Social Conscience

If you work in Emergency Medicine, you know that social and environmental factors greatly impact our patients’ health. This may not be a novel concept, but it is a relatively new field of study. Social Emergency Medicine is a growing branch of EM focused on identifying and studying how social factors affect health. We are especially interested in this topic as many of our episodes explore social issues, such as housing instability, substance use, firearm violence, and human trafficking. In this Heartbeat, we hear from Social EM expert, Dr. Harrison Altar, on what Social EM is all about. You might recognize Dr. Alter from a short segment on our WR SAEM Day 2 Wrap-up episode – now we’re back with his expended interview!

What social factors most impact your patients? How do these issues affect you as a physician or provider? 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 others discover us! 

Hosts:

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

Guests:

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

Resources:

The Andrew Levitt Center for Social Emergency Medicine

ACEP Social Emergency Medicine Section

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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.

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.

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.

The Platinum Rule

Treat others not as you want to be treated but as they want to be treated. Mai Lee, RN and Dan Colby join us to share some stories and talk about how culture can impact our care in the ED and what we can do about it. Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com.

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

Guest: Dr. Daniel Colby, Assistant Professor of Emergency Medicine UC Davis

Guest: Mai Lee, RN, UC Davis Emergency Medicine CN II

Resources:

NIH Cultural Respect: https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/cultural-respect

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Join us in Tahoe, March 4-8, at the 42nd Annual UC Davis Emergency Medicine Winter Conference!

We’ll also be teaching and podcasting at the Western Regional SAEM Annual Meeting in Napa, CA, March 21-22. Hope to see you there!

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.

#Thisismylane– Episode 14

#Thisismylane– Episode 14

If you work in the ED, you’ve likely seen your fair share of victims of gun violence. Though mass shootings have brought this issue into the public eye, firearm violence has been a public issue in our country for decades. In this episode, you’ll hear some powerful stories from providers about their experiences with people killed and injured by firearms. Then, we talk with researcher and expert, Dr. Garen Wintemute, about trends he’s seen, and discuss how we, as physicians and medical providers, can be part of the solution. 

Clearly this is a charged and complex topic. Let’s respectfully share our thoughts on how we can help prevent gun violence. 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. Garen Wintemute Professor of Emergency Medicine, Susan P. Baker-Stephen P. Teret Chair in Violence Prevention at UC Davis, and Director, Violence Prevention Research Program  

Resources:

UC Davis Violence Prevention Research Program Toolkit: What You Can Do to Stop Firearm Violence https://health.ucdavis.edu/vprp/WYCD.html

Annals of Internal Medicine commitment and op ed: What You Can Do to Stop Firearm Violence http://annals.org/aim/pages/commitment-to-stop-firearm-violence

Speak For Safety

Video of Garen Talking about gun retailers taking a hard line against illegal gun sales: https://health.ucdavis.edu/publish/facultybio/search/faculty/242

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

Come play and learn with 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.

While this is a UC Davis EM podcast and many of the voices you hear today, including our own, are those of UC Davis EM Physicians, the opinions expressed may not be those of the UC DAVIS institution and Health System.