Outcomes and Kirkpatrick’s Hierarchy

In order to do research in medical education, we first need to define outcomes. Stanley Hamstra described at the SAEM 2012 Consensus conference the Kirkpatrick hierarchy for the assessment of learning. Most  studies fall at the bottom of the pyramid, the learner’s reaction to the experience – did they like it? This is where most of our evaluations…More

Asynchronous learning for EKG’s

  Problem Identification and Needs Assessment It seems a crime to me that students finish medical school without the basic skills to read an EKG. No one volunteers this deficiency, but when asked the majority of students admit to it. This is in the fourth year, prior to their graduation. We need to do better…More

Trauma 101

Here’s an introduction to trauma and the primary survey.More

How to do a good literature search

For your project, you will be doing a literature search based on a question that you have. This is a clinically-focused, self-directed learning exercise in which you first develop your own learning objective, then acquire evidence to answer your question, and finally present it to the class. We’ll do this on the last day of…More

To CT or not to CT? Low risk head injury in kids

CT scanning of kids has been on the rise, though we recognize the limitations of this test. It’s not perfect and has some real costs (money, time, sedation risk, cancer). Who do we need to CT and who can we get away without scanning? The Pediatric Emergency Care Research Network (PECARN) looked at a paltry…More

Toxicology 101

Here’s a couple of videos on toxicology. This just goes over the basics. There’s a lot more to learn on each specific toxin. If you want to follow along, you can download this PDF of what I drew (right click it and save it, print it, or do whatever you see fit). Let me know…More

Syncope MDM

This patient had the classic characteristics of syncope (1) transient LOC, (2) loss of postural tone and (3) full & immediate spontaneous recovery. There is nothing in the history or physical to suggest common syncope mimics: ***seizure, ***posterior circulation stroke, ***hypoglycemia, ***hypoxemia, ***heat stroke or ***head trauma. My suspicion for ***AAA, ***PE, ***MI, ***GIB, ***ectopic…More