This Week (Dec 15th)

26th edition. It looks like another close race between Kuehl and Clinton. One week left in terms of events with the Rosh quizzes looming. 


General:

Interview Dinners/Lunches – This Tuesday, December 17rd, 6:15pm at Blue 5. Lunch the next day around 1pm at Riverside. Let’s finish strong before Christmas break.

Drive Educational Content – reminder that you can find the articles for this month on the main residency drive > educational content > Neuro block. I’ve put some other study resources there as well. Feel free to upload and share stuff with each other. I also created a folder for ITE study stuff, add/download good resources to that folder as well.

Practice ITE – this Thursday, December 19th for those who haven’t already taken it. It is 220 questions and designed to be difficult. Be sure to go over the answers after to get the most out of it.

AHA NIHSS Stroke Certificate – Complete as soon as possible if you haven’t already done so. Go to the link below and take form B as most of us took form A previously.

Hepatitis C – continue to order on all patients unless they have it documented in the chart or decline testing. Be sure to add it to the dispo diagnosis for billing purposes. 

Academic To-Do:

Interns – Foundations modules for this month are Vascular 9, Neuro 18, Neuro 19

Vascular 9 – https://foundationsem.com/cardiology-vascular/

Foundations 1 | Foundations 2 Foundations 1 Foundations 2 Mouse over each Article under Primary Literature to see the full title
foundationsem.com

Rosen’s: Chapters 74-78

Hippo: Vascular Emergencies, Pericarditis
Neuro 18,19 – https://foundationsem.com/neurology-msk/

Foundations 1 | Foundations 2 Foundations 1 Foundations 2 Mouse over each Article under Primary Literature to see the full title
foundationsem.com

Rosen’s: 91-99

Hippo: CN, Vertigo, AMS, Meningitis, Misc 1&2, Ischemic Stroke

PGY2/3 – https://www.aliemu.com/air-pro/ complete for 1 hour lecture credit.

Welcome to the Approved Instructional Resources Professional (AIR-Pro) series! This series curates and grades open access blog posts and podcasts in the field of emergency medicine (EM) to identify high quality, social media-based, educational resources for senior EM residents.
www.aliemu.com

Conference:

Starts with multidisciplinary Trauma, 7:30am at 1S ED Conference Room.
  • Journal Club is at 1030am, please read articles ahead of time (in the Neuro block folder on drive)
  • SIM is in the afternoon for all PGY2s and half the PGY3s so be prepared.

Scheduling:

PGY 2/3 – you have gotten 4 calendar events for the next block which is February 16th – April 25th. 

  • Final deadline is December 29th at 11:59pm!

Podcast/Blog post of the Week

There was a post on posterior circulation CVAs in the November EM:Rap, great review.

Website: damonsdue.com

Email: rmhchiefs@gmail.com

This Week (Dec 8th)

25th edition. The moment you all have been waiting for, the results of the ortho block. It all came down to the Rosh Quizzes as House Clinton had a 6 point lead over House Kuehl at the end of the month. Like true champions, House Kuehl prevailed with an average of 79.1% (Clinton – 75, Perkins – 65, Fortuna – 73) making us the overall block champions.


General:

Interview Dinners/Lunches – This Tuesday, December 3rd, 6:15pm at Blue 5. Lunch the next day around 1pm at Riverside. Let’s keep it up and continue to have a great turn out.

Practice ITE – is either this Thursday, December 12th or the following, December 19th for those who haven’t already taken it. It is 220 questions and designed to be difficult. Be sure to go over the answers after to get the most out of it.

TEE Schedule – attached is a call schedule for the attendings that are credentialed to be TEE, they would like to be notified of any opportunity that presents to the ED. I got to do my first one yesterday and let me say that it is much trickier than at SIM so practice every opportunity you get.

AHA NIHSS Stroke Certificate – due today for PGY3s! Go to the link below and take form B as most of us took form A previously. It takes a little bit of time so don’t put it off. Other residents need to get it done as soon as possible but not necessarily today.

Stroke Site Visit by Joint Commission – is today, December 9th, so look sharp. Know where the stroke algorithm is located and the default answer is to ask your attending. 

Hepatitis C – continue to order on all patients unless they have it documented in the chart or decline testing. Consent is not absolutely necessary but you should discuss it with your patient if you are going to be ordering it, similar to any other test you do. 

Academic To-Do:

Interns – Foundations modules for this month are Vascular 9, Neuro 18, Neuro 19

Vascular 9 – https://foundationsem.com/cardiology-vascular/

Foundations 1 | Foundations 2 Foundations 1 Foundations 2 Mouse over each Article under Primary Literature to see the full title
foundationsem.com

Rosen’s: Chapters 74-78

Hippo: Vascular Emergencies, Pericarditis
Neuro 18,19 – https://foundationsem.com/neurology-msk/

Foundations 1 | Foundations 2 Foundations 1 Foundations 2 Mouse over each Article under Primary Literature to see the full title
foundationsem.com

Rosen’s: 91-99

Hippo: CN, Vertigo, AMS, Meningitis, Misc 1&2, Ischemic Stroke

PGY2/3 – https://www.aliemu.com/air-pro/ complete for 1 hour lecture credit.

