The Maslach Burnout Inventory (MBI) is considered the "gold standard" for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. Other well-being instruments have shown utility in various settings, correlations between MBI these could provide evidence of relationships among key variables to guide efforts.We explored other instruments.We fielded a multicenter survey 9 emergency medicine (EM) residencies, administering 4 published...

Abstract Background Community acquired pneumonia (CAP) is a commonly encountered diagnosis the pediatric outpatient setting. Short durations of antimicrobial therapy 5-7 days are considered adequate for uncomplicated CAP. We wanted to utilize Electronic medical record (EMR) based tools standardize treatment Akron children’s hospital large health care provider in Northeast Ohio and offers through more than 30 offices community. This extensive network primary affords unique opportunities use...

Abstract Introduction Antibiotic stewardship in burn care is critical, however to the authors knowledge, there are no standardized practices. We sought develop a multidisciplinary antibiotic time-out (MATO) promote shared accountability through real-time evaluation and team-based decision-making. Methods The MATO consisted of clinical pharmacist, director, nursing leadership, advanced practice provider leadership information services. created an electronic note that consolidated following...

Summary Objective Children undergoing congenital cardiac surgery ( CCS ) are at increased risk for acute kidney injury AKI due to a number of factors. Recent evidence suggests may influence mortality beyond the immediate postoperative period and hospitalization. We sought determine association between renal failure longer‐term in children following . Methods Our Study population included all patients that underwent our institution during 3 years from 2004 through 2006. The primary definition...

Objectives/Hypothesis To determine whether injection augmentation reduces the likelihood of ultimately needing definitive framework surgery in unilateral vocal fold paralysis (UVFP) patients. Study Design: Retrospective cohort study. Methods All patients diagnosed with UVFP (2008–2012) at academic center were identified. The time from symptom onset to presentation either community otolaryngologist and/or center, as well any directed treatment(s), recorded. Stepwise, multivariate logistic...

Astronomy has been an inherently visual area of science for millenia, yet a majority its significant discoveries take place in wavelengths beyond human vision. There are many people, including those with low or no vision, who cannot participate fully such if media is the primary communication mechanism. Numerous efforts have worked to address equity accessibility knowledge sharing, as through creation three-dimensional (3D) printed data sets. This paper describes progress made technological...

<b>Aims:</b> Intracellular folate deficiency has been implicated in colonic carcinogenesis epidemiological studies and animal human cancer models. Our aim was to determine the effect of supplementation on patients with recurrent adenomatous polyps using rectal mucosal cell proliferation as a biomarker. <b>Patients methods:</b> Eleven colon were randomised into treatment group (n=6) receiving dietary supplement 2 mg folic acid per day for three months control (n=5) placebo. Rectal biopsies...

There is no general consensus among clinicians on the superior route or duration of treatment with N-acetylcysteine (NAC) for acute acetaminophen (APAP) poisoning, and head-to-head studies comparing intravenous (IV) oral NAC have not been done. Recent 20-hour IV protocol failures in United States prompted some to question its safety. Our objective was determine if results clinical outcomes different from longer 36-hour 72-hour protocols cases APAP poisoning. We performed a retrospective...

Abstract Burnout, the triad of emotional exhaustion, depersonalization, and low personal accomplishment, begins early in medical education prevalence continues to increase over time among U.S. physicians. The Accreditation Council for Graduate Medical Education ( ACGME ) now requires that programs sponsoring institutions have same responsibility address well‐being as they do other aspects resident competence. Yet, there are no studies published emergency medicine EM literature discuss...

Some percentage of residents and fellows across all specialties require remediation during training. Graduate medical education leaders must navigate steps to optimize resident learning acquisition skills, preserve patient safety, maintain the standards specialty.1–3 Standardized approaches performance management are available for program achieve favorable results.4–9 In 2015–2016, 1110 129 720 (0.86%) left or did not successfully complete their training program, including 843 who withdrew,...

Abstract Background The Accreditation Council for Graduate Medical Education Common Program Requirements effective 2017 state that programs and sponsoring institutions have the same responsibility to address well‐being as they do other aspects of resident competence. Objectives authors sought determine if implementation a multifaceted wellness curriculum improved burnout measured by Maslach Burnout Inventory ( MBI ). Methods We performed multicenter educational interventional trial at 10...

Abstract Background Interviews for emergency medicine (EM) residency positions largely transitioned to a virtual‐only format in 2020–2021. The impact of virtual interview factors on applicants’ rank programs is unknown. Objective We sought assess the modifiable interviews EM programs. Methods conducted cross‐sectional mixed‐methods survey students applying at least one seven study authors’ United States during 2020–2021 application cycle. was developed using an interactive Delphi process and...

Background: This study aims to determine (a) if home-based anodal transcranial direct current stimulation (a-tDCS) delivered the left supramarginal gyrus (SMG) coupled with verbal short-term memory/working memory (vSTM/WM) treatment (“RAM”, short for “Repeat After Me”) is more effective than sham-tDCS in improving vSTM/WM patients primary progressive aphasia (PPA), and (b) whether tDCS effects generalize other language cognitive abilities. Methods: Seven PPA participants received a-tDCS RAM...

In 2014, the six allopathic emergency medicine (EM) residency programs in Chicago established an annual, citywide, simulation-based assessment of all postgraduate year 2 EM residents. The cases and corresponding tools were designed by simulation directors from each participating sites. All include critical actions that map directly to numerous milestones 11 different subcompetencies. 2-hour assessments provide opportunities for residents lead resuscitations critically ill patients...

Abstract Background Assessment of trainees’ competency is challenging; the predictive power traditional evaluations debatable especially in regard to noncognitive traits. New assessments need be sought better understand affective areas like personality. Grit, defined as “perseverance and passion for long‐term goals,” can assess aspects Grit predicts educational attainment burnout rates other populations accurate with an informant report version. Self‐assessments, while useful, have inherent...