MEdIC Series: Case of the Fatiguing Fourth Year – Expert Review and Curated Community Commentary
The Case of the Fatiguing Fourth Year outlined a scenario many of us deal with at some point throughout our careers, that of a senior emergency resident struggling to cope with the physical, emotional and mental exhaustion of working in our chosen field of medicine. 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 3 expert opinions. Thank-you to all participants for contributing to the very rich [+]
PV Card: Elbow Injuries
Elbow injuries are a common presentation to the Emergency Department. This pocket card reviews some the imaging, acute management, and some pearls for the following injuries: elbow dislocation, radial head subluxation, supracondylar fractures (such as the xray on the right), radial head fracture, epicondylitis, condyle fractures, and olecranon fracture. Thanks to Dr. Jonathon Hancock (Doctor's Hospital orthopedist) for the expert peer review. PV Card: Elbow Injuries View other PV Cards.
Wellness and Resiliency During Residency: Strategizing with ZDoggMD
Unless you are living under a rock, many healthcare and public media platforms are talking about the insidious problems with burnout in the health professions world. One thought leader out there is especially vocal about wellness, resiliency, and mindfulness — Dr. Zubin Damania (alter ego: ZDoggMD). For instance, do you know the difference between empathy and compassion, and why that is important to differentiate this as a clinician? We were honored to have him join the Wellness Think Tank to field questions that we peppered at him, specifically around resident wellness. [+]
ALiEM Book Club | Show and Tell by Dan Roam
“Its all about the audience” is a nice sentiment, but only half true” ― Dan Roam, author of “Show and Tell” book Public speaking and presentation building skills are critical aspects of medical education and academic careers. Despite how important it is to develop these skills, many educators often “wing it” or copy the same boring format they have seen in the past. Show and Tell: How Everybody Can Make Extraordinary Presentations by Dan Roam is a worthy investment for anyone seeking to improve their public speaking skills. And this concise book stands out among the plethora of books available in this genre; not only is [+]
I am Dr. Ian Julie, Medical Simulation Fellowship Director: How I Stay Healthy in EM
Dr. Ian Julie is an emergency physician based out of UC Davis Medical Center. He is currently an Assistant Professor of emergency medicine, Director of the Medical Simulation Fellowship, and Interim Director of UC Davis Center for Virtual Care. Dr. Julie keeps well by taking an active role to incorporate activity and make healthy choices in his daily life. His approach of “talking things out” with his patients, is a form of therapy we should try. Here’s how he stays healthy in EM! [+]
MEdIC Series: The Case of the Fatiguing Fourth Year
Welcome to season 4, episode 3 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, John Eicken, Sarah Luckett-Gatopoulos, Eve Purdy, Alkarim Velji and Brent Thoma) 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 senior resident is experiencing the effects of physician fatigue and burnout. [+]
AIR Series: Infectious Disease Module (2016)
Welcome to the Infectious Disease Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index the ALiEM AIR Team is proud to present the highest quality procedure content. Below we have listed our selection of the 18 highest quality blog posts within the past 12 months (as of August 2016) related to Infectious Disease emergencies, curated and approved for residency training by the AIR Series Board. More specifically in this module, we identified 2 AIRs and 16 Honorable Mentions. We recommend programs give 6 hours (about 20 minutes per article) of III credit for this module. [+]
Wellness and Resiliency During Residency: Interprofessional Conflict
“It’s rarely the patients that hurt me. It’s my colleagues in the hospital.” “[Interprofessional conflict] is so underappreciated as a source of stress and misery in our job. And so often in the hospital, horrible behavior is swept underneath the rug because a) there is no pathway to address this stuff and b) it’s almost seen as de rigor for certain services to act this way. “Oh it’s the surgical service, what do you expect, that’s just the way they are.” That is what ruins me … I think that is the biggest threat to wellness in my world.” –Scott [+]
Ultrasound For The Win! Case – 40F with Fever, Chest Pain, Shortness of Breath
Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this case series, we focus on a real clinical case where point-of-care ultrasound changed the management of a patient’s care or aided in the diagnosis. In this case, a 40-year-old woman presents with a fever, chest pain, shortness of breath, cough, and generalized weakness. [+]
IDEA Series: Partnering with Pathology to Review Deaths in the ED
The Problem As part of their training, Emergency Medicine (EM) residents are required to perform patient follow up. However, there is currently no universal format in place. Additionally, there is often little follow-up information available on patients who die during the course of their Emergency Department (ED) visit, or shortly after admission to the hospital. [+]







