Article review: Teaching when time is limited

By |Jun 29, 2009|Categories: Education Articles|

A 2008 British Medical Journal article focused on practical tips and approaches to teaching in busy environments. This is especially relevant to those of us in Emergency Medicine. We are balancing trying to take care of patients, teach eager learners, and troubleshoot logistical hurdles while trying to find 30 seconds to eat dinner or have a bathroom break! I wonder how many emergency physicians have hydronephrosis at any given time on a shift… Someone should do a study. […]

Humorous distillation of specialty personalities

By |Jun 25, 2009|Categories: Medical Education|Tags: |

If only I had this flowchart when I was a first-year medical student! I too have always felt that emergency physicians have a little baseline crazy in them to be happy and successful in the specialty. This diagram has been floating around the web for years now, and I wanted to share with you. It’s a humorous (partly because there’s some truth to it) decision tree on how to choose your medical specialty. Did you decide upon the right field?   […]

Tricks of the Trade: Tissue adhesives and tegaderm

By |Jun 24, 2009|Categories: Tricks of the Trade|Tags: |

Tissue adhesives for wound closure often seem to intentionally make a bee-line straight for high-risk areas such as the eye. To avoid inadvertent application of the tissue adhesive, Dr. Hagop Afarian (UCSF-Fresno) utilizes a transparent tegaderm tape with an oval cut out of the center to provide a protective barrier. Immediately after application of the tissue adhesive, the tegaderm can be carefully peeled off to reveal a still-drying, well-circumscribed aliquot of glue over the wound. Be sure that the wound is dry, and the edges are well-apposed prior to tissue adhesive application. […]

Faculty spotlight: Dr. Renee Hsia

By |Jun 23, 2009|Categories: Life|Tags: |

There are so many interesting and inspiring EM faculty and none more so than in our own department at San Francisco General Hospital. Dr. Renee Hsia is a rising superstar in our department who has received numerous fancy awards and grants including the prestigious Robert Wood Johnson Faculty Scholar award. She makes me feel small, insignificant, and uncultured. For instance, I thought Eritrea was a rash. Anyway, read below to see what I mean. Good thing I can at least beat her in foosball. […]

Article review: Interruptions during oral case presentations

By |Jun 22, 2009|Categories: Education Articles|

Do you remember when you were a medical student and had to present patient cases to the ED attending? How often did they interrupt your presentation, and did this affect your learning experience? These were the questions that the following article by Dr. Rachel Chin (a super-mom colleague of mine at SF General) and Dr. Glen Yang answered in her 2007 publication in the Academic Emergency Medicine journal. Pubmed citation […]

Faculty spotlight: Dr. Rob Rogers

By |Jun 16, 2009|Categories: Life|Tags: |

Over the years, I have gotten to meet lots of really inspiring and fun EM faculty across the country through random encounters. Recently, I got to hang out with Dr. Rob Rogers (Univ Maryland), sitting at a beachside bar in Barbados during the Carribean EM Congress. The picture above is what he calls his “Corona commercial” shot. We were both speakers at the conference and couldn’t believe the gorgeous weather in January. […]

Blogs – perfect for medical education

By |Jun 14, 2009|Categories: Social Media & Tech|

I started this blog on life in academic emergency medicine after having read many articles about how a blog (short for “web log”) is the communication and teaching tool of the future. This is an example of Web 2.0 technology. I found a great slide set by Frank Calberg, an innovator and educator from Switzerland. Step through the following slides to read more about how blogs are great for teaching and are here to stay. […]

Top 10 list: Pearls in wound closure

By |Jun 11, 2009|Categories: Trauma|Tags: |

This is a list of pearls and pitfalls that I share with the medical students and interns to whom I teach suturing and wound closure techniques. I can’t tell you how many pigs feet I have seen in my lifetime. Feel free to use and add to the list. […]

Sneak peek: ENT "Tricks of the Trade"

By |Jun 10, 2009|Categories: Tricks of the Trade|

I just submitted my quarterly column installment on Tricks of the Trade in ACEP News on ENT dilemmas. Kids (and adults) get the most bizarre things in their ears and noses. I’ve seen a cockroach and Q-tips in the ear, and peas and pebbles in the nose. What have you seen, and what are your tricks for getting these things out? […]

Article review: Time management tips

By |Jun 9, 2009|Categories: Education Articles|

I wish I had more time in the day. I was just browsing through the February 2009 Academic EM journal and came upon a commentary “Tuesdays to write… A guide to time management in academic emergency medicine” by Dr. Steven Lowenstein (Univ of Colorado at Denver). In the article, he outlines six time management tips to all of us trying to balance the pressures of our life with clinical care, research, teaching, and administrative duties, amidst an avalanche of hourly emails. I hate to admit it, but I am guilty of falling into most of the traps that he mentions. [...]