The issues of wellness, burnout, and resiliency have snowballed across nearly all health professions. Emergency Medicine (EM) specifically was singled out as one of the specialties with highest risk for burnout at >60%.1 There has been much discussion around the general “UN-wellness” of medicine, and we now feel that there is a dire need for action. Instead of tackling the entire spectrum of wellness throughout medicine, we wanted to focus on EM residents. As a response to this need, we are proud to announce the launch of the ALiEM Wellness Think Tank, which is a private virtual community comprised of EM residents across North America. What better stakeholder group to address the world of EM residency wellness than EM residents themselves?
As fall approaches, senior medical students and Emergency Medicine (EM) residency programs alike are beginning to prepare for the upcoming interview season. As part of the process, many programs have current residents interview potential candidates – their future colleagues! For most residents, though they have often been the interviewee, this is the first time they have filled the role of the interviewer. Among all the busy shifts and learning everything you need to know to be an amazing EM physician, there is little time for practice or formal training. To help, we have compiled our top “10 Tips to Become a Successful Interviewer.” Here’s to making this interview season the best one yet!
While residents may accumulate teaching tips and techniques during the course of their training by observing their mentors at work, learning how to educate while balancing the needs of a busy emergency department (ED) is a difficult skill to acquire. Unfortunately, excellent clinical skills do not always equate to effective teaching skills. With training, however, even the initially reluctant teacher can begin to effectively engage learners in the ED. An elective aimed toward developing the resident as a teacher allows residents to acquire and practice skills that will be particularly helpful for those that ultimately take on academic roles with teaching requirements.
As dedicated faculty time was in limited supply, our previous Resident As Teacher elective simply offered residents time to practice teaching with junior residents and medical students without offering significant structure or substance for those who wished to enhance their skillset as educators and acquire new knowledge.
This time of year is almost universally overwhelming for visiting medical students at away rotations. They are thrown into a new environment for a brief amount of time and there is a great deal of pressure to impress both faculty and residents. After years of hard work and study, these few weeks may be one of the most influential aspects of a residency application. A survey study of Emergency Medicine (EM) residency program directors by Crane et al. showed that EM rotation grade was the single most important factor in resident selection.1
Given the importance of performing well on this rotation, how do you succeed? Or equally as important, how do you NOT fail? This blog post was developed as a culmination of advice from personal experiences combined with those of the ALIEM 2015-16 Chief Resident Incubator, a network of over 200 chief residents from 71 programs across the country. While some of these tips may appear obvious, the potential anxiety associated with this high-stakes rotation causes many of these issues to still occur every month at programs across the country. Follow this advice to demonstrate your best self and avoid the problems that may easily overshadow many others.
With the start of the year, we welcomed a new group of faces into our respective residency programs. We can all still remember how daunting it was to tackle learning the immense volume of material to be a great emergency medicine physician. We have so many amazing resources, but no road maps for where to start. The purpose of this list is to help guide the new interns as well as to highlight some resources that even the more seasoned clinician may find useful.
One of the most difficult parts of residency and medical education is coordination and communication. Often residents and faculty alike can be found drowning in a never ending onslaught of emails, with chains of projects getting buried amongst reply-all’s and attachments. Over the course of the past year, our residency program at Doctors Hospital-OhioHealth in Columbus, Ohio has been using a newer form of communication to facilitate the dissemination of information and collaboration as a group.
After some initial exploration into technology and apps, it was decided to try out the program called Slack. Designed to help large groups work together as well as separately on projects simultaneously, we felt this may be our solution to the clunky and at times unbearable onslaught of emails. For those of you interested in taking your residency or group to the next level, below are our observations from the past year in a simple do’s and dont’s fashion.