Medicolegally Protective Documentation in Emergency Medicine.

More than 75% of emergency physicians will be named in a malpractice suit over the course of their careers. When a case is brought to trial, it is the chart that will be the primary source of information, not the faded memories of an encounter that happened years in the past. Being mindful of all 3 audiences that the chart is generated for and developing techniques to adequately address all 3 should be the focus of the clinician when documenting a patient encounter.

Rapid outpatient evaluation for emergency department patients with intermediate risk chest pain safely reduces admissions.

Objective: This study aims to assess the safety of an outpatient chest pain pathway (OCPP) for patients presenting to the emergency department (ED) with chest pain and a HEART score of 4 or 5.

Methods: This is a retrospective, observational, non-inferiority study assessing the impact of the OCPP on the management and outcomes of ED patients with HEART score of 4 or 5. The study compared patients evaluated in the pre-OCPP (January‒May 2018) and the post-OCPP period (January‒October 2022).

The impact of emergency medicine residents on clinical productivity.

Context: Faculty productivity is of interest for hospital and university administrators as pressure is placed on them by government and private payors. Further, the effect of trainees on clinical productivity is of personal interest to physicians because their performance evaluations and earning potential are often tied to their productivity. Several groups have utilized creative methodology to study the effect of learners on emergency department (ED) productivity, but they were faced with multiple confounding variables for which it was difficult to adjust.

Assessment of Implicit Gender Bias During Evaluation of Procedural Competency Among Emergency Medicine Residents.

Importance: Gender disparities exist throughout medicine. Recent studies have highlighted an attainment gap between male and female residents in performance evaluations on Accreditation Council for Graduate Medical Education (ACGME) milestones. Because of difficulties in blinding evaluators to gender, it remains unclear whether these observed disparities are because of implicit bias or other causes.

Effect of Interpolated Questions on Podcast Knowledge Acquisition and Retention: A Double-Blind, Multicenter, Randomized Controlled Trial.

Study Objective: We determine whether interpolated questions in a podcast improve knowledge acquisition and retention.

Methods: This double-blinded controlled trial randomized trainees from 6 emergency medicine programs to listen to 1 of 2 versions of a podcast, produced de novo on the history of hypertension. The versions were identical except that 1 included 5 interpolated questions to highlight educational points (intervention).