A 35-year-old female emergency medicine physician presents for evaluation for severe myalgias, headache, fatigue, mild nasal congestion, profound anosmia, cough, and subjective fevers and chills. She has no measured temperature above 100.4°F, but has been taking anti-inflammatories around the clock. The day previously, she called occupational health and received testing for the novel coronavirus. The next day, her test returns positive. What happens next? We are here to share our personal experiences with COVID-19 and provide some resources to best support yourselves, your families, your learners, and your colleagues throughout this uncertain and ever-changing situation.
Welcome back to The Leader’s Library! In our second installment, throughout the week of October 14, 2019, a group of selected learners across the globe tackled Radical Candor by Kim Scott [ALiEM book summary], and generated another fascinating asynchronous dialogue on Slack. This go-round, we had 3 days of discussion with days for reflection in between. Below are the main points that emerged from our robust conversation.
The child with a fever and rash in your Emergency Department (ED) may actually have measles. This year, there have been 1,182 cases of measles in the U.S., and counting. This is the highest rate in the past 27 years . Globally, measles kills over a hundred thousand children . In the U.S., one child dies for about every 1,000 cases . Emergency providers must be able to quickly detect short-term complications that can lead to death and distinguish measles from mimics like Kawasaki Disease. It’s no coincidence that this year’s outbreak is in the setting of lower vaccination rates. The CDC now has new vaccine recommendations, and it’s imperative that ED providers join forces with public health providers to prevent future measles cases and deaths (photo credit).(more…)
Your colleague and friend plops down next to you at a meeting. She’s extra excited because she’s going to give an important presentation to hospital administration about her new quality improvement project, and beams a bright smile at you. She has a huge chunk of spinach between her teeth. What do you do? You could shout, “Hey, loser, get that spinach outta your teeth!” in front of the whole group… or you could encourage her to go ahead and give the presentation, telling her she’s going to do a great job… or you could avoid eye contact altogether… or you could just TELL her discreetly, empowering her to do the best job she can.
In April 2019, a group of intrepid readers embarked on an adventure together: the debut session of The Leader’s Library, ALiEM’s new career development book club. Learners and instructors from around the world read and discussed Dr. Brené Brown’s newest book, Dare to Lead, on a 5 day journey via Slack. Each day had its own theme (Rumbling with Vulnerability, Values, Empathy and Shame, Learning to Rise, and Toolkit), and the asynchronous discussion was robust. A day-by-day breakdown of our conversation, along with tangible takeaways and recommendations for further reading, is summarized below.
We proudly introduce ALiEM’s newest series, The Leader’s Library, with Dr. Brené Brown’s newest book, Dare to Lead!
Have you ever gotten to work with someone who just “got it?” Someone who inspires greatness in all people with whom s/he worked, seemingly effortlessly, all the while maintaining humility and approachability? What about the converse– have you ever worked with someone who just seems out of touch with the rest of the team, failing to unite the group under a common goal, leaving the team members feeling unheard and voiceless? Unfortunately, we’ve all probably worked more with folks from the latter category than the former, and this can lead us to believe that good leadership is a mysterious, innate quality that some people are lucky enough to have, while the rest of us are stuck bumbling through our days, just trying to avoid catastrophic mistakes.