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The Hat Rack

Continuing Professional Development

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Find Something to Hang Your Hat On! Listen to The Hat Rack podcast where physicians in practice gain access to the strategies that Continuing Medical Education (CME)/Continuing Professional Development (CPD) experts and influencers use to effectively plan CME to implement change in their professional practice. The Hat Rack guests draw from their extensive experience as developers, contributors and promoters of CME/CPD, providing insights at local, provincial, national and international level ...
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Hosts, Alex Finch, MD and Venk Bellamkonda, MD explore topics relevant to the practice, education or research of emergency medicine. Enjoy interviews with people on the front lines, thought leaders from around the world, and the comedy and drama of life when it intersects with emergency care. Follow us on X: @AlwaysOnEM Email: AlwaysOnEM@gmail.com
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Season 2 - Episode 1 Join The Hat Rack as we explore the realities of rural medical practice. Dr. Ken Milne, a seasoned emergency physician, and Dr. Matt Breton, a newly practicing family doctor, discuss the unique challenges of continuing medical education (CME) in rural environments, balancing limited resources with high demands. Learn about inno…
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Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School –…
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Dr. Sarayna McGuire is an emergency physician who has been investigating workplace violence in the ED and in the prehospital setting. She and Dr. Casey Clements, who is the chief safety officer for Rochester Mayo Clinic campus talk with Venk and Alex about the violence in the emergency department. The scope of the problem is staggering, the impact …
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Date: September 23, 2024 Reference: Essat et al. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Case: You are working a busy shift in a rural emergency department (…
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Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Before attending medical school, he w…
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Summary In this episode of the Overrun Podcast, the hosts discuss the importance of EMS education, the role of conferences, and the impact of misinformation in the field. They critique the Stand and Deliver program and address the need for evidence-based practices while navigating biases in EMS. The conversation emphasizes the importance of mentors…
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Ischemic heart disease is a leading cause of morbidity and mortality. While atherosclerotic coronary artery disease (CAD) is the focus of most outpatient and inpatient evaluations for cardiovascular symptoms, up to two thirds of patients suffer from myocardial ischemia with non-obstructive coronary arteries (INOCA). Patients with INOCA have unique …
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Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s another day, another dollar in the emergency department (ED).…
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Dr. Adela Cope breaks down pelvic inflammatory disease, tubo-ovarian abscess, ovarian torsion, ectopic pregnancy and more in this densely packed chapter of Always on EM. Tune in as Alex and Venk also try to figure out which one has the correct mental model of PID and who will ask the first stupid question. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda…
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Date: August 30, 2024 Guest Skeptic: Dr. Mel Herbert is a famous Emergency Medicine Physician, award-winning educator, entrepreneur and philanthropist. Mel founded both EM:RAP which creates and distributes Emergency Medicine education in over 160 countries. He also started a non-profit company called EM:RAP GO. This is an SGEM Xtra to end Season#12…
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Episode 11: CPD Horizons Summer Series In this episode, Dr. Michelle Lee Jones, an Assistant Professor in the Department of Clinical Neurological Sciences at Schulich, discusses the development and impact of social accountability rounds within her department. She explains the rationale behind this initiative, the diverse topics covered, and the imp…
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Summary In this conversation, Dan Schwester interviews Dan Gerard, a senior medic, about the generational divide in EMS and the importance of learning from experienced medics. They discuss the need for mentorship and the transfer of knowledge from senior medics to younger generations. They also highlight the importance of interpersonal dynamics, ob…
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Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. …
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Episode 10: CPD Horizons Summer Series In this episode, Dr. Sabe De, an Associate Professor of Medicine in the Division of Cardiology and the recipient of the Schulich Award of Excellence in Continuing Medical Education, shares his experiences in coordinating large virtual CPD events, including the Western University Virtual Echo Symposium and the …
