An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System.The patient presented to an outside hospitalAn 80yo female per triage “patient presents with chest pain, also hurts to breathe”PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB.HPI:
Abrupt onset of substernal chest pain associated with nausea/vomiting
30 min PTA. She reports associated SOB but no dizziness or LOC. She
was given NTG
at home before coming to the hospital. This was the ECG obtained at triage.This ECG was recorded and was reviewed remotely by a...
Source: Dr. Smith's ECG Blog - March 19, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Language Equity in Medical Education
On this episode of the Academic Medicine Podcast, Pilar Ortega, MD, MGM, Débora Silva, MD, MEd, and Bright Zhou, MD, MS, join host Toni Gallo to discuss strategies to address language-related health disparities and enhance language-appropriate training and assessment in medical education. They explore one specific language concordant education framework, Culturally Reflective Medicine, which recognizes and supports the lived experiences and expertise of multi-lingual learners and clinicians from minoritized communities.
This episode is now available through Apple Podcasts, Spotify, and anywhere else podcast...
Source: Academic Medicine Blog - February 20, 2024 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast diversity and inclusion language equity medical education medical education scholarship patient care Source Type: blogs
A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?
Written by Pendell MeyersA man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department for acute chest pain which started approximately 3 hours prior to arrival, in the setting of a very stressful situation. The pain radiated down both arms, 10/10 in severity. He stated it did not feel like his prior episodes of reflux. Vitals were within normal limits except some hypertension. Triage ECG:And here she explains her assessment:The ECG was read as simply " No ST elevation. " Which is true.The initial high sensitivity troponin I returned at around 3300 ng/L. No repeat E...
Source: Dr. Smith's ECG Blog - January 20, 2024 Category: Cardiology Authors: Pendell Source Type: blogs
Acute OMI or " Benign " Early Repolarization?
Written by Willy FrickA man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. He described it as severe, sharp, and substernal with associated nausea, vomiting, chills, and diaphoresis. The following ECG was obtained. Note that the machine read is" normal sinus rhythm, normal ECG. " Cardiology over read the tracing and signed the interpretation without modification.ECG 1What do you think?The Queen of Hear...
Source: Dr. Smith's ECG Blog - December 27, 2023 Category: Cardiology Authors: Willy Frick Source Type: blogs
Do What You Do Better: Using AI Tools to Ease the Workload Burden on Faculty
On this episode of the Academic Medicine Podcast, Christy Boscardin, PhD, Brian Gin, MD, PhD, Marc Triola, MD, and Academic Medicine assistant editor Gustavo Patino, MD, PhD, join host Toni Gallo to discuss the ways that artificial intelligence (AI) tools can help ease the workload burden on faculty and staff, with a focus on assessment and admissions. They explore the opportunities that AI tools afford as well as ethical, data privacy, bias, and other issues to consider with their use. They conclude by looking to the future and where medical education might go from here.
This episode is now available through App...
Source: Academic Medicine Blog - December 13, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine Academic Medicine podcast admissions AI artificial intelligence assessment ChatGPT Source Type: blogs
Faculty and Student Perceptions of Unauthorized Collaborations
In this study, it was clear students do recognize the need for individual accountability and that their individual competence will be assessed, but they also recognize that they are encouraged to work with each other and that throughout their careers they will be working with colleagues in the clinical settings and for the rest of their lives. That gets at some of the tension, and we create some of that tension in the curriculum because we foster students working together in small groups and we embrace them supporting each other and helping each other learn. Then that comes up against the individual demonstration of compet...
Source: Academic Medicine Blog - October 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast faculty learning environment medical students RIME Source Type: blogs
Open conversations about end-of-life care
An excerpt from The Adventures of Dr. Anonymous. During the COVID pandemic, I wished I could put out a public service announcement for physicians, patients, and families about end-of-life care. Palliative care is critical to hospitalist practice and one of the least discussed fields of medicine. It also is a major contributor to the burnout
Read more…
Open conversations about end-of-life care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 2023 Category: General Medicine Authors: Anonymous Tags: Physician Palliative Care Source Type: blogs
Weekly Roundup – October 7, 2023
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week.
