Category: Updates

22nd edition. House Kuehl lived up to its logo and won the orthopedic showdown. House Fortuna won the presentation component. However, House Clinton continues to have the lead based on outstanding participation in all things residency. No formal conference days left but there are still lots of points to be had this week. 

General:

Interview Dinners/Lunches – another interview this week. Dinner Tuesday, 6:15pm at Blue 5. Lunch Wednesday, 12:30 at Riverside. 

Global Health – Journal Club this Wednesday @ Big Lick. Learn about a new sepsis protocol in Zambia & text messaging revolutionizing TB treatment. Text Rick if interested, 540-855-4978, for further details. 

Turkey Trot Volunteer Opportunity – Need volunteer hours? CB was able to set up an opportunity to work either the medical tent or be on bicycle patrol for theTurkey Trot. Contact me ASAP if you are interested. This would be a great volunteer opportunity and an easy way to meet your annual requirements. 

Academic To-Do:

Interns – Foundations modules for this month are Ortho 20, Trauma 11, Trauma 10

Ortho 20 – https://foundationsem.com/neurology-msk/

Rosen’s: 42-53

Hippo: Knee, shoulder, forearm

Trauma 10,11 – https://foundationsem.com/trauma/

Rosen’s: 33-41

Hippo: intro, chest, head/neck 1, eye 2

PGY2/3 – Aliemu modules on ortho upper extremity & lower extremity. Complete for 1-hour lecture credit. 

ALiEM AIR | Orthopedics Upper Extremity 2019 Module

AIR Series: Orthopedics Lower Extremity Module (2016)

Conference:Starts with Trauma Conference, 730am, 1S ED Conference Room. After that is the TEE Course for those that signed up. See the attached schedule. 

Scheduling:

PGY 2/3 – Schedule is posted. Please look through it and identify any issues you have now so we have time to make changes. 

Podcast/Blog post of the Week: Crunch time for ortho. EMRap’s crunch time summary of ortho is 45 chapters and about 1 hour 45 minutes. Great review. https://www.emrap.org/episode/ortho/achillestendon

Crunch Time – Achilles Tendon Rupture | EM:RAPOrtho Full episode audio for MD edition 110:40 min – 154 MB – M4A Crunch Time EM – Ortho – Individual MP3 Files 130 MB – ZIP Crunch Time EM – Ortho – Written Summary 370 KB – PDFwww.emrap.org

Website: damonsdue.comEmail: rmhchiefs@gmail.com

20th edition. Congratulations to House Clinton, they have prevailed victorious in the psychiatry block. We now begin the ortho block and there are plenty of points to go around. 

General:

Interview Dinners/Lunches – two this week! Today and tomorrow night, 6:15p at Blue 5. We know it’s hard to get there by 6:15 but please try to be on time. Lunches around 1230 both days. Again if you aren’t working you are expected to go. We had a great showing last week so let’s keep it going! 

Academic To-Do:

Interns – Foundations modules for this month are Ortho 20, Trauma 11, Trauma 10

Ortho 20 – https://foundationsem.com/neurology-msk/

Rosen’s: 42-53

Hippo: Knee, shoulder, forearm

Trauma 10,11 – https://foundationsem.com/trauma/

Rosen’s: 33-41

Hippo: intro, chest, head/neck 1, eye 2

PGY2/3 – Aliemu modules on ortho upper extremity & lower extremity. Complete for 1 hour lecture credit. Due on November 14th because that is when our in-class session is happening. 

ALiEM AIR | Orthopedics Upper Extremity 2019 Module

AIR Series: Orthopedics Lower Extremity Module (2016)

Conference:

Thursday 11/7 starts @ 8:30 at Riverside 1 with pharm/Tox. We have a guest lecturer so please be on time. 

• Resident Meeting – is at 12:30pm following lectures. 

Scheduling:

PGY 2/3 – Schedule should be posted soon. Stay tuned. 

Podcast/Blog post of the Week: This is a piece back from December about getting more XRay views on various injuries in order to not miss subtle fractures. Good listen and catchy tune. https://www.emrap.org/episode/emrap20186/onemorefilm

December 2018 – One More Film – EM:RAP 2018 December | EM:RAPEM:RAP 2018 December Full episode audio for MD edition 222:26 min – 208 MB – M4A EM:RAP 2018 December German Edition Deutsche 94:28 min – 83 MB – MP3 EM:RAP 2018 December Spanish Edition Español 74:31 min – 102 MB – MP3 EM:RAP 2018 December French Edition Français 18:41 min – 26 MB – MP3 EMRAP 2018 12 December Board Review Answers 133 KB – PDF EMRAP 2018 12 DecemberBoard Review Questions …www.emrap.org

Website: damonsdue.comEmail: rmhchiefs@gmail.com

19th edition. House Clinton continues to assert dominance over all things behavioral health. With one week left they have a commanding lead.  

