There have been recent requests for further discussion of the neurological exam. Specifically, how to do a brief neurological exam in the emergency department, how to perform a HINTS exam, and documenting the exams performed.
We need to talk about something: misinformation.
Unfortunately, the world is full of it and we cannot seem to stop ourselves. The Internet was one of the greatest inventions brought forth to the modern world to allow for the rapid sharing of scientific information. We have bastardized it in time to now spread hate and grossly incorrect information. What was once a way to spread knowledge is now attacking science and what we have learned.
When we started last month's celebration of PAs for October, we discussed breaking bad news. We were then going to expand on that discussion with reference to end of life discussions. However, through some very unfortunate audio issues, we lost the original content in a way that made it so we could not present the original conversation. However, Melodie Kolmetz was gracious enough to record it again on her own and we are presenting this for our newest post.
Technically, this is the last post for PA Month here on the podcast. Fear not! There will be more PAs on podcasts coming up. However, we wanted to finish our discussion with Fred Wu since people may find this portion on contracts helpful in the immediate future.
Emergency Medicine PA Fred Wu is joining us to talk about starting and advancing a career in emergency medicine. In this two-part series, Fred is reviewing the many aspects of emergency medicine careers from finding a position that will work well for you to signing a contract.
We continue our month of celebrating PAs with a new podcast on a topic not well covered: triaging and assessment of the total joint arthroplasty (replacement) patient. To help us, we have a special guest who is an orthopedic surgery PA named Amy Jean.
Our guest today (the first for PA month here on TOTAL EM) is Adrian Banning. She is an Evidence Based Medicine (EBM) guru and is also on the JAAPA Podcast with a previous guest, Kris Maday. Today though she is here to talk to us about breaking bad news. Something most of us are experienced with but one thing few of us do well. We combine EBM and "soft skills" to better care for our patients and families in this very difficult time.
PA Week is October 6-12 this year. As PAs, we have a lot to be proud of in the 50 years of our existence but with our many advances, there still more we can do. This month, we are hosting PAs for our podcasts. However, to kick off the month, we are going to talk about the challenges that lay ahead. It is worth noting though that much of it is now possible thanks to those who came before us.
Some of us do it well, some of us do not do it at all, but we all could use improvement. The medical decision making (MDM) portion of the chart is one area we all can work on. It is quite possibly the single most important portion of the chart for multiple reasons including acting as a "hard stop" in decision making, explaining course of care and management, reviewing highlights of the visit, and even potentially helping in a legal situation. Today, we have Mike Weinstock joining us on this very important podcast.
We need to get better taking care of out patients. One of the easiest ways to get better is to work both sides of the emergency medicine realm. The main divide rests in the prehospital environment versus the emergency department. We can still see this in the rural versus urban environment. Our experiences in different realms can make us much better providers.
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