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Journals Western Journal of Emergency M...

Western Journal of Emergency Medicine

https://read.qxmd.com/read/36602494/impact-of-emergency-department-crowding-on-discharged-patient-experience
#1
JOURNAL ARTICLE
Yosef Berlyand, Martin S Copenhaver, Benjamin A White, Sayon Dutta, Joshua J Baugh, Susan R Wilcox, Brian J Yun, Ali S Raja, Jonathan D Sonis
INTRODUCTION: While emergency department (ED) crowding has deleterious effects on patient care outcomes and operational efficiency, impacts on the experience for patients discharged from the ED are unknown. We aimed to study how patient-reported experience is affected by ED crowding to characterize which factors most impact discharged patient experience. METHODS: This institutional review board-exempt, retrospective, cohort study included all discharged adult ED patients July 1, 2020-June 30, 2021 with at least some response data to the the National Research Corporation Health survey, sent to most patients discharged from our large, academic medical center ED...
December 31, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602489/emergency-medicine-residents-perceptions-of-working-and-training-in-a-pandemic-epicenter-a-qualitative-analysis
#2
JOURNAL ARTICLE
Adrian Aurrecoechea, Nidhi Kadakia, Jay V Pandya, Marie J Murphy, Teresa Y Smith
INTRODUCTION: We sought to describe the range of emergency medicine (EM) resident physicians' perceptions and experiences of working and training during the initial coronavirus 2019 (COVID-19) pandemic surge at two, large-volume, urban training hospitals in Brooklyn, New York. METHODS: A total of 25 EM resident physicians who worked at either of two large emergency departments (ED) from March 15-April 11, 2020 participated in semi-structured interviews conducted in July and August 2020...
December 30, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602488/scoping-review-medical-education-interventions-optimizing-social-workers-in-the-emergency-department
#3
JOURNAL ARTICLE
Tehreem Rehman, Harrison Pidgeon, Brock Chimileski, Shelby Parker, Dennis Hsieh
INTRODUCTION: As the significance of social workers (SW) in improving healthcare delivery in the emergency department (ED) continues to expand, emergency physicians will increasingly be expected to effectively partner with SWs in both academic and community settings. In this scoping review we sought to provide evidence-based recommendations for effective emergency clinician educational interventions on how to incorporate SWs in the ED to address health-related social needs while also identifying directions for future research...
December 30, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602485/pearl-pharmacy-education-applied-to-resident-learners
#4
JOURNAL ARTICLE
Jacob Lenning, Anna Nay, Matt Ogren, Bram Dolcourt, Kyle Mangan, Anne Messman
INTRODUCTION: Emergency medicine residents typically train with the support of emergency medicine pharmacists (EMP), but many EM residents will practice in post-graduation settings without EMP assistance. Therefore, a novel pharmacy curriculum for postgraduate year-1 (PGY-1) EMRs was developed, implemented, and assessed. METHODS: We performed a controlled study of 25 residents from two separate EM programs in Detroit, MI. One program was the control group and the other program was the intervention group...
December 30, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735008/deciphering-a-changing-match-environment-in-emergency-medicine-and-identifying-residency-program-needs
#5
JOURNAL ARTICLE
Tiffany Murano, Moshe Weizberg, Bo Burns, Laura R Hopson
INTRODUCTION: The Match in emergency medicine (EM) is historically competitive for applicants; however, the 2022 residency Match had a large number of unfilled positions. We sought to characterize the impact of and response to the Match on programs and determine programs' needs for successful recruitment strategies. METHODS: We conducted a web-based survey of EM residency program leadership during March-April 2022. Program characteristics were generated from publicly available data, and descriptive statistics were generated...
January 16, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735005/taking-more-society-for-academic-emergency-medicine-practice-tests-does-not-lead-to-improved-national-em-m4-exam-scores
#6
JOURNAL ARTICLE
David J Story, Hong Gao, Andrea L Vallevand, David Manthey
INTRODUCTION: Emergency medicine (EM) is a required clerkship for third-year medical students, and an elective EM acting internship (AI) is available to fourth-year students at our institution. The Society for Academic Emergency Medicine's (SAEM) National Emergency Medicine M4 Examination (EM-M4) is administered to students at the end of the EM AI experience. To prepare for the exam, students gain access to 23 practice tests available from SAEM. In this study we investigate the correlation between the number of practice tests taken and EM-M4 performance...
January 16, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735012/strategic-educational-expansion-of-trauma-simulation-initiative-via-a-plan-do-study-act-ramp
#7
JOURNAL ARTICLE
Alexander Meshel, Laura Iavicoli, Barbara Dilos, George Agriantonis, Stuart Kessler, Phillip Fairweather, Devorah Nazarian, Daniel Lugassy, Suzanne Bentley
No abstract text is available yet for this article.
January 11, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735011/debriefing-gold-harnessing-the-power-of-debriefing-data-to-inform-education
#8
JOURNAL ARTICLE
Alexander Meshel, Barbara Dilos, Lillian Wong, Daniel Lugassy, Suzanne Bentley
Debriefing is a critical element in healthcare, both in the clinical environment and in the simulation lab. Often, what is said at a debriefing is not recorded, leading to loss of critical data that could be used to inform future simulations, education, and systems improvement. In this perspective piece, we explain the powerful role that capturing debriefing data can have for identifying themes to improve learners' knowledge and skills, as well as inform data-driven systems change and initiatives.
January 11, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735010/an-evaluation-of-emergency-medicine-core-content-covered-by-podcasts
#9
JOURNAL ARTICLE
Jeffrey Riddell, Scott Kobner, Gabriel Padilla
INTRODUCTION: Podcasts are used broadly for learning in emergency medicine (EM); however, there is concern about the potential for knowledge gaps for learners who rely on podcasts for their learning. The extent to which EM podcasts cover the core curriculum of EM is not known; thus, we sought to quantify the extent to which podcasts represent the core content of our specialty. METHODS: We performed a retrospective review of all EM podcast episodes published in 2019...
