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Lessons from NASA – How to Become an Expert Clinician

In Editorial, Featured, Opinion by Shahbaz SyedLeave a Comment

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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Tiny Tips: Canadian CT Head Rule

In Medical Concepts, Tiny Tips by Omar Anjum1 Comment

“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

In Medical Concepts by Stephanie Cargnelli3 Comments

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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Competency Based Medical Education (CBME): What is it?

In Editorial, Opinion by Shahbaz Syed3 Comments

If I had a dollar for every time somebody mentioned Competency Based Medical Education (CBME), I could forget about the Royal College exam next year, and find a nice island to settle down on. Since nobody seems willing to contribute to my retirement fund, I am instead left wondering what CBME really is. It seemingly has become a buzz word amongst the medical education community, but many outside of this bubble (including myself) …

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Counterpoint: Talking about service and education

In Counterpoint, Opinion by Kaif PardhanLeave a Comment

As we continue to develop educational models within medicine, old paradigms need to be examined and discussed. In a recent post on the ICENet Blog, Dr. Lynfa Stroud discussed perceptions on service and education in residency training programs. Dr. Kaif Pardhan (@kaifpardhan), a staff Emergency Physician at the University of Toronto, and recent FRCP graduate, provides an counterpoint and some further considerations to Dr. Stroud’s arguments. Service and Education: Two separate issues? Dr. Stroud raises an interesting point as it relates to service …