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August 8, 2019
In this episode from the ACEP-EQUAL series, Dr. Stephen Wolf (Professor of EM, Vice Chair Dept of EM at Denver Health Medical Center, Chair of the ACEP clinical policies committee, subcommittee chair for this policy) talks about the development and primary recommendation from the ACEP Clinical Policy: Suspected Acute Venous Thromboembolic Disease Host: Jason Woods, MD www.acep.org/equal
July 24, 2019
In this episode, Drs. Craig Hostein and Thomas Vaughan discuss their success in reducing avoidable imaging for low back pain in the ED. Host Jason Woods MD guides the discussion.
July 23, 2019
Drs. Frank Peacock and Michael Kontos review the 2015 guidelines, published in the Journal of the American College of Cardiology regarding appropriate use of cardiovascular imaging. Host Dr. Jason Woods guides the discussion. PDF of slide deck: https://www.acep.org/globalassets/sites/acep/media/equal-documents/webinar_chestpainw3_policy_cvimaging.pdf References 1. Rybicki FJ, Udelson JE, Peacock F et al. “2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain.” JACC. Feb 2016. 67;7. DOI: 10.1016/j.jacc.2015.09.011 2. Singer AJ, Than MP, Smith S et al. “Missed myocardial infarctions in ED patients prospectively categorized as low risk by established risk scores”. Am J Emerg Med. 2017 May;35(5):704-709. DOI: 10.1016/j.ajem.2017.01.003. 3. Poldevaart JM, Reitsma JB, Backus BE. “Effect of Using the HEART Score in Patients with Chest PAin in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial.” Ann Intern Med. 2017 May 16;166(10):689-697. doi: 10.7326/M16-1600 4.Than MP, Aldous SJ, Troughton RW et al. “Detectable High-Sensitivity Cardiac Troponin within the Population Reference Interval Conveys High 5-Year Cardiovascular Risk: An Observational Study.” Clin Chem. 2018 Jul;64(7):1044-1053. DOI: 10.1373/clinchem.2017.285700
July 17, 2019
Dr. Simon Mahler, Dr. Deborah Diercks, Dr. Christopher Baugh discuss how to implement the use of high sensitivity troponin in your clinical setting on this featured ACEP E-QUAL podcast. Hosted by Dr. Jason Woods
June 12, 2019
Drs. Peacock and Christensen discuss the nuances of the high sensitivity troponin lab test on this featured ACEP E-QUAL podcast. Hosted by Dr. Jason Woods
May 29, 2019
Host Jason Woods discusses the new PECARN Infant Fever Prediction Rule with lead author Dr. Nate Kuppermann. They review how this rule is different than its predecessors, understanding recursive partitioning, and how/when to use this rule in clinical practice. Article: Kuppermann et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Peds. Feb 2019.
April 5, 2019
The Leader's Library book club series kicks off featuring Brene Brown's DARE TO LEAD. Host Dr. Dina Wallin provides a teaser on why this book is critical for leaders in healthcare and academia. Learn more at: https://www.aliem.com/2019/04/the-leaders-library-dare-to-lead/
March 7, 2019
Guest host, Dr. Michelle Lin chats with Dr. Jill Baren (University of Pennsylvania) on the whys, hows, and behind-the-scenes stories about conducting research under the Exception From Informed Consent (EFIC) regulation. Spoiler alert: It is not for the timid or impatient.
February 26, 2019
An EM Match Advice episode on promoting diversity and inclusion during residency training, hosted by Drs. Michael Gisondi and Michelle Lin. Featuring Dr. Joel Moll (Virginia Commonwealth), Dr. Tyson Pillow (Baylor), and Dr. Bonnie Kaplan (Denver Health).
February 5, 2019
Facilitated by Dr. Matt Melamed, this podcast features powerful insights from Lt. Col. David Grossman, the author of On Combat, as he relates stories in the military as it applies to emergency physicians. Strategic sleep hygiene, deep breathing, and food/water are discussed as they relate to stress management and staying in a constant "condition yellow" of alertness.
