26 05, 2017

I am Dr. Daniel Lakoff, Associate Residency Director: How I Promote Wellness in EM

2017-05-25T23:24:02+00:00

Promoting wellness is a team sport. It takes more than one individual to champion it at any institution. In medicine, when a team is formed to effect change, it is called a committee. Dr. Dan Lakoff was one of the founding leaders of the council of residency wellness committee, and has also helped lead wellness efforts at his own institution. Here he shares his thoughts, his inspiration, and practical ideas that helped improve wellness at his program.
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24 05, 2017

10 Tips on How to Succeed Your First Year Out After Residency Graduation

2017-05-25T23:27:37+00:00

If you are graduating from an EM residency this year, you may be feeling nervous (or petrified) about your first shift out on your own. You’re wondering how you can gain the trust of the nurses and doctors at your new hospital. Perhaps you are wondering how you will keep learning without the residency leadership forcing articles and lectures on you.

In this post we will give you our top 10 tips, each with a practical pearl, for how to succeed your first year out. These keys to success will help keep you from making common mistakes, blowing your chance at a good first impression, and also help keep you out of deep, troubled waters when it comes to HIPAA violations and keeping your medical license.

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18 05, 2017

IDEA Series: Interactive Practice Oral Examination Case Construction

2017-05-10T19:19:02+00:00

The Problem

idea series teaching residents quality improvementThe American Board of Emergency Medicine (ABEM), American Osteopathic Board of Emergency Medicine (AOBEM), and the Royal College of Emergency Medicine (RCEM) require successful completion of an oral examination as part of the certification process for the specialty of emergency medicine. Residents are seldom taught explicitly about the process of developing oral board examinations. While deliberate and guided practice can improve performance in such examinations, understanding the design and structure of an oral examination can also ease anxiety about the experience.

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17 05, 2017

Our “User’s Guide to the EM Match Advice Web Series” is published in WestJEM

2017-05-08T18:17:53+00:00

user's guide to the EM Match Advice Series

It’s that time of year again… when the sun is shining, the flowers are in bloom… and new senior medical students are preparing for next year’s Match.

Emergency Medicine (EM) remains a very popular specialty choice. EM enjoys a 99% annual fill rate in the National Residency Matching Program (NRMP) Main Residency Match, with approximately 80% of positions going to U.S. allopathic senior medical students. Students seek many sources of career advice when preparing for their EM clerkships and the residency interview process. Unfortunately, career advice often comes from near-peers and medical school faculty members in other specialties, rather than EM residency directors and clerkship directors. Given the variable quality of information offered as ‘career advice,’ students can be left with inaccurate and confusing opinions about how to assess their candidacy and compete in the Match.

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13 05, 2017

I am Dr. Michael Ritchie, EM/ICU Attending: How I Stay Healthy in EM

2017-05-12T11:45:50+00:00

Dr. Michael Ritchie is an emergency and ICU physician from Brooklyn, NY. When he is not busy working in the emergency department or ICU, Dr. Ritchie, can be found training for marathons, or keeping fit by keeping up his ball game. Ever wonder how to occupy your time on those long subway rides, he’s got some tips for you! Here’s how he stays healthy in EM!

 

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12 05, 2017

MEdIC Series: Case of the Solo Senior – Expert Review and Curated Community Commentary

2017-05-12T03:43:36+00:00

The Case of the Solo Senior outlined a scenario of an emergency attending who questioned the common consultant call-etiquette of not activating back-up call, whether that be another resident or the attending physician, on a busy call shift when the “solo senior” is obviously overwhelmed. This month, the MEdIC team (Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma), hosted a discussion around this case with insights from the ALiEM community. We are proud to present to you the curated community commentary and our expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case!

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10 05, 2017

Wellness and Resiliency during Residency: EM is a career with unresolved stories

2017-05-22T14:16:43+00:00

“We do make a difference, but not just in the setting of resuscitating critically ill or injured people, but in putting people on the pathway to health. We often get cheated out of the ending of the movie. We don’t see the romantic side of what we’ve helped facilitate. We certainly don’t get credit for it.” – Dr. Richard Cantor

wellness and resiliency think tankThere are lots of reasons why Emergency Medicine (EM) has one of the highest burnout rates compared to other medical specialties.1,2 We have long and erratic hours, difficult patients, and an increasing number of bureaucratic tasks such as clicking boxes in an electronic medical records system or ensuring high patient-satisfaction survey responses.2 These stresses are not unique to EM, but our high-volume and high-acuity patient loads do amplify those stresses compared to other fields.

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