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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

Monday, August 29, 2016

Budding EM

EM is still a budding field in India and I see many of our non-EM colleagues (who have never even worked in an ED) lecture during EM summits. While there is no doubt about their subject specific knowledge, there is often a disconnect felt when they try and teach EM or Critical Care. So this was one of the poll created recently:

Q - Should we be inviting non-EM physicians at EM conferences to lecture about Emergency Medicine?

  1. Yes - 62%
  2. No - 30%
  3. Yes, but only after they go thru an EM induction program - 8%

My thoughts on this..

Some more thoughts from the FOAMed world:

Steve Carroll I think non-EM specialists certainly have something to offer when it comes to their specialty and how they would manage something or what they prefer that we do in the ED- but, for example, if a trauma surgeon wants to tell me how to do airway management (with the exception of a trach) then they should immediately close their mouth because they think they know what they are talking about but in reality they have no idea...

Justin Hensley Different specialties can offer some interesting perspectives. You have to watch what they're going to say though, because sometimes they're too specialty oriented.
Justin Hensley More like, asking the stick manufacturer to comment on ice hockey. They might not play the game, but they can offer insight to the tools.
Justin Hensley We do a feature called "ask the expert" where we bring in other people and them ask them EM specific questions. Makes it a bit more emergency oriented.

MC Gill One who never worked ER will not add any value. It is like asking a cricket player to give opinion about ice hockey.

Bishan Rajapakse Great question Lakshay (and interesting results and discussion that is emergency from the question) - I guess it all depends on which non-EM people you ask. EM is not an island, and to develop, even in mature systems, requires interdisciplinary action - especially policy makers, public health, pre-hospital, nursing, allied health, health minister etc. Even having different specialities attend EM can be very helpful - after all, we work in integrated hospitals. ------------------------------My experience of attending different IEM conferences since 2007 is that I think it is quite advantageous to have multidisciplinary conferences. A well facilitated forum with multiple disciplines is usually very productive. For example, I recently attended a high profile social media and critical care conference in Dublin, which was a true international collaboration, and interdisciplinary collaboration (doctors, nurses, paramedics, and even surgeons, and social workers were plenary speakers) - the results were good. There was an productive IEM track where people from all backgrounds were sharing ideas.-------------------------------- MC Gill I can hear your frustrations. I remember at one of the early conference hearing the question from an ex-president of college of physicians which went something like "so what is the difference between an intensivist and and emergency physician exactly?" - but I think this was a great question and great opportunity to educate those who still don't know what EM is all about - after all we are one of the most dynamic specialities that exist and it is important to keep others in the loop if we are to progress sustainably. Justin Hensley - i agree offering insight in ways that may cover our own blind spots. If people are invited and discussion is facilitated appropriately they will only offer benefit, and useful discussion. --------------------------------The key in my opinion is good facilitation at conferences, which is sometimes lacking. Using newer mediums such as twitter allow for a range of discussion to occur from the delegates, rather than just the loudest most prominent people in the room.

Praveen Chenna Invite .
They can lecture on their subject n it's importance or relevance to the field of emergency , is always acceptable.

Hashmat Faheem Emergency Medicine is comparatively newer branch as a speciality in India.. Protocols, Diseases generally varies from places where speciality is established... it might be useful to get some inputs from Non Emergency Medicine Faculties

of course we should... But they should invite EPs to speak at their conferences too

Yeah, we work in teams (PH, EM, CC, Anesth, surg, etc) so I don’t see why not. Just need to have good communication

Feel free to share your comments.


     Lakshay Chanana


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