Tricks of the Trade sneak peak: Teaching procedures

By |Jul 29, 2009|Categories: Medical Education, Tricks of the Trade|Tags: |

Teaching procedural skills in medical school is increasing falling on the shoulders of emergency physicians. Two common problems that arise are the equipment expenses and simulation of realism. Working with my colleague Dr. Jeff Tabas, we came up some creative ideas around the teaching of (1) the Seldinger technique for central line placement and (2) saphenous vein cutdown. [+]

Article review: The ABCs of manuscript writing

By |Jul 27, 2009|Categories: Education Articles, Medical Education|

I came across a practical and insightful review article written by Dr. Mark Langdorf (editor-in-chief of West JEM) and Dr. Steve Hayden (editor-in-chief of Journal of EM) outlining how to write a manuscript for publication. This is a crucial skill because paper publications are the standard unit of currency in academics, which then translates into promotions and academic credibility. Although this article primarily targets novice manuscript writers, it’s always nice to get the perspectives from Mark and Steve, editors-in chief of two major EM journals. [+]

Three phases of educational technology in the classroom

By |Jul 24, 2009|Categories: Medical Education, Social Media & Tech|

I recently encountered a thought-provoking video about how technology is transforming education in the classroom setting. We are slowly experiencing a culture shift in how learners are learning. It follows that this should affect how teachers should be teaching. Briefly, the author lays out the progression of educational technology in 3 phases. [+]

Trick of the Trade: The Digi-Speculum

By |Jul 22, 2009|Categories: Tricks of the Trade|Tags: |

Frequently patients present to the Emergency Department for lacerations, partial amputations, and abscesses of the fingers. After repairing the wound or injury, however, a bandage can be a bit unwieldy to apply and difficult to secure. To me, an ugly bandage just seems to detract from all of the diligent work that you just put into a plastic surgeon-quality wound repair. [+]

Work in Progress: Visual Aid Project

By |Jul 21, 2009|Categories: Medical Education|

Practicing at an academic ED, such as in San Francisco General, I find that I am constantly surrounded by medical students, interns, and residents. Most are working on shift with me, but occasionally I have medical students shadowing me to learn more about the Emergency Medicine specialty. Have you ever had a person shadow you (excluding your annoying little brother when you were a kid)? It’s actually a little stressful for me, because I want the shift to be a positive learning experience for them. Inevitably, it doesn’t take long before I get immersed in mundane troubleshooting activities (eg. calling [+]

Article review: Standardizing the EM clerkship patient encounter experience

By |Jul 20, 2009|Categories: Education Articles|Tags: |

As a medical student, do you remember your EM clerkship experience and whether you saw a wide variety of patient chief complaints? Did your fellow medical student on the EM clerkship rotation, who was going into Orthopedics, seem to only see patients with orthopedic complaints? [+]

Hot off the press: Two journals join Medline

By |Jul 17, 2009|Categories: Medical Education|

If a journal gets accepted it into the Medline database, it is viewed with significantly more legitimacy. It follows then that your academic CV is better regarded if your publications appear in journals which are listed on Medline. Plus, it’s just fun to see your name listed in Pubmed when you search yourself! Hmm, that sounded more egotistical than I intended, especially since I don’t have that many publications on Medline… [+]

Faculty spotlight: Dr. David Wald

By |Jul 14, 2009|Categories: Life|Tags: , |

David A. Wald, DOAssociate Professor of Emergency MedicineDirector of Undergraduate Medical EducationAssociate Course Director – Doctoring CourseTemple University School of Medicine (Philadelphia, PA) EM residency training: Albert Einstein   [+]

Trick of the Trade for Intubation: Two hands are better than one

By |Jul 8, 2009|Categories: Tricks of the Trade|Tags: |

Recently on my ED shifts, there were several especially challenging endotracheal intubation scenarios. A patient with thick frothy sputum constantly oozing out her trachea such that we couldn’t see the vocal cords– no matter how much suction we used. Imagine the Diet Coke and Mentos backyard experiment. I’m not kidding. A 300+ pound agitated trauma patient with almost no neck, who eventually was found to have an epidural and subdural hemorrhage. A COPD patient who was increasingly lethargic, hypoxic, and hypercarbic (pCO2>115), who I knew would start desaturating quickly as soon as rapid-sequence induction drugs were given. [+]