There was no patient safety benefit to having attending internal medicine physicians physically join rounds on established (not new) inpatients. My application of this to the ED is to make sure I give our residents enough autonomy to learn.
Internal Medicine interns and residents were either exposed to standard duty-hour policies of the 2011 Accreditation Council for Graduate Medical Education (ACGME) or flexible policies that did not specify limits on shift length or mandatory time off between shifts. Read more to see what they found.
This week on one of my favorite podcasts, Hidden Brain, the host, Shankar Vedantam presented something I had never considered in education. I highly recommend you listen to this podcast for yourself, but I will briefly summarize, because this could have a profound impact on those we teach in Emergency Medicine.
One of the most challenging things to memorize is what antibiotics cover what organisms. This infographic can help. If you can't view it, click this to see it online. Please share with friends who may find it helpful.
Patient satisfaction is important. But the most commonly used metric in the US, the Press Ganey survey, may not be a good measure of individual emergency physician and clinician performance. Giving emergency clinicians feedback on their Press Ganey scores, ostensibly so they could take steps to improve, did not lead to appreciable score improvements.
Residents tend to "cherry-pick" and sign up for patients with simpler sounding chief complaints more quickly than other complaints.