Escaping Addiction with Dignity as a Medical Student

drugs alcohol canstockphoto0265835“The most obvious, ubiquitous, important realities are often the ones that are the hardest to see and talk about.” –David Foster Wallace

Addiction can be a nightmare of isolation and shame, but it doesn’t have to be.

I will always remember my last night of withdraw; sitting in the busy waiting room of my training hospital. I kept thinking about what might happen if one of my EM attendings were to care for me. To see me sick, weak, and vulnerable. Nobody other than my family knew I struggled with alcohol abuse, and I was exhausted with the neverending cycle of trying to manage addiction on my own. This had to stop.

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2018-10-28T21:25:46-07:00

MEdIC Case: The Case of the Honorary Authorship

medic documentWelcome to season 3, episode 9 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Brent Thoma, Sarah Luckett-Gatopoulos, Tamara McColl, Eve Purdy, John Eicken, and Teresa Chan) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine! In this month’s case a junior staff person is unsure of whether or not to include a senior staff on a paper.

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2017-01-20T12:30:40-07:00

IDEA Series: Just-in-Time Procedural Training for Endotracheal Intubation

The Problem

Idea Series LogoProcedural training is critical in emergency medicine (EM). EM residents must effectively acquire the skills to safely and accurately perform high-stakes, invasive, and life-saving procedures during high-pressure scenarios. Residency programs typically incorporate procedural skills workshops into didactic sessions, which results in residents practicing procedures several weeks or months before performing them clinically. Unfortunately, there is no established method to practice and evaluate procedural skills competency immediately prior to performing invasive procedures on a patient. A solution to this issue may lead to improved outcomes and greater patient safety.

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2017-01-04T18:23:54-07:00

Free ALiEM In-Training Exam Prep Book is now published

ALiEM in-training exam prep book for emergency medicineIt is with great pleasure that we announce the first edition of the ALiEM In-Training Exam Prep Book in both PDF and iBook form. This free book was a year-long project from the Chief Resident Incubator, led by the Editors Dr. Michael Gottlieb, Dr. Dorothy Habrat, Dr. Margaret Sheehy, Dr. Samuel Zidovetsky, and Dr. Adaira Chou with the support of Associate Editors Dr. Nikita Joshi and Dr. Michelle Lin. Over 90 EM residents and faculty from the Incubator and across U.S. emergency medicine residency programs contributed board-review type questions. Five practice tests are included for those preparing for the in-training exam (also known as the in-service exam) or even for the ABEM written board exam. You can download the free PDF or iBook below.

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Top 10 Secrets to Success as an Emergency Medicine Resident

Peak-sunset-SuccessResident---canstockphoto9891708So you are about to start your first year as an Emergency Medicine (EM) resident in a few short weeks. Or perhaps you are entering a new, more senior resident role in your department. You are probably unsure of what to expect, a bit anxious, but definitely excited to start. As part of a multi-institutional initiative launched by the ALiEM Chief Resident Incubator, chief residents from across the country pooled together what they wanted residents to know to become an amazing resident. After compiling the responses, we came up with these “Top 10 Secrets to Success as a EM Resident”.

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2016-11-11T19:47:05-07:00

MEdIC Series: Case of the Terrible Code – Expert Review & Curated Commentary

Terrible code expert reviewThe Case of the Terrible Code outlined a scenario where a resident observed a resuscitation that was not going well. Should he intervene even though the code leader was an attending? How? This month the MEdIC team (Brent Thoma, Sarah Luckett-Gatopoulos, Tamara McColl, Eve Purdy, John Eicken, and Teresa Chan), hosted a discussion around these questions with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our 3 expert opinions. Thank-you to all our participants for contributing to the very rich discussions last week.

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2017-03-05T14:18:44-07:00

10 Life and Work Tips for EM Residency Graduates

residency graduatesCongratulations to the Class of 2016 graduating class of emergency medicine residents! It is the end of a chapter and a beginning of another. For those of us practicing medicine for so many years, there are many things that we would have done differently… especially in that first year post-residency. In the following infographic, we present crowdsourced reflections and advice for residency graduates from the the UCSF Department of Emergency Medicine faculty.

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2019-01-28T21:40:19-07:00