Futurecasting Medical Education

How do we teach our medical students and residents to be doctors? Surprisingly, there is no agreed upon, standard approach. Dr. Aaron Danielson, fellowship trained medical educator at UC Davis, takes us through some of the common strategies that medical schools employ. He explains that, although many aspects of medical education have evolved over the past several decades, some things haven’t changed in the over one hundred years since the “Flexner Report”. Dr. Mike Gisondi, Vice Chair of Education for the Department of Emergency Medicine at Stanford, takes us through his vision of how medicine is likely to change over the next several decades, and how medical education will need to adapt to train the doctors of the future.

How do you see medical education changing over the next 30 years? What new methods and concepts should we embrace, and what should be done away with? We’d love to hear your thoughts. Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com

Please subscribe and leave us a review on iTunes – it helps us reach more people! 

Registration is now open for UC Davis Emergency Medicine Update: Hot topics 2019! November 5-9 at the Kahala Hotel and Resort in Honolulu, Hawaii

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guests:

Dr. Aaron Danielson, Assistant Professor of Emergency Medicine at UC Davis, Fellowship trained in Medical Education

Dr. Michael Gisondi, Vice Chair of Education for the Department of Emergency Medicine at Stanford University

Resources:

The “Flexner Report”

Medical Education in the United States and Canada: a Report to the Carnegie Foundation for he Advancement of Teaching by Dr. Abraham Flexner

Medicine in 2035: Selected Insights From ACGME’s Scenario Planning.

Nasca TJ, Thomas CW. J Grad Med Educ. 2015 Mar;7(1):139-42. doi: 10.4300/JGME-D-14-00740.1. PMID: 26217449

Dr. Mike Gisondi’s Recommended Reading:

Reinventing You by Dorie Clark

Stand Out by Dorie Clark

Thanks for the Feedback by Douglas Stone & Sheila Hern

Make it Stick by Peter C. Brown

Steal Like an Artist by Austin Kleon

Illuminate by Nancy Duarte & Patti Sanchez

Entrepreneurial You by Dorie Clark

Show Your Work by Austin Kleon

Hitting Pause by Gail Taylor Rice

Slide:ology by Nancy Duarte

Presentation Zen by Garr Reynolds

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

Operation Deep Freeze

What’s the craziest place you’ve ever worked? Few of us can top Dr. John Rose’s answer: the South Pole! John worked as the physician at Amundsen-Scott Station in Antarctica for four months during the austral summer of 2018-19. Taking care of a large crew of scientists and visitors in -70 degree weather at over 10,000 ft elevation is no easy feat! John tells us about his deployment, some of the common cases he saw, and the challenges of austere medicine. 

Do you have a question for Dr. Rose? Or want to share your experience working in austere medicine? Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com

Please subscribe and leave us a review on iTunes – it helps us reach more people! 

Hosts:

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guests:

Dr. John Rose, Professor of Emergency Medicine at UC Davis, 

Resources:

Amundsen-Scott South Pole Station

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Registration is now open for UC Davis Emergency Medicine Update: Hot topics 2019! November 5-9 at the Kahala Hotel and Resort in Honolulu, Hawaii

Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

The Last Touchpoint

Dr. Matt Wetschler’s story represents the best and the worst of our healthcare system. Matt tells us about his near fatal injury, his miraculous recovery (thanks to modern medicine), and the complications with billing that plagued him for months after his accident. Matt’s story is one of several in the recent media highlighting the issue of “surprise billing”, and a subset of this issue referred to as “balance billing”. Drawing from his health policy background, Matt helps us understand balance billing and how patients are affected. Then, Dr. Tom Sugarman joins us to further explain the complexities of surprise billing. He shares how he and others are advocating at the national level to change the billing process, and offers some potential solutions going forward. 

This is a hot button issue! Please remember that the opinions expressed in this podcast may not represent those of UC Davis or the University of California. 

