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Western Journal of Emergency Medicine

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https://read.qxmd.com/read/30643622/accuracy-screening-for-st-elevation-myocardial-infarction-in-a-task-switching-simulation
#1
William E Soares, Lori L Price, Brendan Prast, Elizabeth Tarbox, Timothy J Mader, Rebecca Blanchard
Introduction: Interruptions in the emergency department (ED) are associated with clinical errors, yet are important when providing care to multiple patients. Screening triage electrocardiograms (ECG) for ST-segment elevation myocardial infarction (STEMI) represent a critical interrupting task that emergency physicians (EP) frequently encounter. To address interruptions such as ECG interpretation, many EPs engage in task switching, pausing their primary task to address an interrupting task...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643621/emergency-physicians-familiarity-with-the-safe-handling-of-firearms
#2
Andrew R Ketterer, Kaitlin Ray, Anne Grossestreuer, Nicole Dubosh, Edward Ullman, Matthew Pirotte
Introduction: Emergency physicians (EP) experience high rates of workplace violence, the risks of which increase with the presence of weapons. Up to 25% of trauma patients brought to the emergency department (ED) have been found to carry weapons. Given these risks, we conducted an educational needs assessment to characterize EPs' knowledge of firearms, frequency of encountering firearms in the ED, and level of confidence with safely removing firearms from patient care settings. Methods: This was a survey study of attending and resident EPs at two academic and four community hospitals in the Midwest and Northeast...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643620/randomized-evaluation-of-videoconference-meetings-for-medical-students-mid-clerkship-feedback-sessions
#3
Zhengqiu Zhou, Theresa Mims, Adam Dugan, Terren Trott, William Sanderson, Jonathan Bronner
Introduction: Videoconferencing has been employed in numerous medical education settings ranging from remote supervision of medical trainees to conducting residency interviews. However, no studies have yet documented the utility of and student response to videoconference meetings for mid-clerkship feedback (MCF) sessions required by the Liaison Committee on Medical Education (LCME). Methods: From March 2017 to June 2018, third-year medical students rotating through the mandatory, four-week emergency medicine (EM) clerkship at a single medical school were randomly assigned either to a web-based videoconference meeting via Google Hangouts, or to a traditional in-person meeting for their MCF session...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643619/july-phenomenon-impacts-efficiency-of-emergency-care
#4
Amit Bahl, Catherine Cooley Hixson
Introduction: The "July effect" describes the period in which new interns begin learning patient care while senior residents take on additional responsibility in an academic hospital setting. The annual change in staffing creates inefficiencies in patient care, which may negatively impact quality of care. Our objective was to evaluate the impact of the annual resident turnover on emergency department (ED) efficiency in a teaching hospital. Methods: This was an institutional review board-approved retrospective chart review spanning two academic years analyzing 79,921 records...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643618/simulation-based-remediation-in-emergency-medicine-residency-training-a-consensus-study
#5
Nur-Ain Nadir, Danielle Hart, Michael Cassara, Joan Noelker, Tiffany Moadel, Miriam Kulkarni, Christopher S Sampson, Suzanne Bentley, Neel K Naik, Jessica Hernandez, Sara M Krzyzaniak, Steven Lai, Gregory Podolej, Christopher Strother
Introduction: Resident remediation is a pressing topic in emergency medicine (EM) training programs. Simulation has become a prominent educational tool in EM training and been recommended for identification of learning gaps and resident remediation. Despite the ubiquitous need for formalized remediation, there is a dearth of literature regarding best practices for simulation-based remediation (SBR). Methods: We conducted a literature search on SBR practices using the terms "simulation," "remediation," and "simulation based remediation...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643617/does-implementation-of-a-corporate-wellness-initiative-improve-burnout
#6
Danielle Hart, Glenn Paetow, Rochelle Zarzar
Introduction: Burnout affects over 50% of all physicians. Nearly 70% of emergency physicians are affected, and it has been found to be as high as 76% in resident physicians overall. Previous wellness initiatives have yielded variable results; therefore, we looked for interventions that could potentially be effective at reversing this trend. We explored effective wellness programs originating from other industries. Our objective was to implement a corporate wellness program with previous evidence of success in other healthcare provider populations...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643616/assessing-residency-applicants-communication-and-professionalism-standardized-video-interview-scores-compared-to-faculty-gestalt
