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Hot Topic: Certification Of ER Doctors

Texas is at the center of a heated national battle over the training emergency physicians need in order to advertise themselves as “board certified.” Via the Houston Chronicle:

At stake is the welfare of patients requiring immediate medical attention. Leaders of the traditional board say allowing physicians without proper training to advertise themselves as board-certified would mislead the public. Leaders of the alternative board say the proposed rule change will undermine the ability of Texas’ rural hospitals to staff their emergency departments with board-certified ER physicians.

A final verdict may only come, given one board’s already delivered threat, in a court of law.

At stake also are the careers of a lot of practicing Emergency Physicians, many of whom I’m proud to call friends and colleagues. (And it’s not just docs at rural hospitals, they’re in nearly every ED in Texas, and your lesser state).  They practice high quality Emergency Medicine, and I have no qualms about the practice of those who are alternately boarded. Read more »

*This blog post was originally published at GruntDoc*

Texting While Driving: “It’s Like Everybody’s Drunk” Or Worse

A mentor recently mentioned in passing that he stopped riding motorcycle when cellphones came out, as he noticed the average driver distraction level had gone way up. He said, “It’s like everybody’s drunk.”

There’s lots of ways to be an impaired driver: Physical or mental fatigue, chemicals (legal and not), emotional extremes, etc. (This is not an exhaustive list). What I want to focus on here is a very controllable risk factor: Divided attention.

A quick Internet search turned up some original research from Car and Driver on the subject of texting while driving compared with actual alcohol-impaired driving, and the results are shockingly worse than I would have thought. From their (admittedly limited but well done) study, texting is way worse than being at the legal alcohol limit when it comes to both reading and writing. Read more »

*This blog post was originally published at GruntDoc*

U.S. Medical Residencies Via Alleged Hospital Bribe

In another one of the things I had no idea about, there’s a market to assist FMGs [foreign medical graduates] in getting U.S. residencies, which makes sense. Allegedly, this guy was willing to go the extra mile for his clients.

Full marks for creativity, but…

Mr. Everest allegedly provided an employee at the hospital with forged letters from a California hospital to show that the applicants had been accepted into a second-year program. And he gave her a check for $4,000, followed by another check for $2,000. She reported him to hospital officials, and later told him she knew the letters were forged. He then allegedly gave her $6,000 for time to get a letter from a different hospital—which was also forged—and gave her $3,000 more before he was arrested.

Geez.

– Via Hospital Bribe Alleged – WSJ.com

*This blog post was originally published at GruntDoc*

Paralysis As Criminal Punishment?

CAIRO — A Saudi judge has asked several hospitals in the country whether they could damage a man’s spinal cord as punishment after he was convicted of attacking another man with a cleaver and paralyzing him, the brother of the victim said Thursday.

Every time I think my country is screwed up, I read this sort of thing and feel better about it. And kudos to the hospital that (apparently) just said, “No.”

SOURCE: “Saudi judge considers paralysis punishment” – World News – Mideast/N. Africa – MSNBC.com

*This blog post was originally published at GruntDoc*

An Emergency Medicine Myth?

Eyebrow lacerationI’ve internalized all the dogma of medicine, for good and bad.

When I was an EMT, green as a twig in an ER, I learned the basics: For any wound with hair employ the razor, and get the hair away from the laceration so the doc could do a good closure.

So, employment week #3: Eyebrow laceration? Shaved that sucker clean off. ER doc freaked out, and I learned some medical dogma: Don’t shave eyebrows, they don’t grow back. Heard it later, too — all the way through training, in fact. Read more »

*This blog post was originally published at GruntDoc*

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