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Practical Teaching in Emergency Medicine PDF

383 Pages·2012·3.897 MB·English
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Practical Teaching in Emergency Medicine Practical Teaching in Emergency Medicine Second Edition Editedby ChiefEditor Robert L. Rogers AssociateEditors Amal Mattu Michael E. Winters Joseph P. Martinez Terrence M. Mulligan A John Wiley & Sons, Ltd., Publication Thiseditionfirstpublished20132013byJohnWiley&Sons,Ltd. Wiley-BlackwellisanimprintofJohnWiley&Sons,formedbythemergerofWiley’sglobal Scientific,TechnicalandMedicalbusinesswithBlackwellPublishing. Registeredoffice:JohnWiley&Sons,Ltd,TheAtrium,SouthernGate,Chichester,WestSussex, PO198SQ,UK Editorialoffices:9600GarsingtonRoad,Oxford,OX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 111RiverStreet,Hoboken,NJ07030-5774,USA Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthow toapplyforpermissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteat www.wiley.com/wiley-blackwell. Therightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedin accordancewiththeUKCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem, ortransmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recording orotherwise,exceptaspermittedbytheUKCopyright,DesignsandPatentsAct1988,without thepriorpermissionofthepublisher. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks. Allbrandnamesandproductnamesusedinthisbookaretradenames,servicemarks, trademarksorregisteredtrademarksoftheirrespectiveowners.Thepublisherisnotassociated withanyproductorvendormentionedinthisbook.Thispublicationisdesignedtoprovide accurateandauthoritativeinformationinregardtothesubjectmattercovered.Itissoldonthe understandingthatthepublisherisnotengagedinrenderingprofessionalservices.If professionaladviceorotherexpertassistanceisrequired,theservicesofacompetent professionalshouldbesought. LibraryofCongressCataloging-in-PublicationData Practicalteachinginemergencymedicine/chiefeditor,RobertL.Rogers;associateeditors, AmalMattu...[etal.].–2nded. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-0-470-67111-5(pbk.) I.Rogers,RobertL.II.Mattu,Amal. [DNLM:1.EmergencyMedicine–education.2.EmergencyService,Hospital. 3.Teaching–methods.WX18] 616.02(cid:1)5–dc23 2012023221 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsin printmaynotbeavailableinelectronicbooks. Typesetin9/11ptMeridienbyLaserwordsPrivateLimited,Chennai,India 1 2013 Firstandforemost,thisbookisdedicatedtomybeautifulwife,Tricia, and my two wonderful children, Harrison and Gabriella. Without theirlove,guidance,andconstantsupport,thisbookwouldnothave beenpossible.Familycomesfirst. Idedicatethisbooktoalloftheeducatorsofemergencymedicine inUSAandaroundtheworld:maythisbookinspireyoutoeducate howtoteachourcraftanddeliverthebestpatientcarepossible. TotheemergencymedicineresidentsandstudentsattheUniversity of Maryland: you are the reason I drive to work with energy and enthusiasmforteaching. I would like to thank my mom and dad for their encouragement andlovethroughoutlife.IamwhereIamtodaybecauseofthem. To Linda Kesselring, who edited the book and transformed its contents into an amazing work. The success of this book is due in largeparttohertirelessefforts. RobL.Rogers My thanks to my family for their constant support; my colleagues, residents, and students for their inspiration to teach and to learn; andtoallthosewhospendtheirtimeteachingemergencymedicine aroundtheworld ... mayyoureffortscontinuetohelpourspecialty flourish. AmalMattu To the medical students and emergency medicine residents at the UniversityofMarylandformakingmelookforwardtomyshiftsand toLisa,Nicholas,Dylan,andLukeformakingmehappytogohome. JosephP.Martinez To Erika, Hayden, Emma, Taylor, and Olivia, for your endless love and support; you are my world and my inspiration for everything. TotheemergencymedicineresidentsandfacultyattheUniversityof Maryland,itisaprivilegetobeyourcolleague. MichaelE.Winters Iamveryexcitedtobeinvolvedascoeditorforthesecondeditionof Practical Teaching in Emergency Medicine. My involvement stems from theenormousinterestandgrowthofemergencymedicineeducation, practice and development in the international setting, and from the demand to share the contents of this book with the international emergency medicine community. I would like to offer my deepest thanks to my coeditors, especially Rob Rogers, without whom this material would most likely still reside in the collective minds of our teachers instead of in a book form. I would also like to thank my beautifulwifeKristinawithoutwhomIwouldnotbeabletodomost anything. TerrenceM.Mulligan Contents EditorsandContributors,xi Preface,xxi Section1 Background/Introduction Chapter1 Adultlearnersintheemergencydepartment,3 EllenJ.O’ConnellandKurtC.Kleinschmidt Chapter2 