Have you had any experiences with surprise billing? As a health care provider, how do you address this issue with your patients? What potential solutions do you envision? Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com

Please subscribe and rate us on iTunes – it helps us reach more people! 

Registration is now open for UC Davis Emergency Medicine Update: Hot topics 2019! November 5-9 at the Kahala Hotel and Resort in Honolulu, Hawaii

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guests:

Dr. Matthew Wetschler, Emergency Physician with a Masters in Public Health and Health Policy, motivational speaker, and practicing artist in San Francisco, CA

Dr. Tom Sugarman, Chair of Emergency Medicine at Sutter Delta Medical Center in Antioch, Senior Director of Government Affairs for Vituity, and active member and former President of Cal ACEP

Media Credit:

Opening audio is from a short film by Scott Fitzloff. Watch the video in its entirety at www.matthewwetschler.com

Resources:

More on Dr. Matt Wetschler’s personal experience with billing via CNBC

Since his accident, Matt (AKA the Resurrection Artist) has rediscovered his passion for art. More on his story and his work at MatthewWetschler.com

Dr. Wetschler recommends the book An American Sickness, by Elisabeth Rosenthal.

AMA Issue brief explaining balance billing 

ACEP policy on balance billing

ACEP Commitment to Best Practices for EM Practice Groups

President Trump’s recent comments on ending surprise medical billing

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

Weasley Measles

Measles is a hot topic from your latest shift to the news measles is on everyone’s mind! Fortunately, Dr. Dean Blumberg an infectious disease physician and fellow podcast host walks us through the basics of measles from the standpoint of the emergency department.  

Which patients do you screen for measles?  Have you seen any confirmed cases?  Share your thoughts with us on social media, @empulsepodcast, or online at ucdavisem.com/em-pulse.

Please subscribe and leave us a review on iTunes! It help more people discover us.

Host:

Dr. Julia Magana, Assistant Professor of Emergency Medicine at UC Davis

Guest:

Dr. Dean Blumberg, Associate Professor of Pediatrics at UC Davis, Chief of Pediatric Infectious Diseases and Host of Kids Considered.

Resources:

CDC’s Measles for Healthcare Providers (https://www.cdc.gov/measles/hcp/index.html)

Kid’s Considered Podcast hosted by Dr. Dean Blumberg (https://blog.ucdmc.ucdavis.edu/twopedsinapod/)

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productionsfor audio production services.

With Great Power Comes Great Responsibility

In our January episode, #thisisourlane, we spoke with Dr. Garen Wintemute about firearm violence, and discussed the immediate and passionate social media outpouring from physicians in response to an NRA tweet. In this episode, we dive deeper into the topic of physician advocacy, and, more specifically, the role of social media in advocacy. Our guest, Dr. Megan Ranney, is an emergency medicine physician, educator, and digital health and public health researcher, and is an avid social media user herself. She discusses the power of social media to affect change, and offers some tips for how to make your voice heard, and how to navigate some of the pitfalls. Listen through to the end for thoughts from some other well known EM physicians, including Drs. Mike Gisondi, Steve Bird, and Nikita Joshi.

How do you use social media? What do you think about health care professionals using social media for advocacy? Tell us how you’re getting involved – or why you’re staying away! Find us on social media as @empulsepodcast, or on our website, ucdavisem.com

Please subscribe and rate us on iTunes – it helps us reach more people! 

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guest:

Dr. Megan Ranney, Associate Professor of Emergency Medicine at Brown University, Chief Research Officer at AFFIRM Research

Featuring:

Dr. Harrison Alter, Research Director for the Highland Department of Emergency Medicine and Founder and Executive Director of the Levitt Center 

Dr. Mike Gisondi, Vice Chair of Education for the Department of Emergency Medicine at Stanford University

Dr. Vishnu Parthasarathy, Emergency Medicine Resident at UC San Diego

Dr. Steve Bird, President of SAEM, Vice Chair of Education at UMass Medical School

Dr. Linda Herman, Emergency Medicine Residency Program Director at Kaweah Delta

Dr. Nikita Joshi, Emergency Medicine Faculty at Alameda Health System

Resources:

AFFIRM Research

Mayo Clinic 12 Word Social Media Policy

Cyberbullying in Academic Medicine: A Framework for Managing Social Media Attacks.

