About Nikita Joshi, MD

ALiEM Chief People Officer and Associate Editor
Clinical Instructor
Department of Emergency Medicine
Stanford University

Sim Case: Cocaine toxicity and placental abruption

Case Synopsis
17 yo girl, 24 weeks pregnant, is brought to the ED with an overbearing, controlling, and older boyfriend (BF). The chief complaint is abdominal discomfort and vaginal spotting. The patient is initially reluctant and quiet, but then gets hysterical as the case progresses. Upon questioning, the patient admits that she took cocaine prior to arrival to induce an abortion, because her BF is married and does not want her to keep the baby.


By |2016-11-11T18:39:16-08:00Mar 29, 2013|Medical Education, Simulation|

7 questions for creator of Clinical Monster: A resident-run website and blog

Residencies using websites to communicate with their residents are certainly not a new phenomenon. However, usually they are not visually appealing, rarely are controlled by the residents themselves, and are infrequently updated. Resident-run blogs are also not usually part of these websites.

In this write up, I wanted to highlight a fantastic and dynamic resident-run website and blog: ClinicalMonster.com 


By |2016-11-11T18:39:25-08:00Mar 22, 2013|Social Media & Tech|

Is it time to trash the stethoscope? The age of ultrasound

stethoscopeIs the physical exam a relic of the past, because our tools are relics of a prior era?

It is important to do and teach a thorough physical exam. I cautioned against the overreliance on diagnostic testing in lieu of a physical exam, which can be initially burdensome and prolonged. But perhaps our difficulty with the physical exam is not the exam itself, but the tools that we have at our disposal to perform an exam, rather than the exam itself.


By |2018-01-30T01:59:00-08:00Mar 15, 2013|Medical Education, Ultrasound|

Simulation cases: How to write the storyboard

Last week I wrote about the important components in writing a simulation case. It is an exhausting list, but the thoroughness pays off.

The next big task is writing the actual case storyboard, which can be done in many ways. All revolve around the concept of action and reaction. The key to a well written simulation case is understanding the actions that the learners will take, the actions that they should take, the actions they shouldn’t take.


By |2016-11-10T13:28:42-08:00Mar 2, 2013|Medical Education, Simulation|

Writing a Medical Simulation Case

It can be a daunting task to write a medical simulation cases. Regardless of prior experience in simulation, writing cases is a different skill set than programming or working a high fidelity simulator. It’s more similar to writing a play– at times an impromptu play!

What is a Medical Simulation Case?

It usually entails a patient encounter with a healthcare provider (learner) where an event occurs, and the learner is expected to perform actions. After some time, or after certain actions are performed, the facilitator stops the simulation, and debriefing ensues.


By |2016-11-11T18:40:57-08:00Feb 22, 2013|Medical Education, Simulation|

Making Your Match Rank List

This is the moment your whole medical school career has been hinging upon: 

Match Rank List Time!

It is time to get serious and come up with a rank list that maximizes your chances of getting your first choice residency. Ranking programs is a personal decision making process, because everyone has different priorities and life circumstances. Therefore, no one piece of advice applies to everyone. This is a run down of my own personal thoughts of what is important.


By |2020-04-20T19:48:30-07:00Feb 15, 2013|Medical Education|
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