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During a recent weekend shift in the Emergency Department, four patients presented with the same chief complaint: “I just want to know if I have the flu.”
In honor of the Reverend Dr. Martin Luther King, Jr
An Immigrants Story
Please allow me to share my perspective on why I chose to travel across the world to provide medical care to people I do not know. But first, I am going to provide you with a little background on me.
The process of credentialing can be quite a daunting one, especially if you are new to the healthcare or hospital medical staff approval process. In essence, your credentials are a verification of who you are – both academically and clinically. In addition, your credentials include your medical malpractice history, board certifications, training certificates, disciplinary actions, and other state-specific requirements that the state licensing board determines make you safe to practice. Think of your credentials as a portfolio allowing anyone who wants to know about you read a file and see what you bring to the table, and how well trained you are.
Several years ago, physician graduate medical education, also known as residency, went through a revolutionary change and restrictions were placed on the number of work hours residents could work in a week. In a profession traditionally programmed to work in excess of 110-130 hours per week to gain the exposure necessary to adequately practice medicine, capping hours at 80 hours per week was a controversial change, and brought into question the validity of shortened education. While the verdict is still out regarding the current generation of residency graduates – related to knowledge base, work ethic, professional expectations, and patient relevance – there is no change in sight for resident work hours.
What Size Needle Should You Use?
At a recent course this past weekend, we were asked which size needle should you use while performing a needle decompression procedure. The automatic response was large bore needle…typically 14-gauge angiocatheter. But that is only half the answer! What about catheter length? The standard 14-g angiocath is 5cm long and its catheter is only 4.5cm long. This was causing concern about a high failure rate. With the primary source of procedure failure being a failure of the needle to reach the pleural space, the standard angiocath would only reach the pleural space in 53% of the population.
How many times have you heard this mentioned in casual conversation amongst healthcare providers?Perhaps during a heated exchange on television, or when talking about doing things we aren’t comfortable doing to our patients. Perhaps you have even mentioned it yourself.
The fact is, it takes a lot – A LOT – to lose a medical license or license to practice. Yes, bumps along the road in our career can happen, but realistically speaking, what licensing board would have a vested interest in removing providers from an already strained healthcare system?
[Read more…] about “I’m not putting my license on the line”