Saturday, July 11, 2020

Medical Student Experiences with Ethical and Legal Cases

Image credit: Pexels
Author: David Fine, Medical Student Council President
Originally published: Common Sense
May/June 2020

The purpose of medical education is to train future providers to be prepared for the multitude of patients, presentations, and complications that they might face in their future careers. Ethical and legal dilemmas are incredibly complicated and vary based on where you practice, so they are often less discussed than our essential medical fundamentals. Being somewhat familiar with common problems, however, is relevant not only to your future career but your rotations as well. I aim to share a few of the complex situations that I faced, which may apply to your rotations in the emergency department or on the floors.

Dilemma 1: A patient who was frustrated with long wait times starts the patient interview by stating that they are recording the conversation. 

Sunday, July 5, 2020

Should ST elevation in lead aVR with concern for acute coronary syndrome prompt emergent coronary angiography?

Authors: Akilesh Honasoge, MD, Robert Brown, MD, Samantha Yarmis, MD, Mark Sutherland, MD, Megan Donohue, MD, Hannah Goldberg, MD

Editors: Kami M. Hu, MD FAAEM, Kelly Maurelus, MD FAAEM

Originally published: Common Sense
May/June 2020


Thursday, June 25, 2020

Nine Steps to The Best Medical Notebook You'll Ever Use

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This post was peer reviewed.
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Author: Philip A Castrovinci MD
Undersea Medical Officer
US Navy

While a medical student, I remember a fourth-year emergency medicine resident with a notebook of his own creation. We did not see a single patient over a dozen shifts that he didn't pull out the notebook to extract some high-yield crucial information about the variety of conditions we came across. It was like a clown car of medical knowledge. He let me look at it. It was glorious. What I found was, and subsequently copied, was the best medical notebook I have ever seen. I forget what I learned during those dozen shifts, but the organization of the medical notebook will stay with me for the rest of my career.

Sunday, June 21, 2020

A Message to Students in these Uncertain Times

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Image Credit: Needpix








Author: David Fine, MD
AAEM/RSA Board Members, Liaison to the AAEM/RSA Education Committee, and AAEM/RSA Medical Student Council

Medical school is undoubtedly a stressful time, but studying medicine in the context of a pandemic is a challenge that brings about additional stressors, anxiety, and uncertainty. The changes that have been implemented are a result of safety being a number one priority. I also feel it is important to recognize the difficult situation that students are facing.

Thursday, June 4, 2020

The Changing Landscape of Pre-clinical Medical Education

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Author: Alexandria Gregory, MD
AAEM/RSA Editor
Originally published: Common Sense
May/June 2020

In mid-February, the National Board of Medical Examiners (NBME) and Federation of State Medical Boards (FSMB) announced that the United States Medical Licensing Examination (USMLE) Step 1 scoring would be changed to pass/fail as early as 2022.1 Many rejoiced about the potential for residency programs to emphasize other parts of applications rather than a test that does not evaluate the most clinically-relevant medical knowledge, while others expressed concern about the logistics of the decision and whether it would truly have its intended effect. Regardless of where you stand on the issue, it is important to recognize the implication this has regarding how preclinical education may change in upcoming years in medical schools across the country.