FCEM Exam hot topic college of emergency medicine information
How much does describing chest pain as ‘typical’ tell us about the final diagnosis? Simon Carley reviews a 2015 observational study of clinician judgement, questioning the value of experience alone and examining how patient selection, specificity and the presentation of diagnostic performance affect interpretation.
JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s Read More
Why does accurate emergency department coding matter beyond hospital income? This 2014 podcast introduction explains the English payment system used at the time and how incomplete records can distort accounts of the care patients receive, encouraging clinicians to record investigations, treatment and discharge information carefully.
Show Me The Money: Coding at St.Emlyn’s Read More
Should ultrasound or CT be the first investigation for suspected renal colic? This 2014 appraisal examines a trial comparing emergency physician ultrasound, radiologist ultrasound and CT, focusing on patient outcomes, missed diagnoses, cumulative radiation and the need for additional imaging after the initial test.
JC: Should USS be first investigation for renal colic? St.Emlyn’s Read More
How do you make simulation work in the department where your team actually practises? Simon Carley shares lessons on choosing learning goals, finding simple equipment, involving the whole team, protecting patients and participants, and using debriefs to turn everyday scenarios into improvements in teamwork and systems.
Top ten tips for In Situ Sim at St.Emlyns. Read More
Day two highlights from the College of Emergency Medicine’s 2014 Exeter conference, with short recordings on rugby medicine, quality improvement, chest pain assessment, atrial fibrillation and mental health. The collection also links to the college’s mental health toolkit and the other daily reports.
College of Emergency Medicine Conference: Exeter 2014 Day 2 Read More
After being described as intimidating, Sarah Payne reflects on the gap between how she sees herself and how colleagues perceive her. Drawing on her experiences and research on gender stereotypes, she explores the tension between warmth, competence and assertiveness for women working in emergency medicine.
Am I intimidating? Sarah Payne guest blogs at St.Emlyn’s Read More
Could medical scribes improve emergency department workflow? In this 2014 journal club, Natalie May and Damian Roland examine a before-and-after study involving electronic ordering and scribes, questioning causality, the practical significance of time savings and the implications for documentation accuracy and UK practice.
JC: Scribes in the ED? Read More
Inspired by a speech from Australian Army chief David Morrison, Iain Beardsell asks what it means to uphold shared values in the NHS. He reflects on everyday standards, humiliation of colleagues and the personal responsibility to challenge behaviour that undermines a supportive working culture.
Making a Difference – Do you walk past? Read More
