Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Alexis Pelletier-Bui (Cooper University Hospital Associate PD) and Dr. Elizabeth Werley (prior Penn State Hershey PD). Both serve as key representatives on behalf of the EM specialty on the AAMC ERAS Supplemental Application Working Group. We discuss the changes made, why they were done, and potential sticking points for medical students while completing the application. We also do a deeper dive on "program signaling". What is it, how many programs can EM applicants list, and nuanced decisions to consider. Audio engineer: Kellen Vu

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Alexis Pelletier-Bui (Cooper University Hospital Associate PD) and Dr. Elizabeth Werley (prior Penn State Hershey PD). Both serve as key representatives on behalf of the EM specialty on the AAMC ERAS Supplemental Application Working Group. We discuss the changes made, why they were done, and potential sticking points for medical students while completing the application. We also do a deeper dive on "program signaling". What is it, how many programs can EM applicants list, and nuanced decisions to consider. Audio engineer: Kellen Vu

EM Match Advice 41: The ERAS Application - New and Improved

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the Dr. Abra Fant (Northwestern PD) and Dr. Richard Church (University of Massachusetts PD) to debrief each other and you with what went down with the unprecedented results from 2023 EM Match. There were 132 programs with a total of 554 (18.4%) positions that went unfilled. Contrast that to our usual unfilled rates of 0-30 positions in 2015-2021. We review "The Slide" with all the numbers from the National Resident Matching Program (NRMP) from the past few years. We propose reasons why there were so many unfilled positions in 2023. What does this mean for the upcoming 2024 Match? Show notes and tables at: https://www.ALiEM.com/em-match-advice-40-program-directors-reflect-2023-match/ Audio engineer: Kellen Vu

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the Dr. Abra Fant (Northwestern PD) and Dr. Richard Church (University of Massachusetts PD) to debrief each other and you with what went down with the unprecedented results from 2023 EM Match. There were 132 programs with a total of 554 (18.4%) positions that went unfilled. Contrast that to our usual unfilled rates of 0-30 positions in 2015-2021. We review "The Slide" with all the numbers from the National Resident Matching Program (NRMP) from the past few years. We propose reasons why there were so many unfilled positions in 2023. What does this mean for the upcoming 2024 Match? Show notes and tables at: <a href="https://www.ALiEM.com/em-match-advice-40-program-directors-reflect-2023-match/" rel="nofollow" target="_blank">https://www.ALiEM.com/em-match-advice-40-program-directors-reflect-2023-match/</a> Audio engineer: Kellen Vu

EM Match Advice 40: PD’s Reflect on the 2023 Match

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the always-wise Dr. Matt Pirotte (Vanderbilt University PD) to answer questions that YOU, the students, submitted to us regarding interview season. We tackle questions involving the nuances around:  Preference signaling  Writing letters or emails of interest Meaningfully connecting with busy program directors  Also we answer the perennial question of "Really, how important IS the interview in my overall application?" Audio engineer: Kellen Vu

Dr. Sara Krzyzaniak (Host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by the always-wise Dr. Matt Pirotte (Vanderbilt University PD) to answer questions that YOU, the students, submitted to us regarding interview season. We tackle questions involving the nuances around: <ul> <li>Preference signaling </li> <li>Writing letters or emails of interest</li> <li>Meaningfully connecting with busy program directors</li> </ul> Also we answer the perennial question of "Really, how important IS the interview in my overall application?" Audio engineer: Kellen Vu

EM Match Advice 39: Mailbag Q&A as a Mid-Interview Season Check-in

Speakers: Arianna Campbell, PA-C (Marshall Medical Center) Aimee Moulin, MD FACEP (Professor of Emergency Medicine at University of California Davis, Chief of the Division of Addiction Medicine)  Host: Jason Woods, MD (Assistant Professor of Pediatrics - Emergency Medicine, University of Colorado) Audio engineer: Kellen Vu (Stanford University)

