Welcome to this HiQuiPs post on Quality Improvement in Residency Education where we will review the current status of Quality Improvement and Patient Safety (QIPS) education in postgraduate medical education and strategies to effectively engage trainees in QIPS. CanMEDS and QIPS In 2015, the updated CanMEDs framework broadened accreditation standards for residency programs across Canada.1 As part of the CanMEDS roles, competencies in QIPS methodologies have been highlighted in each of the six …
How to Study Effectively: Powering Up Your Study Habits
Kuldeep is a 29 yo medical student who has been studying daily but can’t seem to keep up with the content. His friends seem to be scoring higher than him on tests. How can Kuldeep add some new habits and learn how to study more effectively? When it comes to studying, we are often poor judges of when we are learning well and when we are not. Evidence shows that information sticks better …
Learning to fly in #PGWHY5: Five tips for survival in the exam year
Five practical tips on surviving the Emergency Medicine Royal College Exam!
Lessons from NASA – How to Become an Expert Clinician
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 …
Tiny Tips: Canadian CT Head Rule
“But Doc, I didn’t hit my head THAT hard” Computed tomography (CT) scans are frequently performed after a head injury to rule out acute intracranial findings. However, most Emergency Department patients with a head injury have no acute CT findings. The Canadian CT Head Rule (CCHR) was developed to help clinicians determine when to order a CT image for patients with minor head injury.1 In 2010, a multi-centre prospective trial implemented the CCHR and …
Medical Concepts: Acute Angle Closure Glaucoma
A 62 year old woman presents to your Emergency Department with a chief complaint of severe right eye pain. Upon further questioning, she reveals reduced vision in the affected eye and colored halos around lights. She reports a diffuse headache and two episodes of vomiting. A quick physical exam reveals significant conjunctival injection and a fixed, mid-dilated pupil. Does your differential contain acute angle closure glaucoma? What is Acute Angle Closure Glaucoma? Acute angle …
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