You start your shift and your first patient is a 35-year-old male who presents with a mild fever, tachycardia, and what looks like the worst rash you have ever seen! His skin is diffusely erythematous, covering almost 95% of his body, with exfoliative plaques, and diffuse pustular lesions. Needless to say the patient is in severe pain. He then tells you this is his psoriasis and you are like ….WHAT?!
Genine Siciliano, PGY3 and chief resident, explains her approach to dermatologic emergencies here: http://www.emdocs.net/dont-rash-emergency-physicians-approach-undifferentiated-lesion/.
Here's the 3rd installment of the Intern Report Collection by our very own interns at EMDocs: http://www.emdocs.net/intern-report-collection-volume-3/.
Great job Interns!
John Corker sits down with Dr. Amitabh Chandra, of the Institute of Medicine’s Committee on the Governance and Financing of Graduate Medical Education, to discuss his insider’s perspective on the method behind the perceived madness of his committee’s recent recommendations for improving medical residency training in America. Dr. Chandra is an architect of one of the IOM's most controversial and potentially impactful reports in recent memory, and he doesn't hold anything back in explaining his candid and pragmatic approach to answering the foundational question posed to his committee: "What are medical residents - and by extension, their patients - really getting in return for the enormous investment into their training made by American taxpayers?"