PEM Pro Dishes on Getting a Job
Location (the city, proximity to family), the Job (your hours, colleagues, opportunities) and the Money ($$). Then pick two because that’s probably the best you’ll get. Continue Reading
Predicting TBI: Prediction rules or judgment?
CT imaging has been overused to evaluate children with blunt head trauma despite associated risks to patients and costs. PECARN developed prediction rules to determine which children are at very low risk for clinically important traumatic brain injury (ciTBI). But how do these rules compare to clinical suspicion? In cases when the clinician had a low suspicion for ciTBI but ordered a CT anyway, this study determined reasoning for obtaining the CT. Continue Reading
Straight from the source: Applying to PEM Fellowship
ALiEM.com recently hosted a Q&A on applying to PEM featuring several PEM fellowship directors from around the country. It covers topics like what exact IS pediatric emergency medicine, various career opportunities, applying from pediatrics or EM, and what makes a… Continue Reading
White House Budget eliminates EMSC funding
The White House released it’s budget proposal recently and it features a series of cuts to federal spending. While presidential budgets are not law and many lawmakers have already called it “Dead on Arrival”, it does set priorities for budget negotiations moving… Continue Reading
Applying for PEM: Know before you go
Maybelle Kou, MD is the PEM fellowship director at INOVA Children’s Hospital and a member of the AAP Society on Emergency Medicine Program Directors Committee. She addresses the basics of applying. So I’m interested in applying to Pediatric Emergency Medicine (PEM) Fellowships.… Continue Reading
MD Cents: Food for Thought on Your Career’s Location
An interesting article was released a few weeks ago regarding the “best” and “worst” states in which to practice medicine. I’m pretty happy practicing where I do and I hope you can say the same, regardless, I was curious. You… Continue Reading
Epinephrine or Dopamine? Results may shock you
Sepsis results in high rates of mortality. That is a problem. While some diagnostic and treatment guidelines for pediatric sepsis exist, some areas remain debatable. One of those debates is what is the best first-line vasoactive infusion for children with fluid-refractory shock? Continue Reading
Cutting out the surgeon from appendicitis?
I remember being a medical student on general surgery and drawing the short straw, the straw that meant I had to call the attending surgeon at 1am about a patient in the ED with routine appendicitis. The surgeon answered the phone, strung off a slew of expletives, and finished with the statement, “I’m on my way.” Continue Reading