My Year as the ALiEM-CORD Fellow in Social Media and Digital Scholarship

aliem-cord fellowEveryone has a slightly different relationship with technology. For me, it has always been a tool for creativity. Whether working on video, music, or photography – I have spent more hours in front of a computer than I care to admit. I always dreamed about somehow using my experience with media development in a productive way for the medical field, but judging by the doctors who I knew in high school/college (including my parents),  my impression was that physicians and the world of the internet would remain forever apart.


By |2016-12-20T11:53:27-08:00Jun 18, 2015|Medical Education, Social Media & Tech|

Salicylate Toxicity PV card v2: Lessons in post-publication review

I was recently the author of a PV card for management of Salicylate Toxicity, which had some discrepancy with expert opinion. The point of contention was in regards to measurement of urine pH vs serum pH for alkalinization. In preparing the first version of the card, I began with notes from a recent toxicology rotation, and expanded by examining textbooks and review articles. Although there was mention of serum pH measurement, numerous sources emphasized urine alkalinization as the primary endpoint for the treatment of aspirin toxicity. Therefore I choose to include this on the size-limited PV card.

Despite review by numerous peers and colleagues, not long after publication we were met with concern from prominent toxicologists regarding an oversight in mentioning serum alkalinization. Utilizing the strengths of our blog and social media we were immediately able to initiate a discussion with experts on the topic.

Expert Peer Review Comments

Dr. Lewis Nelson of NYU was able to clarify that by prioritizing serum alkalinization, we will avoid the cerebral toxicity that is the primary etiology of mortality. Serum alkalinization should also facilitate urine alkalinization as well as allow time to arrange for hemodialysis. Dr. Bram Dolcourt from Detroit expanded that serum alkalinization and normokalemia alone do not guarantee an optimal urine pH and suggest measurement of both urine and serum. From Twitter, Dr. David Juurlink from Toronto also recommended measurement of both, stating his forthcoming publication will expand on the topic. Our own ALiEM clinical pharmacist Dr. Bryan Hayes also assisted with expert insight as I was revising the PV card.

My Reflections

As the ALiEM-CORD virtual fellow, I have had the challenging task of collaborating with experts in my field, while still very much in a learner role myself. I was fortunate enough to have been featured on a site that has a robust commenting system and pride in peer review, even if it is post-publication. There is certainly content on the web that may be inaccurate or ‘less-accurate’, and consumers of both FOAM and conventional publications, as always, should remain critical and review multiple sources. There is a broad range in teaching and practice based on region, and when we work together we can identify what is truly best practice. Hopefully this conversation and the forthcoming publication on the topic will translate into changes in practice and in the textbooks in the coming years. Luckily, utilizing the strengths of our medium, we are able to publish these corrections today.

PV Card: Acute Salicylate Toxicity

For those curious, here was the original version 1.

Sneak peek at ALiEMU: Free on-demand MOOC-like courses featuring the AIR Series

We are incredibly excited to announce the development of our newest project — ALiEMU. This top-secret project has been in the works for only 3 months, but has gained incredible momentum thanks to our all-star team, led by Dr. Chris Gaafary, who is our ALiEMU Chief of Design and Development… while he is not busy being an incoming EM chief resident at the University of Tennessee.

What is ALiEMU? The one-liner is: A free educational website which hosts free, on-demand e-courses, featuring the AIR series as the inaugural course.


Design Challenge | An ALiEM Fellows Project

Creative-canstockphoto18644829Design thinking is a concept that has recently taken the business world by storm, and more recently it has begun to creep into other fields, like education! At the core of it, the idea behind design thinking is to encourage designers to think about how they might solve problems that are experienced in the world – to think like engineers and architects, and focus on building solutions for end users. As a part of their fellowship, the 2014-15 ALiEM Fellows (Scott Kobner, BS and Sam Shaikh, DO) were each tasked with a different design job a few months ago. Click below to read more about their projects.


APPLY NOW: Essentials of Emergency Medicine & Education Fellowship Program

Essentials of Emergency MedicineWho has NOT heard of the Essentials of Emergency Medicine (EEM) conference? It is one of the largest live EM educational conferences in the world with over 2,000 attendees that I have had the pleasure to speak at a few times. The conference planners, led by Dr. Paul Jhun and Dr. Mel Herbert, are creating an amazing opportunity for U.S. EM residents to attend their upcoming EEM conference at the Cosmopolitan Hotel in Las Vegas (October 13-15, 2015).


By |2017-03-05T14:18:36-08:00May 12, 2015|Medical Education, Social Media & Tech|
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