Many residents and medical students are engaging in international medical activities. Before departing many do (or should) undergo pre-departure training but how prepared are medical learners to return on the other end? Many struggle with “reverse culture shock”. This month’s ALiEM MEdIC series case considers how we might help a learner returning from an international elective. Please join us in discussing the case this month, we would love your thoughts and advice.
Each year hundreds of residents apply to Pediatric Emergency Medicine (PEM) fellowships. There are multiple reasons that an EM resident might want to undertake a PEM fellowship, but over the last 15 years, fewer Emergency Medicine (EM) residents are applying for PEM fellowships than Pediatric residents, unpublished data suggesting that Pediatric candidates now outnumber EM candidates 20 to 1.
Recently, a group of PEM Fellowship Program Directors formed the “EM-to-PEM task force” of like-minded individuals desiring to promote PEM fellowships to EM residents. A PEM fellowship is an excellent career move for a resident who has a passion for the emergency care and advocacy of children. In this post, we will discuss and review benefits of EM residents undergoing a PEM fellowship.
We at ALiEM are incredibly excited to publicly announce the 2015-16 ALiEM Chief Resident (CR) Incubator. Every single year, I have seen Chief Residents struggle with their new role as a near-peer leader in the residency program. Because Chief Residents are generally high-functioning individuals, they usually figure it out as the year progresses. Why is it that we can’t we do better and prepare them for what is to come?
The Emperor of All Maladies has become my touchstone for medicine. Siddhartha Mukherjee writes in a poignant and humanist voice as he beautifully captures the “Biography of Cancer.” Interweaving science, stories, and his experiences as an oncology fellow, Mukherjee begins his examination of cancer in the ancient Egyptian times with the story of Imhotep, and carries us through to the modern 21st century diagnosis and management of cancer. From laboratory to bedside, Mukherjee provides both a panoramic and microscopic view of the advances and setbacks of cancer discovery, definition, and understanding.
The Case of Breaking Bad News Badly precipitated yet another thoughtful and riveting discussion over the past week. We are now proud to present to you the Curated Community Commentary and our two expert opinions. Thank-you again to all our experts and participants for contributing again this week to the ALiEM MEdIC series.
Code status. Do not resuscitate. Allow natural death… These can be some of the most daunting concepts for new learners to explain to patients, but they can also be the most critical. Depending on the circumstances, discussing these topics may be difficult for the most advanced clinicians. This month’s ALiEM MEdIC series case considers how we might help a learner through a bad experience with end-of-life care discussions. Please join us in discussing the case this month, we would love your thoughts and advice.
Welcome to the newest member of our team, Dr. Matthew Zuckerman (@matthew608b), who is an Assistant Professor in Emergency Medicine at the University of Colorado, Anschutz Medical Campus. He will serve as our inaugural 2015 ALiEM-AAEM Social Media and Digital Scholarship Fellow, working on advancing medical education and upgrading the AAEM e-book “Rules of the Road for Young Emergency Physicians.”