Fellow

Electronic Fetal Monitoring Case Studies #1: OP Malpresentation

Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…

Second Stage Labor – Part 2: Management & Risk Mitigation

Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…

Beyond Informed Consent

Informed Consent continues to be a source of medical error and medical malpractice claims. Obtaining consent is sometimes delegated to someone other than the physician performing the procedure; it is sometimes reduced to obtaining a signature on a piece of…

Physician Health and Quality of Care: Who Heals the Healer?

Recent large-scale surveys of physicians show high numbers of respondents endorsing statements of stress and burnout. This video presentation by an emergency medicine physician examines the quantifiable effects of physician stress on the physician’s physiology and on the patient’s quality…

Cardiothoracic Surgery Risk and Claims

The number of cardiothoracic (CT) surgeons is declining, and there is a projected shortage by 2035. At the same time, CT surgery continues to be a high-risk specialty for those practicing it. This activity looks at trends in CT surgery…

Clinical Practice Guidelines and the Standard of Care

Twenty years ago, the AMA noted an alarming trend by physicians and hospitals: they were treating the terms “standard of care” and “clinical practice guidelines” virtually interchangeably, a trend that has only increased over time. In a video interview, cardiologist…

Email Between Physician and Patient

Communicating with patients by e-mail is rapidly becoming a part of many physicians’ medical practice. It ranks high in patient satisfaction, and at least one study found it to be associated with better patient compliance and better control of chronic…

Surgical Readmissions: What Surgeons Can and Can’t Do About Them

CMS’s Hospital Readmission Reduction Program, previously targeting medical diagnoses, is expanding its reach to surgical procedures, starting with knee and hip replacements in 2015. This monograph will review new peer-reviewed studies about the reasons for surgical readmissions, to what extent…

Lung Cancer Screening Education: From Science to Practice

Lung Cancer Screening Education: From Science to Practice instructs learners on how to implement a comprehensive, multi-disciplinary lung cancer screening program. This interactive eLearning activity demonstrates how to perform shared decision making using a patient-centered approach, how to implement screening…