Speakers: <ul><li>Arianna Campbell, PA-C (Marshall Medical Center)</li> <li>Aimee Moulin, MD FACEP (Professor of Emergency Medicine at University of California Davis, Chief of the Division of Addiction Medicine)</li> </ul> Host: Jason Woods, MD (Assistant Professor of Pediatrics - Emergency Medicine, University of Colorado) Audio engineer: Kellen Vu (Stanford University)

ACEP E-QUAL 52: How to build a Bridge Program and pay for it | Opioid Initiative

In this episode of EM Match Advice, our new host, Dr. Sara Krzyzaniak (Stanford University), already has her finger on the pulse on the 2022-23 EM residency application season. Hot off the presses, the Council of EM Residency Directors just released its Standardized Letter of Evaluation (SLOE). We are honored to have CDEM president, Dr. Sharon Bord (Johns Hopkins University) and Dr. Doug Franzen (University of Washington), walk us through the document and the behind-the-scenes thought processes.  Co-host: Dr. Michelle Lin (UCSF) Sound Engineer: Kellen Vu   https://www.ALiEM.com/em-match-advice-38-our-2-cents-sloe-standardized-letter-of-evaluation

In this episode of EM Match Advice, our new host, Dr. Sara Krzyzaniak (Stanford University), already has her finger on the pulse on the 2022-23 EM residency application season. Hot off the presses, the Council of EM Residency Directors just released its Standardized Letter of Evaluation (SLOE). We are honored to have CDEM president, Dr. Sharon Bord (Johns Hopkins University) and Dr. Doug Franzen (University of Washington), walk us through the document and the behind-the-scenes thought processes. Co-host: Dr. Michelle Lin (UCSF) Sound Engineer: Kellen Vu <a href="https://www.ALiEM.com/em-match-advice-38-our-2-cents-sloe-standardized-letter-of-evaluation" rel="nofollow" target="_blank">https://www.ALiEM.com/em-match-advice-38-our-2-cents-sloe-standardized-letter-of-evaluation</a>

EM Match Advice 38: Our 2 Cents | The new Standardized Letter of Evaluation (SLOE)

Guest: Edward Jauch MD, MS (Chief of System Research, Mission Health System, Asheville, NC) Host: Jason Woods MD References:  Jauch EC, Cucchiara B, Adeoye O, Meurer W, Brice J, Chan YY, Gentile N, Hazinski MF. Part 11: adult stroke: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S818-28. doi: 10.1161/CIRCULATIONAHA.110.971044. Erratum in: Circulation. 2011 Oct 11;124(15):e404. PMID: 20956227. Dall TM, Storm MV, Chakrabarti R, Drogan O, Keran CM, Donofrio PD, Henderson VW, Kaminski HJ, Stevens JC, Vidic TR. Supply and demand analysis of the current and future US neurology workforce. Neurology. 2013 Jul 30;81(5):470-8. doi: 10.1212/WNL.0b013e318294b1cf. Epub 2013 Apr 17. PMID: 23596071; PMCID: PMC3776531. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S397-413. doi: 10.1161/CIR.0000000000000258. PMID: 26472992. Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, Khalessi AA, Bushnell C, Barsan WG, Panagos P, Alberts MJ, Tiner AC, Schwamm LH, Jauch EC. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke. 2019 Jul;50(7):e187-e210. doi: 10.1161/STR.0000000000000173. Epub 2019 May 20. Erratum in: Stroke. 2020 Apr;51(4):e70. PMID: 31104615.

Guest: Edward Jauch MD, MS (Chief of System Research, Mission Health System, Asheville, NC) Host: Jason Woods MD References: <ol> <li>Jauch EC, Cucchiara B, Adeoye O, Meurer W, Brice J, Chan YY, Gentile N, Hazinski MF. Part 11: adult stroke: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S818-28. doi: 10.1161/CIRCULATIONAHA.110.971044. Erratum in: Circulation. 2011 Oct 11;124(15):e404. PMID: 20956227.</li> <li>Dall TM, Storm MV, Chakrabarti R, Drogan O, Keran CM, Donofrio PD, Henderson VW, Kaminski HJ, Stevens JC, Vidic TR. Supply and demand analysis of the current and future US neurology workforce. Neurology. 2013 Jul 30;81(5):470-8. doi: 10.1212/WNL.0b013e318294b1cf. Epub 2013 Apr 17. PMID: 23596071; PMCID: PMC3776531.</li> <li>Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S397-413. doi: 10.1161/CIR.0000000000000258. PMID: 26472992.</li> <li>Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, Khalessi AA, Bushnell C, Barsan WG, Panagos P, Alberts MJ, Tiner AC, Schwamm LH, Jauch EC. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update. Stroke. 2019 Jul;50(7):e187-e210. doi: 10.1161/STR.0000000000000173. Epub 2019 May 20. Erratum in: Stroke. 2020 Apr;51(4):e70. PMID: 31104615.</li></ol>

