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Work-life balance in healthcare: The fundamentals
By Catherine Iste
People in careers that revolve around helping others are often the worst at maintaining a healthy work-life balance. Healthcare workers are some of the most challenged employees when it comes to self-care, yet they spend every day helping others with health challenges. It seems to be a common personality trait among those driven to help others that they put others first. Yet time and again we have all seen that if we take care of ourselves, we can actually help others more. In this three-part article, we will speak with two healthcare professionals who are experts in teaching work life balance. But first, we will set the groundwork by exploring the fundamentals.
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AAEM NEWS


AAEM stands strong for physician due process rights; advocates for hospital employees
In a May 7 letter to the Centers for Medicare & Medicaid Services (CMS), AAEM and AAEM/ RSA were joined by six other medical associations in taking a stand against the systematic violation of physician due process rights at hospitals. Read the full letter here.
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PRODUCT SHOWCASE
  Merck Manual/AAEM Video Project

Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.

CLICK HERE to learn more.
 


Deadline next week — May 31! Showcase your research at MEMC-GREAT
Call for Abstracts and CPC Competition Submissions — Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Look for more details to be announced soon. Learn more and register today!
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Registration now open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
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Prepare for Written Boards with AAEM — Register today!
Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more!
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NEW: 2nd Edition of the Written Board Review book
This comprehensive text will help prepare you for: Emergency medicine qualifying exam (formerly the “written boards”), Emergency medicine annual resident in-service exam, and the ConCert Exam. It includes over 200 color images, 225 question practice in-service examination, and 24 chapters written by experts in the field. Special member pricing, order today!
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EMresource.org — 50 percent off sale!
Until May 31 get 50 percent off two great EM pocket references Quick Essentials: Emergency Medicine 1-minute Consult and A to Z Pocket Emergency Pharmacopoeia & ABX Guide. Click here for sale prices (while supplies last)
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Long-term care insurance takes the uncertainty out of retirement
To help educate AAEM members about long-term care solutions, we are partnering with ACSIA Partners LLC, one of the nation's premier experts in long-term care planning. ACSIA Partners has developed a comprehensive educational program to provide you with all the information you need to determine which type of long-term care solution is appropriate for you.
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HEALTHCARE POLICY NEWS


Special report: Minnesota ruling may give EPs due process boost
Emergency Medicine News
The medical staff of a hospital or health system has standing to sue its hospital board, and medical staff bylaws constitute an enforceable contract. That 5-2 ruling from the Minnesota Supreme Court earlier this year, in a case involving the 25-bed Avera Marshall Regional Medical Center in Marshall, Minnesota, has potentially far-reaching implications for physician autonomy and is particularly noteworthy for emergency physicians, said experts.
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Infographic: Physicians becoming more proficient with EHRs
MedCity News
Physicians are not only becoming more proficient with EHRs, they are using their systems for more than just reference. That's the conclusion of a new Accenture survey of more than 2,600 doctors in Australia, Brazil, England, Norway, Singapore and the U.S. Interoperability is growing as well, albeit slowly. In 2015, for the first time, a majority of U.S. physicians surveyed by Accenture (51 percent) said they "routinely" access patient data from outside their organizations, up just slightly from 45 percent in 2012.
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Examination of nondisclosure agreements in medical malpractice settlements
Medical Xpress
A review of medical malpractice claim files at an academic medical center found that while most settlements included nondisclosure clauses there was little standardization or consistency in their application, according to article published online by JAMA Internal Medicine. Transparency is a core principle in efforts to improve the safety and quality of healthcare, according to background information in the study.
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Physician EHR use impacts patient disclosure, communication
EHR Intelligence
There are a variety of reasons why the federal government including the Department of Health and Human Services (HHS) encourage physician EHR use and the adoption of health IT tools across the healthcare industry. From the potential to improve the quality of care and lower costs to boosting population health outcomes and reducing the rate of medical errors, health IT adoption seems to have many positive attributes.
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Some physicians plagued by student debt, bad investments
Medscape (free login required)
A survey of physician debt and net worth — part of Medscape's Physician Compensation Report 2015 — shows that rising medical student debt is taking a long time to pay off for many doctors, and bad investments are also taking a toll on some physicians. As part of the debt-to-net worth ratio, patient-care compensation for employed physicians in the survey included salary, bonus, and profit-sharing contributions. For physicians who are partners, patient-care compensation includes after-tax earnings and deductible business expenses before income taxes.
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RECENT STUDIES


