Emergency medicine update hot topics 2011

As such, it is a valuable resource in preparing for interview day. In order to successful complete training and be board-eligible from their respective specialty, all residents must exhibit proficiency in six core competency areas as defined by the ACGME.

These core competencies include:. As you research programs and hit the interview trail, it is useful to review the ACGME guidelines for accreditation of EM residency programs so that you have a foundation for what activities to expect as part of your residency training.

The Emergency Medical Treatment and Active Labor Act is federal legislation enacted in that governs the actions of any medical facility that receives Medicare compensation.

For example, what constitutes an "emergency condition" has been extensively debated. At first, the regulations were applied only to patients presenting to the Emergency Department. The courts have a different perspective, and several decisions have held that EMTALA applies to any patient in the hospital. The long tradition of grueling hours, diverse clinical experiences, and increasing levels of responsibilities for residents has proven to be an important component of medical training.

However, there is also strong evidence that fatigue diminishes work performance and learning capacity. The current structure of residency training in the U. The ACGME rules call for residents to work no more than 80 hours a week averaged over four weeks, and have one day off out of seven averaged over four weeks. They also require a hour limit of on-call duty with an additional six hours allowed for the transfer of patient care.

Ten-hour breaks are mandatory between shifts and after in-house call. Residents can have on-call duty no more than every third night, with at least one consecutive hour duty-free period every seven days averaged over four weeks.

At-home calls pages are not restricted by third night limitations but "must not be so frequent as to preclude rest and reasonable personal time for each resident.

The discussions of resident work hours and residency training program curriculum are likely to continue for the foreseeable future. Therefore, it is necessary for any prospective resident in EM to understand the current rules and any proposed revisions.

Emergency physician burnout has been an issue of on-going discussion, with early research on the topic published decades ago. The evidence suggests that burnout among Board-certified EM physicians is no greater than among physicians in other specialties. A recent study on the topic suggested that over half of emergency physicians reported career satisfaction, although concerns about burnout are still substantial see Ann Emerg Med. Additionally, burnout is likely to be related to a variety of individual physician factors that help to shape career satisfaction, including opportunities for professional advancement, a flexible schedule, and income potential.

Last years online symposium was a major success and we listened to your feedback and are also offering the course as on-demand after the symposium has ended. The on-demand sessions will be available for 90 days after the event, and credit can be claimed for each presentation. The conference is designed for Medical professionals working in ambulatory and emergency care settings.

It was refreshing to hear cutting edge info from the clinical policies committee and the speakers are well-versed in the literature. It is very relevant to my practice and length of conference is just right.

I have recommended it to others and will come again. I hope you will continue to have cutting edge information, respected specialist opinions, LLSA review, and new or reviewed practice guidelines. I hope to be back next year with some of my colleagues!

At least 7 lectures introduced new material that compelled me to do independent literature. This case report discusses a patient who presented to the emergency department with complaints of nausea, vomiting, and malaise for 5 days, and an initial electrocardiogram showed an ectopic atrial rhythm with no other abnormality.

This multicenter randomized clinical trial assesses the effect of use of a tracheal tube introducer vs an endotracheal tube with stylet on successful intubation on the first attempt among critically ill adults undergoing tracheal intubation in emergency departments and intensive care units between and This cohort study describes rates and trends in bronchiolitis hospitalization, intensive care unit use, morality, and costs among young children in Ontario, Canada.

This study estimates the frequency and duration of boarding for pediatric mental health conditions at US acute care hospitals and describes hospital resources available to support youths during boarding. This placebo-controlled randomized clinical trial compares administration of calcium vs saline during out-of-hospital cardiac arrest for sustained return of spontaneous circulation in adults. This narrative review summarizes current understanding of the pathophysiology, diagnosis, and management of acute appendicitis, especially comparing antibiotics-only vs surgical approaches to management.

This JAMA Patient Page describes the causes, symptoms, diagnosis, and treatment options for uncomplicated and complicated acute appendicitis. This study assesses outcomes associated with caustic ingestion in adults across a nationwide prospective database in France. Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue.

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