Is FOAM to blame when a medical error occurs?
What 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. [+]
Residencies Embrace Twitter: An Educational Movement
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 [+]
The Public Health Model: A Primer for Emergency Care Providers
What is “Public Health”? According to the World Health Organization, ”Public health refers to all organized measures (whether public or private) to prevent disease, promote health, and prolong life among the population as a whole. Its activities aim to provide conditions in which people can be healthy and focus on entire populations, not on individual patients or diseases.” [+]
Introducing Open, Post-Publication, Expert Peer Review on ALiEM
Today, 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 [+]
Welcome ALiEM Resident Editor Dr. Natalie Desouza
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). [+]
Share your tips: Managing digital information overload
In 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 [+]
Open Educational Resources
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 [+]
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.” [+]
Public health and EM: A new series by Dr. Megan Ranney
Welcome to my inaugural post on ALiEM! My goal for this new series of missives is to inspire discussion about aspects of our life in EM, beyond the day-to-day clinical work. I chose emergency medicine not only for the clinical challenge, but also for the potential public health impact. After all, we are the only specialty to consistently care for the poor, the disempowered, the mentally ill. [+]
Hero spotlight: Dr.Todd Raine
There are incredible people doing incredibly inspiring work in Emergency Medicine. I wanted to restart the hero series, which had fallen off the radar a few years ago, featuring amazing people in our specialty. Today’s hero spotlight is on Dr. Todd Raine (@RaineDoc). He is a Staff Physician and IT Coordinator at the Providence Healthcare Department of EM and Clinical Assistant Professor at the University of British Columbia’s Department of EM. Despite these notable accomplishments, he is famous in the social media world for his innovative creation of a Google-based EM search engine GoogleFOAM.com, which many of us use to perform [+]