There has been discussion nationally about the potential for a mismatch in the needs of the United States and the emergency physician workforce. Alex and Venk talk with Dr. Christopher Bennett, from Stanford Emergency Medicine about what he has learned and how he perceives the situation moving forward after spending a significant amount of time researching the EM workforce.

TWITTER: @AlwaysOnEM; @VenkBellamkonda; @CLeeBennett

INSTAGRAM: @Always On EM; @Venk_like_vancomycin; @ASFinch

GMAIL: [email protected]

References:

1. Bennett CL, et al. National Study of the Emergency Physician Workforce, 2020. Annals of Emerg Med. Dec 2020

2. Marco CA, et al. The Emergency Medicine Physician Workforce: Projections for 2030. Annals of Emerg Med. Dec 2021

Dr. Pritish Tosh, Infectious Disease attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about Monkeypox, especially how it compares and contrasts to Smallpox and Chickenpox. Stick around to the end where an addendum is added to discuss the July 2022 New England Journal of Medicine case series on Monkeypox.

Contacts:

@AlwaysOnEM - TWITTER

[email protected]

@VenkBellamkonda - TWITTER

1. Thornhill JP, et al. Monkeypox Virus Infection in Humans across 16 countries - April-June 2022. N Engl J Med. 2022 Jul 21. doi: 10.1056/NEJMoa2207323. Online ahead of print.

2. WHO Director-General's statement at the press conference following IHR Emergency Committee regarding the multi-country outbreak of monkeypox - 23 July 2022; read July 24, 2022; weblink: https://www.who.int/director-general/speeches/detail/who-director-general-s-statement-on-the-press-conference-following-IHR-emergency-committee-regarding-the-multi--country-outbreak-of-monkeypox--23-july-2022  

3. Second meeting of the International Health Regulations (2005)(IHR) Emergency Committee regarding the multi-country outbreak of monkeypox - 23 July 2022; read July 24, 2022; weblink: https://www.who.int/news/item/23-07-2022-second-meeting-of-the-international-health-regulations-(2005)-(ihr)-emergency-committee-regarding-the-multi-country-outbreak-of-monkeypox 

Dr. Lyell Jones, award winning neurologist educator, joins us on the podcast to talk about Myasthenia Gravis, Guillain-Barre Syndrome and neuromuscular weakness.

Alex and Venk talk with Dr. Nandan Anavekar, cardiac intensivist, about wide complex tachycardias - antitachycardia pacing, balloon pumps, dual sequential cardioversion, vasopressors, beta blockers and more!

SHOW: @AlwaysOnEM | @VenkBellamkonda | EMBlog.mayo.edu | [email protected]

GUEST: @NandanAnavekar | @MayoCVFellows | @MayoClinicCV

The Always On crew is joined by Dr. Jessica Schoen who is a world expert in medical simulation who shares perspectives on simulation fellowship as well how to uplift community emergency medicine practice through simulation. 

Dr. Lauren Southerland, president of ACEP and former president of SAEM geriatric EM sections and Associate Professor of Emergency Medicine at Ohio State University, joins the show and truly inspires us to think differently about how we approach the care of older patients. She talks us through four models for providing geriatric emergency care, what does an ideal setup for older patients look like, what should we be doing to train future geriatrics-capable emergency physicians and much more! Please listen and check out the companion piece in the Mayo Clinic EM Blog. 

Tweet Dr. Southerland @LSGeriatricEM

Tweet Dr. Bellamkonda @VenkBellamkonda

Tweet Always on EM Podcast @AlwaysonEM

Left ventricular assist devices (LVADs) can feel incredibly complex and these patients can inspire fear or trepidation in many healthcare providers. In this episode, we talk through the basics of LVADs from taking vital signs, to managing alarms, and evaluating common issues all with the experience and insights of our wonderful guest, Sarah Schettle, PA-C in Cardiovascular Surgery at Mayo Clinic. She is an incredible educator and breaks this topic down into really digestable and applicable pieces.

Check out a summary on the Mayo Clinic EM Blog

This is a challenge for us to think about the model of healthcare delivery differently by Dr. John Schupbach, resident, Mayo Clinic Emergency Medicine. 

This is a recording of Drs. Ankel and Cabrera, renowned educators presenting grand rounds to the departments of emergency medicine at Mayo Clinic. They make a bold prediction for how the practice of emergency medicine will evolve and how the next generation of physicians will be challenged to practice differently.

In this episode, we talk through a systematic way for determining if a person has capacity to make a decision in the emergency department. We also talk through special circumstances such as when a person has consumed alcohol, etc.