Slide Redesign Competition Winners: International Teaching Course 2014

By |May 13, 2014|Categories: Medical Education, Social Media & Tech|

The International Teaching Course, now held twice annually in Baltimore, has a recurring Slide Redesign workshop and competition. Taught by Dr. Stacey Poznanski, this workshop addressed many of the widespread pitfalls which cause “death by powerpoint”. Here are the winners from the workshop competition, illustrating great examples based on Mayer’s multimedia learning theories. The examples below show the before and after slides. Congratulations to the winner, Badria Alhatali, and the close co-runners up, Nadia Awad and Kris Maday! [+]

New Antibiotic Dalbavancin: Should we use this in the ED?

By |May 12, 2014|Categories: Tox & Medications|

A new antibiotic will soon be approved for skin and soft tissue infections (SSTIs): dalbavancin. The company behind the drug will likely begin marketing heavily to emergency physicians as many patients with SSTIs seek care in the Emergency Department (ED). However, should we seriously consider dalbavancin as an addition to an ED’s arsenal against SSTIs and should it change our practice? [+]

Clinician Educator: The agent for change in medical education

By |May 11, 2014|Categories: Education Articles, Medical Education|

Some people consider teaching and learning much more difficult than rocket science. 1 Teaching and learning is such a complex process that researchers are still having debates in different areas including: how it works, how to assess it, and how to research it. For the most part it is safe to presume that different people have different learning philosophies and this is, most likely, how they teach. 2 Because we are a product of our past and form strong habits, these might inadvertently impede the search of more effective and efficient educational activities. Research in education, just like research medical practice, may challenge our most held [+]

Multiple Mini Interviews (MMI): Annals of EM Resident Perspective article

By |May 7, 2014|Categories: Annals of EM Resid Persp, Education Articles, Medical Education|

We are very excited this month to bring you our first ALiEM-Annals Resident’s Perspective discussion. Similar to the ALiEM-Annals Global EM Journal Club series, we will be discussing the most recent Resident’s Perspective piece on the role of Multiple Mini Interviews (MMI) in the EM residency selection process. We hope you will participate in an online discussion based on the paper summary and questions below from now through May 11, 2014. Respond by commenting below or tweeting (#ALiEMRP). [+]

Announcing the ALiEM-CORD Social Media and Digital Scholarship Fellowship

By |May 5, 2014|Categories: Medical Education, Social Media & Tech|Tags: , |

We very are excited to announce an innovative, joint initiative with CORD (Council of EM Residency Directors) in launching the 2014-2015 ALiEM-CORD Social Media and Digital Scholarship Fellowship! The application process for this virtual fellowship is open as of right now to U.S. Emergency Medicine residents. [+]

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MEdIC Series: The Case of the Unexpected Outcome – Expert Review and Curated Commentary

By |May 2, 2014|Categories: MEdIC series|

The Case of the Unexpected Outcome presented an attending trying to deal with a poor outcome in one of their patients despite competent medical management. No matter how good of a clinician we are, odds are that at some point this will happen to all of us. In addition to being potentially emotionally devastating, a serious miss can make us question our competence and shift our practice patterns from evidence- to anecdote-based. Check out the ALiEM community’s discussion of the case. [+]

What makes a good clinical educator?

By |May 1, 2014|Categories: Education Articles, Expert Peer Review (Non-Clinical), Medical Education|

In this constantly evolving world of learner competencies, assessments, and milestones often is forgotten the important role of clinical teachers. We can all remember clinical instructors that stand out despite the grueling years of medical school and residency training. We admired them for various reasons and remember the insights and teaching pearls they bestowed upon us. But what exactly were the qualities that they possessed that other instructors did not have? What exactly did they have that made them a good clinical teacher in medicine? [+]

Geriatric Emergency Departments: Coming to a Hospital Near You?

By |Apr 29, 2014|Categories: Expert Peer Reviewed (Clinical), Geriatrics|

We are all familiar with the concept of pediatric EDs. We see them as medical students, we train in them as residents, and we work alongside pediatric EM fellows. It is generally clear what pediatric EDs have to offer: smaller sized beds and equipment, nurses trained in pediatric triage and assessment who know how to put IVs in babies and calm crying kids, and physicians with training in pediatric Emergency Medicine. But what about the other end of the age spectrum? Over the last 10 years geriatric EDs, also called Senior EDs, have been popping up around the country. You [+]

MEdIC Series: Case of the Unexpected Outcome

By |Apr 25, 2014|Categories: MEdIC series|

Cry By Clala1220 Emergency medicine is a specialty that requires a level of comfort with uncertainty. No matter how good of a clinician you are, at the end of the day there will be patients that, despite solid medical care, will have an unexpected outcome. In addition to being potentially emotionally devastating, a serious miss can make us question our competence and shift our practice patterns from evidence- to anecdote-based. Dealing with these issues productively will be the topic of discussion in this months MEdIC. [+]

Deep Vein Thrombosis (DVT): Wells criteria and D-dimers happy together

By |Apr 24, 2014|Categories: Cardiovascular|Tags: |

You are evaluating a 45-year-old male who is complaining of calf pain. He has a history of cancer however he has never had a clot in the past.   The leg is neither swollen nor warm but he notes a cramping sensation in the posterior portion of his calf.  You are concerned for a deep vein thrombosis (DVT) and consider the multiple means to reliable exclude the diagnosis: Wells score, D-dimers, ultrasound? What works? [+]