Posts Tagged advocacy handbook

Procedural Sedation in the ED, Part I

It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED.

We must persevere to provide the best procedural sedation for the maximal comfort and safety for our patients. This brief lecture was originally posted on the defunct EMCrit Lecture Site on 8/7/2009.

I’m reposting it here so that I can post part II sometime this week.

This episode, Part I, covers general concepts on sedation as well as ketamine and etomidate/fentanyl.

[Click Here to Read More and Hear the Lecture]

, , , , ,

1 Comment

My Take Home Message…

It’s been my experience that conferences are often like great big pep rallies, except usually the night or day following the pep rally the big game happens.  Keeping motivation and spreading it tends to be more difficult when it comes to motivating people towards advocacy.  I decided that this time I would be prepared for my trip back home.  I loaded up with copies of the EMRA Advocacy Handbook, and filled my head with information before departing D.C., but it seems that I wasn’t as prepared as I should have been.

Once home, I found that by and large the residents that I spoke to could largely be grouped into one of two classes: 1) Those who wish that the knew more about health policy and health care legislation, but didn’t know where to find it, or 2) Those who were glad that I enjoyed “that stuff”, but it wasn’t for them.  

The first group, I’m sure all of us reading this blog are familiar with; If it isn’t us now, it was us at some point in our careers.  What I found funny was that I found more interest in the latter group.  Many of them because I knew well enough to know that the DID have a stance on health policy.  Most were surprised when they learned that many of the things that interested them not only “counted” as advocacy, but were discussed at the conference.   Whether the interest was EMS diversion, patient literacy, or on call coverage, each person had an advocacy interest; Most of them thought that their interest fell outside of the lines.

 Additionally, many complained that too often in residency we get so caught up in treating the patient, doing paperwork and making rounds that we neglect the non-clinical aspects of medicine.  Just as how EM was left out of the EMTALA talks years ago, this goes on in hospital administration today.  The sentiment seemed to be “we don’t know how, we don’t have time, so we don’t.”  This made me reflect on my biggest fault.  I an terribly guilty of the “If I Don’t Do It, No One Will” mentality.  It dawned upon me that there are many people who are ready to step up and fill in the big roles; including the resident level.  However as residents we are new to the field and what many of us need is someone who will show us the way.  Admittedly, one of my strengths is in seeking out new opportunities; however, because if my aforementioned fault I often kept them to myself.  As my residency continues it is my goal to pass those opporunities on to others for the betterment of myself, my peers and our collective careers.

, , ,

No Comments

Approaching the Launch of LAC

It is now four days from the start of the Leadership and Advocacy Conference on April 19th. Figuring out what to write about for this pre-LAC blog was a challenge. The key I figured was to keep it short since we are all busy with work, home, life, and advocacy. So what to write about?
I thought I would tell you about the exciting track at LAC this year for residents and first-timers. This year EMRA (Emergency Medicine Residents’ Association) and YPS (Young Physicians Section) of ACEP have worked together to come up with a dynamic event. With great lectures, exciting roundtable discussions, media training, and a reception with the leaders of our specialty, it will be an exciting start to the conference on Sunday. Even if you are not a resident or first timer, I encourage you to come and start LAC off with a bang if you are in the area. Having the presence of the veterans would also inspire the many first-time visitors to the conference to keep coming back.

I have the honor of giving the first lecture and welcoming you all to the Resident and First Timer’s Track this year. I have been working hard to hopefully make it an entertaining introduction as well as informative. Jen Wiler and James Eadie of YPS will be following with excellent discussions of the current challenges, economics, and quality issues that are going on right now. They are both lectures not to be missed if you can make it.

I am also excited to say that all attendees at LAC this year will receive a copy of the EMRA Emergency Medicine Advocacy Handbook, supported by an ACEP educational grant. It is an original publication by EMRA members, but for all emergency physicians. Especially for those that have interests in subjects that they may not be as familiar with, the handbook will be a valuable launching point for you. I hope that you find it helpful. I also welcome feedback on areas for improvement, additional topics, or any other comments as we look forward to future revisions of the handbook.

Best close as this is already longer than many would want to read. I look forward to seeing many of you there. It should be a successful and exciting event! Safe travels and see you this weekend.

, , ,

No Comments