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.
Perspectives on Program Evaluation: Interview with Drs. Megan Boysen-Osborn, Dara Kass, and Andrew King
As part of the ALiEM Faculty Incubator Professional Development Program, Drs. Megan Boysen-Osborn (Program Director at University of California-Irvine), Dara Kass (Editor-in-Chief FeminEM), and Andrew King (Assistant Program Director at The Ohio State University Wexner Medical Center) participated in a Google Hangout where they provided perspectives and expert advice on program evaluation. Their perspectives and wisdom are summarized below.
The EM Match Advice Series is back with another regional episode. This time, our team pulls the curtain back on the EM programs in Detroit, where residents learn to master EM while experiencing the city’s exciting rebirth. Outstanding clinical opportunities and collaboration with other programs in the area are just 2 of the many reasons to explore these residency programs. Co-hosted by Drs. Michael Gisondi (Stanford) and Michelle Lin (UCSF), watch the video or listen to the podcast to learn more about each one!
The NIH Stroke Scale is used to assess the severity of a suspected stroke. It includes 11 neurologic exam components that can be quickly performed at the bedside. The second component of the NIH Stroke Scale is testing of voluntary horizontal eye movements, a.k.a., “best gaze”.1 Gaze is usually tested by instructing the patient to follow the examiner’s hand or pointer finger in a horizontal plane from side to side. This assessment assumes that the patient can comprehend instructions and actively participate in the physical exam.
But… how do you test gaze if your patient is aphasic or unable to follow commands?
It is not very often that the ERAS application process for residency positions changes from year to year. In 2018, there is going to be a new component added – the Standardized Video Interview (SVI) launched by the Association of American Medical Colleges (AAMC). All EM applicants in the 2018 application season are required to complete this interview during June 6 – July 31, 2017. Because it is such a new process, we invited key various stakeholders to the virtual table. The discussion was hosted by Drs. Michael Gisondi (Stanford) and Michelle Lin (UCSF/ALiEM).
Most children who come into the Emergency Department present with pain or experience pain during their ED stay.1,2,3 Pain and distress during a procedure can leave a lasting impact on a child and contribute to mistrust of the medical system and compliance with future procedures.1 ,4,5 Children who use active forms of coping report less pain and distress during a procedure.3 To help with coping, when feasible, involve parents or family, nursing and a child life specialist. If the parents are willing, try to get them involved in all parts of the medical procedure.2,3 This includes positioning the patient with a parent in a secure parental-hugging hold or maintaining close physical contact throughout the procedure.6 This can easily replace immobilization of a child or the use of restraints which can cause increased fear and escalate the degree of anxiety in a child.2
A peer review process, in one form or another, has long been the de facto standard for academic publishing. In 2013, ALiEM was the first FOAM resource to initiate an attributed peer review process for all submitted content–effectively bringing a traditional standard to a new frontier of medical education.1 Since our expert peer review (EPR) program inception, reviewers have published critical appraisals alongside 114 ALiEM posts to date.