ACEP E-QUAL 51: Stroke Systems of Care

This episode is a rapid fire review of litigation issues surrounding the provision of (or lack of provision of) tPA for stroke. Guests: Latha Ganti, MD, MS, MBA Professor of Emergency Medicine &amp; Neurology ,University of Central Florida College of Medicine Joshua N. Goldstein MD, PhD Professor of Emergency Medicine, Harvard Medical School Host: Jason Woods MD References:  Chernyshev OY, Martin-Schild S, Albright KC, Barreto A, Misra V, Acosta I, Grotta JC, Savitz SI. Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia. Neurology. 2010 Apr 27;74(17):1340-5. doi: 10.1212/WNL.0b013e3181dad5a6. Epub 2010 Mar 24. PMID: 20335564; PMCID: PMC2875935. Gebel JM, Sila CA, Sloan MA, Granger CB, Mahaffey KW, Weisenberger J, Green CL, White HD, Gore JM, Weaver WD, Califf RM, Topol EJ. Thrombolysis-related intracranial hemorrhage: a radiographic analysis of 244 cases from the GUSTO-1 trial with clinical correlation. Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries. Stroke. 1998 Mar;29(3):563-9. doi: 10.1161/01.str.29.3.563. PMID: 9506593. Kass J et al. CONTINUUM (MINNEAP MINN) 2020;26(2, CEREBROvascular disease): 499-505 

This episode is a rapid fire review of litigation issues surrounding the provision of (or lack of provision of) tPA for stroke. Guests: Latha Ganti, MD, MS, MBA Professor of Emergency Medicine &amp; Neurology ,University of Central Florida College of Medicine Joshua N. Goldstein MD, PhD Professor of Emergency Medicine, Harvard Medical School Host: Jason Woods MD References: <ol> <li>Chernyshev OY, Martin-Schild S, Albright KC, Barreto A, Misra V, Acosta I, Grotta JC, Savitz SI. Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia. Neurology. 2010 Apr 27;74(17):1340-5. doi: 10.1212/WNL.0b013e3181dad5a6. Epub 2010 Mar 24. PMID: 20335564; PMCID: PMC2875935.</li> <li>Gebel JM, Sila CA, Sloan MA, Granger CB, Mahaffey KW, Weisenberger J, Green CL, White HD, Gore JM, Weaver WD, Califf RM, Topol EJ. Thrombolysis-related intracranial hemorrhage: a radiographic analysis of 244 cases from the GUSTO-1 trial with clinical correlation. Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries. Stroke. 1998 Mar;29(3):563-9. doi: 10.1161/01.str.29.3.563. PMID: 9506593.</li> <li>Kass J et al. CONTINUUM (MINNEAP MINN) 2020;26(2, CEREBROvascular disease): 499-505</li> </ol>

