EP11. How To Be Competitive

Metropolitan SCM Championship IMG_1954

For all you M3s out there, now is the time to start getting ready for the EM residency application season!

To do list:

  • Find and meet with an advisor, preferably someone trained in EM and familiar with the EM residency application process
  • Start looking into residency programs and take note of program-specific application requirements
  • Consider doing an away EM rotation in addition to your home rotation and contact schools to apply for a spot
  • Discuss with your advisor when it’s best for you to take Step 2 and aim for a higher score than on Step 1
  • Consider where you’ll need to get letters of recommendation or SLOEs (usually at least 2 from EM faculty + maybe one or two from outside of EM)
  • Keep working on getting those honors/A+’s on your M3 rotations!
  • Start writing your CV and personal statement

8UpnJ

Links and References

SAEM Residency and Clerkship Directories

CDEM Emergency Medicine Clerkship Primer 

EMRA Medical Student Survival Guide and other Advising Resources

1. Crane JT, Ferraro CM. Selection criteria for emergency medicine residency applicants. Acad Emerg Med. 2000;7:54-60.

2. Lotfipour S, Luu R, Hayden SR, Vaca F, Hoonpongsimanont W, Langdorf M. Becoming an emergency medicine resident: a practical guide for medical students. J Emerg Med. 2008;35(3):339-44.

3. Green M, Jones P, Thomas JX. Selection criteria for residency: results of a national program directors survey. Acad Med. 2009;84(3):362-7.

4. Breyer MJ, Sadosty A, Biros M. Factors Affecting Candidate Placement on an Emergency Medicine Residency Program’s Rank Order List. West J Emerg Med. 2012;13(6):458-62.

5. Hayden SR, Hayden M, Gamst A. What characteristics of applicants to emergency medicine residency programs predict future success as an emergency medicine resident?. Acad Emerg Med. 2005;12(3):206-10.

Photo Creative Commons License Charles Smith via Compfight

EP10. Medical Decision Making and Bias

child Head

How do you get from the classroom to the clinic or hospital ward?  How do you translate knowledge into clinical practice?  Using cognitive strategy techniques can help you understand the medical decision making process.  But beware of bias…

References

1. Sandhu HSS, Carpenter CR. Clinical decision making: opening the black box of cognitive reasoning. Ann Emerg Med. 2006;48:713-719.

2. Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med 2002;9:1184–1204.

3. Kovacs G, Croskerry P. Clinical decision making: an emergency medicine perspective. Acad Emerg Med. 1999;6:947–52.

4. Croskerry, P. The Importance of Cognitive Errors in Diagnosis and Strategies to Minimize Them. Acad. Med. 2003;78:775–780.

Photo Credit: Charly W. Karl via Compfight

EP9. A Look Back at 2014 and Resolutions for the New Year

Happy New Year

2015 is only hours away and yet 2014 was such an exciting year in EM it’s hard to let it go…  Here are some of my favorite articles from 2014!

Fibrinolysis for Patients with Intermediate-Risk Pulmonary Embolism – PEITHO Investigators

A Randomized Trial of Protocol-Based Care for Early Septic Shock – ProCESS Investigators

Goal-Directed Resuscitation for Patients with Early Septic Shock – ARISE Investigators

Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with refractory ventricullar fibrillation

A Simplified and Structured Teaching Tool for the Evaluation and Management of Pulseless Electrical Activity

Delayed Sequence Intubation: A Prospective Observational Study

Integration of Social Media in Emergency Medicine Residency Curriculum

Photo Credit: Steve Jurvetson via Compfight

EP8. 100 Days to Match Day

gotta match ?

Mark your calendars!  It’s now 100 days until Match Day on March 20, 2015.  If you haven’t already started working on your rank list, now’s the time.  NRMP opens on January 15th and the final deadline for rank list submissions is February 25th at 9pm EST.  I hope this episode helps shed some light on this part of the process, and if you want more, check out these awesome sites…

EM Advisor

EM Mentoring 101

Academic Life in Emergency Medicine – EM Match Advice

Photo Credit: LASZLO ILYES via Compfight

EP6. Pain Management

Amoxicillin

Think treating pain can be a pain?  Check out our latest episode for EM Stud’s take on pain management and the dangers of opioids.

References

1. Poon SJ, Greenwood-ericksen MB. The opioid prescription epidemic and the role of emergency medicine. Ann Emerg Med. 2014;64(5):490-5.

2. Cantrill SV, Brown MD, Carlisle RJ, et al. Clinical policy: critical issues in the prescribing of opioids for adult patients in the emergency department. Ann Emerg Med. 2012;60(4):499-525.

3. Rosenblum A, Marsch LA, Joseph H, Portenoy RK. Opioids and the treatment of chronic pain: controversies, current status, and future directions. Exp Clin Psychopharmacol. 2008;16(5):405-16.

4. Washington Emergency Department Opioid Prescribing Guidelines

5. New York City Emergency Department Discharge Opioid Prescribing Guidelines

Creative Commons License Photo Credit: nima; hopographer via Compfight