Cain J, Linos E, Chretien KC. Acad Med. 2019 Mar 26. doi: 10.1097/ACM.0000000000002649. [Epub ahead of print]

Twitter as a tool for communication and knowledge exchange in academic medicine: A guide for skeptics and novices.

Choo EK, Ranney ML, Chan TM, Trueger NS, Walsh AE, Tegtmeyer K, McNamara SO, Choi RY, Carroll CL. Med Teach. 2015 May;37(5):411-6. doi: 10.3109/0142159X.2014.993371. Epub 2014 Dec 19.

It’s Time for More Physicians to Embrace Advocacy, a Scientific American blog post by Dr. Angira Patel, March 13, 2018.

ACEP Firearm Safety and Injury Prevention Policy Statement

What You Can Do

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

Just Another Mass Shooting

What is it like to be an Emergency Physician in the ED during a mass shooting? Dr. Austin Johnson was a senior resident at the University of Colorado Hospital on the night a gunman opened fire in a movie theater in Aurora, Colorado. He shares his firsthand experience as a physician in the ED that night, and discusses the effects of the event on providers, and how the experience has shaped his practice. 

Have you been a provider during a mass casualty event? How has the experience affected you?  Share your thoughts with us on social media, @empulsepodcast, or online at ucdavisem.com/em-pulse.

Please subscribe and leave us a review on iTunes! It help more people discover us.

Host:

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guest:

Dr. Austin Johnson, Assistant Professor is Emergency Medicine at UC Davis

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productionsfor audio production services.

EM Pulse Live Edition: WR SAEM Day 2 Wrap-up

EM Pulse Live Edition: WR SAEM Day 2 Wrap-up

It was another exciting day at the Western Regional SAEM conference in Napa, CA! This episode recaps Day 2, including the Western EM Challenge and some fantastic plenary speakers. Highlights include time management for EM physicians, social emergency medicine, care for LGBTQI patients, the future of medical education, exercise in medicine, and building your social media brand.

The conference is trending of social media – follow #WRSAEM19, @wrsaem19, and, of course, @empulsepodcast for all the details.

How did we do? This is a new type of podcasting for us and we’d love your feedback! Hit us up on social media or at ucdavisem.com

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guests:

Dr. Linda Herman, Emergency Medicine Residency Program Director at Kaweah Delta 

Dr. Harrison Alter, Research Director for the Highland Department of Emergency Medicine and Founder and Executive Director of the Levitt Center 

Dr. Mike Gisondi, Vice Chair of Education for the Department of Emergency Medicine at Stanford University

Dr. Angela Jarman, Assistant Professor of Emergency Medicine at UC Davis

Dr. Rachel Bentzen, Assistant Professor of Emergency Medicine and Sports Medicine at Oregon Health Science University

Dr. Nikita Joshi, Emergency Medicine Faculty at Alameda Health System 

Dr. Jim Holmes, Professor of Emergency Medicine at UC Davis and WR SAEM 2019 Conference Chair

Resources:

Nasca TJ, Thomas CW. Medicine in 2035: Selected Insights From ACGME’s Scenario Planning. J Grad Med Educ. 2015;7(1):139-42.

Kuppermann N, Dayan PS, Levine DA, et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections[published online ahead of print, 2019 Feb 18]. JAMA Pediatr. 2019;10.1001/jamapediatrics.2018.5501. doi:10.1001/jamapediatrics.2018.5501

Kuppermann N, Ghetti S, Schunk JE, et al. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med. 2018;378(24):2275-2287. 

