Free Board Review Questions of the Week – Myocardial Infarction

Adam WandermanEM Questions of the Week, ENP Question of the Week, PA CAQ EM Question of the Week, Personal Education, Question of the Week, Urgent Care Question of the Week

Free board review question of the week on Myocardial Infarction

A 56-year-old woman presents to you with new-onset chest pain. For the last year, she tells you that she has a pacemaker for “a heart block”. Her vitals are stable, her past medical history is otherwise benign, and cardiac biomarkers are pending. She is visiting from another state, and you are unable to access her prior electrocardiographic ECG results. ECG … Read More

Residency Training EPAs and ACGME Milestone Management Made Easy

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

Residency EPAs and ACGME milstone tracking

Resident training milestones were created by the ACGME in 2016 to help programs organize training. Simply defined, a milestone is a significant point in development. For accreditation purposes, the Milestones are competency-based developmental outcomes (e.g., knowledge, skills, attitudes, and performance) that can be demonstrated progressively by residents/fellows from the beginning of their education through graduation to the unsupervised practice of … Read More

Easiest Way to Onboard and Assess Knowledge of New Incoming Residents

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

Easily onboard new residents and assess knowledge quality

When new residents arrive, program directors want to find out “who knows what and how well do they know it.” Each resident is different, especially at the outset of residency. Each resident comes with their own passions, strengths and weaknesses. It’s the PD’s job to find these things out and manage training progress through successful certification and matriculation. Sit-downs with … Read More

How to Improve Residency Education Despite Budget and Bureaucracy Constraints

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

Improve Residency Education Despite Budget and Bureaucracy Constraints

Increasingly, Residency directors find themselves without the ability to make prudent, timely improvements to their programs. Many residencies have had their independent budgets removed.  Most purchasing for HCA residencies, for instance, are made in the corporate offices, rather than on-site at the individual residencies. Numerous organizations are calling for the expansion of graduate medical education (GME) positions nationally. Developing new … Read More

How to Protect Residency Programs from High Program Director Attrition Rates

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

Protect your residency program from residency director attrition

Program Director turnover now exceeds 20% per year. Over half of Program Directors will quit in the next four years. The role and station of the Program Director has changed. With the onslaught of healthcare mergers and consolidation, residency programs are increasingly moving under the administrative purview of corporate ownership rather than university-based scholastic administration. What happens in the hospital, … Read More

Free Board Review Questions of the Week – Antiseizure Medication

Adam WandermanIM Question of the Week, NP Question of the Week, Personal Education, Question of the Week

Free board review question of the week on seizures

A 23-year-old woman presents to you after having experienced a seizure 2 hours ago, her second such seizure in 1 year. Her first seizure was followed by a comprehensive evaluation and no underlying etiology could be identified. As is standard practice after a single seizure with no known cause, she was not started on an antiseizure medication. This second seizure … Read More

How to Train Residents Well with Restricted Resident In-Training Hours

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

how to train residents well despite restricted in-training hours

ACGME duty hours were restricted in mid-2017 over concerns of resident exhaustion.  However, some say the current era of hour restrictions for residents has negatively affected physician training – that with restrictions to “training time” residents are less prepared to be effective doctors upon graduation. If the goal is to have well-rested residents, restricted hours actually don’t seem to make a … Read More

New Question Authoring Tools – Create, Edit, Deploy Your Own Questions Online

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make your own custom questions online with Med-Challenger

Med-Challenger has introduced new question authoring tools to its online medical education platform. Group program managers and educators can now create, edit, organize, and deploy your own custom questions – all within Med-Challenger. That’s right!  With Med-Challenger’s on-demand, exam-based question banks – and the ability to add your own questions – there’s no faster, easier, or more flexible way to create … Read More

How to Improve Resident Supervision and Residency Program Oversight

Med-ChallengerGroup Education & Training, Residency Programs, Uncategorized Clinical Education

Tips to Improve Resident Supervision

Residents in academic centers being asked to do more and more patient care, eating up education time. The corporate impact (and government funding impact) on residencies has also altered the training regimen for students. In the last 10 years, income per resident, paid by the Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA) … Read More

Free Board Review Questions of the Week – Constipation

Adam WandermanEM Questions of the Week, Personal Education, Question of the Week

Free board review question of the week on Constipation

A male neonate presents with vomiting, colic, and failure to pass stool. You order abdominal radiography. Figure 1 (left) is the supine view, and Figure 2 (right) is a contrast enema study. Figures 1 and 2. What is the diagnosis based on these radiographic findings? bowel obstruction Identify bowel obstruction as a possible cause for constipation in a neonate. Bowel … Read More