Tag: acep

Stampede! The Herd Mentality of Recruiting Season

August 3rd, 2016
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When is peak recruiting season for emergency medicine residents? It depends. Everyone knows about when it starts and roughly when it ends. The first residents to sign usually do so in the summer, and the last are usually picking up the rear sometime in January (on the East Coast, that is). But it’s that start of […]

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Posted in For Residents

Becoming an Emergency Medicine Destination of Choice for Women

July 27th, 2016
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I’ve been an attending physician in emergency medicine in or around our nation’s capital for the last 16 years. Throughout my career as an African American woman, whether in academia or in leadership meetings, I have often been the only one. I’ve been the only woman often and even more frequently the only African-American. It […]

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Posted in For Residents

Are Emergency Medicine Residents Getting More Entrepreneurial?

October 12th, 2012
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One needn’t have traveled to Denver for the annual ACEP conference to know that the practice of emergency medicine is undergoing rapid change. But one thing I did sense there is that the new crop of emergency medicine physicians are more interested than ever in understanding and adapting to that change. Leaving the political pundits […]

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Posted in For Residents

Strategies to Address ED Boarding Must Include Strong Partnership Between Hospital and EM Group

October 5th, 2012
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Two recent articles on ED boarding and patient flow highlight growing awareness of the importance of this issue and its impact on what emergency physicians do every day. But while both articles suggest some ways of dealing with ED boarding, neither addresses directly the key ingredient to ensuring those strategies succeed: correct framing enabled by […]

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Posted in Quality Efficiency Utilization

How to Communicate with Patients in the ER: First Seek to Understand

September 25th, 2012
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A new patient is placed in room 18. I read the chief complaint as I sign up to see the patient: 32-year-old male seeking detox from narcotics. Let’s be honest: most of us in emergency medicine are not thrilled to see this patient. First of all, in most cases, there is not much that we […]

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Posted in Leadership, Life in the ER

Thoughts on Choosing Wisely and Overuse

August 2nd, 2012
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About five months ago nine physician specialty groups got together and decided to examine specific tests and procedures that are commonly used but not necessary in their respective fields.  They named their organization “Choosing Wisely”, and compiled a list of over 45 specific recommendations on practices that should be curtailed.  Examples included “lumbar series in […]

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Posted in Quality Efficiency Utilization

Done With Residency? 3 Pieces of Advice for New Emergency Medicine Physicians

July 24th, 2012
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January may be the universal month for new starts, new years resolutions, and self-reflection, but for those of us in medicine, it has always been July. Do you remember your first shift as an ED attending? I sure don’t. I’m sure I was nervous, overwhelmed, and scared I was going to hurt somebody or, perhaps […]

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Posted in For Residents

Advance Directive: Allow Natural Death

May 18th, 2012
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The more I practice emergency medicine, the more I think about end of life care and the futility of much of what we do as patients try to complete their time on this earth. Many emergency physicians have been faced with the reality of “coding” an elderly nursing home patient because the family insists that […]

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Posted in Future of Healthcare

Saving Time in the ER, Even When It’s Not Life and Death

May 14th, 2012
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In the ER, we celebrate small improvements. After all, we work in a place where a few minutes saved could mean the difference between life and death. In other cases, shaving a few minutes off a process here or a protocol there may result in somewhat less dramatic payoff. Take our recent Kaizen project at […]

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Posted in Quality Efficiency Utilization

The Expanding Role and Bright Future of Advanced Practice Practitioners in the Emergency Department

October 26th, 2011
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Advanced Practice Practitioners see a wide variety of patients at our hospital sites, from those with chest pain to those with minor lacerations and everything in between. This practice is not limited to us. Nationally, it is estimated that Physician Assistants (PA’s) see 10 percent of emergency room patients in the United States, and a 2009 […]

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Posted in Future of Healthcare, Quality Efficiency Utilization