#7
Benjamin H Schnapp, Daniel Ritter, Aaron S Kraut, Sarah Fallon, Mary C Westergaard
Introduction: The Association of American Medical Colleges has introduced the Standardized Video Interview (SVI) to assess the communication and professionalism skills of residency applicants to allow a more holistic view of applicants beyond academic performance. Initial data suggests scores are not correlated with academic performance and provide a new measure of applicant attributes. It is not currently known how the SVI compares to existing metrics for assessing communication and professionalism during the interview process...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643615/predictors-of-an-initial-academic-position-in-emergency-medicine
#8
Terry Singhapricha, Olivia Minkhorst, Timothy Moran, Jonathan Swanson, Philip Shayne
Introduction: Each year, emergency medicine (EM) residency graduates enter a variety of community and academic positions. For some training programs, the potential for an academic career is a consideration during the interview process; however, no studies have looked at factors that might predict an academic career. Our goal was to identify variables present during the EM application cycle that predict an initial academic position. Methods: We retrospectively reviewed application materials from 211 EM graduates at Emory University from 2003-2013...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643614/qualitative-analysis-of-well-being-preparedness-at-an-emergency-medicine-residency-program
#9
David Diller, Jessica Osterman, Ramin Tabatabai
Introduction: There is significant variability in the preparedness of incoming interns at the start of residency training with regard to medical knowledge, procedural skills, and attitudes. Specialty-specific preparatory courses aimed at improving clinical skills exist; however, no preparatory courses targeting wellness promotion or burnout prevention have previously been described. Resident well-being has gained increasing attention from the Accreditation Council for Graduate Medical Education, and numerous studies have demonstrated high levels of burnout among resident physicians...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643613/yogaman-an-inexpensive-anatomically-detailed-chest-tube-placement-trainer
#10
Timothy P Young, Mark D Schaefer, Heather M Kuntz, Molly K Estes, Michael Kiemeney, Brian J Wolk, Mindi Guptill
Introduction: Opportunities for chest tube placement in emergency medicine training programs have decreased, making competence development and maintenance with live patients problematic. Available trainers are expensive and may require costly maintenance. Methods: We constructed an anatomically-detailed model using a Halloween skeleton thorax, dress form torso, and yoga mat. Participants in a trial session completed a survey regarding either their comfort with chest tube placement before and after the session or the realism of Yogaman vs...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643612/recommendations-from-the-council-of-emergency-medicine-residency-directors-osteopathic-applicants
#11
Megan Stobart-Gallagher, Liza Smith, Jonathan Giordano, Zach Jarou, Lucienne Lutfy-Clayton, Adam Kellogg, Emily Hillman
The Council of Emergency Medicine Residency Directors (CORD) Advising Students Committee (ASC-EM) has previously published student advising recommendations for general emergency medicine (EM) applicants in an effort to disseminate standardized information to students and potential advisors. As the shift to a single graduate medical education system occurs by 2020, osteopathic students will continue to represent a larger portion of matched EM applicants, but data shows that their match rate lags that of their allopathic peers, with many citing a lack of access to knowledge EM advisors as a major barrier...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643611/the-council-of-emergency-medicine-residency-directors-academy-for-scholarship-coaching-program-addressing-the-needs-of-academic-emergency-medicine-educators
#12
Jaime Jordan, Michele L Dorfsman, Mary Jo Wagner, Stephen J Wolf
Introduction: Didactic lectures remain fundamental in academic medicine; however, many faculty physicians do not receive formal training in instructional delivery. In order to design a program to instill and enhance lecture skills in academic emergency medicine (EM) physicians we must first understand the gap between the current and ideal states. Methods: In 2012 the Council of Emergency Medicine Residency Directors (CORD) Academy for Scholarship designed a novel coaching program to improve teaching skills and foster career development for medical educators based on literature review and known teaching observation programs...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643610/transition-to-practice-a-novel-life-skills-curriculum-for-emergency-medicine-residents
#13
Holly Caretta-Weyer
No abstract text is available yet for this article.