Clinical outcome of children with suspected shunt malfunction evaluated in the emergency department
Neurosurgery
Children with cerebrospinal fluid shunts are often evaluated in the ED. Discharge from the ED, when suspicion for shunt malfunction is low, is an appropriate practice.
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Contribution of recurrent admissions in children and young people to emergency hospital admissions: Retrospective cohort analysis of hospital episode statistics
Archive of Disease in Childhood
Recurrent admissions contribute substantially to total emergency admissions. They often occur soon after discharge, and disproportionately affect CYP with chronic conditions. Policies aiming to discourage readmissions should consider whether they could undermine necessary inpatient care for children with chronic conditions.
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Problems and limitations in thrombolysis of acute stroke patients at a tertiary care center
Indian Journal of Critical Care Medicine
Reasons for delay in thrombolysis are: Absence of stroke education program for common people. Lack of priority for triage and imaging for stroke patients.
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NATIONAL NEWS


How common are adverse cardiac events after a visit to the ER for chest pain?
Forbes
Is it safe to discharge a patient home after a negative evaluation for chest pain in the emergency department? In 2010, according to data from the National Hospital Ambulatory Care Medical Survey, there were over 7 million emergency department (ED) visits for chest pain, making up 5.4 percent of all ED visits in the U.S. In fact, based on data from the Agency for Healthcare Research and Quality, in 2006 alone, nearly $11 billion was spent on admission and observation of patients with chest pain.
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ER super-users have higher risk of death
FierceHealthcare
Although many hospital administrators view patients who frequently turn up at the emergency room as a nuisance, new research shows that these "super-users" have unmet needs and are at a high risk of death compared to patients who don't usually seek emergency care. The study, published online in the Emergency Medicine Journal, conducted a systemic review of 31 observational studies on the mortality and health outcomes of ER super-users compared to non-frequent users of the emergency department.
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National spike in synthetic marijuana emergencies
Medscape (free login required)
Calls to poison control centers in the United States related to synthetic marijuana spiked in April, and May could be a record month as well, according to the American Association of Poison Control Centers (AAPCC). Between January 1, 2015, and May 6, 2015, poison control centers received reports of 2714 exposures to synthetic marijuana. There were 359 reported exposures in January, 273 in February, and 269 in March. The number jumped to 1512 cases in April; for May, there have been 301 cases as of May 6.
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Novel ER treatment protocol for AF cuts admissions, hospital length of stay
Medscape (free login required)
A novel, multidisciplinary treatment protocol that adheres to "best practices" for the management of atrial-fibrillation patients in the emergency department significantly reduced hospital admission rates and hospital length of stay, according to the results of a new study. "Each physician or emergency-room provider treats [atrial-fibrillation] patients in different ways," senior investigator Dr Moussa Mansour (Massachusetts General Hospital, Boston) told heartwire from Medscape. "Some patients get admitted, some patients go home.
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Local anesthesia may be best for infants during surgery
HealthDay News
New research suggests infants may recover better after some kinds of surgery if they receive local anesthesia — which only numbs part of the body — instead of being "knocked out" completely with general anesthesia. Young patients who had local anesthesia were less likely to suffer from disrupted breathing following hernia surgery, the study found.
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Surgeons want robotics training during general surgery residency
General Surgery News
The vast majority of residents and attendings believe that robotics should be included in general surgery training and that it should start in the first year, according to the results of a single-center study presented at the 2015 Southeastern Surgical Congress Annual Meeting. Despite this finding, there is not yet enough literature to begin formulating how standardized robotics education should be achieved, said investigator Heather R. Nolan, M.D., a general surgery resident at Mercer University School of Medicine/The Medical Center-Navicent Health, in Macon, Georgia.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    The role of maintenance of certification programs in governance and professionalism (JAMA)
Survey: Many providers want ICD-10 to just go away (By Scott E. Rupp)
A hospital's experiment leads to better patient flow and care (Medscape (free login required))
Fewer emergency dept. visits vs. right care at right time (Health Leaders Media)

Don't be left behind. Click here to see what else you missed.


 



AAEM Insights
Colby Horton, Executive Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169   
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