View Post

Exam Series: Guide to the Shoulder Exam

In All Posts, Medical Concepts by Kathryn ChanLeave a Comment

A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense and not improving with analgesia. He did not feel a “pop” or other mechanical symptoms, but has dislocated that …

View Post

Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about?

In Blood & Clots, Medical Concepts by Matthew NicholsonLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert, Communicator, Leader Case Description You are a resident physician rotating through the ICU. You’ve been taking care of a 32-year-old woman who sustained injuries in a high-speed motor vehicle collision two days ago. She is now stable and extubated in the ICU. Her hemoglobin has been stable in the 80s since arriving in the ICU …

View Post

QI Series Part 3 | Differentiating Quality Improvement and Clinical Epidemiology

In Education & Quality Improvement by Shawn.MondouxLeave a Comment

How do Quality Improvement methods differ from classical clinical research? This article is the last in a three-part series on Quality Improvement (QI) in health care. The first article, “What is Quality Improvement?”, defined this field of study and provided a brief history of its origins.  The second article defined “quality” and briefly described tools used to achieve improvement. This article seeks to differentiate QI methods and goals from those encountered in clinical …