Have you ever wondered how researchers are able to conduct prospective studies on truly emergent conditions, such as cardiac arrest and status epilepticus? How can they obtain informed consent? In this Research Learning Series podcast episode from SAEM, Dr. Jill Baren (University of Pennsylvania) shares stories, pearls, and roadblocks in her career, conducting emergency research under the Exception From Informed Consent (EFIC) regulations. As an established researcher in this area,1–9 Dr. Baren shares advice and stories which include reaching to the community, getting angry hot-line comments, and getting push-back from the U.S. Food and Drug Administration.
Many of you are asked to take a leadership role in leading a team, whether it’s for research, administration, or even clinical. It is easy to feel unprepared for these roles, and there are many pitfalls waiting to sabotage your team’s productivity. The ALiEM Faculty Incubator has created a series of 10 case-based teaming problems to provide you with evidence-based advice and solutions for tackling some of the more common problems encountered in our professional team experiences.(more…)
Under-represented minorities (URM) in medicine continues to be a problem that many programs, especially in emergency medicine, are addressing head on with intentional, proactive strategies. Diversity matters. This EM Match Advice episode discusses how 3 different residency programs are championing for better representation through a variety of strategies.
Chip and Dan Heath’s book, Switch, explains why change is so difficult and what we can do to make it easier. This little book is a must-read if you’ve ever met inexplicable resistance addressing issues as trivial as buying a new brand of coffee for the break room or as significant as enforcing the mandatory use of hand sanitizer. Is anyone actually in favor of spreading communicable diseases? Do the absence of San Francisco Hazelnut Morning Blend really warrant a call to the department chair? Why would people be so opposed to undeniably positive changes? The answer lies in understanding Riders, Elephants, and Paths. And here’s a spoiler alert: you’ll need a lot of mango.
In this podcast episode of the SAEM Research Learning Series, Drs. Mary and Nate Haas interview Daren M. Beam, MD MS (Indiana University) talk about his research career. Listen to this episode which is chock full of practical pearls to help you get ahead with submitting a winning abstract for a scientific meeting or conference. As a bonus, you will also hear behind-the-scenes stories about how the PE Rule-out Criteria (PERC) rule came to be while he was a research coordinator before medical school. Did you know that it was originally nicknamed the “PE Pink Sheet”?
Burnout is a well-known syndrome characterized by poor self-care, dehumanization, exhaustion, and reduced effectiveness. The study of wellness and resilience among emergency medicine (EM) providers and trainees has recently blossomed, largely as a consequence of recent tragedies of physician suicide, provider distress, and an increased awareness the impact burnout has on both personal and professional domains. While there are ongoing discussions on practices to best address burnout, methods have focused on promoting resilience, mindfulness, and provider engagement.1
Cricothyroidotomy is an emergency life-saving procedure that involves surgical placement of a tube through the cricothyroid membrane in order to establish a patent airway for oxygenation and ventilation. The indications for this procedure are when traditional means, such as orotracheal or nasotracheal intubation, are contraindicated or have failed during attempts to establish an emergency airway.1,2 It is a critical skill for emergency physicians but the declining rate of this procedure has resulted in decreased exposure during training.3,4