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One Emergency Medicine Resident. One Month of Palliative Care. Ten lessons.

In Medical Concepts by Brittany Ellis0 Comments

As emergency medicine residents, we work side-by-side with a wealth of specialities to gain clinical and diagnostic skills and to learn what happens to our patients when they leave the ED. We strive to distill the information we need to make ourselves better clinicians and improve the transition of patients from the ED to inpatient teams. However, only rarely do we get to see where our patients came from, what happened prior to …

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CAEP GeMES | Selection of an Appropriate Tool for Direct Observation of Trainees by Supervisors

In Great Evidence in Medical education Summary (GEMeS) by Alexandra Stefan1 Comment

Catherine is a 3rd year medical student who is finishing the last shift of her core emergency medicine rotation.  She is interested in matching to neurology. During the shift, she asks her staff, Dr. Stewart, if he would be willing to observe her while she performs a neurological exam and provide feedback on her performance.  Dr. Stewart agrees, but is unsure of what aspects of the assessment he should focus on during the …

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Lessons from NASA – How to Become an Expert Clinician

In Editorial, Featured, Opinion by Shahbaz Syed0 Comments

In medicine, we often draw some of our lessons on safety from the aviation industry (i.e.: preoperative checklists), here we will explore a host of pearls that medicine can learn from the brilliant minds at NASA to help augment one’s practice as an expert clinician.  Commander Chris Hadfield has previously discussed a riveting tale regarding his first ever space walk1. During his mission, he was tasked with helping to assemble the Canada 2 …

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Hidden stories: What happened to this woman?

In Arts PRN, Education & Quality Improvement by Leah Zhao0 Comments

“Hidden stories” is a new series for Arts PRN challenging your observation skills. How many details can you notice? Can you weave together a story from this one still image? Don’t forget to check out more series featured on Arts PRN here.  Is the woman asleep, unconscious or dead? The woman is lying on the grass in a right lateral decubitus position with her eyes closed. The open outdoor location, her abnormal posturing, …

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CAEP GeMES | Impact of Rudeness on Overall Medical Team Performance

In Great Evidence in Medical education Summary (GEMeS) by Harinee Surendra0 Comments

Eric is a first year Emergency Medicine resident who just started his shift.  The emergency department gets notified of an incoming patient with a history of liver cirrhosis who started to vomit frank blood.  As the team is preparing the resuscitation room, the respiratory therapist asks Eric what intubation equipment he would like to use.  Before he has a chance to answer, one of the nurses tells the respiratory therapist, “He’s just a …

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“Allergies” – Sometimes they’re real, but usually they’re not

In Editorial, Featured, Opinion by Shahbaz Syed4 Comments

How often have you seen a patient with more documented allergies than medications they’re taking? Commonly; patient’s will often suggest that they are allergic to medications like sulfa, penicillin, codeine and morphine in the Emergency Department. We often think for a moment, and prescribe something different – but I’d like to argue that this line of thinking is far more harmful than we think, and is doing our patients and the healthcare system …