Wellness

Regret, Strain, Infertility – Building Families as Physicians and Medical Students


First, a quick poll – How do you determine ETT depth in kids?

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Growing a family while also navigating medical training is associated with delayed childbearing, and many physicians on this path experience regret, infertility, relational strain, and specific stresses associated with the use of assisted reproductive technology (ART).

Source
Psychosocial Burdens Associated With Family Building Among Physicians and Medical Students. JAMA Intern Med. 2023 Jul 24:e232570. doi: 10.1001/jamainternmed.2023.2570. Epub ahead of print. PMID: 37486671.

Leaving So Soon? Why Women Are Retiring from EM Early

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On average, female EM physicians leave clinical practice 12 years younger than their male counterparts, after fewer years of practice, and the amount of time spent in the workforce is decreasing over time. We need to identify and implement systemic fixes to stop this. 

Source
Emergency medicine physician workforce attrition differences by age and gender. Acad Emerg Med. 2023 Jun 14. doi: 10.1111/acem.14764. Online ahead of print.

Resident Physician Work Hours – Association with Harm and Occupational Injury

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Working extended duration shifts (≥ 24 hours) and > 48 hours/week were associated with an increased risk of medical errors, adverse events, MVAs, occupational exposures, percutaneous injuries, and attentional failures regardless of experience level in a large nationwide prospective cohort study.

Source
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. BMJ Medicine 2023;2:e000320. doi: 10.1136/bmjmed-2022-000320

New RCT – Teamwork Makes the… Hospital Work

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Resident and nurse teams that worked together exclusively performed better on advanced medical simulations, were more likely to have nurses present on patient rounds, and had improved teamwork earlier in the year than rotating resident/nurse teams.

Source
Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial. JAMA Intern Med. 2022 Oct 10. doi: 10.1001/jamainternmed.2022.4373. Online ahead of print.

Guess the Radiation Risk – Portable X-Rays in the Emergency Department

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Despite a high number of portable radiographs obtained in the ED, exposure to this ionizing radiation does not appear to be a significant occupational hazard, and existing precautions appear to be adequate.

Source
Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med. 2022 Oct 12;S0736-4679(22)00449-8. doi: 10.1016/j.jemermed.2022.08.002. Online ahead of print.

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