February 5, 2019
Facilitated by Dr. Matt Melamed and Dr. Nicole Battaglioli, this podcast discusses the 2019 Western Journal of Emergency Medicine's article on The Happiness Practice curriculum for EM residents. This curriculum was modeled after several successful wellness initiatives at the corporate level. Authors Dr. Danielle Hart and Dr. Glenn Paetow from Hennepin join us to discuss their study findings, the broader challenges in studying wellness, and some promising systems-level changes at their institution. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324712/ ALiEM Wellness Think Tank: https://www.aliem.com/wellness-think-tank/
January 3, 2019
Co-hosted by Drs. Mary and Nate Haas, this episode of the SAEM's Research Learning Series features Dr. Daren Beam (Indiana University) on how to write a winning abstract for a scientific meeting or conference. Take notes and apply his practical pearls of do's and don'ts, while also hearing some funny, behind-the-scenes stories about his time as a research coordinator for the PERC rule.
January 3, 2019
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Zachary Meisel (University of Pennsylvania) on how to turn your interest into research. Get inspired by his career path from prehospital research to narratives in evidence-based medicine.
September 29, 2018
Drs. Christian Tomaszewski and Michael Ross reviews the 2018 ACEP Clinical Policy on Critical Issues in the Evaluation and Management of Emergency Department Patients with Suspected Non–ST-Elevation Acute Coronary Syndromes (NSTEMI). Read the entire policy here: https://www.acep.org/patient-care/clinical-policies/nonst-elevation-acute-coronary-syndromes/ Dr. Tomaszewski was the lead for writing this clinical policy and is a Professor of Emergency Medicine at UC San Diego. Mr. Ross is a Professor of Emergency Medicine at Emory. He is the Medical Director of Observation Medicine for the Department of Emergency Medicine and the Chest Pain Center Director for Emory university. Hosted by Dr. Jason Woods
September 26, 2018
Dr. Erik Hess, Dr. W. Franklin Peacock, and Dr. Simon Mahler discuss complex issues involving chest pain protocols in "ruling-out" low risk chest pain patients. They tackle the issues of: 1. Troponin-Only Pathway: The Era of High Sensitivity Troponins (Hess) 2. Importance of Incorporating Accelerated Diagnostic Protocols (Peacock) 3. How to Get Buy-In and Implement ADPs in the Emergency Department (Mahler) Dr. Hess is the Vice Chair in the Department of Emergency Medicine at the University of Alabama. Dr. Peacock is the Vice Chair in the Department of Emergency Medicine at Baylor University. Dr. Mahler if the Director of Clinical Research in the Department of Emergency Medicine at Wake Forest University. Hosted by Dr. Jason Woods
September 26, 2018
Dr. Kristin Newby and Dr. Michael Kontos discuss the pros and cons of various stress testing modalities and imaging for patients presenting with suspected acute coronary syndrome. There are nuanced decisions to be made based on the disease probability, patient characteristics, test characteristics, test availability, and cost. Dr. Newby is a Professor of Medicine in the Division of Cardiology at Duke University. Dr. Kontos is an Associate Professor in the Departments of Internal Medicine, Cardiology, Radiology, and Emergency Medicine at Virginia Commonwealth University. Hosted by Dr. Jason Woods
September 24, 2018
Dr. Reuben Strayer and Dr. Eric Ketcham discuss the management of patients with opioid withdrawal and initiation of buprenorphine in the Emergency Department for opioid use disorder patients. Dr. Strayer is the Associate Medical Director at the Department of EM at Maimonides Medical Center and author of EMUpdates.com. Dr. Ketcham is the Medical Director for the New Mexico Treatment Services program and is an emergency physician at the San Juan Regional Medical Center in New Mexico. Hosted by Dr. Michelle Lin
September 23, 2018
Dr. Maureen Boyle and Dr. Edward Bernstein discuss the public health crisis of opioid overdoses, overdose prevention, and home naloxone distribution from systems and operational perspectives. Dr. Boyle is the Chief Scientific Officer for the Addiction Policy Forum and was previously the Chief of Science Policy at NIDA. Dr. Bernstein is a Professor of Emergency Medicine and Vice Chair for Academic Affairs at Boston Medical Center and the Medical Director for the Faster Paths to Treatment Program. Hosted by Dr. Michelle Lin
September 21, 2018
Dr. Andrew Herring, the Medical Director for the Substance Use Disorder Treatment Program at Highland Hospital and Principal Investigator for the California ED Bridge Emergency Buprenorphine Program, discusses the art and science in managing pain for patients with opioid use disorders. Hosted by Dr. Michelle Lin
September 14, 2018
Dr. Alexis LaPietra, the creator of the ALternatives To Opioids (ALTO) program, provides insights into the nuts and bolts of starting an ALTO program at one's local institution. Dr. LaPietra is the Medical Director of the EM Pain Management program at St. Joseph’s and created the Pain Management and Addition Medicine Section for the American College of Emergency Physicians. Hosted by Dr. Michelle Lin
September 7, 2018
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Rob Ehrman (Wayne State) on why grant proposals get rejected and how to deal with them.