General:

Interview Dinners/Lunches – None this week due to ACEP. Great turn out last week, it’s a great look for our program so keep it up. 

Outlook Calendar Invitations – we heard from a couple of people last week that they are not receiving calendar invitations for various events, specifically the scheduling deadline. If you are not receiving invitations to events that you know others are getting, let Christie, Jen, or Leslie know so we can get to the bottom of it. We figured out the issue with the scheduling request deadline so no need to contact us about that. Often times it’s a very simple fix. 

Rosh Review Quizzes – for the block are due Thursday, October 31st. These are important to prepare for the inservice. Please take them seriously and get them done.  

Academic To-Do: Due Thursday, October 31

Interns – Foundations modules for this month are Psych, Tox 1, Peds 3. 

Psych https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. (links on foundations page) 

Tox 1 https://foundationsem.com/tox-environmental/

Rosen’s – chapters 139, 141, 142, 144, 145, 146, 149, 150, 154, 156, 159

Hippo ED – Tox 1, 2, 3, Alcohol, Drugs of Abuse (links on foundations page)

Peds 3 https://foundationsem.com/pediatrics/

Rosen’s – chapters 166, 174, 171, 177

Hippo ED – Peds Neuro, Peds GI (links on foundations page)

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. https://www.aliemu.com/courses/psychobehavioral-2017/

Conference:

No Conference this week due to ACEP. Happy Halloween!

Scheduling:

PGY 2/3 – Schedule should be posted within the week. Stay tuned. 

Podcast/Blog post of the Week: I want to put the RoshCast podcast on the radar. All the episodes are short and go over 5 questions from the Rosh Review bank. Try to get through all 50 of them by inservice, it’s good for (at minimum) 10 free questions on the test. https://podcasts.apple.com/us/podcast/ep-3-roshcast-emergency-board-review/id1156487141?i=1000400969608

‎RoshCast EM Board Review: Ep 3 Roshcast Emergency Board Review on Apple Podcasts‎Show RoshCast EM Board Review, Ep Ep 3 Roshcast Emergency Board Review – Oct 25, 2016podcasts.apple.com

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

18th edition. The clinical faculty have asked to be added to this email chain. Welcome. After a substandard performance in the Eye block, House Clinton has come back with a vengeance. With only two weeks left they have the lead. Bonus point to Jess for wearing her house shirt on the town and submitting a photo. 

General:

Interview Dinners/Lunches – it is that time of year, dinner Tomorrow, October 22nd, 6:30pm at Blue 5. Lunch will be around noon/1pm at Riverside on Wednesday. Schedule for Wednesday changes so pay attention to Group Me for exact times. The expectation is that if you are not working you should attend. 

Bonus Points – for wearing your house shirt around town. Make sure you take a photo and send it to the Group Me chat. Limit 1x per resident. 

Outlook Calendar to Google Cal – courtesy of Faiz. If you were interested in making this happen here’s a link how. https://www.howtogeek.com/435975/how-to-show-an-outlook-calendar-in-google-calendar/

PGY 2 Peds Shift – is back to 2pm – 12a from 3pm, startingTODAY October 21st (next Monday). 

PGY 2 TO Shift – additional shift will be added 12-7pm on Thursday to help with workflow. This also startsTODAY October 21st. 

Academic To-Do:

Interns – Foundations modules for this month are Psych, Tox 1, Peds 3. 

Psych https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. (links on foundations page) 

Tox 1 https://foundationsem.com/tox-environmental/

Rosen’s – chapters 139, 141, 142, 144, 145, 146, 149, 150, 154, 156, 159

Hippo ED – Tox 1, 2, 3, Alcohol, Drugs of Abuse (links on foundations page)

Peds 3 https://foundationsem.com/pediatrics/

Rosen’s – chapters 166, 174, 171, 177

Hippo ED – Peds Neuro, Peds GI (links on foundations page)

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

• I will send out the specific modules that we are going over in class hopefully today so stay tuned. 
• PGY2/3 follows along with the intern foundation’s modules and looks at the next level content like the FOAMed links, etc. 

