About Michelle Lin, MD

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

Article review: Service versus education

ERwaitingroomIt’s a busy day in the Emergency Department and there are 5 new patients to be seen. The waiting room is overflowing. As the attending, you are getting barraged with a million questions to answer and problems to fix.

There is also a case of a full-thickness burn patient going to the OR in the next few minutes. She’d be a perfect teaching case for the residents.

Should I have the residents go see the new patients, or should I pull them all aside to show them the physical findings and teach about burns for 5-10 minutes?
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By |2016-11-11T19:01:45-08:00Jan 4, 2010|Education Articles, Medical Education|

Paucis Verbis Project: A peripheral brain e-card series

PocketContentsCardsA few days I wrote about my “peripheral brain” note cards that I carry with me on each ED shift. These cards contain brief summaries of updated guidelines, evidence based literature, and clinical pearls. I constantly get requests for a copy of them, but they are fairly outdated now that I’m out of residency.

So starting today, I’m going to start periodically posting new note cards in Word and PDF format that can be printed on any 4×6 inch index card. These will be posted every Friday. Feel free to download, edit, change font or font size, and use. You can add/remove cards as you collect them. Comments are definitely welcome.

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By |2019-01-28T23:52:50-08:00Dec 22, 2009|ALiEM Cards, Cardiovascular|

What’s in your pocket on an ED shift?

ScrubStethoscopeI am always curious about what people carry in their scrubs and lab coat pockets. Often you can identify residents based on what they are carrying or wearing. Stereotypically, I find the following:

  • Long reflex hammer jutting way out of the lab coat pocket – Neurology
  • Plaster smears on their scrub tops and bottoms – Orthopedics
  • Fluffy animal on their stethoscope and/or lab coat – Pediatrics
  • LMP wheel – Obstetrics/Gynecology
  • Small textbook in lab coat pocket – a medical student

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By |2019-09-10T14:04:59-07:00Dec 18, 2009|Life|

Trick of the Trade: Laryngoscope lifting strength

IntubationYou are about to endotracheally intubate a patient. As you struggle to elevate the laryngoscope more anteriorly, has your left hand ever trembled while trying to see the vocal cords? Before you say, “I think the cords are too anterior, hand me the [insert your favorite backup airway adjunct]“, let’s focus on some basics.

How can you gain significantly more laryngoscope lift strength? You can do more left arm bicep/tricep exercises, or…

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By |2016-11-11T19:01:46-08:00Dec 16, 2009|Tricks of the Trade|