Archive for category ABEM
We all know how quickly things change in the ER. One minute you’re quietly browsing the Web, the next you’re running a code. Ironically, with all the chaos that surrounds our workplace, your laptop, iPhone, smartphone, iPad or other personal mobile device may actually be more at risk than your patients are.
All kinds of people move through the ER. Some are more than willing to commit crimes of opportunity. All it takes is for an expensive device to be left unattended for a moment and it can be gone. And despite what you might assume, not all homeowner policies cover the full value of stolen personal devices, especially ones used professionally.
It only gets worse. If somehow your device crashes to the floor and is rendered unusable, factory warranties won’t cover the repairs. Even supplemental policies, the kind offered by many retailers, exclude damage caused by full liquid submersion. (Before you ask where or how full submersion occurs, consider how many people carry cell phones and iPods in their shirt pocket wherever they go—including the bathroom.)
It wasn’t until all this was pointed out to me that I looked into the coverage for my devices. There were significant gaps. I became concerned that accidental damage would not only leave me without the use of my laptop or iPhone, but also that sensitive professional data would also be compromised or lost, raising liability issues.
My advice is for you to check out your policies for yourself. Considering how important our mobile phones and computing devices have become, the last thing you want is to face an expensive repair or replacement due to something that happened on the job. (In case you’re wondering, there are insurance companies that cover mobile devices against theft or virtually any kind of accident. The ones I found were The Worth Group, Apple Care, Square trade, mobile protect for iPhone. Some of these do not cover theft some do. The one I felt that was the most cost effective and covered thief was The Worth Group. As always do your own research and look at all your options. For now, I have only covered the items that the kids play with and the electronics at risk of being stolen.
Also, one important item to remember. Make sure you have any electronic device that might have access to patient data or has patient data under PIN. You dont want any HIPAA fines..
Texas A&M was recently given a 40 million dollar grant from the U.S. Department of Defense to develop vaccines from tobacco. What is amazing is that this 21 aces with 145,000-square-foot facility could produce a billion vaccines in a month. Clinical trials should begin late 2011. Dont worry about nicotine. The plants do not have any.
(Or: Give Me The Right Answers, ABEM!)Today we residents are post-inservice exam, put together by The American Board of Emergency Medicine, and I can say this about the test: I’m glad I’m not an intern anymore. I’ve obviously still got a lot to learn, but it’s nothing like the feeling of overwhelmth (yes, just made that up) you feel halfway through your internship thinking, “I’m supposed to know the answer to this?”
But today I’m not writing about those mushy-gushy feelings and experiences. No no. Today, I want answers.
I was always annoyed with standardized medical tests (primarily the USMLE) where you left the exam with a) no idea how you performed and b) no real feedback for several months. At this point, I don’t really care if I missed a question about cyclic GMP on USMLE Step I, but for the inservice exam, it’s a different story. This is stuff that I apparently need to know. And so, please, ABEM: I want to know the right answers.
If the point of the inservice and the boards is knowledge and learning and requiring a certain level of competency of emergency physicians, then why not give us feedback so we don’t actually screw something up with an actual patient? What, the answer wasn’t ceftriaxone? Why not? What is it that I’m not understanding about the case that you thought it so important a concept as to test it? If a resident answers that he or she wants to use an ABG to rule out a pulmonary embolism, or decide to get abdominal films as the test of choice for right lower quadrant pain, shouldn’t we be telling that resident (or his or her program) that there’s some serious educating that needs to happen?
ABEM: I want an email with feedback on the questions I missed, or wasn’t sure about. Have me optionally fill out my email address in bubble format, and when you scan through my answers and calculate my percentage, email me the answers. Or, if you don’t want to share the questions because you recycle them, email me the specific topic. Not just “management of status epilepticus,” but “second and third line agents for status epilepticus.” Not just “tick borne disease,” but “treatment of pediatric lyme disease.”