About Scott Kobner

Medical Student
New York University School of Medicine
2014-15 ALiEM-EMRA Social Media and Digital Scholarship Fellow

Introducing In-Line Expert Peer Review: Advancing the State of Academic Blogging

expert peer reviewA peer review process, in one form or another, has long been the de facto standard for academic publishing. In 2013, ALiEM was the first FOAM resource to initiate an attributed peer review process for all submitted content–effectively bringing a traditional standard to a new frontier of medical education.1 Since our expert peer review (EPR) program inception, reviewers have published critical appraisals alongside 114 ALiEM posts to date.
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ALiEM Annual Report 2016: A year of growth and expansion

annual report 2016Each year we’ve generated this report we’ve been flabbergasted by how much our team continues to grow and develop. This year is no different. January is the time that the ALiEM team tends to take a step back and reflect about where we have been and where we are hoping to go!

2016 has been an incredible year. The breadth and depth of our team’s work has increased, and we have seen the launch of many new innovations and projects. Under the leadership of Dr. Michelle Lin, the ALiEM team has grown to become an international organization with over 80 volunteers all helping to not only write for the blog (such as the new IDEA series), but also to create new projects like our Faculty Incubator (affectionately known as the “Facubator”), the Fellowship Incubator (“Fincubator”), and the Wellness Think Tank.
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By |2020-04-20T19:50:41-07:00Jan 9, 2017|Annual Report|

My ALiEM-EMRA Fellowship: From Finding the FOAM to Lathering the Soap

Kobner3 squraeOne of my favorite images of medical education is the renowned Eakin’s painting, The Agnew Clinic. It depicts a gilded age operating theater filled with eager pupils looking on as Dr. Agnew prepares to preform a partial mastectomy. Despite being a cross-section of medical training from the late 1880s, any medical trainee today will experience an unspoken bond with those students dutifully taking notes in the tiers of Dr. Agnew’s operating theater. And there is a certain beauty to this lineage of physicians: all of us familiar with the same rite of passage into medicine but separated by a century’s worth of advances in science and society. (more…)

By |2020-04-20T19:47:12-07:00Jun 20, 2015|Medical Education, Podcasts, Social Media & Tech|

PV Card: Focused Deep Vein Thrombosis (DVT) Ultrasound

ultrasound dvtDeep vein thrombosis (DVT) is always a consideration when patients with asymmetric lower extremity swelling. Why is one leg. Two-point focused DVT ultrasonography of the femoral and popliteal veins can be incredibly useful in the Emergency Department when trying to narrow the differential diagnosis. Drs. Margaret Greenwood-Ericksen, Joshua Rempell, and Mike Stone provide a clear, image-based clinical reference tool on this ultrasound technique.

 

PV Card: Focused DVT Ultrasound Assessment


Adapted from [1, 2]

References

  1. Kline J, O’Malley P, Tayal V, Snead G, Mitchell A. Emergency clinician-performed compression ultrasonography for deep venous thrombosis of the lower extremity. Ann Emerg Med. 2008;52(4):437-445. [PubMed]
  2. Bernardi E, Camporese G, Büller H, et al. Serial 2-point ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis: a randomized controlled trial. JAMA. 2008;300(14):1653-1659. [PubMed]
By |2021-10-05T12:54:30-07:00Mar 11, 2015|ALiEM Cards, Cardiovascular, Ultrasound|

PV Card: Focused 1st Trimester Pregnancy Transvaginal Ultrasound

Intrauterine pregnancy ultrasound first trimester transvaginal endocavitaryEarly 1st trimester pregnancies can be challenging to risk stratify when patient present with bleeding or pain. The pregnancy may be still too early for transabdominal ultrasonography, which was covered in last week’s PV card. The same authors, Drs. Matt Lipton, Mike Mallon, and Mike Stone provide a great bedside clinical reference tool on performing the focused transvaginal ultrasound in pregnancy.

 

PV: Focused 1st Trimester Pregnancy Transvaginal Ultrasound


Adapted from [1, 2]

 

References

  1. Tayal V, Cohen H, Norton H. Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy. Acad Emerg Med. 2004;11(9):912-917. [PubMed]
  2. Wang R, Reynolds T, West H, et al. Use of a β-hCG discriminatory zone with bedside pelvic ultrasonography. Ann Emerg Med. 2011;58(1):12-20. [PubMed]
By |2021-10-05T12:59:40-07:00Mar 4, 2015|ALiEM Cards, Ob/Gyn, Ultrasound|

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound

Intrauterine pregnancy first trimester ultrasound transaabdominal

Although history, physical, and lab tests are obtained for patients with first trimester vaginal bleeding and abdominal pain, none compare to the utility of bedside ultrasonography. Today’s PV card reviews the transabdominal approach to the focused pregnancy ultrasound and was written by Drs. Matt Lipton, Mike Mallon, and Mike Stone.

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound


Adapted from [1, 2]

References

  1. Tayal V, Cohen H, Norton H. Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy. Acad Emerg Med. 2004;11(9):912-917. [PubMed]
  2. Wang R, Reynolds T, West H, et al. Use of a β-hCG discriminatory zone with bedside pelvic ultrasonography. Ann Emerg Med. 2011;58(1):12-20. [PubMed]
By |2021-10-05T13:01:43-07:00Feb 25, 2015|ALiEM Cards, Ob/Gyn, Ultrasound|

PV Card: Focused Echocardiography Ultrasound

Ultrasound cardiac focus echocardiography

So many great information can be gleaned from a focused echocardiogram in Emergency Department patients. What views are you obtaining? What is the importance of the e-point septal separation (EPSS) and how to measure this? Drs. Jimmy Fair, Mike Mallon, and Mike Stone provide a terrific step-by-step image-based guide to these questions that you can use at the bedside as a refresher.

 

PV Card: Focused Echocardiography Ultrasound


Adapted from [1, 2]

References

  1. Randazzo M, Snoey E, Levitt M, Binder K. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003;10(9):973-977. [PubMed]
  2. Nagdev A, Stone M. Point-of-care ultrasound evaluation of pericardial effusions: does this patient have cardiac tamponade? Resuscitation. 2011;82(6):671-673. [PubMed]
By |2021-10-05T13:03:32-07:00Feb 11, 2015|ALiEM Cards, Cardiovascular, Ultrasound|
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