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The Death of Emergency Medicine?
I make reference to this recent article posted in the BMJ: https://www.bmj.com/content/390/bmj.r2051
It's written by an Emergency Physician, and it talks about the shifting culture, away from clinical judgement and towards defensive practice and extensive documentation.
He says that this is "because of fear rather than curiosity", and adds that they're "all terrified—of missing something rare, of complaints", and as such "they end up immobilised".
He concludes with this:
"The deeper solution may be a genuine culture shift....the system must value the time it takes to give patients explanations. Ordering a test can be done in seconds but talking through uncertainty takes much longer. The system must recognise that those minutes are what make medicine safer... It’s about replacing “what if” with clinical courage."
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Helpful Tools for New Docs
So, given that we're at the point where there's usually a lot of brand new doctors running around on the wards, what better time than now to go over some helpful pointers to make the transition easier!
It can be a but much to suddenly be thrust into the ward environment, what with all the responsibilities and prioritization and endless list of tasks; so let's try to break things down a bit, with some help from the good old Geeky Medics site!
The real "trial by fire" is what you will come to know as the On Call Shift, so check these links out to get some printers and different perspectives on what you should expect, and also how to deal with it!
From our Blog: https://medlifeguide.wixsite.com/medlifeguide/post/you-ve-been-bleeped
A post about an unwell patient you've been called to review and different ways the scenario could play out.
https://geekymedics.com/common-medical-on-call-scenarios-and-jobs/Common tasks you may…