ACEP E-QUAL 50: tPA for Stroke and Litigation

Guest: Adam Oostema, MD MS FACEP (Associate Professor of EM, Michigan State University College of Human Medicine) Host: Jason Woods MD   Select References:  National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401. PMID: 7477192. Saver JL, Gornbein J, Starkman S. Graphic reanalysis of the two NINDS-tPA trials confirms substantial treatment benefit. Stroke. 2010 Oct;41(10):2381-90. doi: 10.1161/STROKEAHA.110.583807. Epub 2010 Sep 9. PMID: 20829518; PMCID: PMC2949055. Kwiatkowski TG et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year. National Institute of Neurological Disorders and Stroke Recombinant Tissue Plasminogen Activator Stroke Study Group. N Engl J Med. 1999 Jun 10;340(23):1781-7. doi: 10.1056/NEJM199906103402302. PMID: 10362821. Ingall TJ et al. Findings from the reanalysis of the NINDS tissue plasminogen activator for acute ischemic stroke treatment trial. Stroke. 2004 Oct;35(10):2418-24. doi: 10.1161/01.STR.0000140891.70547.56. Epub 2004 Sep 2. PMID: 15345796. Emberson J et al. Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet. 2014 Nov 29;384(9958):1929-35. doi: 10.1016/S0140-6736(14)60584-5. Epub 2014 Aug 5. PMID: 25106063; PMCID: PMC4441266. Hacke W et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008 Sep 25;359(13):1317-29. doi: 10.1056/NEJMoa0804656. PMID: 18815396. Alper BS et al. Thrombolysis with alteplase 3-4.5 hours after acute ischaemic stroke: trial reanalysis adjusted for baseline imbalances. BMJ Evid Based Med. 2020 Oct;25(5):168-171. doi: 10.1136/bmjebm-2020-111386. Epub 2020 May 19. PMID: 32430395; PMCID: PMC7548536. Powers WJ et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30. Erratum in: Stroke. 2019 Dec;50(12):e440-e441. PMID: 31662037.

Guest: Adam Oostema, MD MS FACEP (Associate Professor of EM, Michigan State University College of Human Medicine) Host: Jason Woods MD Select References: <ul> <li>National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401. PMID: 7477192.</li> <li>Saver JL, Gornbein J, Starkman S. Graphic reanalysis of the two NINDS-tPA trials confirms substantial treatment benefit. Stroke. 2010 Oct;41(10):2381-90. doi: 10.1161/STROKEAHA.110.583807. Epub 2010 Sep 9. PMID: 20829518; PMCID: PMC2949055.</li> <li>Kwiatkowski TG et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year. National Institute of Neurological Disorders and Stroke Recombinant Tissue Plasminogen Activator Stroke Study Group. N Engl J Med. 1999 Jun 10;340(23):1781-7. doi: 10.1056/NEJM199906103402302. PMID: 10362821.</li> <li>Ingall TJ et al. Findings from the reanalysis of the NINDS tissue plasminogen activator for acute ischemic stroke treatment trial. Stroke. 2004 Oct;35(10):2418-24. doi: 10.1161/01.STR.0000140891.70547.56. Epub 2004 Sep 2. PMID: 15345796.</li> <li>Emberson J et al. Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet. 2014 Nov 29;384(9958):1929-35. doi: 10.1016/S0140-6736(14)60584-5. Epub 2014 Aug 5. PMID: 25106063; PMCID: PMC4441266.</li> <li>Hacke W et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008 Sep 25;359(13):1317-29. doi: 10.1056/NEJMoa0804656. PMID: 18815396.</li> <li>Alper BS et al. Thrombolysis with alteplase 3-4.5 hours after acute ischaemic stroke: trial reanalysis adjusted for baseline imbalances. BMJ Evid Based Med. 2020 Oct;25(5):168-171. doi: 10.1136/bmjebm-2020-111386. Epub 2020 May 19. PMID: 32430395; PMCID: PMC7548536.</li> <li>Powers WJ et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418. doi: 10.1161/STR.0000000000000211. Epub 2019 Oct 30. Erratum in: Stroke. 2019 Dec;50(12):e440-e441. PMID: 31662037.</li></ul>

ACEP E-QUAL 49: Code Stroke | Optimizing ED Stroke Response

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes the shocking news of so many SOAP positions this year (over 200!) as well as the upcoming preference signaling being employed in the 2022-23 Match season. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an all-star panel of 3 program directors, Dr. Sara Krzyzaniak (Stanford University), Dr. Abra Fant (Northwestern University), and Dr. Bonnie Kaplan (Denver Health). Sound Engineer: Kellen Vu  Go to the EM Match Advice blog posts on ALiEM. 

