Video: Caution about patient hand-offs in the ED

Kudos to Dr. Vineet Arora (Univ of Chicago) on creating a great video on the importance of clear, concise, and updated hand-off information on patients. This is especially important in the Emergency Department where patients are constantly being “signed out” to other residents for continued acute care. Whatever hand-off process you are using now, we can always do better.

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By |2016-10-26T17:05:32-07:00Jul 1, 2010|Medical Education|

Article Review: Evaluating students using RIME method

GradeHow do evaluate medical students and residents, who are rotating through your Emergency Department? Do you have a structured framework for assessing their competencies?

Have you heard of the RIME method of evaluating learners on their clinical rotation? Dr. Lou Pangaro (Vice Chair for Educational Programs in the Dept of Medicine at the Uniformed Services University) published a landmark article in 1999 on his simple yet effective approach in evaluating medical students and residents. I had the pleasure of briefly meeting Dr. Pangaro when he gave CDEM’s keynote speech in 2008.

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By |2016-11-11T21:41:13-08:00Jun 28, 2010|Education Articles, Medical Education|

Article Review: Impact of family presence in a code

CPRanimationFamily presence in the ED resuscitation of a dying patient is a controversial topic. Some surveys suggest that families favor this practice and would repeat it again in a similar situation.

An article in Critical Care Medicine examines the impact of family presence on the ED personnel’s actions, rather than the impact on the families themselves. Second and third-year EM residents were randomized into paired teams in simulation exercises. All resuscitations involved a cardiac arrest patient. Each team was exposed to one of three types of resuscitation groups:

  1. No family witness
  2. Non-obstructive family witness (quiet person) – quiet crying and conversation with social worker
  3. Overtly grieving family witness – loud crying, attempts to hug patient during resuscitation

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By |2016-11-11T19:00:42-08:00Jun 21, 2010|Medical Education|

Article Review: Conceptual Model on Learner Reflection

Reflection Reflective journals and electronic portfolios are becoming increasingly popular within undergraduate and graduate medical education. I’m starting to be a believer in this learning approach, which teaches learners about professional development and life-long learning principles. Academic Medicine just published a great qualitative paper proposing a conceptual model for reflection.

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By |2019-02-19T18:43:35-08:00Jun 7, 2010|Education Articles, Medical Education|