Education

Evaluation of Social Media Use by Emergency Medicine Residents and Faculty

Volume 16, Issue 5, September 2015.
David Pearson, MD, MS, et al.

Introduction: Clinicians and residency programs are increasing their use of social media (SM) websites
for educational and promotional uses, yet little is known about the use of these sites by residents and
faculty. The objective of the study is to assess patterns of SM use for personal and professional purposes
among emergency medicine (EM) residents and faculty.
Methods: In this multi-site study, an 18-question survey was sent by e-mail to the residents and faculty in 14
EM programs and to the Council of Emergency Medicine Residency Directors (CORD) listserv via the online
tool SurveyMonkey™. We compiled descriptive statistics, including assessment with the chi-square test or
Fisher’s exact test. StatsDirect software (v 2.8.0, StatsDirect, Cheshire, UK) was used for all analyses.
Results: We received 1,314 responses: 63% of respondents were male, 40% were <30 years of age,
39% were between the ages 31 and 40, and 21% were older than 40. The study group consisted of
772 residents and 542 faculty members (15% were program directors, 21% were assistant or associate
PDs, 45% were core faculty, and 19% held other faculty positions. Forty-four percent of respondents
completed residency more than 10 years ago. Residents used SM markedly more than faculty for social
interactions with family and friends (83% vs 65% [p<0.0001]), entertainment (61% vs 47% [p<0.0001]),
and videos (42% vs 23% [p=0.0006]). Residents used Facebook™ and YouTube™ more often than
faculty (86% vs 67% [p<0.001]; 53% vs 46% [p=0.01]), whereas residents used Twitter™ (19% vs
26% [p=0.005]) and LinkedIn™ (15% vs 32% [p<0.0001]) less than faculty. Overall, residents used SM
sites more than faculty, notably in daily use (30% vs 24% [p<0.001]). For professional use, residents
were most interested in its use for open positions/hiring (30% vs 18% [p<0.0001]) and videos (33%
vs 26% [p=0.005]) and less interested than faculty with award postings (22% vs 33% [p<0.0001]) or
publications (30% vs 38% [p=0.0007]).
Conclusion: EM residents and faculty have different patterns and interests in the personal and professional
uses of social media. Awareness of these utilization patterns could benefit future educational endeavors.

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Effectiveness of a 40-minute Ophthalmologic Examination Teaching Session on Medical Student Learning

Volume 16, Issue 5, September 2015.
Wirachin Hoonpongsimanont, MD, MS, et al.

Introduction: Emergency physicians are among the few specialists besides ophthalmologists
who commonly perform ophthalmologic examinations using the slit lamp and other instruments.
However, most medical schools in the United States do not require an ophthalmology rotation
upon completion. Teaching procedural skills to medical students can be challenging due to limited
resources and instructor availability. Our study assesses the effectiveness of a 40-minute hands-on
teaching session on ophthalmologic examination for medical students using only two instructors and
low-cost equipment.
Methods: We performed an interventional study using a convenience sample of subjects. Pre- and
post-workshop questionnaires on students’ confidence in performing ophthalmologic examination
were administered. We used a paired t-test and Wilcoxon rank test to analyze the data.
Results: Of the 30 participants in the study, the mean age was 25 and the majority were first-year
medical students. The students’ confidence in performing every portion of the ophthalmologic exam
increased significantly after the teaching session. We found that the average confidence level before
the teaching session were below 2 on a 1-5 Likert scale (1 being the least confident). Confidence
levels in using the slit lamp had the highest improvement among the skills taught (2.17 95% CI
[1.84-2.49]). Students reported the least improvement in their confidence in assessing extraocular
movements (0.73, 95% CI [0.30-1.71]) and examining pupillary function (0.73, 95% CI [0.42-1.04]).
We observed the biggest difference in median confidence level in the use of the tonometer (4 with a
p-value of <0.05).
Conclusion: A 40-minute structured hands-on training session can significantly improve students’
confidence levels in ophthalmologic skills.

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Recommendations from the Council of Residency Directors (CORD) Social Media Committee on the Role of Social Media in Residency Education and Strategies on Implementation

Volume 16, Issue 4, July 2015
David Pearson, MD, MS, et al.

