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Medical Assistance in Dying (MAID) in the ED: Implications for EM Practice

In Editorial, Featured, Opinion by Francis Bakewell0 Comments

After an excellent introduction to Medical Assistance in Dying, and its potential impact upon the Healthcare System, Dr. Francis Bakewell takes a further look at potential implications and ramifications within the Emergency Department (ED).  Last week, after much review and attempts at amendment by the Senate, the federal government’s legislation on Medical Assistance in Dying (MAID) received royal assent and became law. Bill C14 allows for aid in dying, either through prescription of lethal …

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Failure to Fail Part 1- Why faculty evaluation may not identify a failing learner

In Education by Nadim Lalani2 Comments

I recently gave a talk to fellow faculty on the phenomenon of “failure to fail” in emergency medicine. I am no expert, but I have tried to synthesize the details in a useful way. I have broken it down into three parts. Part 1 deals with the phenomenon of Failure to Fail.  In two follow up posts I will introduce some forms of evaluator bias and then provide a prescription for more effective …

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CAEP GeMES | What affects a trainee’s ability to generate self-directed learning goals

In Great Evidence in Medical education Summary (GEMeS), National by Carla Angelski0 Comments

“So, how do you think the shift went?”  Gregor reflects for a moment and recalls having difficulty diagnosing a sick elderly patient with abdominal pain. “I think I’ll read about red flags in abdominal pain.” “That’s a great idea,” says Dr. Tran, “Why don’t you read about the sensitivity of serum lactate in acute mesenteric ischemia?” One of the valuable teaching moments in Emergency Medicine is at the end of the shift, where …

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Physicians as Humans Podcast E01: An Addiction that Almost Killed Me

In Mentorship, Physicians as Humans by Niresha Velmurugiah1 Comment

On behalf of the Physicians as Humans project, I’m thrilled to present the first episode of the series: An Addiction that Almost Killed Me. If you are unfamiliar with the project, please read this post for more information on the origin of this podcast series. In this first episode I speak with a Canadian medical student about his personal battle with drug addiction during medical school. He candidly describes his experience and the powerful impact it has had on his …

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Tiny Tip: The Ottawa Ankle and Foot Rules – To Image or Not to Image

In Medical Concepts, Tiny Tips by Maeghan Fu0 Comments

Ankle and foot injuries are common presentations to the Emergency Department, and it can often be difficult to know whether imaging is required. In 1992, Dr. Ian Stiell and his colleagues developed The Ottawa Ankle Rules 12 to facilitate this decision. The Ottawa ankle and foot rules are highly sensitive and widely used as a tool to reduce unnecessary imaging in Emergency Departments.

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Medical Assistance in Dying (MAID)

In Editorial, Opinion by Francis Bakewell1 Comment

Very soon, the law against assisted suicide in Canada will cease to exist, but exactly what happens next remains to be seen. On April 14th, the federal government tabled Bill C-14 in an attempt to legalize the process of medical assistance in dying (MAID). The bill is currently making its way through Parliament, but may not be ready in time for the June 6th deadline [1]. The legalization of MAID has been called a ‘sea …