Sensible Medicine

MAY 25, 2024

Each year, cancer doctors — particularly academic doctors — take tens of millions in pharma payments while simultaneously writing guidelines that mandate the use of these drugs, and simultaneously prescribing them to desperate sick patients who want an objective opinion, but get a biased one instead. million, or 6 to 7.5.

Academics 145

Academics Poisoning Research Wellness 145

ALiEM

OCTOBER 30, 2023

Those who take the academic route face unclear promotion expectations, uncertainty about their niche, and a double-whammy of high clinical burden and a tacit expectation that you “prove” your worth as a teacher by taking on more tasks before being rewarded with salary support. But what can Dr. Garcia – or you – do?

Academics 64

Academics Leadership Wellness Research 64

PHARM

JUNE 1, 2023

This cross-sectional study analyzes social media content from academic emergency medicine physicians and resident physicians to investigate changes in content a — Read on jamanetwork.com/journals/jamanetworkopen/fullarticle/2804673

Academics 40

Academics Wellness 40

Sensible Medicine

AUGUST 25, 2024

Years ago, I was the target of a twitter mob when I posted my side of an academic debate organized to consider the question: Is it a physician’s professional duty to advocate politically? He describes them well in his post. 1 Though well after the fact since my day job tends to get in the way sometimes.

Academics 62

Academics Leadership Wellness Research 62

Sensible Medicine

JULY 26, 2024

Although I found this advice a bit off-putting, I have to say that it has served me well in a career in academic medicine. A few weeks ago, I was asked to speak on the occasion of Dr. Mark Siegler ’s retirement. Mark was truly a giant in the field.

Academics 52

Academics Research Wellness 52

SheMD

JULY 30, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. We typically recommend medical school applicants to get letters of recommendation from: 2 professors who taught you in science courses, 1 professor who taught you in a non-science course, and 1 non-academic mentor who knows you well.

Academics 104

Academics Leadership Research Wellness 104

Sensible Medicine

SEPTEMBER 19, 2023

This week, I talk with Andrew Foy, who is an academic cardiologist at Penn State University in Hershey, PA. FRAIL AF is in Andrew’s wheelhouse as one of his primary academic areas of study is the role of multi-morbidity in translating medical evidence. Andrew explains it well. Ablation vs Meds.

Academics 83

Academics Wellness 83

Mind The Bleep

SEPTEMBER 1, 2024

If you choose to do IELTS as a doctor, you must do the “academic IELTS” , as you would need to take this test to register for the GMC. IELTS is a well-established exam, with test centres in over 140 countries and tests being held 4 times a month. NOTE: You need to select the Academic IELTS (UKVI if you are not a British IMG).

Academics 52

Academics Wellness 52

ALiEM

OCTOBER 21, 2024

F; RR 22; O2 Sat 100% RA General : Alert, interactive, well-appearing HEENT : Left ear with moderate redness, swelling, warmth, and tenderness of the auricle sparing the lobule. The patient was on amoxicillin for strep throat, which was diagnosed a week before the onset of his symptoms and was improving. Eur Arch Otorhinolaryngol.

Academics 67

Academics Wellness 67

Pediatric EM Morsels

OCTOBER 27, 2023

Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Broselow does not.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

Sensible Medicine

JUNE 28, 2024

If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. She follows up at a “highly ranked” west coast academic medical center, near where she lives half the year. I love my job.

Stroke 90

Stroke Academics Hospitals EKG/ECG 90

Taming the SRU

JULY 24, 2024

Ann Emerg Med 2024 Background Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well as the rest of the world. They then tested the LASSO model using the remaining 20% of data to see how well it could detect sepsis at the same time points.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

ALiEM

OCTOBER 28, 2024

She was well during the interval until more recently, the patient began to complain of persistent abdominal pain and would point to the epigastric area. The patient had been tolerating oral intake well, passing adequate urine, having normal bowel movements, and behaving at baseline. HEENT : Normocephalic and atraumatic.

