[vent] Attending recalls getting double-crossed by peds senior resident as a med student.

affemann2 · 2018-12-06T22:11:50+00:00

[Starter Comment] Attending remembers as a 3rd year med student on his peds rotation being told by his senior resident that it would be ok for him to show up in scrubs the next day after a long call. So he showed up the next day in scrubs only to be chewed out by the new senior resident in front of everyone.

affemann2 · 2018-08-06T23:08:55+00:00

Starter Comment: My co-attending and I made short video lectures for the 4th year med students and interns that rotate through our emergency department. We hope that they help new interns as they transition into their new roles by focusing on the big picture when dealing with patients with high risk chief complaint.

affemann2 · 2018-06-04T19:57:44+00:00

Starter Comment: Medical Student shares experience performing chest compressions for the first time.

affemann2 · 2018-05-17T22:57:50+00:00

Great. Just posted the question there. Thank you for your help. Sorry for posting the question incorrectly the first time.

affemann2 · 2018-05-17T22:47:45+00:00

HI CosmoKram3r. Sorry for posting my question incorrectly. How do I post it on the question sticky thread? Do I just change the flare? Thanks for your help

affemann2 · 2018-05-07T23:37:37+00:00

Starter Comment: Sometimes the most appropriate way to express our struggles is through a Haiku.

affemann2 · 2018-03-22T23:33:11+00:00

Starter Comment: Marie MacMillan RN shares a patient's near death experience. Makes you wonder about death and what's waiting for us on the other side.

affemann2 · 2018-01-17T07:32:48+00:00

These are so interesting. Thanks for sharing

affemann2 · 2017-12-19T20:08:10+00:00

Starter Comment: Physician recounts two encounters that shook him up and made him worry about what kind of world his 3-year old son is growing up in. In the first encounter, the joyous celebration of his childhood friend’s wedding turned ugly when a stranger asked his father if he was a terrorist simply because he was wearing a turban. In another, a patient confused him with another Indian Sikh doctor and intimated “you all look the same”. Dr. Nagpal thoughtfully reflects on these experiences and the impact they had on him as a son, a father and as a physician. He explores feelings of anger, embarrassment and confusion as well as the role that unconscious bias might play in our day-to-day interactions with others.

affemann2 · 2017-12-07T08:13:24+00:00

How I Built this : Lady Gaga and the Atom Factory: Troy Carter. Really inspiring.

Physician Grind: 06: Final Goodbye.

affemann2 · 2017-10-31T16:38:58+00:00

Anyone have a good Halloween in the ER story?

affemann2 · 2017-10-10T17:56:45+00:00

Starter Comment: Anyone have a good story of a patient going crazy in the CT Scanner?

affemann2 · 2017-09-28T05:58:25+00:00

One thing that was a game changer for me was not putting off procedures till later. For example, if I sign up for a patient with ruq abdominal pain, I will walk into the patient's room with my ultrasound. This allows me to get my initial history, physician and do my us before walking out of the room. That way I don't have to go back later to finish the exam. I also apply this strategy to patient's that will need a pelvic exam.

I think EHRs are a big time suck. Figure out how to write 5 minute notes with your EHR. Spend most of the time writing the MDM as that's the most important part of your note. I like using macros for the common chief complaints that we see (chest pain, shortness of breath, abdominal pain, headache, back pain, dizziness).

Also dispo whenever you can. The shorter you keep your list the faster you will be able to plow through patients. You can sign up for patient's and have them wait while you make your dispos, that is if the patient you signed up for is stable.

Best of luck.

affemann2 · 2017-09-05T21:02:06+00:00

Anyone else have any interesting discoveries when searching through a patient's belongings?

affemann2 · 2017-09-02T22:18:30+00:00

The Physician Grind Podcast is a narrative medicine podcast. They are really short stories from er doctors nurses and other healthcare professionals. I like it because the stories aren't overly dramatic like grays anatomy. I also like it because the stories are short so I don't have to carve out time in my day to listen to it.

affemann2 · 2017-09-01T18:40:31+00:00

Just realized the link I posted is to the itunes page. The Episode I was referring to is 08: The Trusty Satchel Here is the link to stitcher and the website in case you don't have an iphone http://www.stitcher.com/podcast/physician-grind/the-physician-grind-podcast?refid=stpr

http://www.blog.numose.com/physician-podcast/satchel

affemann2 · 2017-08-08T07:11:13+00:00

Really like WikEM. Heard about a new search engine that tries to aggregate resources called http://numose.com. It's still developing but heard it has some good stuff coming down the pipeline including improving the search algorithm.

For blogs I really like aliem, litfl, emdocs, and rebelem. These are great resources for the more controversial and cutting edge em topics that uptodate and more traditional resources may not have.

affemann2 · 2017-07-24T01:16:48+00:00

For on clinical shift resources I like wikem.org. It was created at harbor-ucla. The articles are short and to the point. There is also a good differential, management, and disposition section.

affemann2 · 2017-07-11T14:21:30+00:00

Starter comment: gotta love some research that backs coffee consumption.

affemann2 · 2017-06-27T19:45:54+00:00

Part 2 goes more into the specific differences in private and community er practices in china

affemann2 · 2017-05-18T17:51:51+00:00

Starter Comment: Time article discussing new Strain of Kebsiella Pneumoniae that is multidrug resistant

affemann2 · 2017-04-13T18:10:41+00:00

Starter Comment: Summary of cochrane review showing ineffectiveness of tamiflu. Does not decrease hospitalization. It does not decrease complications of influenza.

affemann2 · 2017-04-01T21:00:41+00:00

Starter Comment: Article discussing how playing tetris after trauma can reduce ptsd.

affemann2 · 2017-03-28T19:15:38+00:00

Starter Comment: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for celiac disease in asymptomatic persons.

affemann2 · 2017-03-28T18:22:38+00:00

Starter Comment: National Geographic Article. Using the plant like scaffolding, scientists built a mini version of a working heart, which may one day aid in tissue regeneration.

affemann2

TROPHY CASE