September 7, 2018
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. Mike Puskarich (University of Minnesota) on writing high-quality specific aims in your grant proposal. He shares the key do's and don'ts that make or break a grant writeup.
September 7, 2018
Co-hosted by Drs. Mary and Nate Haas, this installment of SAEM's Research Learning Series features Dr. James Paxton on common IRB pitfalls based on his experience as the Chairman of Wayne State University's Institutional Review Board.
September 7, 2018
Ultrasound fellowship directors discuss recent updates to the EM Clinical Ultrasound Fellowship match process, which now involves the National Resident Match Program (NRMP). Panelists: Dr. Jeremy Boyd (VanderbiltUniversity) Dr. Matt Fields (Kaiser Permanente San Diego) Dr. Arthur Au (Thomas Jefferson University) Co-hosts: Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF-SFGH)
September 7, 2018
In this PECARN series, Dr. Jason Woods discusses the sensitivity and specificity of the urinalysis for febrile infants ≤60 days old with the first authors of the 2018 Pediatrics article, Dr. Leah Tzimenatos. Tzimenatos L, Mahajan P, Dayan PS, et al; Pediatric Emergency Care Applied Research Network (PECARN). Accuracy of the Urinalysis for Urinary Tract Infections in Febrile Infants 60 Days and Younger. Pediatrics. 2018 Feb;141(2). https://www.ncbi.nlm.nih.gov/pubmed/29339564
June 26, 2018
Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of fellowship program directors in global health discuss the nuts and bolts of applying to a global health fellowship in EM. Panelists: Dr. Kristiana Kaufman (Wayne State University), Dr. Rebecca Walker (Stanford University), Dr. Hani Mowafi (Yale University)
June 15, 2018
Hosted by Dr. Derek Monette (ALiEM Deputy Editor in Chief), this podcast discusses the hot-off-the-press New England Journal of Medicine publication on diabetic ketoacidosis (DKA), fluid resuscitation, and cerebral edema. Authors Dr. Nathan Kuppermann and Dr. Nicole Glaser explain the importance of their groundbreaking RCT and challenge the theoretical association between IV fluids and the development of cerebral edema during pediatric DKA treatment. Kuppermann N, Ghetti S, Schunk JE, et al; PECARN DKA FLUID Study Group. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med. 2018 Jun 14;378(24):2275-2287. https://www.ncbi.nlm.nih.gov/pubmed/29897851
June 15, 2018
Hosted by Dr. Michael Gisondi and Dr. Michelle Lin, an expert panel of residency program directors reflect on the 2018 Match year. Was it more or less competitive? What was new and what is their advice for the 2019 Match? Panelists: Dr. Elise Lovell (Advocate Christ), Dr. Leslie Oyama (UCSD), Dr. Jeremy Branzetti (NYU-Bellevue
May 13, 2018
Facilitated by Dr. Matt Melamed and joined by EM residents Dr. Laila Nasser and Dr. Jon Smart Gende, this podcast covers a broad range of topics with wellness expert and Facebook's EM Docs founder Dr. K Kay Moody. She discusses how EM Docs started, how the opioid epidemic affects the wellness of emergency physicians, pivots in her career which align with her mission to improve physician wellness, and taking a leap of faith by building the Glacier Rock Wellness Ranch in Washington.
