About Michael Gisondi, MD

Associate Professor and Vice Chair of Education
Department of Emergency Medicine
Stanford University
Editor, ALiEM EM Match Advice series
26 07, 2017

Trick of the Trade: Gaze Testing Using “Selfie Mode” on Your Smartphone Camera

2017-07-26T10:35:49+00:00

gaze testingThe NIH Stroke Scale is used to assess the severity of a suspected stroke. It includes 11 neurologic exam components that can be quickly performed at the bedside. The second component of the NIH Stroke Scale is testing of voluntary horizontal eye movements, a.k.a., “best gaze”.1 Gaze is usually tested by instructing the patient to follow the examiner’s hand or pointer finger in a horizontal plane from side to side. This assessment assumes that the patient can comprehend instructions and actively participate in the physical exam.

But… how do you test gaze if your patient is aphasic or unable to follow commands?
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8 06, 2017

EM Fellowship Match Advice: Pediatric Emergency Medicine Fellowship

2017-06-04T23:18:57+00:00

pediatric emergency medicine fellowship EM Match AdviceThe second season of our EM Fellowship Match Advice Series launches with this insightful discussion with Pediatric Emergency Medicine (PEM) Fellowship Directors from across the United States talking about the nuances of applying into this ACGME fellowship, particularly through the lens of EM-trained residents. Hosted by Dr. Michael Gisondi, watch this video Google Hangout or listen to the edited Soundcloud podcast version for details.

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3 06, 2017

EM Match Advice: The Standardized Video Interview

2017-06-04T15:43:36+00:00

standardized video interview on EM Match Advice seriesIt is not very often that the ERAS application process for residency positions changes from year to year. In 2018, there is going to be a new component added – the Standardized Video Interview (SVI) launched by the Association of American Medical Colleges (AAMC). All EM applicants in the 2018 application season are required to complete this interview during June 6 – July 31, 2017. Because it is such a new process, we invited key various stakeholders to the virtual table. The discussion was hosted by Drs. Michael Gisondi (Stanford) and Michelle Lin (UCSF/ALiEM).

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17 05, 2017

Our “User’s Guide to the EM Match Advice Web Series” is published in WestJEM

2017-05-08T18:17:53+00:00

user's guide to the EM Match Advice Series

It’s that time of year again… when the sun is shining, the flowers are in bloom… and new senior medical students are preparing for next year’s Match.

Emergency Medicine (EM) remains a very popular specialty choice. EM enjoys a 99% annual fill rate in the National Residency Matching Program (NRMP) Main Residency Match, with approximately 80% of positions going to U.S. allopathic senior medical students. Students seek many sources of career advice when preparing for their EM clerkships and the residency interview process. Unfortunately, career advice often comes from near-peers and medical school faculty members in other specialties, rather than EM residency directors and clerkship directors. Given the variable quality of information offered as ‘career advice,’ students can be left with inaccurate and confusing opinions about how to assess their candidacy and compete in the Match.

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15 03, 2017

Beyond the Abstract: Patient video testimonials improve physician interpretation of advance directives and POLST

advance directives and POLST with videoOver 1,300 physicians across the U.S. were asked to interpret patient preferences for end-of-life care in theoretical cases. Physicians rarely reached consensus about patient preferences when they were given only living wills and POLST documents to interpret. The addition of a patient video testimonial helped physicians make better care decisions that reflected their patients’ wishes. Will video become the new national standard for advance care planning?

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7 09, 2016

EM Match Advice: Is Emergency Medicine right for you?

2017-05-08T18:25:49+00:00

In this tenth installment of the EM Match Advice series, we go back to the beginning. As a medical student, how does one know if emergency medicine is the right career choice? Is it all guts, glory, and excitement? Are ONLY working 28 hours per week? Listen to this fascinating discussion with our panelists, facilitated by Dr. Michael Gisondi (EM Program Director at Northwestern). The panelists include Dr. Michele Dorfsman (PD at University of Pittsburg), Dr. Brian Levine (PD at Christiana Care), Dr. Larissa Velez (PD at UT Southwestern), and Dr. Michelle Lin (ALiEM/UCSF).

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17 01, 2016

EM Match Advice: What if I don’t match? What is the SOAP?

2017-05-08T18:30:32+00:00

Although we would never wish negative thoughts to those who are applying for residency slot in an emergency medicine program this year, it is also important to be completely honest with yourself. Given your application packet and interviews, how likely is that you won’t match and have to enter the post-match Supplement Offer and Acceptance Program (SOAP)? What is the SOAP? This EM Match Advice installment provides advice about the experience of NOT matching and the next steps.

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