Before we launch too far into the 2020 year, we look back and celebrate our team’s successes and lessons learned from each of our projects and leaders. There are too many people who make the ALiEM efforts possible to include in our annual report, but we wish to publicly thank them all for their dedication towards education. Attached below is a glimpse into our team’s efforts and reach.
A high-stakes component in a medical student’s application for an emergency medicine (EM) residency is the Standard Letter of Evaluation, or SLOE. This is a standardized templated letter, written by an group (e.g. department) or faculty from an EM-residency program. This episode of EM Match Advice gives a behind-the-scenes peek into what letter writers are thinking and a deeper dive into the mechanics of the SLOE.
- Dr. Abra Fant (Northwestern University)
- Dr. David Gordon (Duke University)
- Dr. Michael Takacs (University of Iowa)
Listen to all the episodes of the EM Match Advice Series
- FAQ on SLOE for medical students (CORD website)
- Boysen-Osborn M, Andrusaitis J, Clark C, et al. A Retrospective Cohort Study of the Effect of Home Institution on Emergency Medicine Standardized Letters of Evaluation. AEM Educ Train. 2019;3(4):340-346. doi:10.1002/aet2.10374
- Love J, Ronan-Bentle S, Lane D, Hegarty C. The Standardized Letter of Evaluation for Postgraduate Training: A Concept Whose Time Has Come? Acad Med. 2016;91(11):1480-1482. doi:10.1097/ACM.0000000000001352
- Beskind D, Hiller K, Stolz U, et al. Does the experience of the writer affect the evaluative components on the standardized letter of recommendation in emergency medicine? J Emerg Med. 2014;46(4):544-550. doi:10.1016/j.jemermed.2013.08.025
- Jackson J, Bond M, Love J, Hegarty C. Emergency Medicine Standardized Letter of Evaluation (SLOE): Findings From the New Electronic SLOE Format. J Grad Med Educ. 2019;11(2):182-186. doi:10.4300/JGME-D-18-00344.1
- Li S, Fant A, McCarthy D, Miller D, Craig J, Kontrick A. Gender Differences in Language of Standardized Letter of Evaluation Narratives for Emergency Medicine Residency Applicants. AEM Educ Train. 2017;1(4):334-339. doi:10.1002/aet2.10057
- Pelletier-Bui A, Van M, Pasirstein M, Jones C, Rimple D. Relationship Between Institutional Standardized Letter of Evaluation Global Assessment Ranking Practices, Interviewing Practices, and Medical Student Outcomes. AEM Educ Train. 2018;2(2):73-76. doi:10.1002/aet2.10079
- Hopson L, Regan L, Bond M, et al. The AAMC Standardized Video Interview and the Electronic Standardized Letter of Evaluation in Emergency Medicine: A Comparison of Performance Characteristics. Acad Med. 2019;94(10):1513-1521. doi:10.1097/ACM.0000000000002889
- Miller D, McCarthy D, Fant A, Li-Sauerwine S, Ali A, Kontrick A. The Standardized Letter of Evaluation Narrative: Differences in Language Use by Gender. West J Emerg Med. 2019;20(6):948-956. doi:10.5811/westjem.2019.9.44307
Did you get your flu shot? We hope so. Influenza season is upon us again and it is always helpful to review the latest 2018 Infectious Disease Society of America (IDSA) update on the diagnosis and treatment of influenza.1 Notable is that influenza-confirmed patients who present within 2 days of symptoms who are deemed low risk do not automatically warrant antiviral treatment. The subsequent question then is who is high risk? The following infographic by our Guidelines Editor, Dr. Kelly Wong, summarizes the key take-home points for emergency medicine clinicians.
With 1000+ posts over 10 years, we are thrilled to add 1 superstar to the ALiEM blog team. We officially announce Dr. Luz Silverio as our new Deputy Editor in Chief to help shape the direction and educational content of the blog. She graduated from the UCSF-SFGH Emergency Medicine Residency program, is an emergency physician at Kaiser Permanente at Santa Clara and a clinical assistant professor (affiliate) at Stanford University, hosts her own infrequently edited blog, Silverio Lining, has been a guest podcaster for EM:RAP and ERCast, serves as an Orthopedics Editor for DynaMed, and has had her watercolor artwork featured at the 2019 Essentials of Emergency Medicine. Don’t miss her talks at ACEP this year; some images from her talks are excerpted below. We are incredibly excited to follow Luz Silverio’s lead.
Applying for residency programs has often been compared to the modern world of dating. So in this 26th installment of the EM Match Advice series, we discuss finding the right-fit program for applicants using modern dating terminology. Join us in this fun and informative episode in navigating the residency match process.
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.
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].
The P3 Project and Team
As with many of our ALiEM initiatives, the P3 project arose from a collaborative sprint effort over a 4 week period in 2019 with prehospital educators, emergency medicine (EM) residents, budding and current pediatric EM fellows, and EM/PEM attending physicians. This app plans to be a “living” catalog of PECARN publications which is updated as their prolific research team continues to publish.
- Phase 1: Extracting the clinically-relevant educational pearls and a brief study summary from each of their 140+ peer-reviewed papers
- Phase 2: Feature expert peer-reviewer commentaries from one of the paper’s authors
- Phase 3: Link high-quality online resources which review or highlight these papers
- Jessica Chow, MD (Chief Resident, Department of Emergency Medicine, UC San Francisco)
- Lamarr Echols, MD (Emergency physician, Northbay Medical Center)
- James Gray, MD (Fellow, Pediatric Emergency Medicine, Cincinnati Children’s Hospital)
- Ryan Hunter, BS NRP FP-C (Paramedic/ Firefighter, Montgomery Co. Fire-EMS; Critical Care Flight Paramedic, U.S. Army National Guard)
- Ginger Locke, BA NRP (Associate Professor of EMS Professions, Austin Community College)
- Floyd Miracle, BS NRP (Clinical Manager, Jessamine County EMS)
- Damian Roland, BMedSci, BMBS, PhD (Honorary Associate Professor and Consultant in Paediatric EM
- Jason Woods, MD (Assistant Professor of Pediatrics, University of Colorado, Children’s Hospital of Colorado
- Michelle Lin, MD (ALiEM Founder; Professor of EM, UC San Francisco)
The P3 app, which is compatible with iOS and Android devices, summarizes each of the 140+ PECARN publications. These papers are subcategorized into learner groups (physicians/advanced practice providers, pharmacists, triage nurses, prehospital providers, and administrators) as well as organ system groups.