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

EM Pulse Live Edition: WR SAEM Day 1 Wrap-up

This is a first for us! We’re podcasting live (or nearly live) from the 2019 Western Regional Society for Academic Emergency Medicine Annual Meeting in Napa, California. In this episode, we re-cap Day 1 of the conference, featuring the Advanced Airway Lab with Dr. Erik Laurin, Wellness in Academic EM with Dr. Andra Blomkalns, Experience in a Mass Shooting with Dr. Austin Johnson, The Value of Scholarship with Dr. Steve Bird, and much, much more!

The conference is trending of social media – follow #WRSAEM19, @wrsaem19, and, of course, @empulsepodcast for all the details.

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guests:

Dr. Erik Laurin, Professor of Emergency Medicine at UC Davis

Dr. Andra Blomkalns, Professor and Chair of the Department of Emergency Medicine at Stanford University

Dr. Austin Johnson, Assistant Professor is Emergency Medicine at UC Davis

Dr. Steve Bird, Vice Chair of Education at UMass Medical School

Dr. Jim Holmes, Professor of Emergency Medicine at UC Davis and WR SAEM 2019 Conference Chair

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

The Mind of an Airway Enthusiast: Heartbeat

Heartbeat: The Mind of an Airway Enthusiast

We sit down with EM legend and airway guru, Dr. Rich Levitan. Dr. Levitan is a self-proclaimed airway enthusiast who has published extensively on laryngoscopes and airway management. He currently works clinically, mainly in rural, critical care access hospitals, and travels the country and the globe speaking and teaching courses on airway management.  So how does Dr. Levitan approach the “difficult airway”? It starts with mindset.  

Send us your questions and continue the conversation on social media@empulsepodcast or at ucdavisem.com.

Host:

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guest:

Dr. Rich Levitan, Emergency Physician, Adjunct Professor at Dartmouth Geisel School of Medicine, Visiting Professor at the University of Maryland School of Medicine. 

Resources:

AirwayCam.com

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Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe, CA.

Come play and learn with us at the Western Regional SAEM Annual Meeting, March 21-22 in beautiful Napa, CA! #WRSAEM19 

Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

“Hot” Off the Press: Infant Fever Rule

“Hot” Off the Press: Infant Fever Rule – Episode 15

Talking about neonatal fever makes most people hot under the collar! Fortunately, PECARN is on the case. Their latest paper was just published TODAY in JAMA Peds: A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. In this month’s episode, we learn about some the challenges of having a febrile infant – from a mom’s perspective. Then we discuss when, why, and how to apply the latest PECARN rule with the notorious DNK, also known as Dr. Nate Kuppermann! 

What is your approach to the febrile infant? What are some of the hardest parts about providing care to our hot little ones? We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com

Hosts:

Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis

Guest:

Dr. Nate Kuppermann, Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine, Founding Chair of the PECARN Steering Committee

Resources:

A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections

Nathan Kuppermann, MD, MPH1; Peter S. Dayan, MD, MSc2; Deborah A. Levine, MD3; et al. JAMA Pediatr. Published online February 18, 2019. doi:10.1001/jamapediatrics.2018.5501

Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants.

Gomez B, Mintegi S, Bressan S, Da Dalt L, et. al. Pediatrics. 2016 Aug;138(2). pii: e20154381. doi: 10.1542/peds.2015-4381. Epub 2016 Jul 5.

Management of the Febrile Young Infant: Update for the 21st Century. 

Woll C, Neuman MI, Aronson PL. Pediatr Emerg Care. 2017 Nov;33(11):748-753. doi: 10.1097/PEC.0000000000001303.

Accuracy of Complete Blood Cell Counts to Identify Febrile Infants 60 Days or Younger with Invasive Bacterial Infections. 

Cruz AT, Mahajan P, Bonsu BK, Bennett JE et. al. JAMA Pediatr. 2017 Nov 6;171(11):e172927. doi: 10.1001/jamapediatrics.2017.2927. Epub 2017 Nov 6.

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Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe, CA.

Come play and learn with us at the Western Regional SAEM Annual Meeting, March 21-22 in beautiful Napa, CA! #WRSAEM19 

Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.