Episodes
Thursday Oct 31, 2019
WTT 21: Imposter Syndrome with Drs. Rebillot, Goode, Karalius
Thursday Oct 31, 2019
Thursday Oct 31, 2019
Emergency physicians Dr. Vytas Karalius (Northwestern), Dr. Deirdre Goode (University of Chicago), and Dr. Katie Rebillot (Harbor-UCLA and WTT's Chief Operating Officer) discuss imposter syndrome, the 5 different types, how they plague many emergency medicine residents, its contribution to burnout, and how to address it. Have you experienced imposter syndrome (also known as an "imposter experience")? Wellness Think Tank (WTT): https://www.aliem.com/wellness-think-tank/
Thursday Oct 24, 2019
ACEP E-QUAL 32: Headache Clinical Policy
Thursday Oct 24, 2019
Thursday Oct 24, 2019
In this episode from the ACEP-EQUAL series, Dr. Steven Godwin and Dr. Richard Shih review the recently published ACEP clinical policy regarding the treatment of headaches in the emergency department.
Guests: Dr. Steven Godwin (Professor and Chair of Emergency Medicine, University of Florida), Dr. Richard Shih (Professor of Integrated Medical Science and Program, Charles E Schmidt College of Medicine at Florida Atlantic University)
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu
References:
- Perry JJ et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013 Sep 25;310(12):1248-55. doi: 10.1001/jama.2013.278018 Carpenter CR et al. Spontaneous Subarachnoid Hemorrhage. A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds. Acad Emerg Med. 2016 Sep;23(9):963-1003. doi: 10.1111/acem.12984. Epub 2016 Sep 6.
- Perry JJ. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d4277 Dubosh NM et al. Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis.Stroke. 2016 Mar;47(3):750-5. doi: 10.1161/STROKEAHA.115.011386.
- Carstairs SD. Computed tomographic angiography for the evaluation of aneruysmal subarachnoid hemorrhage. Acad Emerg Med. 2006 May;13(5):486-92. Epub 2006 Mar 21.
- El Khaldi M. et al. Detection of cerebral aneurysms in nontraumatic subarachnoid haemorrhage: role of multislice CT angiography in 130 consecutive patients. La radiologia medica. 200 Feb;112(1):123–137.
- Menke J et al. Diagnosing cerebral aneurysms by computed tomographic angiography: meta-analysis. Ann Neurol. 2011 Apr;69(4):646-54. doi: 10.1002/ana.22270.
- Friedman BW et al. Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine. Neurology. 2017 Nov 14; 89(20): 2075–2082. doi: 10.1212/WNL.0000000000004642
Wednesday Oct 09, 2019
EM Match Advice 26: How to Swipe Right During Interview Season
Wednesday Oct 09, 2019
Wednesday Oct 09, 2019
Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors discuss finding the right-fit residency program for you using modern dating terms. Which programs should you swipe right or left on? Panelists: Dr. Arlene Chung (Maimonides), Dr. David Snow (Loyola), Dr. Robin Naples (Thomas Jefferson)
Tuesday Oct 08, 2019
ACEP E-QUAL 31: Sepsis-1 National Quality Measure and EQUAL
Tuesday Oct 08, 2019
Tuesday Oct 08, 2019
Dr. Adam Rodos discusses the CMS measure SEP-1 as well as the EQUAL sepsis initiative. The talk focuses on the effect of these measures on patient care and strategies for sepsis care improvement.
Guest: Adam Rodos MD (Assistant Professor, Dept of Emergency Medicine and Medicine, University of Illinois College of Medicine)
Host: Dr. Jason Woods
References:
- Barbash IJ, Davis B, Kahn JM. National Performance on the Medicare SEP-1 Sepsis Quality Measure. Critical Care Medicine. 2019. 47(8):1026–1032. doi: 10.1097/CCM.0000000000003613 Kahn JM, et al. Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults With Sepsis. JAMA. 2019. 322(3):240-250. doi: 10.1001/jama.2019.9021.
- Venkatesh AK et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E- QUAL). Annals of Emergency Medicine. 2018;71(1):10-15.e1. doi: 10.1016/j.annemergmed.2017.06.032
Friday Sep 27, 2019
Friday Sep 27, 2019
In this episode from the ACEP-EQUAL series, Dr. Alexis LaPietra reviews greater trochanteric pain syndrome and its treatment, as well as gives an overview of one piece of osteopathic manipulative therapy called muscle energy.
Guest: Alexis LaPietra, DO (Chair, ACEP Pain/Addiction Section System Chief, Pain/Addiction St. Josephs Health, Paterson NJ)
Host: Dr. Jason Woods
www.acep.org/equal
Thursday Sep 12, 2019
ACEP E-QUAL 29: Occipital Nerve Blocks and Low Paraspinous Injections for Headaches
Thursday Sep 12, 2019
Thursday Sep 12, 2019
In this episode from the ACEP-EQUAL series, Dr. Katherine Vlasica reviews the technique, indications, contraindications, and benefits of the use of occipital nerve blocks and low paraspinous injections in the treatment of headache in the ED.
Guest: Katherine Vlasica DO (Director of EM Pain Management, St Joseph’s Health in Paterson NJ; Clinical Assistant Professor of Medicine, New York Medical Center)
Host: Dr. Jason Woods
www.acep.org/equal
Link for video of nerve blocks:
Tuesday Sep 03, 2019
The Leader's Library 2: Radical Candor
Tuesday Sep 03, 2019
Tuesday Sep 03, 2019
Join us in the second installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Hosted by Dr. Dina Wallin, the featured book is Kim Scott's RADICAL CANDOR.
https://www.aliem.com/leaders-library-radical-candor/
Friday Aug 30, 2019
ACEP E-QUAL 28: Renal Colic Imaging
Friday Aug 30, 2019
Friday Aug 30, 2019
In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Chris Moore, and Dr. Courtney Moreno discuss the development of and recommendations from the new publication from the ACEP EQUAL group, "Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus."
Article: https://www.ncbi.nlm.nih.gov/pubmed/31402153
DOSE project (Dose Optimization for Stone Evaluation): https://medicine.yale.edu/emergencymed/dose/
Radiology Safety Information: https://www.radiologyinfo.org/en/info.cfm?pg=safety-xray
Host: Dr. Jason Woods
www.acep.org/equal
Monday Aug 26, 2019
ACEP E-QUAL 27: Thoracic Aortic Dissection
Monday Aug 26, 2019
Monday Aug 26, 2019
In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Deb Diercks, and Dr. Kaushal Shah discuss the development and primary recommendation from the ACEP Clinical Policy for Thoracic Aortic Dissection.
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu
Saturday Aug 17, 2019
EM Match Advice 25: Program Directors Reflect on the 2019 Match
Saturday Aug 17, 2019
Saturday Aug 17, 2019
Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors reflect on the 2019 Match year based on the NRMP data. Was it more or less competitive? What was new and what is their advice for the 2020 Match? View the data table for 2011-2019 on the ALiEM.com site. PD panelists: Dr. Sorabh Khandelwal (The Ohio State University), Dr. Fiona Gallahue (University of Washington), Dr. Brad Bunney (University of Illinois at Chicago)
https://www.aliem.com/em-match-advice-program-directors-2019-residency-match/