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes the shocking news of so many SOAP positions this year (over 200!) as well as the upcoming preference signaling being employed in the 2022-23 Match season. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an all-star panel of 3 program directors, Dr. Sara Krzyzaniak (Stanford University), Dr. Abra Fant (Northwestern University), and Dr. Bonnie Kaplan (Denver Health). Sound Engineer: Kellen Vu <a href="https://www.aliem.com/em-match-advice-series/" rel="nofollow" target="_blank">Go to the EM Match Advice blog posts on ALiEM.</a>

EM Match Advice 37: Program Directors Reflect on the 2022 Residency Match

Join us in the sixth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is New Rules of Work: The Muse Playbook for Navigating the Modern Workplace by Alexandra Cavoulacos and Kathryn Minshew. Come sign up! https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/

Join us in the sixth installment of ALiEM's The Leader's Library, which is a professional development book club for health professionals. Led by Dr. Dina Wallin and a team of renowned educators, the featured book is New Rules of Work: The Muse Playbook for Navigating the Modern Workplace by Alexandra Cavoulacos and Kathryn Minshew. Come sign up! <a href="https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/" rel="nofollow" target="_blank">https://www.aliem.com/leaders-library-new-rules-of-work-sign-up-book-club/</a>

The Leader’s Library 6: New Rules of Work

Educational podcasts about academics, life, and clinical emergency medicine

In this episode from ACEP E-QUAL, we feature Dr. Jeanmarie Perrone (@JMPerroneMD), Professor of Emergency Medicine and the Director of the Center for Addiction Medicine and Policy at the University of Pennsylvania.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

In this episode from ACEP E-QUAL, we feature Dr. Jeanmarie Perrone (<a href="https://twitter.com/JMPerroneMD" rel="nofollow" target="_blank">@JMPerroneMD</a>), Professor of Emergency Medicine and the Director of the <a href="http://www.penncamp.org" rel="nofollow" target="_blank">Center for Addiction Medicine and Policy</a> at the University of Pennsylvania.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

ACEP E-QUAL 48: Supporting New Buprenorphine Providers

In this episode from ACEP E-QUAL, Dr. Bill Soares is an Associate Professor of EM and Director of Harm Reduction Services in the Deptartment of Emergency Medicine at Bay State Medical Center. He also serves as a Fellow at the Institute of Health Care Delivery and Population Science at the University of Massachusetts Chan School of Medicine.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

In this episode from ACEP E-QUAL, Dr. Bill Soares is an Associate Professor of EM and Director of Harm Reduction Services in the Deptartment of Emergency Medicine at Bay State Medical Center. He also serves as a Fellow at the Institute of Health Care Delivery and Population Science at the University of Massachusetts Chan School of Medicine.  Host: Jason Woods, MD Sound Engineer: Kellen Vu

ACEP E-QUAL 47: Harm Reduction in the Emergency Department

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes "love letters" to programs and second look visits. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Emily Fisher (University of Oklahoma), Dr. William Paolo (SUNY Upstate), and Dr. Michael Van Meter (University of Texas Health Science Center at Houston).

In this episode of EM Match Advice, our panel tackles the hot topic of making your rank list for residency match, which includes "love letters" to programs and second look visits. In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Emily Fisher (University of Oklahoma), Dr. William Paolo (SUNY Upstate), and Dr. Michael Van Meter (University of Texas Health Science Center at Houston).

