The COVID-19 pandemic has changed our world in many ways, and for trainees in medicine, the new day-to-day experience of residency continues to adapt and take shape. COVID-19 has undoubtedly affected clinical experiences and educational curricula for residencies. Personal wellbeing for EM residents has become even more important with the new stressors of being on the frontlines. How has the resident experience changed in the ED? How are residents dealing personally and professionally with the new state of things? What strategies, interventions, and resources that residents are utilizing to combat burnout?
Did you know that many of the landmark pediatric emergency medicine (EM) studies come from the Pediatric Emergency Care Applied Research Network (PECARN) collaborative? It works to address the challenging pediatric questions that only multicenter studies can. In this blog post, we highlight PECARN’s goal to translate, disseminate, and implement evidence to all providers of emergent and urgent care for pediatric patients.
Applying for residency programs has often been compared to the modern world of dating. So in this 26th installment of the EM Match Advice series, we discuss finding the right-fit program for applicants using modern dating terminology. Join us in this fun and informative episode in navigating the residency match process.(more…)
New PECARN Febrile Infant Rule: A 3-Variable Approach for Ages 29-60 Days | Interview with Dr. Kuppermann
The diagnosis and risk stratification of febrile young infants continues to present a clinical challenge. Serious bacterial infection (SBI) rates in infants ≤60 days have continued to be reported between 8-13%. Despite several different classification rules and pathways, we continue to struggle to accurately delineate which infants have SBI and which do not. A paper titled “A Clinical Prediction Rule to Identify Febrile Infants 60 days and Younger at Low Risk for Serious Bacterial Infections” was published in JAMA Pediatrics in February of 2019.1 The authors sought to derive a new clinical prediction rule for infants with fever. The research was conducted as part of the Pediatric Emergency Care Applied Research Network (PECARN). We discussed this publication with lead author Dr. Nathan Kuppermann on a podcast and summarize our discussion below.
Have you ever wondered how researchers are able to conduct prospective studies on truly emergent conditions, such as cardiac arrest and status epilepticus? How can they obtain informed consent? In this Research Learning Series podcast episode from SAEM, Dr. Jill Baren (University of Pennsylvania) shares stories, pearls, and roadblocks in her career, conducting emergency research under the Exception From Informed Consent (EFIC) regulations. As an established researcher in this area,1–9 Dr. Baren shares advice and stories which include reaching to the community, getting angry hot-line comments, and getting push-back from the U.S. Food and Drug Administration.
Under-represented minorities (URM) in medicine continues to be a problem that many programs, especially in emergency medicine, are addressing head on with intentional, proactive strategies. Diversity matters. This EM Match Advice episode discusses how 3 different residency programs are championing for better representation through a variety of strategies.
In this podcast episode of the SAEM Research Learning Series, Drs. Mary and Nate Haas interview Daren M. Beam, MD MS (Indiana University) talk about his research career. Listen to this episode which is chock full of practical pearls to help you get ahead with submitting a winning abstract for a scientific meeting or conference. As a bonus, you will also hear behind-the-scenes stories about how the PE Rule-out Criteria (PERC) rule came to be while he was a research coordinator before medical school. Did you know that it was originally nicknamed the “PE Pink Sheet”?