A 28 year-old single man with type I diabetes mellitus presents to your busy Texas emergency department in diabetic ketoacidosis (DKA). This is his third hospitalization for DKA in 5 months. When you ask the patient about his current medication regimen, he admits that he frequently skips doses as a cost-savings measure. He shares that he works 45 hours a week at a small local grocery store, makes minimum wage ($15,660 pretax), and has no health insurance. His prescribed insulin regimen, consisting of Lantus at bedtime and Humalog with meals, costs approximately $600 a month. This cost estimate is based on 25 units of nightly Lantus and 25 total units of Humalog daily from GoodRx advertised list prices for the San Antonio area.
We proudly introduce ALiEM’s newest series, The Leader’s Library, with Dr. Brené Brown’s newest book, Dare to Lead!
Have you ever gotten to work with someone who just “got it?” Someone who inspires greatness in all people with whom s/he worked, seemingly effortlessly, all the while maintaining humility and approachability? What about the converse– have you ever worked with someone who just seems out of touch with the rest of the team, failing to unite the group under a common goal, leaving the team members feeling unheard and voiceless? Unfortunately, we’ve all probably worked more with folks from the latter category than the former, and this can lead us to believe that good leadership is a mysterious, innate quality that some people are lucky enough to have, while the rest of us are stuck bumbling through our days, just trying to avoid catastrophic mistakes.
Welcome to Leg Day #3 of the SplintER Series! Performing a fast and focused history and physical examination of a patient with an acute knee injury is an important skill that has the potential to be overlooked in our busy Emergency Departments. Our hope is that after reviewing this post and with enough practice you will be able to complete your exam within 2 minutes! These are can’t-miss points and expert tips on the knee exam for your next shift in the ED.Read more
Many of you are asked to take a leadership role in leading a team, whether it’s for research, administration, or even clinical. It is easy to feel unprepared for these roles, and there are many pitfalls waiting to sabotage your group’s teaming culture. The ALiEM Faculty Incubator has created a series of 10 case-based teaming problems to provide you with evidence-based advice and solutions for tackling some of the more common problems encountered in our professional team experiences.(more…)
Welcome to the Stroke Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related to Stroke emergencies. 7 blog posts within the past 12 months (as of October 2018) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 0 AIR and 7 Honorable Mentions. We recommend programs give 3.5 hours (about 30 minutes per article) of III credit for this module.
More women than men entered medical school in the United States for the first time in 2017. Will this generation also set new trends in parenting during their training? One study suggests that 40% of female residents plan to have a child while in residency.1
Can our graduate medical education system withstand even a modest increase in the number of resident parents? Can your hospital?