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A collection of tried and true, evidence-based strategies to incorporate teaching into the clinical environment. Includes tips for diagnosing clinical decision making, helping learners recognize clinical teaching and feedback, teaching procedures, and making the most of learning opportunities... 

Caring

Compassion fatigue is the mental and physical exhaustion affecting healthcare providers as a result of the work we do. In the ED, we're especially vulnerable; factors that contribute to compassion fatigue include high volume, high acuity, crowding, performance metrics, boarding, interruptions, and patients who are rude, aggressive, and present frequently (anecdotally, pandemics do not seem to help)...

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As faculty, we want residents to graduate as clinical experts who are prepared to handle any emergency thrown their way. Getting there requires that they spend every shift engaged in deliberate practice. Just showing up and seeing patients isn’t enough – that’s a recipe for arrested development...  

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When we’re presented with a problem, our brains shunt the cognitive work to either of two pathways, called system 1 and system 2. When we use system 1 processing, we’re making use of patterns, experience, intuition, and heuristics to guide our problem solving and decision making. System 1 is efficient, easy, and accurate – about 90 percent of the time. That 10 percent is a real bummer, though...

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How do you integrate scientific evidence into clinical practice and how are you teaching residents to do the same? While your anecdotal experiences are important sources of learning for trainees, it is also critically important to incorporate scientific evidence into your clinical teaching. Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence to guide decision making for individual patients...

Frozen Popsicles

New roles and new sites can be disorienting for learners, whether they are interns new to the ED or experienced residents taking on additional responsibilities. Providing an effective orientation for learners at the beginning of the shift decreases learner anxiety and allows them to work towards realistic goals in a more effective way—which makes your job easier...