burn patient going to the OR in the next few minutes. She’d be a perfect teaching case for the residents. Should I have the residents go see the new patients, or should I pull them all aside to show them the physical findings and teach about burns for 5-10 minutes? [+]

Article review: Failing at feedback in medical education

By |Dec 28, 2009|Categories: Education Articles, Medical Education|0 Comments

Most of the medical education literature on feedback is teacher-focused rather than learner-focused. In other words, focus is paid towards teaching faculty how to give feedback which: Is non-judgmental Is non-threatening Is specific Consists of both positive and constructive elements Offers alternatives [+]

Article review: Neuro exam documentation

By |Dec 7, 2009|Categories: Education Articles, Medical Education, Neurology|0 Comments

Medicolegal woes often can be tracked back to poor documentation by the physician. This article is a retrospective chart review of 384 EM resident charts, focusing on the documentation of the neurologic exam. Charts were selected if their chief complaints were neurologic or psychiatric in nature. A non-validated measurement tool for evaluating a neurologic exam was created based on discussions with attending emergency physicians. I have to agree with the chosen criteria. Documentation in each of the following criterion receives 1 point for a maximum score of 8. [+]