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I completed my medical school and background EM training from India (Christian Medical College, Vellore and Apollo Hospitals, Hyderabad) where I worked for 4 years. Following this, I devoted (with all my heart) about 1.5 years to do US Medical Licensing Exams. My stint towards an EM Residency in States did not work but it took me to places and it has been quite a journey. I then relocated to London, England to work as a Registrar (Non-Trainee) in A&E. This gave me an opportunity to better understand NHS, EM training pathways and more importantly the EM Mindsets in the United Kingdom. 

Currently, I am pursuing Higher Specialist Training in Emergency Medicine at South East Scotland Deanery where I have the honour and privilege of training under some of the most innovative brains in the field of Emergency Medicine. Over the past few years, I have realised that LEARNING and UNLEARNING (which can be challenging!) is equally important to deliver cutting edge care to our patients.And through this blog, I aspire to disseminate knowledge, assist trainees with exams and stay up to date with contemporary EM literature. I have always been an avid FOAMed supporter because FOAMed has always played an indispensable role during my training. 


Lakshay Chanana
ST4 EM Trainee 
Edinburgh, Scotland
drlakshayem@gmail.com

Tuesday, January 13, 2015

The 3 minute EM presentation

Let us start with the first post on this blog.

In my opinion this is probably one of the most important one for the first year residents/medical students rotating through the EDs who are learning how to work up a patient and get a good history. Also senior faculty and registrars can use this information to streamline and organise the process of history taking/presentation by junior physicians.

Well, We all have seen, patients frequently changing their answers to the same questions when asked by different doctors (especially consultants/attendings). I think this depends a lot on the way a question is framed. Remember, patients are not trained to give history, but we are trained to take a good history, So it is our responsibility to get a short history pertinent to their current visit.

Those of us who have worked for a good amount of time, also know that all the emergency physicians suffer from attention deficit to some extent and we have really really short attention spans and we always work under time constraints. So listening to a complete medical school history kind of is not possible in emergency room. So what is the solution? "A short and succint history" !
These articles are great resources for learning and teaching how to do short EM presentations focussing on pertinent history and physical examination. They are written from an emergency medicine perspective, cutting the history short without missing the crucial questions.

http://onlinelibrary.wiley.com/store/10.1111/j.1553-2712.2008.00145.x/asset/supinfo/ACEM_145_sm_DataSupplementS1.pdf?v=1&s=4ea7171f6805460892e2b5ce9b7b84f17721d6cc

http://www.saem.org/docs/2012-annual-meeting/the-3-minute-emergency-medicine-medical-student-presentation-a-variation-on-a-theme-pdf-.pdf?sfvrsn=2

Have a good read!

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