Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The objective was to determine if geospatial techniques can be used to inform targeted community consultation (CC) and public disclosure (PD) for a clinical trial requiring emergency exception from informed consent (EFIC). ⋯ Geospatial techniques and hospital data records can be used to characterize potential subjects and delineate a high-risk population to inform directed CC and public disclosure strategies.
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Due to the rapid growth in academic emergency departments over the past 20 years, recent significant changes in leadership have occurred. To prepare for future transitions, leaders in academic emergency medicine (EM) should identify those skills and characteristics desired in future academic chairs. The authors sought to determine which skills and characteristics are more important than others to help guide the development of EM-specific leadership courses. ⋯ Leadership courses for aspiring chairs in EM should foster the development of academic experience and managerial skills. Advanced degrees in leadership or administration are highly desirable in future chairs.
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The objective was to describe patient and facility characteristics of emergency department (ED) observation services in the United States. ⋯ Over one-third of U.S. EDs have an OU. Short-stay admission patients have similar characteristics as ED observation patients and may represent an opportunity for the growth of OUs.
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The interpretation and optimal application of the myriad of diagnostic modalities at the emergency physician's (EP's) disposal is a core challenge of clinical practice. Connecting the wealth of scientific literature that informs our understanding of test performance, including elements of the history and the physical examination, is a daunting task. ⋯ This commentary discusses the potential impact of the first installment in the "evidence-based diagnostics" series of the journal, highlighting how this work complements existing resources of evidence-based medicine. In addition, a vision is presented for how the insight from this series can achieve integration into the clinical and academic mission of emergency medicine.