Welcome to the Approved Instructional Resources Professional (AIR-Pro) series! This series curates and grades open access blog posts and podcasts in the field of emergency medicine (EM) to identify high quality, social media-based, educational resources for senior EM residents.
www.aliemu.com

Conference:

Starts with multidisciplinary critical care conference, 7:30am at 1S ED Conference RoomSIM is in the afternoon for all PGY2s and half the PGY3s so be prepared.

Scheduling:

PGY 2/3 – be on the look out for calendar invites for next 10 week block. As always, any issues feel free to email us.

Podcast/Blog post of the Week

Back to CrackCast with the Neurology summary. Always helpful to get a good summary of the Neurologic disorders chapter.

Website: damonsdue.com

Email: rmhchiefs@gmail.com

This Week in Residency (August 4th)

Welcome to the 7th edition. The 4 house competition is now underway and House Perkins is off to an early lead after coming out victorious in the trash collecting portion of Thursday’s games.

General:
4 Houses – For those that were not present Thursday, rosters are:

  • Perkins (biohazard logo) – Perkins, JY, J Burton, White, Abii, Linger, Williams, Cassie, Moses, Oswald, Schwab, Taylor
  • Kuehl (bone logo) – Kuehl, Coleman, Meier, Gorman, Enes, Wilkinson, Gollar, Chrabaszcz, Lou, Ickes, Achatz
  • Fortuna (tuna logo) – Fortuna, Hamden, Prusakowski, Hinshaw, Rawlings, Lukos, C Burton, Smith, Bhandari, Kip, Zink, Faiz
  • Clinton (US logo) – Clinton, Borloz, Stromberg, Nguyen, Dykstra, Beauchamp, Taylor, Meade, Kovacs, Jess, Bodeau, Rahul

Greenway Clean-up & Kickball – great experience and thank you to those that participated. I brought home a car load of gross but recyclable products. Every bit counts.  Remember to log your community service hours (Med Hub > portfolios > new entry). House Perkins was victorious in the trash collection with Houses Kuehl/Fortuna establishing dominance on the kickball field.

August Attendancethere have been some questions about whether or not these August sessions are mandatory. The department is providing coverage in the ED in order to free up this time for us, so the expectation is that you are showing up. Obviously, if you are working overnight or on GME vacation this does not apply to you. We have made some adjustments to the schedule (see below).

ED Provider Notes – when charting in the ED you need to complete an “ED provider note” not an “ED note”. I sent out instructions earlier in the week but be conscious of this. Go to ED navigator > provider notes > blank note (if you use a template and not the general note). If you do not know how to do this please confirm with your attending or another resident.

Master Calendar – is up and running, however I can’t seem to get it to load to Damon’s Due. Hopefully you’ll be able to see it this week. It has everything broken down by PGY 1, 2, 3, admin, etc so will be a great place for all things scheduling.

Annual Learning Modules – not available at this time. We will let you know as soon as they are so you can get them done well ahead of time.

Upcoming Social Events:

  • Wednesday, August 7th @ 7:05 pm – Salem Red Sox vs Lynchburg Hillcats. We have 34 tickets to go around so please RSVP. Fun group outing to watch some baseball. This is a social event and not part of the August conference schedule.
  • Sunday, August 11th @ 5:30pm – VTC Mentorship Block Partyfor medical students, residents, and fellows. Krista Lukos & Andrew’s house. Free food. Family welcome.

Conference: Make sure you let your off-service rotations know ahead of time.

Thursday, August 8th – Roanoke River Tubing & Clean-up, meet @ 10am at the Wasena Tap Room.

  • What: clean up the river, relax, and get some tubing in.
  • When: 10am – 1pm, float is about 2.5 hours, lunch after for those that are interested
  • Where: Roanoke River, meet at Wasena Tap Room
  • Misc: Bring sunscreen, water, sodas, etc. Dress for getting wet.

Thursday, August 15th
Independent Study, this is the day to finish all your learning modules for the year. Due date for modules is September 1st.

Thursday, August 22st
Riverside GME Session, details to follow, tentative time 9am – noon. We need 100% attendance to get this to actually count and free up some time at the retreat.

Thursday, August 29th
Extraction Day (Interns only), great experience, see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished

Scheduling:

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th. Submit as soon as possible.

Podcast/Blog post of the Week: 

This is a podcast that’s pretty interested if you like infectious disease. Specifically Podcast 19 in which they discuss the best antibiotics in the form of a draft.