Conference:

Thursday, October 24th – starts with Critical Care Conference, 7:30am, 1S ED at RMH. 

• Transition to Riverside after that.

Scheduling:

PGY 2/3 – Requests were due yesterday so the schedule is in the works as of this email. Stay tuned for publication. 

Podcast/Blog post of the Week: 

Keeping with the theme of the month, here’s an EMRap from last year about MAT, buprenorphine, and opioid abuse. https://www.emrap.org/episode/emrap2018/strayerisms

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

17th edition. Another year, another retreat in the books. House Clinton won the Muddy Squirrels event & the extra 10 bonus points with an additional bonus point for an on-the-town-selfie submitted for Dr Nguyen in her house shirt. Halfway through the block, it is anyone’s game. 

General:

Cornerstone – there are some new modules that are due tomorrow, October 15th. Get them done ASAP.

Impravada – see Jen immediately if you have not done your registration for this. You need your Carilion ID, state ID, and work-issued phone. This is not the same as just setting up the app so get it done. 

PGY 2 Peds Shift – is back to 2pm – 12a from 3pm, starting October 21st (next Monday). Sorry for the confusion on this. 

PGY 2 TO Shift – additional shift will be added 12-7pm on Thursday to help with workflow. This also starts on October 21st. 

Academic To-Do:

Interns – Foundations modules for this month are Psych, Tox 1, Peds 3. 

Psych https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. (links on foundations page) 

Tox 1 https://foundationsem.com/tox-environmental/

Rosen’s – chapters 139, 141, 142, 144, 145, 146, 149, 150, 154, 156, 159

Hippo ED – Tox 1, 2, 3, Alcohol, Drugs of Abuse (links on foundations page)

Peds 3 https://foundationsem.com/pediatrics/

Rosen’s – chapters 166, 174, 171, 177

Hippo ED – Peds Neuro, Peds GI (links on foundations page)

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

• PGY2/3 follows along with the intern foundation’s modules and looks at the next level content like the FOAMed links, etc. 

Conference:

Thursday, October 17th – starts with Trauma Conference, 7:30am, 1S ED at RMH. 

• SIM 1p – 4p: PGY1/3s this Thursday. 

Scheduling:

PGY 2/3 – Submit requests NOW for the upcoming block December 8 – February 15th. The deadline for requests is Sunday, October 20th @ 11:59pm. 

Podcast/Blog post of the Week: 

EM:RAPs crunch time post on Psych. Very brief and only covers high yield topics. https://www.emrap.org/episode/psych/acutepsychosis

Crunch Time – Acute Psychosis | EM:RAPPsych Full episode audio for MD edition 56:27 min – 78 MB – M4A Crunch Time EM – Psych – Individual MP3 Files 99 MB – ZIP Crunch Time EM – Psych – Written Summary 218 KB – PDFwww.emrap.org

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

16th edition. Congratulations to House Kuehl! After the 10 point bonus for the Rosh Review Quizzes, they won the eye block crown. Moving into the Psych block, the scoring started over with a clean slate. For the annual house championship, the winning house will be most blocks won (9 total before June, with an extra 1 for in-service exam scores). 

General:

Carilion ED Recycling Program – I included this again because it makes me happy. We had a very successful site with the material acquisition head of Trex Furniture last week and are set to become the FIRST health system in the country to sell plastic waste directly to their company. We ran the numbers are we are talking in the 10s of thousands of pounds annually of waste that otherwise would end up in a landfill. #gogreen   

Retreat Stuff – bring warm/outdoor type stuff to retreat. In the afternoon we are going to do an outdoor competition between the houses so pack accordingly. DK has requested NO SODAS BEFORE 4PM. On Thursday morning we are also going to be doing something outdoors for those interested. 
Retreat Bunk Assignments – have been assigned, see the attached spreadsheet. 

Cornerstone – there are some new modules that are due next week, October 15th. They don’t take a long time so get them done now. 

Google Drive Education Material – again we will continue to be adding lecture slides and education content to the drive broken down into each block. If you have stuff you want to add feel free. The journal club articles for this block are already in the folder. 

PGY 2 Peds Shift – is back to 2pm – 12a from 3pm, this has already taken effect so make note.

Academic To-Do:

Interns – Foundations modules for this month are Psych, Tox 1, Peds 3. 

