How does a patient’s story become distorted as it passes through the emergency department? Using an illustrative handover, this post explores clearer summaries, structured communication, attentive listening and checking shared understanding, with practical ways for both the speaker and receiver to reduce misunderstandings.
Miscommunication and Handover in the ED. St Emlyn’s Read More
A fictional emergency department case introduces Nicola Jakeman’s teaching on human factors. Work through questions about missed warning signs, fatigue, diagnostic fixation, confirmation bias and cognitive overload, then consider strategies for recognising when an initial diagnosis needs to be challenged.
Human Factors cases with @JakemanNicola. Read More
How should a senior doctor respond when a trainee knows something they do not? Remembering his colleague Luka, Simon Carley explores professional humility, authority gradients and learning from juniors, with practical ways to welcome challenge and share what it teaches us.
How to cope when your registrar knows more than you do. St.Emlyn’s Read More
What can Sunday league football teach us about leading a resuscitation team? Rick Body draws parallels between changing team line-ups, assigning roles, encouraging communication and adapting under pressure, with reflection and debriefing helping the team prepare for next time.
Teamwork in Resus: Just Like Football? Read More
Does seeing fewer patients mean a doctor is performing poorly? Simon Carley examines the limits of productivity figures and league tables, arguing for supervision that explores case mix, quality and individual difficulties without putting pressure on trainees to sacrifice safety for speed.
Can you get the doctors to work faster? Read More
If medical publishing changes, do we still need journal clubs? This short introduction argues that critical appraisal matters just as much for blogs and other online evidence, and points readers towards practical advice for making an emergency medicine journal club useful.
JC: Journals are dead: Long live the Journal Club Read More