EM Match Advice 36: It is Time to Make Your Rank List

In this episode from ACEP E-QUAL, Dr. Elizabeth Samuels discusses a social emergency medicine approach to opioid use disorder. Guest: Elizabeth A. Samuels, MD MPH MHS, Brown Emergency Medicine Host: Jason Woods MD    Select references: Weiner SG, Baker O, Bernson D, Schuur JD. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Ann Emerg Med. 2020 Jan;75(1):13-17. doi: 10.1016/j.annemergmed.2019.04.020. Epub 2019 Jun 20. PMID: 31229387; PMCID: PMC6920606. Wakeman SE, Larochelle MR, Ameli O, et al. Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder. JAMA Netw Open. 2020;3(2):e1920622. doi:10.1001/jamanetworkopen.2019.20622 Larochelle MR, Bernson D, Land T, Stopka TJ, Wang N, Xuan Z, Bagley SM, Liebschutz JM, Walley AY. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. Epub 2018 Jun 19. PMID: 29913516; PMCID: PMC6387681. Kilaru AS, Xiong A, Lowenstein M, et al. Incidence of Treatment for Opioid Use Disorder Following Nonfatal Overdose in Commercially Insured Patients. JAMA Netw Open. 2020;3(5):e205852. Published 2020 May 1. doi:10.1001/jamanetworkopen.2020.5852 D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. doi: 10.1001/jama.2015.3474. PMID: 25919527; PMCID: PMC4527523. Hawk KF, D’Onofrio G, Chawarski MC, et al. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Netw Open. 2020;3(5):e204561. doi:10.1001/jamanetworkopen.2020.4561

In this episode from ACEP E-QUAL, Dr. Elizabeth Samuels discusses a social emergency medicine approach to opioid use disorder. <ul><li>Guest: Elizabeth A. Samuels, MD MPH MHS, Brown Emergency Medicine</li> <li>Host: Jason Woods MD</li> </ul> Select references: <ol><li>Weiner SG, Baker O, Bernson D, Schuur JD. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Ann Emerg Med. 2020 Jan;75(1):13-17. doi: 10.1016/j.annemergmed.2019.04.020. Epub 2019 Jun 20. PMID: 31229387; PMCID: PMC6920606.</li> <li>Wakeman SE, Larochelle MR, Ameli O, et al. Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder. JAMA Netw Open. 2020;3(2):e1920622. doi:10.1001/jamanetworkopen.2019.20622</li> <li>Larochelle MR, Bernson D, Land T, Stopka TJ, Wang N, Xuan Z, Bagley SM, Liebschutz JM, Walley AY. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. Epub 2018 Jun 19. PMID: 29913516; PMCID: PMC6387681.</li> <li>Kilaru AS, Xiong A, Lowenstein M, et al. Incidence of Treatment for Opioid Use Disorder Following Nonfatal Overdose in Commercially Insured Patients. JAMA Netw Open. 2020;3(5):e205852. Published 2020 May 1. doi:10.1001/jamanetworkopen.2020.5852</li> <li>D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. doi: 10.1001/jama.2015.3474. PMID: 25919527; PMCID: PMC4527523.</li> <li>Hawk KF, D’Onofrio G, Chawarski MC, et al. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Netw Open. 2020;3(5):e204561. doi:10.1001/jamanetworkopen.2020.4561</li></ol>

ACEP E-QUAL 46: Opioids and Social Emergency Medicine

In this episode of EM Match Advice, our panel takes on the tough issues of 2021. Specifically we discuss the American College of Emergency Physicians (ACEP) Workforce Study that projects fewer jobs for emergency physicians and the hot-off-the-press ERAS data showing a drop in the number of EM residency applicants, compared to 2 years ago. Did one cause the other?  In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Cassandra Bradby (East Carolina University), Dr. Adam Kellogg (Baystate Health), and Dr. Craig Krausz (Saint Louis University). 

In this episode of EM Match Advice, our panel takes on the tough issues of 2021. Specifically we discuss the <a href="https://www.annemergmed.com/article/S0196-0644(21)00439-X/fulltext" rel="nofollow" target="_blank">American College of Emergency Physicians (ACEP) Workforce Study</a> that projects fewer jobs for emergency physicians and the <a href="https://www.aamc.org/data-reports/interactive-data/eras-statistics-data" rel="nofollow" target="_blank">hot-off-the-press ERAS data</a> showing a drop in the number of EM residency applicants, compared to 2 years ago. Did one cause the other? In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Cassandra Bradby (East Carolina University), Dr. Adam Kellogg (Baystate Health), and Dr. Craig Krausz (Saint Louis University).

EM Match Advice 35: Where did all the jobs go, and did the applicants follow?

