journal articles

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I'm reading the set that my PD gave us that he said are considered the "landmark" articles (i.e., Rivers early goal directed therapy). Aside from that, I feel like I have too much in the way of fundamentals to get down before I try to keep up with the cutting edge knowledge.
 
I'm reading the set that my PD gave us that he said are considered the "landmark" articles (i.e., Rivers early goal directed therapy). Aside from that, I feel like I have too much in the way of fundamentals to get down before I try to keep up with the cutting edge knowledge.

Agreed!
 
I'm reading the set that my PD gave us that he said are considered the "landmark" articles (i.e., Rivers early goal directed therapy). Aside from that, I feel like I have too much in the way of fundamentals to get down before I try to keep up with the cutting edge knowledge.

Same here. My plan for first year reading involves learning the foundation. Basic knowledge of how do we treat what. So mostly review books and later in the year questions. Second year I plan to move on to reviewing key literature and new developments.
 
Here's what I ended up doing last year: Read articles as much as possible for journal club (sometimes wouldn't even read all of them, but would try for at least one). I get the EMRA magazine and the ACEP journal in the mail. I will briefly go through the titles of articles. Found some to pertain to something I should know at this point and would read it. Others seemed to be not so useful at this point, so I would skip over it. Granted, I still have 3-4 journals I have yet to even read the titles so this obviously was not a regular thing for me. Do what you can, but definitely reading the basics is more important. Also reading about something you saw that day in the hospital is useful for helping things sink in. I found reading about common chief complaints was very useful. Things like chest pain, SOB, abd pain, and dizzy. Also read for your didactics before you go. I found that to be a huge challenge depending on the schedule, but I got much more out of didactics if I read before going. Hope this helps!
 

Would you be able to share that list by chance of lankmark articles? I am also trying to read during intern year and it is difficult figuring out where to start.
thanks
 
I'm reading the set that my PD gave us that he said are considered the "landmark" articles (i.e., Rivers early goal directed therapy). Aside from that, I feel like I have too much in the way of fundamentals to get down before I try to keep up with the cutting edge knowledge.

Hey colbert.

sorry for the repeat, I replied to the wrong poster

Would you be able to share that list by chance of lankmark articles? I am also trying to read during intern year and it is difficult figuring out where to start.
thanks
 
Since I get Annals in the mail each month, I thumb through the articles whenever I get a few minutes. Since I'm not interested in tearing into the methods, I view reading journals more as a chance to learn something new. You'll look like a genius if you can tell your attendings, "I was reading in this month's Annals that IV erythromycin was just as effective as lavage for making the upper GI tract visible to endoscopists."

Your attending will smile and say, "That's interesting. I'll need to read into it. Now get in there and place that NG tube."
 
There was a thread entitled help build my so there file or something like that. That has some landmark articles.

IMO, want to really shine? After each shift think of the most interesting patient you saw, or one where you were puzzled.

Get the uptodate on it and read it, every word. By the end of your intern year you will be at the top of your class and people will be impressed. It is really that simple, executing is harder than you think.
 
As a resident, focus on the foundation (Rosen's, Tintinalli's, etc)... but you're in the right mindset to be looking at newer articles given that the textbooks are often a few years behind.

The "landmark" articles depend on whom you ask about them; but, one good resource is the Colorado Compendium - lists many "clinical care guidelines" but references the paper from which they came. Click on "supporting material" at http://repositories.cdlib.org/uciem/westjem/vol10/iss1/art7/

Other options are to get the LLSAs for ABEM's EMCC (Emergency Medicine Continuous Certification) process... once you're out, you need to take annual tests based on the current literature (the LLSA exams). Getting the LLSA list from ABEM can give you an idea of what's trending and becoming important in EM.

Cheers!
-t
 
Most of the first year I felt like I needed to get more of a mastery of the fundamentals, so I spent more time reading Tintinellis, etc. Now that I'm in my second year, I feel more comfortable with the foundation and I am spending a lot more time reading journal articles and focusing more on what's new in EM.
 
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