Education

Deliberate Apprenticeship in the Pediatric Emergency Department Improves Experience for Third-year Students

Volume 15, Issue 4, July 2014
Maya Subbarao Iyer, MD et al.

The Pediatric Emergency Department (PED) provides medical students with learning in a high-volume, fast-paced environment; characteristics that can be stressful for new students. Shadowing can improve transitioning, yet this alone does not facilitate students’ development of independent medical care competencies. This study evaluates if third-year medical students’ deliberate apprenticeship with senior residents increases students’ comfort and patient exposure in the PED.

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Analysis of the Evaluative Components on the Standard Letter of Recommendation (SLOR) in Emergency Medicine

Volume 15, Issue 4, July 2014
Kristi H. Grall, MD, MHPE et al.

The standard letter of recommendation in emergency medicine (SLOR) was developed to standardize the evaluation of applicants, improve inter-rater reliability, and discourage grade inflation. The primary objective of this study was to describe the distribution of categorical variables on the SLOR in order to characterize scoring tendencies of writers.

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Assessing Knowledge Base on Geriatric Competencies for Emergency Medicine Residents

Volume 15, Issue 4, July 2014
Teresita M. Hogan, MD et al.

Emergency care of older adults requires specialized knowledge of their unique physiology, atypical presentations, and care transitions. Older adults often require distinctive assessment, treatment and disposition. Emergency medicine (EM) residents should develop expertise and efficiency in geriatric care. Older adults represent over 25% of most emergency department (ED) volumes.

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Improving Community Understanding of Medical Research: Audience Response Technology for Community Consultation for Exception to Informed Consent

Volume 15, Issue 4, July 2014
Taher Vohra, MD et al.

The Department of Health and Human Services and Food and Drug Administration described guidelines for exception from informed consent (EFIC) research. These guidelines require community consultation (CC) events, which allow members of the community to understand the study, provide feedback and give advice. A real-time gauge of audience understanding would allow the speaker to modify the discussion. The objective of the study is to describe the use of audience response survey (ARS) technology in EFIC CCs.

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Survey of Publications and the H-index of Academic Emergency Medicine Professors

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

The number of publications and how often these have been cited play a role in academic promotion. Bibliometrics that attempt to quantify the relative impact of scholarly work have been proposed. The h-index is defined as the number (h) of publications for an individual that have been cited at least h times. We calculated the h-index and number of publications for academic emergency physicians at the rank of professor.

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Study of Medical Students’ Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”

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

Defensive medicine is a medical practice in which health care providers’ primary intent is to avoid criticism and lawsuits, rather than providing for patients’ medical needs. The purpose of this study was to characterize medical students’ exposure to defensive medicine during medical school rotations.

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Scholar Quest: A Residency Research Program Aligned with Faculty Goals

Volume 15, Issue 3, May 2014
Ashish R. Panchal, MD, PhD et al.

The ACGME requires that residents perform scholarly activities prior to graduation, but this is difficult to complete and challenging to support. We describe a residency research program, taking advantage of environmental change aligning resident and faculty goals, to become a contributor to departmental cultural change and research development.

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Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents

Volume 15, Issue 3, May 2014
Daniel J. Kim, MD et al.

Starting in 2008, emergency ultrasound (EUS) was introduced as a core competency to the Royal College of Physicians and Surgeons of Canada (Royal College) emergency medicine (EM) training standards. The Royal College accredits postgraduate EM specialty training in Canada through 5-year residency programs. The objective of this study is to describe both the current experience with and the perceptions of EUS by Canadian Royal College EM senior residents.

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Impact of Learners on Emergency Medicine Attending Physician Productivity

Volume XV, February 2014
Rahul Bhat, MD et al.

Several prior studies have examined the impact of learners (medical students or residents) on overall emergency department (ED) flow as well as the impact of resident training level on the number of patients seen by residents per hour. No study to date has specifically examined the impact of learners on emergency medicine (EM) attending physician productivity, with regards to patients per hour (PPH). We sought to evaluate whether learners increase, decrease, or have no effect on the productivity of EM attending physicians in a teaching program with one student or resident per attending.

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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.