Psych https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. (links on foundations page) 

Tox 1 https://foundationsem.com/tox-environmental/

Rosen’s – chapters 139, 141, 142, 144, 145, 146, 149, 150, 154, 156, 159

Hippo ED – Tox 1, 2, 3, Alcohol, Drugs of Abuse (links on foundations page)

Peds 3 https://foundationsem.com/pediatrics/

Rosen’s – chapters 166, 174, 171, 177

Hippo ED – Peds Neuro, Peds GI (links on foundations page)

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

• In general, as PGY2/3 follow along with the intern foundation’s modules and look at the next level content like the FOAMed links, etc. Make sure you’d covered the Rosen’s chapters and Hippo modules previous as well.

Conference:

No conference this week. Get ready for the retreat!!

Scheduling:

PGY 2/3 – You have now gotten 4 reminders for requests via your calendar. Submit requests NOW for the upcoming block December 8 – February 15th. The deadline for requests is Sunday, October 20th @ 11:59pm. 

Podcast/Blog post of the Week: 

Backing on the lecture last Thursday about Alcohol Withdrawal I wanted to send a link to the IBCC podcast on this topic.https://emcrit.org/pulmcrit/etoh/

Welcome to the 15th edition. We are on the final day of the block and the scoreboard is neck and neck. It is going to come down to the Rosh Review quizzes so make sure you get it done ASAP. 

General:

Carilion ED Recycling Program – we have far and away surpassed our goal of 500lbs and are being sent a free Bench. I am proud to say that with the help of Dorris Duff, Nathalia Esteves-Fuentes, Sara Wohlford, Jon Behnisch,  and Wrenn Brendel it has grown into a hospital-wide project. We had a very successful site with the material acquisition head of Trex Furniture last week and are set to become the FIRST health system in the country to sell plastic waste directly to their company. We ran the numbers are we are talking in the 10s of thousands of pounds annually of waste that otherwise would end up in a landfill.    

Bench placement – we are open to suggestions on where to put this. The idea was to paint it the color of the annual house champion and include a plaque with each year’s winners. Should this be at Riverside, resident room, TO in that area next to the CM station, etc. Let us know what you think. 

Google Drive Education Material – has been updated, go to the drive > educational content > eye block (for example) to get all the material from each block. This includes study guides like what myself and Roberta created, Dr Barksdale’s lecture, Hippo material, journal club articles, etc. This will be an easy way to alway have access to materials on the go instead of tracking down emails.

Block showdown – how did it go? We are trying to make this a great experience and are open to feedback. We will be using the buzzers moving forward to help organize. Also, one suggestion is to break up the questions into interns, 2s, 3s to get everyone involved. Let us know if you have ideas. 

Rosh Quiz – Per above, if you didn’t finish it in class get it done immediately. 

Retreat Bunk Assignments – will be assigned for those that haven’t responded. I’ll attach a grid next week. 

PGY 2 Peds Shift – is going back to 2pm – 12a from 3pm, make a note as this starts October 1st. 

Academic To-Do:

Interns – Foundations, psych block. https://foundationsem.com/psychiatry-2/Rosen’s – chapters 100-105Hippo ED – 2 videos on dementia/delirium, EtOH abuse. Links are in the foundation’s page above. 

PGY2/3 – Aliemu module on psych for 1-hour lecture credit. For the in-class component stay tuned for each specific post that we will be going over.  https://www.aliemu.com/courses/psychobehavioral-2017/

Conference:

Thursday, October 3rd – starts with PD Breakfast, 745am at Riverside 3. Ends with Resident Meeting from noon – 1pm. 

Scheduling:

PGY 2/3 – next 10 week requests will be due coming soon. Pay attention for a calendar invite. 

Podcast/Blog post of the Week: 

Kicking off psych block I figured we could start with an EmRap episode on the history of the opioid epidemic in this country. Great listen. https://www.emrap.org/episode/emrap2018july/thehistoryofthe

Welcome to the 14th edition. I apologize for the delay I was out of town until late last night. Team Fortuna made up some ground in the attendance department last week and there are now 3 teams withing 3 points leading into the last week.

General:

Wear Your Shirt – around ftown for bonus points. Take a picture as proof, the more exotic the more points. Good way to get some PR and show some pride in our respective houses. 

Aliemu for PGY 2/3s – again, complete the procedure module by the end of the month for 1 hour lecture credit. 

Retreat Bunk Assignments – Only about 10 people got back to me. If we don’t hear from you this week we will just assign bunks so speak now. 

Academic To-Do: 

Interns – Foundations 1 – HEENT but only the parts specific to eye. Try to complete as soon as possible. 
https://foundationsem.com/heent/

Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – As stated above, do the Aliemu module on procedures to get one-hour lecture credit. 

