“In every crisis, there is an opportunity.” This famous quote by Albert Einstein illustrates the opportunity to reinvent our Chief Resident Incubator (“CRincubator”) year-long experience. We had planned to retire the CRincubator as of a month ago. However, given the relative void in Chief Resident professional development opportunities this year because of physical distancing rules, we wanted to share our lessons learned and resources developed over the past 5 years. We thus announce a half-day, online, professional development learning lab opportunity to all EM Chief Residents. Come join us on May 6, 2020. Read more about the unique curriculum and our all-star speaker line-up on our CRincubator Live homepage.
If you are a senior resident, this post is for you! Right now you’re juggling an array of responsibilities. From adjusting to your new leadership roles in the Department to applying to jobs and fellowships, it’s easy to let that pesky procedure you have always struggled with or confusing ECG finding slip by you. To help you solidify your skills this year, we have come up with a list of things to master before the end of the academic year. Take a look, and tailor this list to your background and training. Come up with a list of your own, share it with your mentors, and check off each one. Graduation will be here before you know it!
Welcome to the beginning of the most exciting and terrifying time in your residency — the start to a new year! To help start the year off right a group of chief residents from across the country, through the ALiEM Chief Resident Incubator, have gotten together and compiled a list of ways for chief residents (and other resident leaders) to engage residents early to hopefully make this the best year yet of residency.
Remember the “OPQRST” mnemonic? It stands for Onset, Provocation/Palliation, Quality, Region/Radiation, Severity, Timing. Not only can it guide your history taking, but charting these descriptors also ensures you can code at an appropriate level. The patient’s history is the first example of the balance between essential information and over-documentation. It should be comprehensive, yet be chief-complaint focused . Below, we outline the components of a thorough and billable history.
What makes a good chart? How do you write a good chart quickly? How about a good, efficient, billable chart? On average, residents and practicing physicians report they did not receive adequate training in charting and coding1–3 and resident charts are more often down-coded due to documentation failures than those of attendings and PAs.4 Thankfully, resident education in charting has improved over the past 15 years,5 and a little learning goes a long way to improve confidence6 and competence.7
In the spirit of #FOAMed, we would like to provide some pearls and pitfalls for EM documentation, starting with a PV card that addresses the basic elements of coding a chart. We hope it’s a handy on-shift reference.
It is with great pleasure that we announce the first edition of the ALiEM In-Training Exam Prep Book in both PDF and iBook form. This free book was a year-long project from the Chief Resident Incubator, led by the Editors Dr. Michael Gottlieb, Dr. Dorothy Habrat, Dr. Margaret Sheehy, Dr. Samuel Zidovetsky, and Dr. Adaira Chou with the support of Associate Editors Dr. Nikita Joshi and Dr. Michelle Lin. Over 90 EM residents and faculty from the Incubator and across U.S. emergency medicine residency programs contributed board-review type questions. Five practice tests are included for those preparing for the in-training exam (also known as the in-service exam) or even for the ABEM written board exam. You can download the free PDF or iBook below.