Social media (SM) is a form of electronic communication through which users create online
communities and interactive platforms to exchange information, ideas, messages, podcasts,
videos, and other user-generated content. Emergency medicine (EM) has embraced the healthcare
applications of SM at a rapid pace and continues to explore the potential benefit for education. Free
Open Access Meducation has emerged from the ever-expanding collection of SM interactions and
now represents a virtual platform for sharing educational media. This guidance document constitutes
an expert consensus opinion for best practices in the use of SM in EM residency education

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Asking for a Commitment: Violations during the 2007 Match and the Effect on Applicant Rank Lists

Volume 16, Issue 2, March 2015
H. Gene Hern, MD, MS et al.

Applicants to residency face a number of difficult questions during the interview process, one of which is when a program asks for a commitment to rank the program highly. The regulations governing the National Resident Matching Program (NRMP) match explicitly forbid any residency programs asking for a commitment.

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Virtual Alternative to the Oral Examination for Emergency Medicine Residents

Volume 16, Issue 2, March 2015
Jillian McGrath, MD et al.

The oral examination is a traditional method for assessing the developing physician’s medical knowledge, clinical reasoning and interpersonal skills. The typical oral examination is a face-to-face encounter in which examiners quiz examinees on how they would confront a patient case. The advantage of the oral exam is that the examiner can adapt questions to the examinee’s response. The disadvantage is the potential for examiner bias and intimidation. Computer-based virtual simulation technology has been widely used in the gaming industry. We wondered whether virtual simulation could serve as a practical format for delivery of an oral examination. For this project, we compared the attitudes and performance of emergency medicine (EM) residents who took our traditional oral exam to those who took the exam using virtual simulation.

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Residency Applicants Prefer Online System for Scheduling Interviews

Volume 16, Issue 2, March 2015
Charlotte Wills, MD et al.

Residency coordinators may be overwhelmed when scheduling residency interviews. Applicants often have to coordinate interviews with multiple programs at once, and relying on verbal or email confirmation may delay the process. Our objective was to determine applicant mean time to schedule and satisfaction using online scheduling.

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Emergency Medicine Residency Boot Camp Curriculum: A Pilot Study

Volume 16, Issue 2, March 2015
Ramsey Ataya, BS et al.

Establishing a boot camp curriculum is pertinent for emergency medicine (EM) residents in order to develop proficiency in a large scope of procedures and leadership skills. In this article, we describe our program’s EM boot camp curriculum as well as measure the confidence levels of resident physicians through a pre- and post-boot camp survey.

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Objective Structured Clinical Examinations Provide Valid Clinical Skills Assessment in Emergency Medicine Education

Volume 16, Issue 1, January 2015
Joshua Wallenstein, MD et al.

Evaluation of emergency medicine (EM) learners based on observed performance in the emergency department (ED) is limited by factors such as reproducibility and patient safety. EM educators depend on standardized and reproducible assessments such as the objective structured clinical examination (OSCE).

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Educational Technology Improves ECG Interpretation of Acute Myocardial Infarction among Medical Students and Emergency Medicine Residents

Volume 16, Issue 1, January 2015
Ali Pourmand, MD et al.

Asynchronous online training has become an increasingly popular educational format in the new era of technology-based professional development. We sought to evaluate the impact of an online asynchronous training module on the ability of medical students and emergency medicine (EM) residents to detect electrocardiogram (ECG) abnormalities of an acute myocardial infarction (AMI).

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Ultrafest: A Novel Approach to Ultrasound in Medical Education Leads to Improvement in Written and Clinical Examinations

Volume 16, Issue 1, January 2015
Kiah Connolly, MD et al.

Our objective was to evaluate the effectiveness of hands-on training at a bedside ultrasound (US) symposium (“Ultrafest”) to improve both clinical knowledge and image acquisition skills of medical students. Primary outcome measure was improvement in multiple choice questions on pulmonary or Focused Assessment with Sonography in Trauma (FAST) US knowledge. Secondary outcome was improvement in image acquisition for either pulmonary or FAST.

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Learning Curves for Direct Laryngoscopy and GlideScope® Video Laryngoscopy in an Emergency Medicine Residency

Volume 15, Issue 7, November 2014
John C. Sakles, MD et al.