This session for the INFODEMIC Conference features speakers, Dr. Seema Yasmin and Dr. Yvonne Maldonado. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Dr. Seema Yasmin and Dr. Yvonne Maldonado. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

INFODEMIC 01: Introduction and COVID-19 Update

This session for the INFODEMIC Conference features speaker, Dr. Heidi Larson. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speaker, Dr. Heidi Larson. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

INFODEMIC 02: Vaccine Confidence

This session for the INFODEMIC Conference features speakers, Drs. Agnes Binagwaho, Aida Habtezion, and Gloria Giraldo, and moderated by Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Drs. Agnes Binagwaho, Aida Habtezion, and Gloria Giraldo, and moderated by Dr. Seema Yasmin. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

INFODEMIC 03: Vaccine Hesitancy

This session for the INFODEMIC Conference features speakers, Dr. Italo Brown. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Dr. Italo Brown. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

INFODEMIC 04: COViD-19 and the Distrust of Healthcare

This session for the INFODEMIC Conference features speakers, Danielle Pacia, Lisa Menning, and Tom Bollyky, and moderated by William Haseltine. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

This session for the INFODEMIC Conference features speakers, Danielle Pacia, Lisa Menning, and Tom Bollyky, and moderated by William Haseltine. INFODEMIC is a Stanford conference on social media and COVID-19 misinformation in 2021, has released open access podcasts of their discussions.

INFODEMIC 05: Achieving COVID-19 Vaccine Equity

Very cool editing and content that highlights wonderful learning opportunity.. The cast of folks are exceptional and I can’t wait to hear more of short bits from great leaders.

Awesome platform

This podcast has great, short content related to emergency medicine.  The audio quality is exceptional.  I look forward to hearing more episodes!

Great new EM podcast

Academic Life in Emergency Medicine

Dr. Christian Tomaszewski and Dr. Michael Ross reviews the 2018 ACEP Clinical Policy on Critical Issues in the Evaluation and Management of Emergency Department Patients with Suspected Non–ST-Elevation Acute Coronary Syndromes (NSTEMI). Read the entire policy here: https://www.acep.org/patient-care/clinical-policies/nonst-elevation-acute-coronary-syndromes/  Dr. Tomaszewski was the lead for writing this clinical policy and is a Professor of Emergency Medicine at UC San Diego. Mr. Ross is a Professor of Emergency Medicine at Emory. He is the Medical Director of Observation Medicine for the Department of Emergency Medicine and the Chest Pain Center Director for Emory University. Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal

Dr. Christian Tomaszewski and Dr. Michael Ross reviews the 2018 ACEP Clinical Policy on Critical Issues in the Evaluation and Management of Emergency Department Patients with Suspected Non–ST-Elevation Acute Coronary Syndromes (NSTEMI). Read the entire policy here: <a href="https://www.acep.org/patient-care/clinical-policies/nonst-elevation-acute-coronary-syndromes/" rel="nofollow" target="_blank">https://www.acep.org/patient-care/clinical-policies/nonst-elevation-acute-coronary-syndromes/</a> Dr. Tomaszewski was the lead for writing this clinical policy and is a Professor of Emergency Medicine at UC San Diego. Mr. Ross is a Professor of Emergency Medicine at Emory. He is the Medical Director of Observation Medicine for the Department of Emergency Medicine and the Chest Pain Center Director for Emory University. Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu <a href="http://www.acep.org/equal" rel="nofollow" target="_blank">www.acep.org/equal</a>