How Technology can Address Clinician Shortage and Burnout. We are facing an estimated 900K deficit of registered nurses by the end of this decade. This problem is only made worse by the silver tsunami of 10K baby boomers aging into Medicare coverage every day. Technology can be a great solution to help ease that burden off of your staff so they aren̵...
Source: EMR and HIPAA - October 7, 2023 Category: Information Technology Authors: Grayson Miller Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs
Avel eCare Expands Hospitalist and Senior Care Telemedicine Services with Acquisition of Fident Health
The Deal Helps Strengthen and Scale Avel eCare’s Acute and Post-Acute Care Telemedicine Services to Meet the Growing Demand for Hospitalist and Senior Care Support Amidst Challenges of Clinician Burnout and Staffing Shortages
Avel eCare, the nation’s leading provider of clinician-to-clinician telemedicine services, today announced the acquisition of Fident Health, a Texas-based virtual hospitalist provider dedicated to delivering high-quality telemedicine care to rural and suburban communities. The deal strengthens Avel eCare’s existing clinician network and builds on the company’s successful acute and post-acute t...
Source: EMR and HIPAA - October 3, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Avel eCare Denise S. Brown MD Doug Duskin Fident Health Health IT Acquisitions Healthcare M&A NightWatch Source Type: blogs
What happened to the chemical pathologist?
During my early years as a pediatric hospitalist in the U.K. during the ’80s, a figure that loomed large was the chemical pathologist (CP). The CP was the guardian of the laboratory, and every hospital had one. This fearsome beast was approached with trepidation, as the outcome was likely to be a unique but bruising
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What happened to the chemical pathologist? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 1, 2023 Category: General Medicine Authors: Martin C. Young, MD Tags: Conditions Pathology Source Type: blogs
Ensuring Fairness in Medical Education Assessment
This study takes a first step in centering the margins as we as medical educators grow our understanding of the dynamics of promoting fairness in assessment. Future studies should explore feedback with intentional inclusion and involvement of diverse students, teachers, and researchers at every stage of the research process from conceptualization through dissemination and application of the new learning. We thank our participants for their time and candor discussing this sensitive topic and the Group on Educational Affairs for funding our work. Thank you for your time and attention and the focus that you’ll put on th...
Source: Academic Medicine Blog - September 18, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast assessment equity Macy Foundation medical education Source Type: blogs
How compassionate leadership saved this physician [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Anjani Mahabashya, a physician advisor, as she shares her remarkable journey from hospitalist to her current role. Discover how hope, networking, and empathy played pivotal roles in her transformation. Explore the power of compassionate leadership in times of adversity and gain valuable insights
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How compassionate leadership saved this physician [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 17, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Practice Management Source Type: blogs
Exploring how thoughts shape emotions and perception [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Miguel Villagra, a hospitalist, as we explore how our thoughts shape emotions, dissecting cognitive distortions like all-or-nothing thinking, overgeneralization, and more. Discover strategies to break free from negative loops, challenge assumptions, and cultivate a balanced perspective. Learn how awareness of our thoughts can
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Exploring how thoughts shape emotions and perception [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 24, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Psychiatry Source Type: blogs
The art of compassionate leadership during employee turmoil
Introduction: In the face of adversity, my journey from being a hospitalist to a utilization management physician advisor was not without its challenges. However, this transformation’s story is filled with hope, networking, and empathy, showcasing the power of compassionate leadership during times of employee turmoil. Hope: Even in the darkest days, when injuries prevented me
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The art of compassionate leadership during employee turmoil originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 10, 2023 Category: General Medicine Authors: Anjani Mahabashya, MD Tags: Physician Practice Management Source Type: blogs
Thriving through transitions: lessons from a hospitalist ’ s journey
We all know that life is in transition, and we all go through different changes during our careers, from personal to professional growth. We all strive for a reasonable life-work balance. Early in my career, after completing my residency training, I was discouraged by many of my mentors from pursuing a hospitalist career. The common
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Thriving through transitions: lessons from a hospitalist’s journey originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 10, 2023 Category: General Medicine Authors: Miguel Villagra, MD Tags: Physician Hospitalist Source Type: blogs
