In this episode of EM Match Advice, our panel takes on the tough issues of 2021. Specifically we discuss the American College of Emergency Physicians (ACEP) Workforce Study  that projects fewer jobs for emergency physicians and the hot-off-the-press ERAS data showing a drop in the number of EM residency applicants, compared to 2 years ago. Did one cause the other? In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Cassandra Bradby (East Carolina University), Dr. Adam Kellogg (Baystate Health), and Dr. Craig Krausz (Saint Louis University).
- The ACEP Workforce Study projects a whopping 7,845 excess of emergency physicians in 2030 who could be left without jobs. And our very smart medical students have been eyeing those numbers carefully.
- While EM is still an attractive specialty for many medical students, some enter this year’s residency application season with a trepidation that hasn’t been seen before. And a good deal of students clearly chose a specialty other than EM, with approximately 200 fewer applicants projected this cycle, compared to 2 years ago. Most of that drop came from students at LCME-accredited medical schools. [Silver lining: These numbers may make for a buyer’s market that greatly favors the students in the upcoming Match.]
- Below is a summary of the ERAS data, pulled from their downloadable Excel data. Note that these data were collected on October 3 of each year and only summarize data from EM-only residencies (not EM/IM or EM/FM).
|Number of EM residency applicants||3,220||3,330||3,338||3,601||x||3,408|
|Average number of submitted applications in EM||49.1||53.35||57.86||59.75||x||61.23|
|Average of applications received per EM program||883.3||866.6||850.82||874.58||x||772.82|
(* Because of the pandemic, the 2020-21 season’s timeline was shifted later by about 1 month, resulting in non-comparable data.)
EM Match Advice Podcast
Read and Listen to the other EM Match Advice Episodes
Blog posts: https://www.aliem.com/em-match-advice-series/
In July 2021, Dr. Vivek Murthy became the first U.S. Surgeon General to declare health misinformation a public health crisis. Specifically, COVID-19 vaccine misinformation and disinformation on social media greatly affects vaccination rates in certain populations. Rapid increases in reliable health information about COVID-19 can be overshadowed by the spread of even greater amounts of misinformation, leading to an ‘infodemic.’
The World Health Organization defines an infodemic as:
“… too much information including false or misleading information in digital and physical environments during a disease outbreak. It causes confusion and risk-taking behaviours that can harm health. It also leads to mistrust in health authorities and undermines the public health response. An infodemic can intensify or lengthen outbreaks when people are unsure about what they need to do to protect their health and the health of people around them.”
INFODEMIC Conference on Social Media and COVID-19 Misinformation
On August 26, 2021, Stanford University’s Department of Emergency Medicine and Ethics, Society, and Technology Hub co-sponsored a unique conference to address this issue, “INFODEMIC: A Stanford Conference on Social Media and COVID-19 Misinformation.” Speakers presented virtually from around the world including experts in social media, health policy, ethics, and medicine. The conference focused on the causes of COVID-19 misinformation and mitigation strategies. Vaccine Confidence, Vaccine Hesitancy, and Vaccine Equity were among the main topics of the meeting. INFODEMIC also featured representatives from Facebook, Google, and Twitter, as well as physician influencers, to discuss the role of social media companies to address misinformation online.
Below are recordings of each of the INFODEMIC conference presentations, presented as podcasts. Video recordings of these presentations are also available to view online. The conference agenda and featured speakers are listed on the Stanford INFODEMIC website.
As we submit our responses to the daily health screen for the thousandth time; realize, after having removed a mountain of PPE and sanitized our hands, that we left our phone in the patient’s room and would need to re-don everything; repeatedly observe the inevitable struggle with mute/unmute on Zoom; with all of these regular tasks and activities enveloping our lives these days, it’s hard to feel creative. Is the practice of emergency medicine a creative endeavor? How can we increase not just our creative or scholarly output, but also our internal sense of artistry and creation?