ACEP E-QUAL 21: ACEP Non-STEMI Clinical Policy

In this episode from the ACEP-EQUAL series, Dr. Steven Godwin and Dr. Richard Shih review the recently published ACEP clinical policy regarding the treatment of headaches in the emergency department.  Guests: Dr. Steven Godwin (Professor and Chair of Emergency Medicine, University of Florida), Dr. Richard Shih  (Professor of Integrated Medical Science and Program, Charles E Schmidt College of Medicine at Florida Atlantic University)  Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu www.acep.org/equal References:  Perry JJ et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013 Sep 25;310(12):1248-55. doi: 10.1001/jama.2013.278018 Carpenter CR et al. Spontaneous Subarachnoid Hemorrhage. A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds. Acad Emerg Med. 2016 Sep;23(9):963-1003. doi: 10.1111/acem.12984. Epub 2016 Sep 6.  Perry JJ. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d4277 Dubosh NM et al. Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis.Stroke. 2016 Mar;47(3):750-5. doi: 10.1161/STROKEAHA.115.011386.  Carstairs SD. Computed tomographic angiography for the evaluation of aneruysmal subarachnoid hemorrhage. Acad Emerg Med. 2006 May;13(5):486-92. Epub 2006 Mar 21.  El Khaldi M. et al. Detection of cerebral aneurysms in nontraumatic subarachnoid haemorrhage: role of multislice CT angiography in 130 consecutive patients. La radiologia medica. 200 Feb;112(1):123–137.  Menke J et al. Diagnosing cerebral aneurysms by computed tomographic angiography: meta-analysis. Ann Neurol. 2011 Apr;69(4):646-54. doi: 10.1002/ana.22270.  Friedman BW et al. Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine. Neurology. 2017 Nov 14; 89(20): 2075–2082. doi: 10.1212/WNL.0000000000004642

In this episode from the ACEP-EQUAL series, Dr. Steven Godwin and Dr. Richard Shih review the recently published ACEP clinical policy regarding the treatment of headaches in the emergency department. Guests: Dr. Steven Godwin (Professor and Chair of Emergency Medicine, University of Florida), Dr. Richard Shih  (Professor of Integrated Medical Science and Program, Charles E Schmidt College of Medicine at Florida Atlantic University) Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu <a href="http://www.acep.org/equal" rel="nofollow" target="_blank">www.acep.org/equal</a> References: <ol><li>Perry JJ et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013 Sep 25;310(12):1248-55. doi: 10.1001/jama.2013.278018 Carpenter CR et al. Spontaneous Subarachnoid Hemorrhage. A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds. Acad Emerg Med. 2016 Sep;23(9):963-1003. doi: 10.1111/acem.12984. Epub 2016 Sep 6. </li> <li>Perry JJ. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011; 343 doi: <a href="https://doi.org/10.1136/bmj.d4277" rel="nofollow" target="_blank">https://doi.org/10.1136/bmj.d4277</a> Dubosh NM et al. Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis.Stroke. 2016 Mar;47(3):750-5. doi: 10.1161/STROKEAHA.115.011386. </li> <li>Carstairs SD. Computed tomographic angiography for the evaluation of aneruysmal subarachnoid hemorrhage. Acad Emerg Med. 2006 May;13(5):486-92. Epub 2006 Mar 21. </li> <li>El Khaldi M. et al. Detection of cerebral aneurysms in nontraumatic subarachnoid haemorrhage: role of multislice CT angiography in 130 consecutive patients. La radiologia medica. 200 Feb;112(1):123–137. </li> <li>Menke J et al. Diagnosing cerebral aneurysms by computed tomographic angiography: meta-analysis. Ann Neurol. 2011 Apr;69(4):646-54. doi: 10.1002/ana.22270. </li> <li>Friedman BW et al. Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine. Neurology. 2017 Nov 14; 89(20): 2075–2082. doi: 10.1212/WNL.0000000000004642</li></ol>

ACEP E-QUAL 32: Headache Clinical Policy

Alexis LaPietra

Dr. Alexis LaPietra, the creator of the ALternatives To Opioids (ALTO) program, provides insights into the nuts and bolts of starting an ALTO program at one's local institution. Dr. LaPietra is the Medical Director of the EM Pain Management program at St. Joseph’s and created the Pain Management and Addition Medicine Section for the American College of Emergency Physicians. Hosted by Dr. Michelle Lin. www.acep.org/equal

Dr. Alexis LaPietra, the creator of the ALternatives To Opioids (ALTO) program, provides insights into the nuts and bolts of starting an ALTO program at one's local institution. Dr. LaPietra is the Medical Director of the EM Pain Management program at St. Joseph’s and created the Pain Management and Addition Medicine Section for the American College of Emergency Physicians. Hosted by Dr. Michelle Lin. <a href="http://www.acep.org/equal" rel="nofollow" target="_blank">www.acep.org/equal</a>

ACEP E-QUAL 15: ALTO Program and the Opioid Initiative

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