Conference:

Thursday, September 26th – starts with Critical Care Conference, 730am at RMH. Pay attention to room because there is a potential conflict with our normal 1S ED. 

Scheduling:

PGY 2/3 – the schedule is out. Take a look and make sure there aren’t any issues. 

Podcast/Blog post of the Week: 

None – make sure you prepare for the end of block showdown! All things eye related. 

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

Welcome to the 13th edition. Lots of action in house competition this week. It’s a tight race with two weeks to go in the block. 

General:

Aliemu for PGY 2/3s – there has been a little confusion here. The 2/3s are able to do a module of Aliemu each month for 1 hour of lecture credit. You need to take the quiz at the end. This month the module is “procedures”. This is independent (sometimes) of the articles from last week that we sent out. 

Retreat Bunk Assignments – get in groups of 4 and let us know as soon as possible so we can assign bunks for the retreat. Rooms need to be gender-specific so match up accordingly. 

Academic To-Do: 

Interns – Foundations 1 – HEENT but only the parts specific to eye. 
https://foundationsem.com/heent/

Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – As stated above, do the Aliemu module on procedures to get one-hour lecture credit. 

Conference:

Thursday, September 19th – SW VA Emergency MedicineConference. 7am at Riverside 2/VTC SOM. Mandatory attendance unless you are out of town.  

Scheduling:

PGY 2/3 – the schedule is out. Take a look and make sure there aren’t any issues. 

Podcast/Blog post of the Week: 

A few people raised some eyebrows and wanted more information on the Taiwan Apartment complex incident I mentioned in peer review last week. Here is (one of) the papers that were published on this incident. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2477708/pdf/hormes-05-63.pdf

Welcome to the 12th edition. The academic calendar has begun! Lots of points to go around. The August point total is being counted toward September. We hope to integrate more and more questions into each lecture with a final Jeopardy-style showdown at the end of the block. 

General:

Eye Room Patients – reminder that any patient in the eye room is supposed to be staffed by the TO resident. Try to be on the lookout for eye complaints in the waiting room. We don’t see a ton of good eye pathology so when it comes into the ED a resident needs to see it.  

SW VA Conference – September 19th, Riverside 2. RSVP to Leslie as soon as possible so she can order lunch. This is mandatory. It’s no longer out of town so we should have full attendance. 

Duty Hours in MedHub – needs to be done every week by Sunday. No exceptions. It is one of those GME things that is very easy but incredibly important. If you have the MedHub app on your phone (everyone should) it takes all of 30 seconds. 

GroupMe – everyone should be on the chat by now. At this point, you are responsible for updates sent to the group. 

Academic To-Do (new section): 

Each week I will try to break down a To-Do list for each class to simplify the process. 

Interns – Foundations 1 – HEENT but only the parts specific to eye. https://foundationsem.com/heent/
Rosen’s chapter 61 – ophthoHippo ED – 2 videos on the eye. Links are in the foundations page above. 

PGY2/3 – DUE Thursday. The following FOAMed posts. It is only 6, in the future I’ll try to give more than 4 days advanced notice but we just finalized it over the weekend. 

https://aliemcards.com/cards/eye-ddx/

https://aliemcards.com/cards/eye-painful/

https://aliemcards.com/cards/red-eye/

Acute Angle Closure Glaucoma: ED-Relevant Management

Non-Traumatic Monocular Vision Loss

Central Retinal Artery Occlusion

Conference:

Thursday, September 12th – start the day with Peds Joint Case Conference @730am, MedEd conference room. The remainder of lectures for the day will be in 1S ED Conf. We have SIM for all residents after from 1-4pm at the SIM centerfollowing. Long day but we have a short month and are missing a whole day on the 19th. 

Scheduling:

PGY 2/3 – the schedule is not out! My mistake last week. It should be up tomorrow so take a look and address any issues now if you see them. 

Podcast/Blog post of the Week: 

Crackcast part 2 of the eye chapter. https://canadiem.org/crackcast-e071-ophthalmology-part-b/

CRACKCast E071 – Ophthalmology Part B – CanadiEMThis episode of CRACKCast covers Rosen’s Chapter 71, Ophthalmology. Part B of this episode covers ocular trauma, including indications for ophthalmology consult and surgical repair. Shownotes – PDF Here Rosen’s in Perspective If you haven’t listened to Episode 21 and 22, check them out! If you want to review how to do an eye exam… 1) List 10 causes of ↓ vision post blunt eye trauma …canadiem.org