May 1, 2018
Facilitated by Dr. Annahieta "AK" Kalantari and joined by EM residents Dr. Alecia Gende and Dr. Adrienne Taren, this podcast covers a broad range of topics with wellness expert Dr. Shahina Braganza from the Gold Coast in Australia. She discusses the concepts behind Emotional Contagion, her published "oneED" program, and the challenges of adopting wellness initiatives in the ED.
April 6, 2018
Let's normalize the conversation and talk postpartum mood disorders! These can include postpartum anxiety, depression, and even psychosis. These are more common than you think. When are the timeframes, who is at risk, and how can you as a provider help? Host: Dr. Nicole Battaglioli Wellness Strategist: Dr. Annahieta "AK" Kalantari Expert: ALLISON LOFTUS, MD LPC (Professional Counselor at Flourishing Counseling Center) Key resource: Postpartum Support International (http://www.postpartum.net/) Wellness Think Tank: https://www.aliem.com/wellness-think-tank/
April 6, 2018
Concepts and pearls in applying performance psychology practices to high-acuity and high-risk cases in the Emergency Department featuring performance psychologist DR. JASON BROOKS, our Wellness Think Tank strategist. Being a medically skilled practitioner does not necessarily mean that we know how to deal with natural human factors and emotional triggers. Left unaddressed, these can fester and lead to physician burnout. Topics covered include: • Emotionally and mentally preparing for unpredictable shifts and/or high stakes, low-frequency procedures • Attention-shifting to the next case immediately after a highly emotional case to be sure you are fully present and not distracted • Self-reflecting on each stressful/difficult case • Opening a debriefing conversation immediately after each high-stress case • Focusing on lessons learned from both negative AND positive experiences Host: Dr. Matt Melamed WTT Members: Dr. Kuljit Kaur (Jefferson-Northeast), Dr. Laila Nasser (McMaster) Website: https://www.aliem.com/wellness-think-tank/
April 3, 2018
In this corner, former editor of EM:RAP, coproducer of EM Essentials, creator/editor in chief of ERcast, and… the coolest dude you’ve ever known! Dr. Rob Orman! (Applause, Cheering, Etc.) In the opposing corner boring, old, and tired… Your current pre/post shift routine and some of your beliefs about your first year as an attending! Welcome to a sold-out podcast that only VIP’s like you with the link have access to! You’re welcome! Listen as Rob “The Doc” Orman strikes like lightning against what you thought you knew! He masterfully dissects some of the most difficult mental obstacles to your first year as an attending! Believe the hype! Let’s get ready to rumbleeeeeee! Hangout host: Dr. Liang Liu Podcast editor: Dr. Aron Slear
April 2, 2018
Dr. Debbie Yi Madhok (https://twitter.com/DrDebbieYi), an emergency physician and neurointensivist, sat down with Dr. Derek Monette (https://twitter.com/DerekMonetteMD), the ALiEM Deputy Editor in Chief, to discuss updates in the management of intracranial hemorrhage. This is a podcast following up with her original popular 2017 ALiEM blog post entitled "Update on the ED Management of Intracranial Hemorrhage: Not All Head Bleeds Are the Same" (https://www.aliem.com/2017/09/intracranial-hemorrhage-management/)
March 6, 2018
With help from medical education expert Dr. Stan Hamstra, this Faculty Incubator podcast pulls the curtain back on Competency Based Medical Education. Featuring Drs. Teresa Chan, Robert Cooney and Jonathan Sherbino Read more here: http://www.acgme.org/What-We-Do/Accreditation/Milestones/Overview And here: https://www.aliem.com/faculty-incubator/ Watch the discussion here: https://www.youtube.com/watch?v=-2-hnP1h7-k& Edited by Hari Bhatt
March 5, 2018
In this episode of the ALiEM Idea Lab Podcast Dr. Rick Winters shares his experience in coaching physician leaders. In this discussion we touch on: - Differences between mentoring, coaching, and teaching - The chessboard of MedEd leadership - Blind-spots for physician leaders - How to coach a resident who is having issues - How to move MedEd forward through coaching Dr. Winters is an emergency physician and Course Director of the Leadership and Excellence Program for the Mayo Clinic Care Network. He has an MBA and a graduate certificate in executive coaching. Podcast Host: Dr. Jeff Riddell Sound effects obtained from https://www.zapsplat.com
