Sunday, November 21, 2010
Wednesday, November 3, 2010
I need your help to help my residency program win $10,000 for education and research.
Please go this website and vote everyday. You can vote once per person per day until December 15th
Wednesday, October 27, 2010
Monday, October 25, 2010
CAL/EMRA President, 2010-11
“It’s too busy in the ED these days.” “Another faker.” “Why can’t they go to their primary medical doctor?” Have you ever said these words or overheard them during a shift? It can be disheartening to work a shift and see the patient chart rack mount higher and higher, as you place a central line in the patient with septic shock, then evaluate a patient with chronic low back pain, and then examine the ears of a two-year old whose fever “came right back four hours after Tylenol was given.”
Recently, I’ve discovered the secret of being happy while working in the ED. It’s a simple idea, but has profound implications. The idea stems from Srikumar Rao’s talk, “Plug into your hard-wired happiness.” He states that our mental model of happiness is flawed. Our model is based upon the logic, “I’d be happy if...”
For example, do you remember when you were pre-med college student? You said, “I’ll be happy once I get into medical school.” Then when you were in medical school, you told yourself, “I’ll be happy once I get a high score on the boards.” Then when you were in residency, you said, “Life will be great when I’m an attending.” This mental model is flawed, because it never allows us to be happy in the current moment. Instead, we continually seek the next step to elusive happiness.
Now, can you recall a time when you were truly happy? It may have been while watching a sunset over the ocean, seeing a beautiful rainbow, or welcoming your child into the world. Why were you happy? It was because you accepted everything at that very moment. You didn’t say, “Oh, it’d be more perfect if there were less seagulls flying across the sky.”
The emergency physician’s role is to evaluate everyone who comes into the ED - regardless of how sick or not sick they appear to be - and rule out emergencies. Our realm of practice includes the most bogus visits to the most critical illnesses. The key idea is acceptance of this fact. To accept everything that is happening and every patient who comes in to the ED, no matter what. When I accept the patient with an ingrown toenail, the asymptomatic patient who meticulously measures their blood pressure at home, or the patient in DKA who doesn’t take their diabetic medications, I feel calmer and relaxed. If I don’t want to develop stress-induced hypertension, burst an aneurysm, or start loading up on benzodiazepines prior to work, I choose to accept all aspects of my field.
Every shift, we have the opportunity to relieve pain, alleviate fears, and save lives. It’s a privilege to be an emergency doctor and everything that comes along with it. So here’s the challenge: during your next shift, calmly accept everyone you see in the emergency department.
Reference: Rao, Srikumar. http://www.ted.com/talks/srikumar_rao_plug_into_your_hard_wired_happiness.html Accessed 8.31.10
Monday, October 18, 2010
Saturday, October 16, 2010
Thursday, October 14, 2010
Tuesday, June 8, 2010
2. Choose your passion. Find the point where your interests intersects the world's needs.
3. Define success. Figure out when you want to stop and enjoy.
4. Love others. If choosing between being nice or a jerk, be nice.
5. Enjoy the process, and focus less on the outcome.
6. Life is hard and intertwined with joy and woe.
7. Persistence is key to achieving what you really want.
8. Be thankful for everything you have and ask yourself, "How can I give back?"
9. Every day is a BRAND new day, and you can start fresh no matter what happened before.
10. Know that you will die. Think of it as the ultimate deadline. When you are worried about something, compare it to this fact.
Friday, May 21, 2010
Thursday, March 11, 2010
Wednesday, March 3, 2010
Addictive Learning That Sticks
In a hurry? Enroll in the course here.
Learn by answering a few emailed questions every other day? SpacedEd co-founder and CEO Duncan Lennox says that is precisely what his product is doing for physicians. (SpacedEd was invented at Harvard Medical School.)
SpacedEd is a platform designed to allow learners and teachers to harness the educational benefits of spaced education. It is based upon two core psychology research findings: the spacing effect and the testing effect. In more than 10 randomized trials completed to date, spaced education has been found to:
- Improve knowledge acquisition,
- Increase long-term knowledge retention (out to 2 years),
- Change behavior,
- Boost learners’ abilities to accurately self-assess their knowledge.
In addition, spaced education is extremely well-accepted by learners.
The SpacedEd approach is predicated on a set of core principles:
- Short Repeated Bursts: Because it uses a regular schedule and an adaptive algorithm, learning can be delivered in small amounts that can take as little as 3 minutes a day.
- Push Learning: The learning comes to you on a regular schedule. You don’t have to remember to do it or set aside large chunks of time.
- Adaptive: The daily content adapts based on past performance automatically to drive long-term retention while requiring less time.
- Immediate Feedback: Once a question is answered, detailed educational feedback is provided. Users are also given performance data (their course progress and performance relative to peers) which feeds their addiction to the courses.
Do you practice emergency medicine?
Have you ever used an ultrasound machine?
Want to get updated on the latest ways to leverage ultrasound?
If your answer is, "Yes," to any of the above...
...then sign up for this course now!
The "Emergency Ultrasound" course includes 25 questions with images, videos, and detailed explanations. More importantly, each explanation ends with a primary Clinical Bottom Line so you can apply it immediately in your practice.
Thanks to all faculty, staff, & colleagues at Loma Linda University and Riverside County Regional Medical Center in Southern California for their assistance in creating this ultrasound course.