Is FOAM to blame when a medical error occurs?

SadFaceWhat if a resident-physician attempted a technique she read on a blog or listened to on a podcast, but the procedure didn’t go as planned and the patient was harmed? Is Free Open Access Meducation (FOAM) to blame for medical errors? What about the blog site? If the site has a disclaimer (like most medical databases), is it enough to limit liability?

These are challenging questions, but ones that deserve discussion, especially in light of the recent post on St. Emlyn’s blog about a theoretical scenario just like this.

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Residencies Embrace Twitter: An Educational Movement

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The movement of FOAM and #FOAMed may have started in a pub in Dublin in 2012, but it has become legitimized through widespread acceptance. Residencies are also catching onto the idea and eager to collaborate through social media, in particular Twitter. This is evidenced by the use of Twitter accounts on #EMConf as a way to collect educational learning pearls garnered weekly at resident conferences.

“The mind is not a vessel to be filled, but a fire to be kindled.” – Plutarch

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2016-11-11T19:03:47-07:00

Introducing Open, Post-Publication, Expert Peer Review on ALiEM

ExpertPeerReviewStamp2x200Today, we are busting open the concept of peer review for publications on blogs!

The peer review process has been criticized for its flaws, but is universally accepted as a necessary part of the scientific process. Peer reviewing allows experts in a field to determine the validity of a study or an article so that those of us who are less expert can reap the benefits of their knowledge. Until recently this process was almost universally pre-publication and anonymous.  Authors would go through months of review and revision based on feedback of experts whose name they didn’t even know. In the last decade journals such as BMJ Open moved to an open peer review process by divulging the reviewer’s identities to the author and publishing the reviews of the experts online for open access to all readers. This open peer review model prevents redundancy and encourages transparency in the scientific process.

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2016-11-11T19:03:36-07:00

Welcome ALiEM Resident Editor Dr. Natalie Desouza

Desouza, Natalie[2]There are many things that print journals do well. One of the best ideas that I have seen from the Annals of Emergency Medicine is the unique idea of having a Resident Editor on the executive team. This provides the resident exposure to the behind-the-scenes operational processes of running a journal under a mentored environment. Similarly, ALiEM has experienced such rapid growth in the past year with the addition of amazing regular bloggers that we are ready to welcome our first Resident Editor Dr. Natalie Desouza (UCSF-SFGH EM senior resident). 

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2016-11-10T21:24:51-07:00

Share your tips: Managing digital information overload

082310_rg_InboxZero_04In this digital age, it is somewhat assumed that you know how to manage all the digital information coming at you in the forms of email, Facebook, Twitter, blogs, podcasts, RSS feeds. Even if you only partake in email as your primary communication platform, information still can be quite overwhelming as a trainee or practicing medical provider. At a the annual Bay Area EM residency conference last week, Dr. Charlotte Wills (Highland), Dr. Rebecca Smith-Coggins (Stanford) and I were invited by Dr. Esther Chen (UCSF-SFGH) to share some our personal insights and advice on a panel. We quickly realized that this is indeed a hot topic which often gets subsumed under the larger umbrella of “Wellness”.

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2019-01-28T21:56:04-07:00

Open Educational Resources

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The Internet has not only facilitated connectivity between people, but it has also helped us to connect with educational material quite different from that of a physical textbook. We are consuming information at a much more rapid rate, and we are also becoming producers of content online. With the use of hyperlinks we are also connecting one content material with another, allowing for a more dynamic-instantaneous flow of knowledge as opposed to the static print in a physical textbook. People have started seeing the potential that this brings to education and are placing educational content online. These educational materials include lectures, videos, images, textbooks to name a few.

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2018-01-30T02:15:21-07:00

The Checklist Manifesto: ALiEM Book Club Synopsis

Our dear readers have chimed in and we’ve received amazing commentary and feedback regarding this month’s book The Checklist Manifesto. Please read the summary of the discussion below. 

CHECKLISTS ARE EVERYWHERE IN EMERGENCY MEDICINE

Our readers have spotted checklists in a number of places including PALS/ACLS algorithms, Procedural Sedation protocols, and Clinical Decision Rules. Dr. Javier Benitez (@jvrbntz) stated that he uses a checklist for resuscitations at the start of shifts. Dr. Michelle Lin (@M_Lin) stated “We already use our own mental checklists in Med[icine]. It’s just not explicitly shared. Should have more overt shared checklists.” 

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2019-02-19T18:09:09-07:00