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643609/implementation-of-a-departmental-female-emergency-medicine-physician-group
#14
Kendra P Parekh, Tara Overbeeke, R Maglin Halsey-Nichols
Gender disparities exist in academic emergency medicine (EM). We developed and implemented a female EM physician group - Women in Academic Emergency Medicine (WAM) - to support female EM residents, fellows, and faculty. The goal of WAM is to provide a support system through mentorship, education, and outreach. A targeted needs assessment was completed to identify goals and objectives specific to our department. In the first full year of implementation, WAM hosted eight events, including three topical dinners and one formal panel...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643608/asteroids%C3%A2-and-electrocardiograms-proof-of-concept-of-a-simulation-for-task-switching-training
#15
Farhad Aziz, Bryan Yeh, Geremiha Emerson, David P Way, Christopher San Miguel, Andrew M King
Introduction: Emergency physicians are interrupted during patient care with such tasks as reading electrocardiograms (ECGs). This phenomenon is known as task-switching which may be a teachable skill. Our objective was to evaluate the potential of a video game for simulating the cognitive demands required of task-switching. Methods: Emergency medicine residents took a pretest on ECG interpretation and then a posttest while attending to a video game, Asteroids®. Results: The 35 residents (63%) who participated, scored worse on the ECG posttest then they did on the pretest (p<...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643607/intra-articular-catheter-placement-a-novel-approach-for-simulating-ankle-effusions-in-cadaver-models
#16
Graeme A Ross, Nicholas G Ashenburg, W David Wynn, Jordan J McCarthy, Alexander M Clendening, Bradley C Presley, Steven W Kubalak, Ryan M Barnes
No abstract text is available yet for this article.
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643606/standardized-video-interviews-do-not-correlate-to-united-states-medical-licensing-examination-step-1-and-step-2-scores
#17
Daniel J Egan, Abbas Husain, Michael C Bond, William Caputo, Lukasz Cygan, Jeff Van Dermark, Jan M Shoenberger, Ida Li, William Krauss, Jonathan Bronner, Melissa White, Arlene S Chung, Kaushal H Shah, Todd Taylor, Matthew Silver, Brahim Ardolic, Moshe Weizberg
Introduction: In 2017, the Standardized Video Interview (SVI) was required for applicants to emergency medicine (EM). The SVI contains six questions highlighting professionalism and interpersonal communication skills. The responses were scored (6-30). As it is a new metric, no information is available on correlation between SVI scores and other application data. This study was to determine if a correlation exists between applicants' United States Medical Licensing Examination (USMLE) and SVI scores...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643605/a-review-of-natural-language-processing-in-medical-education
#18
Michael Chary, Saumil Parikh, Alex F Manini, Edward W Boyer, Michael Radeos
Natural language processing (NLP) aims to program machines to interpret human language as humans do. It could quantify aspects of medical education that were previously amenable only to qualitative methods. The application of NLP to medical education has been accelerating over the past several years. This article has three aims. First, we introduce the reader to NLP. Second, we discuss the potential of NLP to help integrate FOAM (Free Open Access Medical Education) resources with more traditional curricular elements...
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643604/show-me-the-money-successfully-obtaining-grant-funding-in-medical-education
#19
EDITORIAL
Michael Gottlieb, Sangil Lee, John Burkhardt, Jestin N Carlson, Andrew M King, Ambrose H Wong, Sally A Santen
Obtaining grant funding is a fundamental component to achieving a successful research career. A successful grant application needs to meet specific mechanistic expectations of reviewers and funders. This paper provides an overview of the importance of grant funding within medical education, followed by a stepwise discussion of strategies for creating a successful grant application for medical education-based proposals. The last section includes a list of available medical education research grants.
January 2019: Western Journal of Emergency Medicine
https://read.qxmd.com/read/30643603/assessment-of-emergency-medicine-resident-performance-in-an-adult-simulation-using-a-multisource-feedback-approach
#20
Michael Jong, Nicole Elliott, Michael Nguyen, Terrence Goyke, Steven Johnson, Matthew Cook, Lisa Lindauer, Katie Best, Douglas Gernerd, Louis Morolla, Zachary Matuzsan, Bryan Kane
Introduction: The Accreditation Council for Graduate Medical Education (ACGME) specifically notes multisource feedback (MSF) as a recommended means of resident assessment in the emergency medicine (EM) Milestones. High-fidelity simulation is an environment wherein residents can receive MSF from various types of healthcare professionals. Previously, the Queen's Simulation Assessment Tool (QSAT) has been validated for faculty to assess residents in five categories: assessment; diagnostic actions; therapeutic actions; interpersonal communication, and overall assessment...
January 2019: Western Journal of Emergency Medicine
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