Obstaclestoteachingintheemergency department,15 DavidK.Duong,EstherK.Choo,andJeffreyA.Tabas Chapter3 Teachingandpatientcareinemergencymedicine,25 MichaelA.BohrnandDavidA.Kramer Chapter4 Mentoringinemergencymedicine,35 GusM.Garmel Section2 TeachingintheEmergencyDepartment andBeyond Chapter5 Bedsideteachingintheemergencydepartment,59 KevinG.Rodgers Chapter6 Teachinginvasivemedicalprocedures,72 SiamakMoayediandMercedesTorres Chapter7 Providingfeedbackintheemergencydepartment,85 DavidA.Wald Chapter8 Thecomputerasateachingtool,98 JoshuaS.Broder Chapter9 Educationaltechnology:Web2.0,118 MichaelC.BondandRobertCooney vii viii Contents Chapter10 Teachingtheintangibles:professionalismand interpersonalskills/communication,137 DavidK.ZichandJamesG.Adams Chapter11 Teachinglifelonglearningskills:journalclub andbeyond,151 ChristopherR.Carpenter Chapter12 Medicalpodcasting101,163 RobertOrmanandScottD.Weingart Chapter13 Useofsimulationinemergencydepartment education,177 TraciL.ThoureenandSaraB.Scott Section3 TeachingSpecificGroups Chapter14 Teachingmedicalstudents,189 DavidE.Manthey Chapter15 Teachingresidentsfromotherservicesinthe emergencydepartment,203 MichelleLinandAmerZ.Aldeen Chapter16 Theeducationofresidentphysiciansin emergencymedicine,216 JonathanG.Wagner,WilliamK.Mallon,andStuartP.Swadron Chapter17 Teachingresidentshowtoteach,237 CareyD.Chisholm Chapter18 Teachingtoaninternationalaudience,248 TerrenceM.Mulligan Chapter19 Theemergencydepartmentconsultation: teachingphysician–physiciancommunicationtoimprove patientoutcomes,268 ChadS.Kessler,YaldaAfshar,andAlbertC.Vien Section4 ImprovingasanEducatorinEmergencyMedicine Chapter20 Characteristicsofgreatteachers,285 JenniferAvegnoandPeterM.C.DeBlieux Contents ix Chapter21 Effectivepresentationskills,295 JosephR.LexJr.andZacharyRepanshek Chapter22 Small-groupdiscussionskills,307 MatthewD.DeibelandMaryJo.Wagner Chapter23 Facultydevelopmentasaguidetobecominga betterteacher,319 GloriaJ.Kuhn Section5 TeachingTechniquesandStrategies Chapter24 Strategiesforeffectiveclinicalemergency departmentteaching,339 GlenW.BandieraandShirleyLee Chapter25 Pearlsandpitfallsinteaching:whatworks,what doesnot?,352 BrianClyneandDavidG.Lindquist Index,361 Editors and Contributors ChiefEditor RobertL.RogersFACEP,FAAEM,FACP AssociateProfessorofEmergencyMedicineandMedicine Director,UndergraduateMedicalEducation Director,TeachingFellowship DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA AssociateEditors AmalMattu,MD,FAAEM,FACEP ProfessorandViceChair Director,FacultyDevelopmentFellowship DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA MichaelE.Winters,MD,FACEP,FAAEM AssociateProfessorofEmergencyMedicineandMedicine Director,CombinedEM/IMProgram Co-Director,CombinedEM/IM/CriticalCareProgram DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA JosephP.Martinez,MD AssistantProfessorofEmergencyMedicine AssistantDeanforStudentAffairs DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA xi xii EditorsandContributors TerrenceM.Mulligan,DO,MPH,FACOEP,FNVSHA,FACEP, FAAEM,FIFEM AssistantProfessorinEmergencyMedicine DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA ExtraordinarySeniorLecturer/VisitingAssistantProfessor DivisionofEmergencyMedicine StellenboschUniversity CapeTown,SouthAfrica Contributors JamesG.Adams,MD ProfessorandChair DepartmentofEmergencyMedicine NorthwesternUniversity,FeinbergSchoolofMedicine NorthwesternMemorialHospital Chicago,IL,USA YaldaAfshar,PhD MD/PhDcandidate c/o2012 MedicalScientistTrainingProgram UniversityofIllinoisatChicagoCollegeofMedicine Chicago,IL,USA AmerZ.Aldeen,MD AssistantProfessor AssociateResidencyDirector DepartmentofEmergencyMedicine NorthwesternUniversity,FeinbergSchoolofMedicine Chicago,IL,USA JenniferAvegno,MD DirectorofUndergraduateEducation ClinicalAssistantProfessor SectionofEmergencyMedicine LSUHSC NewOrleans,LA,USA EditorsandContributors xiii GlenW.Bandiera,MD,MEd,FRCPC AssociateProfessorofMedicine UniversityofToronto DepartmentofEmergencyServices St.Michael’sHospital Toronto,ON,Canada MichaelA.Bohrn,MD SeniorAssociateResidencyProgramDirector ClinicalAssociateProfessor DepartmentofEmergencyMedicine YorkHospital York,PA,USA MichaelC.Bond,MD,FACEP,FAAEM AssistantProfessor ResidencyProgramDirector DepartmentofEmergencyMedicine UniversityofMarylandSchoolofMedicine Baltimore,MD,USA JoshuaS.Broder,MD,FACEP AssociateProfessor AssociateResidencyProgramDirector DivisionofEmergencyMedicine DukeUniversityMedicalCenter Durham,NC,USA ChristopherR.Carpenter,MD,MSc,FACEP,FAAEM AssistantProfessor DivisionofEmergencyMedicine Director EvidenceBasedMedicine WashingtonUniversitySchoolofMedicineinSt.Louis St.Louis,MO,USA CareyD.Chisholm,MD ProfessorofEmergencyMedicine EmergencyMedicineResidencyDirector IndianaUniversitySchoolofMedicine Indianapolis,IN,USA

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