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Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master’s degrees in emergencies and urgent care, cli…
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Episode 09: CPD Horizons Summer Series In this episode, Dr. Rookaya Mather, an Assistant Professor in the Department of Ophthalmology, discusses the critical importance of operating room ergonomics and the prevention of musculoskeletal (MSK) injuries among healthcare professionals. She shares her personal experience with a work-related injury and t…
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This past winter, Dr. Rich Griffey, healthcare quality leader from Washington University School of Medicine and Emergency Medicine, came to present grand rounds on a new way to care for patients with mild to moderate DKA, which they call the SQuID protocol. This talk serves to inspire us to look even at some of our well established conditions and s…
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Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assi…
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Episode 08: CPD Horizons Summer Series In this episode, Dr. Tim Nguyen, an Assistant Professor in the Department of Oncology, presents findings from a national survey of Canadian oncologists, which aimed to understand their preferences and barriers regarding continuing professional development (CPD). He discusses key insights, such as the value pla…
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Date: July 31, 2024 Reference: Gonzales RE, Seeburger EF, Friedman AB, and Agarwal AK. Patient perceptions of behavioral flags in the emergency department: A qualitative analysis. AEM July 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Departmen…
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Episode 07: CPD Horizons Summer Series In this episode, Dr. Shanil Narayan, a General Internist and Adjunct Professor who also serves as the Regional Academic Director for the Huron Perth Academy of the Schulich School of Medicine and Dentistry, discusses a project aimed at improving the management of congestive heart failure in rural environments.…
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Dr. Ronna Campbell, professor of emergency medicine, and passionate anaphylaxis researcher schools Alex and Venk on several issues related to contrast-related anaphylaxis. She helps clarify an approach to managing ED situations where a contrasted CT is desired yet the patient has documented anaphylaxis to iodine, or how to treat a patient who retur…
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Reference: Knack et al. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidit…
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Episode 06: CPD Horizons Summer Series In this episode, Dr. Gauri Ghate, an Assistant Professor in the Division of Emergency Medicine, discusses the creation of an online module designed to improve the emergency department care of sexual assault survivors. She highlights the importance of addressing both the physical and psychosocial trauma experie…
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Reference: Gibbs et al. Noninvasive Ventilation for Preoxygenation during Emergency Intubation (The PREOXI trial). NEJM June 2024. Date: July 17, 2024 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter of ACEP and her career …
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Episode 05: CPD Horizons Summer Series In this episode, Dr. Sonja Payne, an Assistant Professor in the Department of Anesthesia and Perioperative Medicine at Schulich, discusses the development of an online module titled “Managing the Unanticipated Difficult Airway” (MUDA). She explains the motivation behind the project, which stemmed from a needs …
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Dr. Ken Milne presents his talk entitled, “Old Fashioned Doctors,” to Mayo Clinic Emergency Medicine as our keynote speaker for our annual research day. In this talk, he goes through 10 ideas that were proposed in an article by Dr. Herbert Fred as potential ways that old-fashioned doctors may practice medicine more effectively or more palatably tha…
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Reference: Florin TA, et al. Radiographic pneumonia in young febrile infants presenting to the emergency department: secondary analysis of a prospective cohort study. Emerg Med J. 2023 Date: May 29, 2024 Guest Skeptic: Dr. Christina Lindgren is a Pediatric Emergency Medicine Attending at Children’s National Hospital and Assistant Professor of Pedia…
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Episode 04: CPD Horizons Summer Series In this episode, Dr. Adam Gavarkovs, PhD, an education developer within the CPD office, presents a novel approach to conducting needs assessments in continuing professional development. He discusses the importance of a thorough needs assessment in creating effective educational activities and introduces a new …
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Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science re…
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Episode 03: CPD Horizons Summer Series In this episode, Dr. Alison Allan, Chair of the Department of Anatomy and Cell Biology at Schulich, discusses the Basic Medical Sciences Leadership Program, developed to address the specific leadership development needs of faculty in the basic medical sciences. She explains the program’s three levels—investiga…
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