March 2, 2018
Dr. Gita Pensa, Associate Director for the Education of Emergency Digital Health Initiative and Associate Professor of EM at Brown University, leads a discussion with Wellness Think Tank members about dealing with the stressors if/when you get named in a lawsuit. Host: Dr. Matt Melamed Resident Panelists: Dr. Alecia Gende | Dr. Kaila Pomeranz | Dr. Paul Leonard Wellness Think Tank sponsor: US Acute Care Solutions
March 1, 2018
Cheryl Hiddelson MSN, RN, CCRN-E and Tim Buchman MD, PhD provide a fantastic introduction to what an "eICU" is, the massive benefits it can provide, and the resources necessary to start. Host Jason Woods MD leads the discussion. Podcast editor: James Ede
February 28, 2018
This Faculty Incubator podcast explores the importance of education using proper guides, maximizing educational opportunities, and how this effects future generations of healthcare professionals. This discussion features Drs. Jonathan Sherbino, Robert Cooney, and Teresa Chan. Watch the uncut hangout here: https://www.youtube.com/watch?v=uDWx5l9JA-M Read more here: https://www.aliem.com/faculty-incubator/ Edited by Hari Bhatt
February 21, 2018
ALiEM Book Club with Dr. Amy Walsh (Global EM Fellowship Director at Regions Hospital) and Dr. Jordana Haber discuss "Medical Apartheid" by Harriet Washington. https://www.aliem.com/2018/01/aliem-book-club-medical-apartheid/ Podcast editor: David Yang
February 8, 2018
Dr. Nova Panebianco and Dr. Todd Slesinger discuss techniques for the reassessment of patient fluid status during sepsis care, and how to determine if a patient will likely be responsive to additional fluids. Dr. Jason Woods hosts and guides the discussion.
February 7, 2018
This ALiEM Faculty Incubator podcast, hosted by Dr. Megan Osborn, discusses the purposes, terminology, pitfalls, and techniques of proper program evaluation. Listen to the featured experts: Dr. Dara Kass of FemInEM and Dr. Andrew King of Ohio State University. Read more here: https://feminem.org/ And here: https://www.aliem.com/ Edited by Hari Bhatt
January 30, 2018
Do you want to change the world? Step 1… Listen to this podcast. Step 2… Change the world!! On this episode of the Chief Resident Incubator Dr. Dara Kass will be telling you what it’s like to blaze trails and how you can too! She is kicking in doors and breaking down walls! Establish a niche, learn how to develop it, and be happy! You will be a professional at all of these things after you listen to this amazing podcast. Put your game face on and jump in!
January 26, 2018
EM Match Advice Series is back with an episode that puts the focus on some of the big county programs; our panel explores what it means to work and train in an ED in a public U.S. hospital and will help you get a sense of whether a county program might be the right fit for you!
January 21, 2018
This is a bonus episode from our discussion of antibiotic stewardship in sepsis. Dr. Jessica Whittle, ACEP liaison to the IDSA, gives a rapid-fire review of antibiotic use by body system and common pitfalls of antibiotic choice. Host Jason Woods, MD guides the discussion.
January 16, 2018
The next entry in our ACEP E-QUAL series! Dr. Lauren Epstein, a medical officer at the CDC, discusses antibiotic stewardship in the care of sepsis patients. Host Jason Woods, MD guides the discussion.
January 8, 2018
ACEP E-QUAL Avoidable Imaging Webinar series: * Imaging in Renal Colic (Dr. Chris Moore, Yale University) * Imaging in Pulmonary Embolism (Dr. Jeff Kline, Indiana University) Podcast host: Dr. Jason Woods
December 19, 2017
www.aliem.com/category/clinical/60-second-soapbox/ Each episode, one lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!
December 19, 2017
www.aliem.com/category/clinical/60-second-soapbox/ Each episode, one lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!
December 19, 2017
www.aliem.com/category/clinical/60-second-soapbox/ Each episode, one lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!
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