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The Microskills

It’s a typical Saturday night in the department.  You’re busy.  I mean really busy; the “too busy to make a run to the bathroom and empty your overly distended bladder” busy.  Your resident comes up to you with their next patient.  At first, you think of just hearing out the chief complaint, telling them what […]

Whither bedside teaching?

Observe, record, tabulate, communicate.  Use your five senses.  Learn to see, learn to hear, learn to feel, learn to smell, and know by practice alone you can become expert.  Medicine is learned at the bedside and not in the classroom.  Let not your conceptions of disease come from words heard in the lecture room or […]

Why Blog?

Why create a blog or use a wiki for education?  One good reason is that blogging fulfills the “write something” mandate that Atul Gawande recommends as one of the keys skills in becoming a positive deviant; another is the metacognitive aspect of the experience discussed in this video:There are many reasons why people blog.  As […]

Teaching Residents Soft Skills

Professionalism.  Communication.  Empathy.  Skills needed for all physicians.  Unfortunately, with the hustle and bustle of everyday work and the “do more in less time” mentality that pervades our practice, relationship skills are often overlooked or frankly ignored.   If one was to look at the satisfaction with practice in emergency medicine, they would find a […]

Clinical Oversight: Conceptualizing the Relationship Between Supervision and Safety

Have you ever stopped and wondered what good clinical supervision means? Supervision is one of those concepts in academics that we are expected to do with little, if any, guidance. Many factors within medicine have led to an increase in the expected levels of supervision recently. Work hours restrictions, Medicare rules, and a call to […]