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The Electric Daisy Carnival: What It’s Like to Provide Medical Coverage for a 400,000 Person Rave

December 10th, 2018
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Peter Carlo recalls the first time he was asked to provide medical staffing for a rave – he had had never heard of a rave before. “I was like, a rave? Explain.” But this wasn’t just any rave. This was the Electric Daisy Carnival, or EDC. It is one of the largest electronic dance music […]

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Posted in Life in the ER

Integrated Acute Care: The Impact of a Patient Centered Admission Team

October 25th, 2018
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When patient care is a priority, there is a natural integration of more and more elements of the patient’s hospital experience, from their entry process through their stay and finally their discharge. Not only is integrating care delivery service more efficient at delivering care – it’s more effective. An integrated care delivery model starts with […]

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Posted in Hospitalist Medicine, Observation Care, Quality Efficiency Utilization

In Your First Real EM Job Search, Don’t Worry: Everyone Eventually Gets to Point B

October 8th, 2018
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This time of year can be disorienting for junior residents. Many of their senior residents will be about to, or will have signed contracts for their first job while they are just starting what is likely to be their first job search in a very, very long time. When the fall of my chief year […]

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Posted in For Residents

Dr. Tony Cirillo On Politics, Winning ACEP’s Excellence in Health Policy Award, and Getting Back “A Little Bit of the Soul”

September 25th, 2018
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Dr. L. Anthony Cirillo had been working on the industry-wide battle to get a reasonable replacement to Medicare’s “Sustainable Growth Rate” formula for more than a decade before Congress finally acted. Since 2002, Congress had been passing a series of “doc fixes,” one after another, to prevent the SGR from causing gigantic cuts to physician […]

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Posted in Leadership

My Greatest Regret as An Attending Was Not Doing Enough to Prevent a Suicide

September 17th, 2018
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I had only been an attending for a few years when I had a resident rotate through the ER who seemed the opposite of a gunner. He appeared lazy. He would often sit on a chart. Once, as he was presenting a chest pain case to me, he was so tired he was yawning. My […]

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Posted in Physician Wellness