Educational resources discussing lifestyle, public policy, and wellness relevant for all healthcare providers

Beyond the Abstract: A Return to Work Policy for New Resident Parents

More women than men entered medical school in the United States for the first time in 2017. Will this generation also set new trends in parenting during their training? One study suggests that 40% of female residents plan to have a child while in residency.1

Can our graduate medical education system withstand even a modest increase in the number of resident parents? Can your hospital?

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By |2019-04-18T15:05:11-07:00Mar 19, 2019|Beyond the Abstract, Wellness|

Study: High Prevalence of Physician Burnout Among Emergency Medicine Residents Across the U.S.

physician burnout - residents in EM

In March 2017, our ALiEM Wellness Think Tank launched an ambitious initiative to try to identify the prevalence rate of U.S. emergency medicine (EM) resident burnout across the country. No study to date had been done to assess this. Amazingly we got a response from over 1,500 confirmed U.S. EM residents from 193 residency programs purely through our social media, email listservs, and Wellness Think Tank outreach efforts. We measured burnout using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). This 22-item MBI-HSS is the most common, validated tool used to measure burnout in healthcare professionals. It assesses 3 subscale domains:

  • Emotional exhaustion (EE), which means being emotionally depleted at work
  • Depersonalization (DP), which means a lack of feelings or negative, cynical feelings towards others
  • Personal accomplishment (PA), which is a positive sense of self-evaluation and success at work.

A combination of high EE, high DP, and/or low PA scores are correlated with burnout.1,2 This post reviews some of the highlights from our study, High Prevalence of Burnout among Emergency Medicine Residents across the US, which was recently accepted by Annals of Emergency Medicine and published online.3

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By |2019-06-14T18:27:10-07:00Mar 16, 2019|Research, Wellness, Wellness Think Tank|

Top 5 Reasons to Join the 2019-20 Chief Resident Incubator

The ALiEM Chief Resident Incubator (“CRincubator”) launches its fifth class today. Every year’s class has a unique personality with wide-reaching projects. But all the chief residents share consistent characteristics – a deep dedication to resident education and wellness, a growth-minded approach to learning, and a desire for ongoing professional development. Are you an incoming chief resident in emergency medicine with a similar outlook, looking for a year-long community of your peers to share ideas with and bounce ideas off of? Want access to CRincubator alumni and respected educators in our field? Sign up early enough to attend our in-person launch event in Seattle on March 31, 2019 at the Council of EM Residency Director’s Academic Assembly.

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By |2019-04-04T19:50:29-07:00Mar 10, 2019|Incubators, Social Media & Tech|

IDEA Series: A Workshop to Reflect on Personal Resilience

The Problem

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

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By |2019-09-10T14:21:25-07:00Feb 12, 2019|IDEA series, Wellness|

Winner of the 2019 ALiEM-EEM Fellowship Contest: Dr. Tim Montrief

After receiving numerous high-quality submissions, we are proud to announce the winners of the 2019 Essentials of Emergency Medicine (EEM) Education Fellowship contest! Dr. Tim Montrief from the Jackson Memorial/University of Miami Emergency Medicine residency program has won the blog post competition. A blinded EEM voting panel with input from ALiEM selected his winning post: Trick of the Trade: Bubble Study for Confirmation of Central Line Placement. We are thrilled to feature it today on the blog and look forward to meeting him in Las Vegas in May at the 3-day event. This weekend, we will also feature 2 other excellent submissions from runners-up Dr. Sarah Sanders (Northwestern University) and Dr. Jennifer Rabjohns (George Washington University). Thank you to everyone who submitted their work!

Dr. Tim Montrief
Emergency Medicine Resident
Jackson Memorial/University of Miami

By |2019-03-27T15:04:49-07:00Jan 31, 2019|Social Media & Tech|

Influenza Update: IDSA 2018 Guidelines Detailed Review

influenza

Symptomatic influenza A and B infections cause worldwide morbidity and mortality every year. Annual vaccination remains the greatest prophylactic measure, but the vaccine is not 100% effective due to mismatch between the circulating and vaccine virus strains. Although most individuals will recover from influenza without incident, some specific patient populations are at high risk for severe complications. The Infectious Disease Society of America (IDSA) recently updated their clinical practice guidelines.1 We review these key updates, including recommendations on who to test, treat, and provide chemoprophylaxis.

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Post It Pearls initiative is moving from Twitter to Instagram

Post It Pearls on InstagramMy 2017 new year’s resolution was to create brief educational pearls on shift called Post It Pearls, which I published to Twitter. I have increasingly noticed that many of my target learners are not on Twitter. They are, however, on Instagram. So this year’s resolution is to test out how whether Post It Pearls would reach more learners and thus be more impactful on my Instagram account (@MichelleLinMD).

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By |2019-01-28T21:30:24-08:00Jan 16, 2019|Medical Education, Social Media & Tech|
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