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SGEM Xtra: On the Edge of Burnout ACEM18

Posted by on Nov 24, 2018 in Podcasts | 0 comments Play in new window | Download Date: November 24th, 2018 As you may know, I was invited to give a keynote address on burnout at the Australasia College of Emergency Medicine 2018 Annual Scientific Meeting (#ACEM18) in Perth, Australia. This turned out to be a very meta event. A few months leading up to the presentation my dad, Dr. Ken Milne Sr. got seriously ill. While he faced this with his usual grace and dignity, I was living on the edge of burnout. He was admitted to hospital shortly before I was scheduled to leave for Australia. We had a number of discussions and he insisted that I go and not cancel the trip. We reviewed my keynote presentation in the hospital and he gave me the thumbs up. He was very proud and was telling all his treating...

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SGEM#178: Mindfulness – It’s not Better to Burnout than it is to Rust

Posted by on May 14, 2017 in Featured, Podcasts, Psychiatric | 8 comments Play in new window | Download Date: May 12th, 2017 Reference: Ireland et al. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. Medical Teacher 2017. Guest Skeptic: Dr. Diane Birnbaumer is a Senior Clinical Faculty at Harbor-UCLA Medical Center in Torrance, CA. She is also an Emeritus Professor of Medicine at the David Geffen School of Medicine at UCLA. Case: A resident comes to you looking for advice. He is having trouble feeling tired, short-tempered and it is affecting his work interactions and personal sense of satisfaction with his job. You suspect he is suffering from early burnout. Background: Burnout is certainly a hot topic, and mindfulness has hit the front pages of the New York Times and Time Magazine, putting it front and center in the public eye. Burnout was a term coined by Herbert Freudenberger...

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Five Tips to Avoid Emergency Medicine Burnout

Posted by on Dec 3, 2014 in Featured, Podcasts | 1 comment

I was recently asked by Dr. Nico Pineda from Chile to provide some advice on a career of emergency medicine. Specifically Nico wanted to know how to avoid burnout. I came up with a top five list. Why five? Because five is my favourite number and I can count to it on one hand. You can watch a YouTube of the Five Tips to Avoid EM Burnout. 1) Don’t Panic: All bleeding stops…eventually. Nobody bleeds forever. This too shall pass. Just deal with the problem, what ever the problem may be. Do your best. This is what you were trained to do. Always remember that as bad as your shift seems the patients with the emergencies are having a worse day than you. No matter what happens during your shift you get to go home at the end of...

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SGEM#227: A Message to you Rudy – About Rudeness

Posted by on Sep 1, 2018 in Featured, Podcasts, Psychiatric | 0 comments Play in new window | Download Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. Rudeness and Medical Team Performance. Pediatrics. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. He is currently redeployed in Medical Education on “Burnout Sabbatical” but is hopeful of returning to the shop floor in the near future. He writes a blog called Broken Toy covering topics such as his experience with burnout, medical education and looking after each other.  Case:  You are working in the emergency department (ED) and have just been involved in a difficult case in the resuscitation room. During the resuscitation, a relative of the patient you have been treating named Rudy makes a derogatory/rude comment about Emergency Medicine (EM) staff. Background: Unfortunately, rudeness is...

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SGEM Xtra: I Am Woman

Posted by on Dec 29, 2017 in Featured, Holiday, Podcasts | 1 comment Play in new window | Download Date: December 28th, 2017 This is a special year end episode of the SGEM. It is time to reflect upon 2017 while at the same time look forward to 2018. It has been an incredible year for a number of reasons. We had some fantastic papers to review, excellent guest skeptics and super SGEM Xtras. I am very energized to keep the momentum rolling for this knowledge translation project in 2018. From my perspective, 2017 was the year of Females in Emergency Medicine (FeminEM). This  SGEM Xtra episode is a way to recognized some of the amazing women whose voices are changing the world of emergency medicine. The theme music is by Helen Reddy called I am Woman (1975). Anyone who listens to the SGEM knows my favorite number is five. I tried...

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SGEM Xtra: FeminEM – Stronger Together

Posted by on Jun 21, 2017 in Conferences, Featured, Podcasts | 2 comments Play in new window | Download Date: June 20th, 2017 Guest Skeptic: Dr. Dara Kass is an Emergency Physician, mother of three, wife of one and champion for the evolution of women in medicine. She is also the Editor in Chief of FeminEM (Females in Emergency Medicine). This is an SGEM Xtra so we will not be doing a structured critical review of a recent paper trying to cut the knowledge translation window down for over 10 years to less than one year using the power of social media. The next episode of the SGEM will be a formal critical appraisal of a recent publication. Five Questions about FeminEM Why FeminEM? What is FeminEM? What is your Story? What is FIX2017? What are the Ultimate Goals of FeminEM? Listen to the podcast on iTunes to hear Dr. Dara Kass discuss...

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The SGEM Paper in a Pic

Posted by on Sep 2, 2016 in | Comments Off on The SGEM Paper in a Pic

Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. Kirsty has a knowledge translation project called Paper In A Pic (#PaperinaPic). She takes a paper we have critically reviewed on the SGEM and summarizes it into an infographic. Below is a list of papers, SGEM critical reviews and Kirsty’s #PaperinaPic. Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine. SGEM#238: The Epi Don’t Work for OHCA. Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. NEJM 2018. SGEM#237: Screening Tool for Child Sex...

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SGEM#159: Computer Games – Computer Provider Order Entry (CPOE)

Posted by on Jul 10, 2016 in Administration, Featured, Podcasts | 20 comments Play in new window | Download Date: July 5th, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business (SOCMOB). Background: Emergency department crowding is a growing issue across Canada. As more tertiary care EDs implement computerized provider order entry (CPOE), it is important to analyze emergency department metrics to see how CPOE may impact throughput. Previous studies have shown that CPOE has no impact on mortality, and may in fact improve pain treatment and adherence to certain common presenting complaint medication protocols (such as stroke and renal colic) [1-4]. Some studies have shown there...

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The SGEM Xtra

Posted by on Apr 21, 2015 in | 0 comments

The goal of the Skeptics’ Guide to Emergency Medicine (SGEM) is to cut the knowledge translation (KT) window from over ten years to less than one year. It does this by conducting a structured critical review on a recent publication. A guest skeptic is invited onto the show to discuss the publication. These reviews are then disseminated every week using a blog and podcast. There are additional resources available to SGEM followers. These include other #FOAMed sites, Podcasts, Blogs, EBM websites and the SGEM Book Club. However, from time-to-time an issue comes up that requires an episode that is not based on a specific publications. These have become known as SGEM Xtras. Let me know if you think there is an Emergency Medicine issue that requires being covered on the SGEM. Send and email to with “Xtra” in the...

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