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MEdIC Series: The Case of the Overwhelmed Senior Resident – Expert Review and Curated Community Commentary

Our eighth case of season 5, The Case of the Overwhelmed Senior Resident, presented the scenario of a senior resident who felt overwhelmed when left to manage the department on a busy night shift while his attending physician was asleep in the back room. The resident debated whether to wake his attending to ask for help, but worried that it could be perceived as a sign of weakness or that he couldn’t “handle things” with autonomy. If you haven’t had a chance yet, we urge you to check out the case and share your thoughts on this important topic!

The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma) hosted an online discussion around the case over the last 2 weeks with insights from the ALiEM community. We are proud to present to you the curated commentary and our expert reviews. Thank you to all participants for contributing to the rich discussions surrounding this case!

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By |2019-04-01T11:46:02-07:00Jun 15, 2018|MEdIC series|
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IDEA Series: Implementing an Integrative Longitudinal Online Ultrasound Curriculum

The Problem

Idea Series LogoEmergency ultrasound (EUS) has quickly become a fundamental aspect of emergency medicine (EM) residency training. While still relatively novel to the field, there has been a significant focus on curriculum development in accordance with the core ultrasound application guidelines set forth by the American College of Emergency Physicians (ACEP).1 Currently, there is no consensus on the optimal approach to EUS education that will provide learners with true clinical competence post-matriculation. Furthermore, a recent survey demonstrated that there is conflict between what ACEP guidelines consider to be competence in EUS and resident opinion on the matter.2 One potential identified issue with our current model is the focus on early ultrasound learning in junior EM residents with a lack of ongoing EUS education in senior years.
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By |2018-06-06T09:33:25-07:00Jun 10, 2018|IDEA series, Ultrasound|
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IDEA Series | Chopped EM: A ‘Palatable’ Way to Teach a Challenging Topic to EM Residents

The Problem

idea series teaching residents quality improvement

Psychiatric and substance use disorder complaints comprise up to 12% of all Emergency Department (ED) visits.1–3 These conditions can present in a multitude of ways, making it essential for emergency physicians (EPs) to be aware of nuanced diagnostic characteristics of psychiatric illnesses in order to provide timely and appropriate care for these patients.

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By |2019-03-28T18:29:32-07:00Jun 3, 2018|IDEA series|
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MEdIC Series: The Case of the Overwhelmed Senior Resident

Welcome to season 5, episode 8 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, Eve Purdy, John Eicken, Sarah Luckett-Gatopoulos, Alkarim Velji, and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine!

This month, we present a case of a senior resident who is overwhelmed when left to manage a busy department on a night shift while his attending physician is asleep in the back room. The resident debates whether to wake his attending and ask for help, as he worries this may be a sign of weakness or that he can’t “handle things” independently.

Check out the case and join the conversation in the comments section! We’d love to hear your thoughts on this important topic!

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By |2019-04-01T11:44:42-07:00May 25, 2018|MEdIC series|
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MEdIC Series: The Case of the Orphaned Patient – Expert Review and Curated Community Commentary

Our seventh case of season 5, The Case of the Orphaned Patient, presented the scenario of a junior orthopedic surgery resident rotating in the ED and receiving significant pushback when trying to transfer the care of a clinically deteriorating patient to a more appropriate service. The outcome of this pushback was a patient without a service feeling primarily responsible for further care, leaving the patient “orphaned” in the ED. If you haven’t had a chance yet, we urge you to check out the case and share your thoughts on this important topic!

The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma) hosted an online discussion around the case over the last 2 weeks with insights from the ALiEM community. We are proud to present to you the curated commentary and our expert opinions. Than you to all participants for contributing to the very rich discussions surrounding this case!

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By |2019-04-01T11:43:56-07:00May 11, 2018|MEdIC series, Professional Development|
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How Competitive was Emergency Medicine in the 2018 Match? The answer might surprise you.

The National Residency Matching Program® (NRMP) recently published its annual Results and Data for the 2018 Main Residency Match®. How competitive was emergency medicine (EM)? Spoiler alert: not much changed! But to understand the full picture, we need to dive into the numbers, which look a lot different from last year. Below is a summary of the most pertinent results for EM, trended from 2011-2018. You will notice some striking differences in the data between the 2017 Match and the 2018 Match.
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By |2018-05-07T20:53:08-07:00May 7, 2018|EM Match Advice, Medical Education|
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Confronting Stress Before and After High Acuity Shifts: A Discussion with Performance Psychologist Dr. Jason Brooks

stressIt’s almost the end of your sixth shift in a row. You are trying to finish up notes when you hear an overhead page. You find yourself in the middle of a pediatric code that has a poor outcome and you have 5 minutes to spend with the family before being pulled into another patient’s room. You have no time to address the difficult case you just encountered. As an emergency physician, this may happen on a daily basis but some cases hit closer to home. How do you recover after these shifts, and how do you prepare for the next difficult patient encounter? Members of the ALiEM Wellness Think Tank recently spoke with performance psychologist Dr. Jason Brooks about how to mend these wounds and improve performance in the workplace. We provide a summary of our conversation and link to the podcast.

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By |2019-02-19T18:38:25-08:00Apr 30, 2018|Professional Development, Wellness, Wellness Think Tank|
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