Pediatrics 64

Pediatrics Ultrasounds Academics Wellness 64

Sensible Medicine

NOVEMBER 19, 2024

It is a critical appraisal deep dive by “friend of the stack” David Rind that combines the “letter to the editor” feel that we like so much as well some nice EBM history. Because I deal so well with my judgment being doubted, I feel compelled to justify the report’s conclusions here on Sensible Medicine.

Burns 68

Burns Wellness Academics 68

SheMD

MAY 4, 2023

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. Why do we care about this article? How does this apply to us?

Leadership 52

Leadership Academics Operations Administration 52

Sensible Medicine

JANUARY 17, 2024

The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. Well first consider that most biomedical science is about two things: describing the world and improving it. Most academics create causal conclusions that aren’t true.

Academics 108

Academics Outcomes Wellness 108

Medagadget

MAY 23, 2023

Reducing the work, time, and expense of bringing new drugs to market could unlock a whole host of much needed new treatments, and advanced in vitro tissue culture systems are well poised to play a big role here. This could be a game changer for the pharmaceutical industry as well as academic and medical research.”

Research 95

Research Academics Wellness 95

ALiEM

SEPTEMBER 9, 2024

Past surgical history was significant for laparoscopic ventral hernia repair with mesh and lysis of adhesions (three years ago), as well as prior appendectomy, cholecystectomy, c-section, and right nephrectomy. C); BP 110/56; HR 64; RR 16; SpO2 100% General : No acute distress, well appearing. Surg Neurol Int.

Sepsis 60

Sepsis Academics Operations Wellness 60

ALiEM

FEBRUARY 26, 2024

Otherwise, he was well-appearing, acting normally, and eating/voiding/stooling normally. Additional Images Physical Exam General : Well appearing, acting appropriately for age HEENT : Scalp normal. The patient presented with a vesicular rash on his face including around his eyes. He had conjunctival discharge noted by mom.

Academics 78

Academics Pediatrics Wellness 78

ALiEM

OCTOBER 11, 2024

On the day of presentation, she developed a painful, intermittently bleeding “blood blister” to the left lower cheek that had increased in size, as well as new red spots on her arms and legs. Initial diagnostics include a CBC which will show isolated thrombocytopenia, as well as hemolysis labs to exclude alternative etiologies.

Academics 60

Academics Wellness 60

EM SIM Cases

JUNE 11, 2024

Why It Matters This case highlights an uncommon, but clinically and academically important toxidrome. Organophosphate poisoning is a well-known (but rare in developed nations) toxidrome with specific antidotes available for patient treatment and survival. This case allows for its recognition and treatment to be reviewed.

Poisoning 52

Poisoning PPE Academics Resuscitation 52

Sensible Medicine

NOVEMBER 28, 2023

For many doctors in academic medicine, publishing in peer reviewed journal is an important part of their careers. People can rise through the academic ranks as gifted clinicians, creative and effective educators, and talented administrators. [i] Being perfectly honest, not all the articles have aged well.

Stroke 80

Stroke Academics Outcomes Administration 80

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). How should potential applicants learn more about your program?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

Sensible Medicine

SEPTEMBER 12, 2024

We find the letter to be well-argued. 5 While the protocol states that academic members of an executive committee designed the study in collaboration with Novartis, the authors' disclosures raise questions about the balance between academic and industry interests in its design. Editors at JACC-HF rejected their arguments.

Academics 64

Academics Outcomes Hospitals Wellness 64

ACEP Now

AUGUST 22, 2023

This real-world pragmatism is the guiding principle embodied by the Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) project, published by the Society for Academic Emergency Medicine. References Society for Academic Emergency Medicine. Academic Emergency Medicine. Academic Emergency Medicine.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

SheMD

AUGUST 24, 2023

Medical specialty society membership can have an impact on the development of an academic physician’s career through networking, speaking opportunities, and awards. Underrepresentation of female faculty members may be an obstacle to career advancement in academic medicine. Why is this article important? Am J Clin Pathol. 2022.40001.

