About Christina Shenvi, MD PhD

ALiEM Associate Editor
Assistant Professor
Assistant Residency Director
University of North Carolina
www.gempodcast.com

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

make it stickBookstore 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 we review, and present them to you in a concise, easy-to-apply format. We read the books so you don’t have to!

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By |2020-01-03T00:11:34-08:00Aug 21, 2018|Book Club, TLDR|

Envenomations: Initial Management of Common U.S. Snakebites

Nothing says “emergency” like a bite from a venomous reptile. If you work in an area populated by snakes, which covers most of the United States and the world, then chances are good that you will see a patient with a snake bite in the Emergency Department (ED). The severity of the symptoms and the treatment vary greatly with different snakes. In this post, we will outline the ED approach to and management of common U.S. snake envenomation.

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By |2017-06-26T19:40:47-07:00Jun 23, 2017|Environmental|

Traumatic Bleeding in Anticoagulated Patients: 5 Other Sources Beyond the Brain

anticoagulated patientsWhen a patient is started on anticoagulant therapy, the purpose is to prevent clot formation or propagation. Anticoagulants can improve morbidity and mortality by maintaining cardiac stent patency, reducing the propagation of pulmonary emboli, or preventing formation of intra-cardiac thrombi.1,2 Unfortunately even after minor trauma, these medications can cause major problems. When a patient on clopidogrel is in a motor vehicle collision (MVC) or an elderly patient on warfarin falls out of their bed, the once life-improving therapy becomes potentially life-threatening. It is important for emergency care providers to maintain a high index of suspicion for life-threatening bleeds in all patients on anticoagulation following even minor injuries. The purpose of this discussion is to look beyond the intracranial hemorrhages (ICH) and to consider 5 other sources of bleeding that can occur in anticoagulated patients.

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By |2017-06-04T15:51:12-07:00May 29, 2017|Heme-Oncology, Trauma|

I am Dr. Daniel Lakoff, Associate Residency Director: How I Promote Wellness in EM

Promoting wellness is a team sport. It takes more than one individual to champion it at any institution. In medicine, when a team is formed to effect change, it is called a committee. Dr. Dan Lakoff was one of the founding leaders of the council of residency wellness committee, and has also helped lead wellness efforts at his own institution. Here he shares his thoughts, his inspiration, and practical ideas that helped improve wellness at his program.
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By |2019-11-17T22:16:44-08:00May 26, 2017|How I Promote Wellness, Wellness|

10 Tips on How to Succeed Your First Year Out After Residency Graduation

residency graduation success sign

If you are graduating from an EM residency this year, you may be feeling nervous (or petrified) about your first shift out on your own. You’re wondering how you can gain the trust of the nurses and doctors at your new hospital. Perhaps you are wondering how you will keep learning without the residency leadership forcing articles and lectures on you.

In this post we will give you our top 10 tips, each with a practical pearl, for how to succeed your first year out. These keys to success will help keep you from making common mistakes, blowing your chance at a good first impression, and also help keep you out of deep, troubled waters when it comes to HIPAA violations and keeping your medical license.

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By |2021-05-17T11:35:38-07:00May 24, 2017|Professional Development|

I am Dr. Michael Epter: How I Promote Wellness in EM

Promoting the wellness and resilience of his residents and colleagues is a passion for Dr. Michael Epter. He has become a leading spokesperson on the topic within the residency leadership community. With over a decade of experience as a program director, as well as the challenges he worked through caring for twins born at 24 weeks, he has plenty of wisdom and insight to share on how we can help promote wellness in EM!
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By |2017-01-14T22:44:35-08:00Feb 5, 2017|Wellness|

I am Dr. Michelle Lall – How I Promote Wellness in EM

Dr. Michelle Lall, an Assistant Professor and Assistant Residency Director is dedicated to promoting work-life balance and resilience among her co-workers and nationally. She was inspired in part by her experience growing up as the daughter of a physician who worked long hours his whole life. In addition to promoting wellness through national committees, she has developed a multi-tiered approached involving faculty, residents, advanced practice providers, as well as significant others to promote wellness at every level in her department.

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By |2016-12-14T17:48:21-08:00Nov 13, 2016|How I Promote Wellness|
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