About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

EM Match Advice: Program Directors Reflect on the 2019 Residency Match

em residency match 2019

The National Residency Matching Program® (NRMP) annually publishes data for the Residency Match. In this EM Match Advice episode, program directors reflect on the 2019 data for EM [PDF]. How competitive was emergency medicine (EM), especially given the transition period of having a single-accreditation system? Because it seems that EM remains modestly competitive, how many programs should one apply to and interview at? The below table outlines the data trends for 2011-2019.

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2019-08-18T11:38:49-07:00

New free P3 app: PECARN Publication Prospectus

P3 PECARN app

One of the gold standard for building and sustaining collaborative, multi-institutional research networks in medicine is the Pediatric Emergency Care Applied Research Network (PECARN) organization. Their efforts on studying pediatric emergency care has resulted some of our specialty’s landmark papers in Lancet, New England Journal of Medicine, JAMA Pediatrics, and Annals of Emergency Medicine. Although we are not officially affiliated with them, we fully support their efforts and wanted to help disseminate their evidence-based findings with an educations. Thus was born the PECARN Publication Prospectus (P3) app project [download free P3 app].

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2019-07-19T20:59:00-07:00

Pediatric Point of Care Ultrasonography ALiEMU Course on Intussusception

intussusception

Our ALiEMU learning management system, which currently houses the AIR series, Capsules series, and In-Training Exam Prep courses, is ready to slowly open the doors to welcome external authors with high quality content. We are thrilled to welcome a UCSF-sponsored pediatric emergency medicine (EM) point of care ultrasonography (POCUS) series, led by Dr. Margaret Lin. The first course is on the intussusception scan, filled with multiple ultrasound scans showing normal variants and two different types of intussusception.

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2019-06-28T13:39:08-07:00

2019-20 Wellness Think Tank: Open call for 30 passionate EM residents focused on physician wellness

wellness think tank

We are thrilled to announce the open call for the fourth class of the ALiEM Wellness Think Tank. Every year has a different ambitious focus and this upcoming year is no different. We are lead by a 4-person powerhouse team (Dr. Simiao Li-Sauerwine, Dr. Sarah Mott, Dr. Katie Rebillot, and Dr. Sneha Shah). Want to learn more about it? Think you have what it takes to make the 30-member cut? Membership is free, if invited. Applications are due June 14, 2019. Read all about it and apply on the Wellness Think Tank home page.

UPDATE: Deadline extended to July 15, 2019 to allow for incoming EM interns to also apply!

2019-06-16T12:39:00-07:00

Study: Thematic analysis of our “How I Work Smarter” series

In 2014-15, we hosted a “How I Work Smarter” (HIWS) series, led by Dr. Ben Azan, focusing on the individual strategies of high-performing, successful emergency physicians. After the conclusion of the series, Ben went one step further and recruited a team which included Drs. Marilyn Innes, Brent Thoma, myself, Alex Van Duyvendyk, Zafrina Poonja, and Teresa Chan to conduct a thematic analysis, which was just published in Cureus [open access full text].​1​ Although the content is from 2014-15 and many of the featured contributors have moved institutions with different roles, the themes and tips remain salient and informative in today’s era of digital and cognitive overload in the clinical and non-clinical environments.

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2019-06-03T12:25:28-07:00

Study: High Prevalence of Physician Burnout Among Emergency Medicine Residents Across the U.S.

physician burnout - residents in EM

In March 2017, our ALiEM Wellness Think Tank launched an ambitious initiative to try to identify the prevalence rate of U.S. emergency medicine (EM) resident burnout across the country. No study to date had been done to assess this. Amazingly we got a response from over 1,500 confirmed U.S. EM residents from 193 residency programs purely through our social media, email listservs, and Wellness Think Tank outreach efforts. We measured burnout using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). This 22-item MBI-HSS is the most common, validated tool used to measure burnout in healthcare professionals. It assesses 3 subscale domains:

  • Emotional exhaustion (EE), which means being emotionally depleted at work
  • Depersonalization (DP), which means a lack of feelings or negative, cynical feelings towards others
  • Personal accomplishment (PA), which is a positive sense of self-evaluation and success at work.

A combination of high EE, high DP, and/or low PA scores are correlated with burnout.1,2 This post reviews some of the highlights from our study, High Prevalence of Burnout among Emergency Medicine Residents across the US, which was recently accepted by Annals of Emergency Medicine and published online.3

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2019-06-14T18:27:10-07:00

Top 5 Reasons to Join the 2019-20 Chief Resident Incubator

The ALiEM Chief Resident Incubator (“CRincubator”) launches its fifth class today. Every year’s class has a unique personality with wide-reaching projects. But all the chief residents share consistent characteristics – a deep dedication to resident education and wellness, a growth-minded approach to learning, and a desire for ongoing professional development. Are you an incoming chief resident in emergency medicine with a similar outlook, looking for a year-long community of your peers to share ideas with and bounce ideas off of? Want access to CRincubator alumni and respected educators in our field? Sign up early enough to attend our in-person launch event in Seattle on March 31, 2019 at the Council of EM Residency Director’s Academic Assembly.

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2019-04-04T19:50:29-07:00