Bad News – You May Be Bad at Delivering Bad News
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When delivering bad news, authenticity is the name of the game.
Source
Delivering Bad News Badly. JAMA. 2023 Feb 14;329(6):463-464. doi: 10.1001/jama.2022.24765.
Education
How to Read a CXR – A CXR Checklist
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Here is a consistent, systematic, and comprehensive approach to interpreting chest x-rays and a checklist to prevent common errors. We modified the checklist to make it easier to remember.
Does Fidelity of Simulation Equipment Matter in Fiber-Optic Airway Training?
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Anesthesia residents with little experience in fiber-optic intubation achieved competency faster when trained with a high-fidelity versus low-fidelity model.
Source
Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study. Anesth Analg. 2022 Nov 29. doi: 10.1213/ANE.0000000000006283. Online ahead of print.
Do Burned Out Doctors Give Low Quality Care?
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Physician burnout has extensive negative effects, not just on individuals, but on hospital systems and on patient safety and satisfaction.
Source
Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ. 2022 Sep 14;378:e070442. doi: 10.1136/bmj-2022-070442.
Should We Mention Race or Ethnicity at the Beginning of Case Presentations?
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These authors think race is best unmentioned early in case presentations. However, some clinicians come down on the opposite side of this debate. Let’s take a look at both sides.
Source
First Impressions – Should We Include Race or Ethnicity at the Beginning of Clinical Case Presentations? N Engl J Med. 2021 Dec 30;385(27):2497-2499. doi: 10.1056/NEJMp2112312. Epub 2021 Dec 25.
EM Program Directors “Pass” on Binary Step 1 Scoring System
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Most emergency medicine residency program directors disapprove of the change in USMLE Step 1 scoring process to a binary system. Respondents will rely more heavily on Step 2 score and letters of evaluation, which may perpetuate disparities within the application process.
A Pediatrician, Resident, and Med Student Walk Into a Bar…Humor in Medical Education
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When used appropriately, humor can foster learner engagement, calm anxieties, and improve rapport during teaching encounters. But use your best judgment, because it is very subjective.
Is a Part-Time Physician Competent?
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Reduction in time spent working clinically was associated with greater mortality among inpatient hospitalists.
The EM Physician Workforce in 2030
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If current trends stay the same, emergency medicine will likely face an oversupply of physicians in 2030. We as a specialty need to work together to find ways to mitigate this and continue doing what we do best—save lives…and livelihoods.
How to Really Change Physician Behavior – Reducing CXRs for Bronchiolitis
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A redesigned workflow was better than educational campaigns to change physician behavior when it came to ordering CXRs for bronchiolitis.