Leadership 52

Leadership Academics Outcomes Wellness 52

PulmCCM

SEPTEMBER 28, 2023

In most of these studies, diagnostic imaging was only performed on patients at higher pretest probability for PE according to Wells criteria or other risk stratification. Prevalence of pulmonary embolism was 17%, and overall prevalence of deep venous thrombosis or PE was 25%.

COPD 85

COPD Stroke Academics Urgent Care 85

ALiEM

OCTOBER 7, 2024

F; O2 saturation 96% on room air General : No acute distress, well-appearing Neurologic : AOx3; Following commands. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Speech without dysarthria.

Academics 64

Academics Emergency Department Pediatrics Wellness 64

ALiEM

OCTOBER 23, 2023

There was a well-healed scar on the bottom eyelid. The hyperdense foreign body is again seen on CT, as well as a small focus of air within the anterior chamber. Additional Images Physical Exam General : Nontoxic appearing but seemed quite uncomfortable. The lateral canthus appeared inferiorly displaced. 2022;74(Suppl 2):1334-1343.

Academics 111

Academics Emergency Department Ultrasounds Wellness 111

Stop and Think

JANUARY 14, 2024

Since Andrew Foy and I wrote our Case Against Coronary Artery Scans in an academic journal, the test has only increased in popularity. The academic proponents of CAC scans strongly recommend CAC scans only to guide decision-making about using primary prevention therapies, such as statin drugs, in medium risk people. Exercise regularly.

Academics 122

Academics Outcomes Wellness 122

Sensible Medicine

DECEMBER 18, 2023

The American Academic of Pediatrics (AAP) proudly told parents to avoid peanuts in kids at high risk of allergy. That is my conclusion as well, and I favor large, pragmatic randomized trials in adults and kids with staggered starting times (adults first — to protect kids from harms we may not yet know). Better food?

Pediatrics 140

Pediatrics Documentation/Coding Burns Academics 140

ALiEM

SEPTEMBER 13, 2024

On arrival to our emergency department, the patient expressed continued eye pain with bloody discharge as well as blurry vision from his right eye. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Emergency Department 64

Emergency Department Academics Hospitals Fractures 64

ALiEM

MARCH 15, 2024

It can be caused by ocular surgery and neoplastic disease, as well. Retrieved January 11, 2023, from [link] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. essay, McGraw-Hill Education.

Academics 64

Academics Administration Wellness 64

Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

The ST elevation in V2-V6 as well as in I and aVL becomes easily recognizable. The patient ultimately did well. Of academic interest — are the arrhythmias that developed. Shark fin ST elevation ( well seen in lead I of ECG #1 ) gave the false appearance of QRS widening. An ICD was placed. Is there OMI?

EKG/ECG 127

EKG/ECG Resuscitation Academics EMS 127

Mind The Bleep

OCTOBER 22, 2024

Research remains encouraged within cardiology, and there will be an opportunity to develop a range of academic interests. Late applications are not accepted, so checking the dates for the application year and applying well in advance is essential. This includes practical and analytical skills that you will develop during training.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

Sensible Medicine

JUNE 15, 2024

These essays will be about how institutions, particularly academic medical leaders, fail doctors in training. Being well versed in domains of history and sports may even have a greater impact in the clinic, as it allows you to bond with many patients. A greater focus on wellness or work-life balance will solve none of these concerns.

Research 139

Research Wellness Academics Administration 139

Sensible Medicine

MARCH 12, 2024

On February 8th, Lisa Rosenbaum published an excellent and thought-provoking piece in the New England Journal titled: On Being Well While Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training. Yet, it seems that there is a palpable, unique shift in mindset amongst young medical trainees.

Wellness 117

Wellness Academics Research 117