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Once thought only a skill possessed by the Labrador retriever, retrieval practice is something you can do too!  No jumping into an icy cold pond for a dead duck.  No, this retrieval practice is much easier.  Testing forces your brain to retrace its steps and work to retrieve the memory you made when you first learned the information.  And it locks it in long-term memory much better than just re-reading the material again. Aren’t you glad JournalFeed added this feature?

With ED boarding, the burden of sign-out patients is greater than ever. This study shows just what I expected.  All of these sign-out patients negatively affects how many new cases each resident is able to see on each shift.

It's easy to read the JournalFeed emails and forget what you learned by lunchtime.  Did you know you retain more if you take a test on it? Take the Spoon Feed quiz!

Greater operator stress while performing a lumbar puncture was associated with lower patient confidence and greater odds of post dural puncture headache.

I recently read a helpful article in Harvard Business Review via Doximity.  It was a feature on servant leadership.  I'll briefly recap the highlights and make application to the ED.

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.

After almost twenty years as a doctor, constantly reading, it never ceases to amaze me how much I still don't know.  One of the highlights of my job is working with great residents who also teach me.  This week was no exception.  Here are two things I learned from our residents this week.

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.

Simply presenting patients to another physician reduced serious adverse events (NNT = 24) and near-misses.  Now we just need to overcome our hubris and ask our colleagues for advice and input.