Category: Other (page 1 of 2)

Getting Into Medical School

This special episode is dedicated to Tyler who wants to know more about the process for getting into medical school. It’s been several years since I’ve done this myself, and alot has changed over the years. But some advice is timeless, and so this week we will cover the basics that you will need to understand before applying.

Marathons

One of the best events you can volunteer for as a medical student is your local marathon. You learn about musculoskeletal injuries, heat injuries, electrolyte emergencies, as well as prepare yourself for the occasional seizure, cardiac arrest, and case of anaphylaxis. You learn procedures like starting IVs, obtaining vitals, and basic wound care. It really is a great place to learn the basics of Emergency Medicine. In this episode, we will discuss marathon related emergencies.

Summa

You’ve heard about this story by now. Today we are going to talk about what happened at the Summa EM residency program and why it closed. Even more importantly, we are going to discuss what we can learn from this and how to be smarter when choosing residency programs in the future.

Narcotics

As doctors, we treat pain. It’s good medicine, gets good patient satisfaction, and is usually why the patient came to the ED in the first place. But we are also in the middle of a prescription narcotic epidemic. So the question is, how do we appropriately and safely prescribe narcotics? Today we will cover the AAEM guidelines on the use of narcotics in the ED.

Procedural Sedation

One of the most common procedures we do in the emergency department is procedural sedation. One doctor does the primary procedure, one doctor pushes meds and watches airway. There are 5 common medications that I have seen used in the ED. We will cover these as well as the general approach today.

Patient Satisfaction

Patient satisfaction is getting lots of bad publicity these days, and I think it’s gone too far. Certainly, patient satisfaction surveys have the potential cause multiple adverse outcomes, and we’ve all heard about the study linking patient satisfaction with mortality. However, there are some aspects of patient satisfaction that are undeniably good patient care, and that is what I want to focus on today.

USMLE Step 3

We’re taking a mental break this week and talking about Step 3. I took the test last month and found out a few weeks ago that I passed! And so in this episode we’ll be breaking down the details of test day, study strategy, and my overall thoughts about how it went. Step 3 is definitely not a test you want to blow off, but it’s also fairly easy to pass as long as you prepare appropriately.

Pain Management

It’s definitely not the most exciting topic in emergency medicine, but it’s easily one of the most important. Every single shift you will be required to manage a patient’s pain. In this episode, we will be covering the 6 major pain medicines that you need to know for your clerkship- including doses. Those medicines are PO acetaminophen, PO ibuprofen, PO hydrocodone-acetaminophen, IV/IM ketorolac, IV/IM morphine, and IV/IM hydromorphone.

Burnout

Before we start clerkship season, we need to address the most important issue impacting emergency medicine: HALF of our physicians are experiencing burnout this year (Medscape). This is a huge problem. It leads to decreased speed, patient satisfaction, safety, and staff wellness. We have to learn to invest in our wellness now, or we will be statistically unlikely to achieve our full potential as physicians.

In this episode, we discuss the importance of doing something everyday to invest in either our mental, physical, or spiritual wellness. It allows us to defend ourselves against burnout and teach others to do the same, regardless of the environment or challenges we find ourselves in.

Patient Encounters

During your clerkship, you will rapidly develop a flow for your shift. What do you do when you first pick up a chart? How much do you let your patients ramble? After you evaluate your patient, do you sprint at full speed straight to your attending? What do you do AFTER your initial evaluation? It takes years to master this skill.

The first step is to develop a basic approach. Today, I’m going to give you MY approach to a patient encounter. From the moment that chart touches my hand to the moment that patient leaves the department. Feel free to adapt it however you want, but this is definitely a decent starting point.

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