January 11, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735007/exploring-teamwork-challenges-perceived-by-international-medical-graduates-in-emergency-medicine-residency
#10
JOURNAL ARTICLE
Danya Khoujah, Ahmed Ibrahim
INTRODUCTION: Non-US international medical graduates (IMG) represent a gradually increasing portion of emergency medicine (EM) residents in the United States. Yet there are no previous studies that explore the needs of this learner population. We conducted a qualitative study to examine non-US IMGs' perceptions of challenges they face specifically regarding team dynamics during their first year of an EM residency. METHOD: Nine non-US IMGs in EM from all over the US participated in anonymous, semi-structured phone interviews lasting 45-60 minutes...
January 11, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735006/developing-master-adaptive-learners-implementation-of-a-coaching-program-in-graduate-medical-education
#11
JOURNAL ARTICLE
Margaret Wolff, Maya Hammoud, Michele Carney
No abstract text is available yet for this article.
January 11, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735004/novel-synchronous-first-person-perspective-virtual-simulations-for-medical-students-in-emergency-medicine
#12
JOURNAL ARTICLE
Michael Sperandeo, Tiffany Moadel, Sezzy Yun, Stephanie Pollack, Michael Cassara
No abstract text is available yet for this article.
January 10, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36735009/a-novel-point-of-care-ultrasound-curriculum-for-air-critical-care-personnel
#13
JOURNAL ARTICLE
Laurel O'Connor, Matthew Beth-Urhoy, Stephen Allegra, Andrew Dowd, Alexandra Nordberg, Timothy Boardman, Timothy Gleeson, Robert Lindsay
INTRODUCTION: Point-of care-ultrasound (POCUS) has become ubiquitous in emergency medicine practice for the management of emergent pathophysiology. There is growing interest in its potential as a diagnostic tool in the prehospital setting. Few studies have examined the feasibility or efficacy of curricula targeted at teaching POCUS to prehospital personnel. Our objective in this study was to investigate a curriculum for the extended focused assessment with sonography in trauma (eFAST) exam in helicopter emergency medical services (HEMS) crews...
January 9, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602495/the-impact-of-an-experiential-social-medicine-curriculum-in-an-emergency-medicine-residency-training-program-mixed-methods-curricular-evaluation
#14
JOURNAL ARTICLE
Hurnan Vongsachang, Todd Schneberk, Laura Sprunt, Gabe Padilla, Jeff Riddell
No abstract text is available yet for this article.
December 29, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602482/procedural-curriculum-to-verify-intern-competence-prior-to-patient-care
#15
JOURNAL ARTICLE
Jennifer Yee, Christopher San Miguel, Sorabh Khandelwal, David P Way, Ashish R Panchal
INTRODUCTION: Emergency medicine (EM) programs train residents to perform clinical procedures with known iatrogenic risks. Currently, there is no established framework for graduating medical students to demonstrate procedural competency prior to matriculating into residency. Mastery-based learning has demonstrated improved patient-safety outcomes. Incorporation of this framework allows learners to demonstrate procedural competency to a predetermined standard in the simulation laboratory prior to performing invasive procedures on patients in the clinical setting...
December 29, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602498/simulation-based-mastery-learning-improves-emergency-medicine-residents-ability-to-perform-temporary-transvenous-cardiac-pacing
#16
JOURNAL ARTICLE
Matthew R Klein, Zachary P Schmitz, Mark D Adler, David H Salzman
INTRODUCTION: Temporary transvenous cardiac pacing (TVP) is a critical intervention that emergency physicians perform infrequently in clinical practice. Prior simulation studies revealed that emergency medicine (EM) residents and board-certified emergency physicians perform TVP poorly during checklist-based assessments. Our objective in this report was to describe the design and implementation of a simulation-based mastery learning (SBML) curriculum and evaluate its impact on EM residents' ability to perform TVP...
December 28, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602493/the-emergency-medicine-educational-community-and-the-supply-side-of-the-workforce
#17
JOURNAL ARTICLE
David J Carlberg
No abstract text is available yet for this article.
December 28, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602487/universal-precautions-plus-physician-directed-strategies-for-improving-patient-health-literacy-in-the-emergency-department
#18
REVIEW
Jamaji C Nwanaji-Enwerem, Mikhaila Smith-Wilkerson, Brittney Gordon, Helene Okpere, Terrell Jones, Rahel Gizaw, Irfan Husain
Working on the frontlines with safety-net populations, emergency physicians are uniquely positioned to take on a greater role in addressing the current health literacy crisis and specific barriers that may exist. Here, we review the concept of universal health literacy precautions and explore the application of these universal precautions in conjunction with other patient-centered strategies. More specifically, to improve patient understanding and outcomes, emergency physicians can pair universal health literacy precautions with strategies including multiple learning techniques, dual-code theory, empowerment counseling, family buy-in, and hands-on practice...
December 28, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602484/education-value-units-a-currency-for-recognizing-faculty-effort
#19
JOURNAL ARTICLE
Braden J Hexom, Katarzyna Gore, Scott A Heinrich, Yanina A Purim-Shem-Tov
No abstract text is available yet for this article.
December 28, 2022: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36602497/a-competency-based-tool-for-resident-evaluation-of-pediatric-emergency-department-faculty
#20
JOURNAL ARTICLE
Ethan Sandler, Michael Lee, Rebecca Carter, Natalie L Davis, Sarah B Dubbs, Karen Webster, Katelyn E Donohue
No abstract text is available yet for this article.
December 21, 2022: Western Journal of Emergency Medicine
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