HealthCARE, not HealthCURE

In Emergency Medicine, we are all too familiar with death and dying, but how equipped are we really to provide compassionate end of life care? Dr. Conor Mcwade shares his experience caring for a patient with end stage cancer, and the challenges of respecting the patient’s wishes, even when the family wanted to pursue aggressive measures. Then, palliative care trained physicians, Dr. Rupi Chima and Dr. Cherie Ginwalla, help define some terms and offer advice on how to best care for our dying patients – from pediatric to geriatric – and their families, as well as ourselves. 

How do you think we can improve care for the dying? Share your thoughts 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. Cherie Ginwalla, Associate Professor of Pediatrics at UC Davis, Pediatric Palliative Care doctor 

Dr. Rupi Chima, Emergency Medicine Physician at Kaiser South Sacramento, Palliative Care Team

Resources:

ACEP Palliative Medicine Section Tool Kit and Resources 

SAEM Palliative Medicine Online Education Resources

Education in Palliative and End-of-Life Care–Emergency Medicine (EPEC-EM) curriculum 

Being Mortal by Atul Gawande 

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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 Far Forward

What is military emergency medicine all about? Many of us know physicians who are in the US Armed Forces, but few of us really know what that really entails. Dr. Rod Fontenette is an Emergency Medicine and Critical Care Physician at UC Davis and a Lieutenant Colonel in the US Air Force. He joins us to talk about Military EM, including training, emergency and critical care on the front lines (and at 30,000 feet!), and some of the challenges and rewards of choosing this career path. We have so much respect for what Rod and his colleagues do!

Would you (or have you) considered a career in military EM? Do the advantages and rewards outweigh the challenges and sacrifices? We’d love to hear what you think. Connect with us on social media at @empulsepodcast, or on our website, ucdavisem.com

If you like what you hear, 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. Roderick Fontenette, Associate Professor of Emergency Medicine and Critical Care at UC Davis, Lieutenant Colonel US Air Force, Military Associate Program Director UC Davis USAF Integrated Residency Program

Resources:

UC Davis Emergency Medicine USAF Integrated Residency Program

Medicine + The Military: information about medical careers in the military

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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.

Dr. Rod Fontenette

Hafa Adai

Hafa adai! Or “Hello” in Chamorro, the native language of Guam. I just got back from the US territory of Guam and loved working in such a beautiful place with it’s own set of unique challenges. We spoke with local emergency medicine physician Gabriel David to hear about practicing in an isolated island where many can’t or don’t seek medical care until really ill, and start chewing betel nut at 7-8 years old.  

What atypical places have you  practiced in?  Share your experiences 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. Gabriel David, Emergency Medicine Physician Guam Regional Medical City and Guam SDA Urgent Care Clinic

Resources:

Areca Nut (Betel nut)

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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.

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.

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.