Podcast Preview of the Book
Brief Summary of Book
In Keep Going: 10 Ways to Stay Creative in Good Times and Bad, Austin Kleon attempts to answer this question (somewhat prophetically, given the book’s 2019 publication)– how can we, even in trying times, continue to nurture our creativity? Throughout the engaging, full-of-art book, Kleon outlines his argument for how, regardless of occupation, each of us can thrive in our creation of new, meaningful output:
- Every day is groundhog day.
- Build a bliss station.
- Forget the noun, do the verb.
- Make gifts.
- The Ordinary + Extra Attention = Extraordinary
- Slay the art monsters.
- You are allowed to change your mind.
- When in doubt, tidy up.
- Demons hate fresh air.
- Plant your garden.
Although Kleon himself writes and draws for a living, his suggestions are also applicable to the practice of emergency medicine, especially for those of us who are in academic, educational, and leadership positions and who need to constantly be creating to stay afloat. The book has an almost Zen quality to it, centering around mindfulness and reframing how we experience the life in front of us, rather than focusing ourselves on chasing an unachievable ideal or becoming absorbed by the mundane. For example, when we’re feeling a creative block, Kleon suggests that we set aside time to draw, like a child does, applying instrument to medium simply to enjoy the process and without an end product in mind– he writes:
“Drawing is simply another way of seeing, which we don’t really do as adults… we’re all going around in a cloud of remembrance and anxiety… and the act of drawing helps us live in the moment and concentrate on what’s really in front of us.”
A cloud of remembrance and anxiety! Yes! That is what the past year has felt like.
If you’re looking to rise out of your personal cloud of remembrance and anxiety, and explore how to infuse your career with creativity to just Keep Going, come join us for the next version of The Leader’s Library! All leaders (past, current, and future) in emergency medicine, of all professions and all locations, are welcome to participate. The book is short and full of drawings, so don’t worry that you won’t have time to read. This will be the most playful and fun iteration of TLL yet! Can’t wait to create with you!
Book Discussion Group
When: May 25-27, 2021*
Platform: Slack app
Size: 40 registrants
* The Leader’s Library runs asynchronously on the Slack app– jump in whenever you have time!
Deadline to sign up: May 9, 2021
- Submit your interest form with your contact information.
- We will inform you if you’re selected by May 10, 2021.
We would absolutely love to learn and grow with you. Sign up now to secure your spot!
- Felix Ankel, MD: Emergency Physician, Regions Hospital. Medical Director, Education, HealthPartners Institute, Professor of Emergency Medicine, University of Minnesota Medical School (@felixankel)
- Nikita Joshi, MD: Emergency Department medical director, Alameda County Medical Center, Oakland, California (@njoshi8)
- Peter Tomaselli, MD: Assistant Residency Program Director, Emergency Medicine, Thomas Jefferson University Hospital/Sidney Kimmel Medical College, Philadelphia, Pennsylvania (@pjtomaselli)
- Victoria Brazil, MD, MBA: Medical Director of Goal Coast Simulation Service; Co-Producer of Simulcast and Harvard Macy Institute podcasts, Emergency Physician, Bond University (@SocraticEM)
- Dina Wallin, MD: Assistant Medical Director of PEM, San Francisco General Hospital; Director of Didactics, UCSF-SFGH EM residency, San Francisco, California
Learn more about the other Leader’s Library book clubs.
Listen to all of The Leader’s Library podcasts
The EM Administration Fellowship serves to train residents desiring to pursue a leadership position in departments and hospital systems. Many graduates become department chairs and medical directors. Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features fellowship directors from around the country discussing the who, what, when, and why of the fellowship.
Thus far, 2020 has been a year of catastrophic events, some surprising and others disappointingly predictable, and many people are struggling to navigate the chaos, to grasp at some semblance of a routine in the face of an unpredictable near future. Time has become a blur, a coalescence of unremarkable (yet unprecedented) moments.
What if we have the possibility to intentionally create these moments, for ourselves and those around us? What if, by reframing the way we view memory, experience, and time, we could be the powerful author of our own moments?
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?