Endotracheal intubation (ETI) is currently considered superior to supraglottic airway devices (SGA) for survival and other outcomes among adults with non-traumatic out-of-hospital cardiac arrest (OHCA). We aimed to determine if the research supports this conclusion by conducting a systematic review.

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Management of In-Flight Medical Emergencies: Are Senior Medical Students Prepared to Respond to this Community Need?

Volume 15, Issue 7, November 2014
Robert J. Katzer, MD, MBA et al.

In-flight medical emergencies on commercial aircraft are common in both domestic and international flights. We hypothesized that fourth-year medical students feel inadequately prepared to lend assistance during in-flight medical emergencies. This multicenter study of two U.S. medical schools obtains a baseline assessment of knowledge and confidence in managing in-flight medical emergencies.

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Sondeo de Publicaciones y el índice-H en Profesores Académicos de Medicina de Emergencia

Volume 15, Issue 3, May 2014
Babineau MR, MD et al.

El número de publicaciones y la frecuencia en que éstas son citadas juegan un rol en las promociones académicas. Se han propuesto bibliométricas que intentan cuantificar el impacto relativo del trabajo académico. El índice-H se define como el número (h) de publicaciones para un individuo que ha sido citado como mínimo en h cantidad de veces. Nosotros calculamos el índice-H y el número de publicaciones para académicos de medicina de emergencia con el rango de profesor.

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Estudio del Temor a la Impericia Médica de los Estudiantes de Medicina y la Medicina Defensiva: ¿Un “Currículo Oculto”?

Volume 15, Issue 3, May 2014
Johnston W, MD et al.

La medicina defensiva es una práctica médica en la cual la intención primordial de los proveedores de la salud es evitar críticas y demandas en lugar de proveer las necesidades médicas de sus pacientes. El propósito de este estudio es caracterizar la exposición de los estudiantes de medicina a la medicina defensiva durante sus rotaciones de escuela de medicina.

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Compassion Fatigue is Similar in Emergency Medicine Residents Compared to other Medical and Surgical Specialties

Volume 15, Issue 6, September 2014
M. Fernanda Bellolio, MD, MS et al.

Compassion fatigue (CF) is the emotional and physical burden felt by those helping others in distress, leading to a reduced capacity and interest in being empathetic towards future suffering. Emergency care providers are at an increased risk of CF secondary to their first responder roles and exposure to traumatic events. We aimed to investigate the current state of compassion fatigue among emergency medicine (EM) resident physicians, including an assessment of contributing factors.

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BE-SAFE: Bedside Sonography for Assessment of the Fetus in Emergencies: Educational Intervention for Late-pregnancy Obstetric Ultrasound

Volume 15, Issue 6, September 2014
Sachita Shah, MD et al.

Late obstetric emergencies are time critical presentations in the emergency department. Evaluation to ensure the safety of mother and child includes rapid assessment of fetal viability, fetal heart rate (FHR), fetal lie, and estimated gestational age (EGA). Point-of-care (POC) obstetric ultrasound (OBUS) offers the advantage of being able to provide all these measurements. We studied the impact of POC OBUS training on emergency physician (EP) confidence, knowledge, and OBUS skill performance on a live model.

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Performance Accuracy of Hand-on-needle versus Hand-on-syringe Technique for Ultrasound-guided Regional Anesthesia Simulation for Emergency Medicine Residents

Volume 15, Issue 6, September 2014
Brian Johnson, MD, MPH et al.

Ultrasound-guided nerve blocks (UGNB) are increasingly used in emergency care. The hand-on-syringe (HS) needle technique is ideally suited to the emergency department setting because it allows a single operator to perform the block without assistance.

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Consensus Development of a Pediatric Emergency Medicine Clerkship Curriculum

Volume 15, Issue 6, September 2014
Kim L. Askew, MD et al.

As emergency medicine (EM) has become a more prominent feature in the clinical years of medical school training, national EM clerkship curricula have been published to address the need to standardize students’ experiences in the field. However, current national student curricula in EM do not include core pediatric emergency medicine (PEM) concepts.

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

3800 W Chapman Ave Ste 3200
Orange, CA 92868, USA
Phone: 1-714-456-6389
Email: editor@westjem.org

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.