ICEP EM on Tap Podcast: Episode 03 – 2018 Resident Competition

Congratulations to the winners of the 2018 Resident Podcast Competition! This episode of ICEP EM on Tap features the top two entries:

1st Place

“Doctor, We’re All Out!” An Old But New Approach to Alcohol Withdrawal in Our World of Shortages

Jessica Zahn, DO
University of Illinois, Chicago, IL

2nd Place

Emerging:  Post-Shift Conversations by New Emergency Physicians – Episode 1: Why Wellness

Stephen Cooper, MD
RJ Sontag, MD
Cook County Health, Chicago, IL
UT Health San Antonio, TX

Shownotes:

“Doctor, We’re All Out!”  An Old But New Approach to Alcohol Withdrawal in Our World of Shortages

We have all been faced with an alcohol abuse patient in the ED in many forms: acutely intoxicated patients too drunk to go home to the other end of the spectrum of chronic abusers that are actively withdrawing.Medication shortages have affected our ability to treat our patients, requiring us to dig deep into our brains and pockets for alternative treatment measures.  Phenobarbital provides a treatment that is superior for our patients while at the same time reducing our need for the elusive benzodiazepine.

Emerging:  Post-Shift Conversations by New Emergency Physicians – Episode 1: Why Wellness

In this episode, we introduce ourselves, and our podcast to the emergency medicine world. The goal of our podcast is to discuss some of the non-clinical conversations that physicians and specifically residents are having amongst themselves. Whether this is in regard to various aspects of life as a young doctor, public policy, or more serious matters such as mental health issues. This episode discusses in depth the statistics and consequences regarding physician burnout. Residents have a high rate of depression and suicidal ideation. This includes the alarming rates of attempted physician suicide plaguing our community. But it isn’t all dark clouds and doom; we end our podcast discussing ways to help prevent burnout/suicide. It is important to have these after shift conversations, to reach out, and to help our fellow residents/physicians.

References

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A Meaningful Work. Vital Signs. Winter 2017. Vol 39, No 1. https://medicine.wright.edu/about/news-and-events/vital-signs/article/a-meaningful-work

Doty C, Lee J, Ahuja, M. 2017 Mar 8. Academic Life in Emergency Medicine: The Wellness Think Tank – Mental Health for Residents [Audio podcast]. Retrieved from https://soundcloud.com/academic-life-in-em/the-wellness-think-tank-mental-health.

Goebert et al. Depressive Symptoms in Medical Students and Residents: A Multischool Study. Academic Medicine. Feb 2009 http://journals.lww.com/academicmedicine/pages/articleviewer.aspx?year=2009&issue=02000&article=00034&type=fulltext

Guille C, Zhao Z, Krystal J, Nichols B, Brady K, Sen S. Web-Based Cognitive Behavioral Therapy Intervention for the Prevention of Suicidal Ideation in Medical Interns: A Randomized Clinical Trial. JAMA Psychiatry. 2015 Dec;72(12):1192-8. doi: 10.1001/jamapsychiatry.2015.1880.

Miller MN, Mcgowen KR, Quillen JH. The Painful Truth: Physicians Are Not Invincible. South Med J 2000;93:1–5.

Peckham C. Emergency Medicine Lifestyle Report 2016: Bias and Burnout. Medscape. [Internet]. http://www.medscape.com/features/slideshow/lifestyle/2016/emergency-medicineJanuary 13, 2016 [cited 2017 Apr 12].

Poznanski S. Emotional Embrace: How Can We Turn Our Profession Inside Out? [Internet]. FeminEM. https://feminem.org/2015/12/01/emotional-embrace/ 2015 [cited 2017 Apr 24]

Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population. Arch Intern Med. 2012;172(18):1377-1385. doi:10.1001/archinternmed.2012.3199

Tabner A. Physician Suicide [Internet]. Life in the Fast Lane. https://lifeinthefastlane.com/predict-protect-prevent-physician-suicide/. [cited 2017 Apr 12]

Wible, P. Why Doctors Kill Themselves [Video]. TED MED 2015. http://www.tedmed.com/talks/show?id=528918 [cited 2017 Apr 24]