The Efficient MD Wiki - Recently Updated Pages

electronic stethoscope

jschwimmer — Fri, 18 Jul 2008 08:42:25 CDT

There is no abstract available for this page revision.

About The Efficient MD Wiki

jschwimmer — Thu, 17 Jul 2008 21:51:09 CDT

Every doctor has strategies to help them practice better. What are yours?

Wikis — collaborative websites — are powerful tools for education. The Efficient MD Wiki is designed to help healthcare professionals and medical students discover clinical pearls, useful resources, life hacks, and strategies to improve the practice of medicine.

Although this Wiki is currently in its infancy, it is growing rapidly and needs your help. Please post your ideas, mnemonics, best practices, tricks, timesavers, presentations, helpful links, or other advice you'd care to share. (Don't worry if your writing is disorganized. Someone will always edit it later.) Anonymous posting and editing is allowed.

If you'd like to have a link to your personal website added to this page — as our way of saying thanks — please join this wiki and send us a message. Or just post a link to The Efficient MD Wiki on your website.

Please see the posting guidelines and disclaimer. The Efficient MD Wiki is an ongoing experiment, and comments are welcome.

Sincerely,

Joshua Schwimmer, MD, FACP, FASN; The Efficient MD Blog (in association with the American College of Physicians); Clinical Instructor in Medicine, Columbia University College of Physicians & Surgeons and Clinical Assistant Professor of Medicine, New York University School of Medicine

Ves Dimov, MD; Clinical Cases and Images; Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

Supporters and Contributors

Clinical Cases and Images	The Efficient MD	ScienceRoll
The Happy Hospitalist	ACP Press	My Three Shrinks
Dr Shock MD PhD	Tech Medicine	My M.D. Journey

Weblog Do Fraga	Dialysis from the sharp end of the needle	Openpedia
Dr. Ivor Kovic	Web 2.0 @ Erlanger

Other Medical Wikis

ivorkovic — Tue, 10 Jun 2008 19:19:48 CDT

This page is adapted from ScienceRoll, an excellent blog about Web 2.0 in Medicine. It is used under a Creative Commons License.
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Medicine in Wikipedia: my post on the medical activities in Wikipedia

Ask Dr Wiki: I’ve already compared this medical wiki and Wikipedia

Radiopaedia: a wiki for radiology (my post on that wiki)

Flu Wiki: The purpose of the Flu Wiki is to help local communities prepare for and perhaps cope with a possible influenza pandemic.

Wikisurgery: Wikisurgery is a free surgical encyclopedia for surgeons and their patients.

Ganfyd.org: Ganfyd is a collaborative medical reference by medical professionals and invited non-medical experts.

The Clinical Informatics Wiki: It is an implementation of a wiki devoted to topics in clinical informatics.

HealthGrid Wiki: A wiki dedicated to grids for health.

Wellness Wiki: Understanding and Curing the Healthcare Crisis.

Billingwiki: a collaborative medical billing knowledge base for practice profitability and compliance. It includes fresh views and new concepts leveraging state of the art technology.

Student Doctor Network Wiki: is a nonprofit organization committed to assisting health professionals at all stages of their careers through volunteer-run and community-based discussion.

Medtech Wiki: Medgadget’s wiki aiming to create a comprehensive database of medical technologies and devices, including specifications, methods of use, and commentary on efficacy and other issues.

AIDS wiki: a community gathering place for AIDS dissidents to assist and foster activism. The wiki reflects a pro-dissident POV, although the diversity of opinion present among AIDS dissidents is respected.

WikiMD: is a free Medical Encyclopedia editable by anybody. It was created by a resident in Internal Medicine in Philadelphia.

WikiKidney: This wiki has been developed by The Nephron Information Center for the renal community of doctors and allied health personnel, industry, payors, CMS, patients and their families.

Medic Wikia: The aim of this wiki is to develop a collaboratively edited information resource focused on medical issues, treatment protocols, ethical standards, and historical information of use to street medics.

Update (many thanks to KJ and David Rothman!):

EBM Librarian wiki: The purpose of this wiki is to develop a community of librarians who are involved in teaching and supporting the practice of evidence based medicine (ebm) or evidence based practice (ebp).

EHealth wiki: a platform for the eHealth research community to collaboratively develop eHealth and Internet research ideas and observations into papers, proposals, research protocols, projects and programs.

Medical Images Wiki: The CHERRI report outlines a persuasive approach that could enable the sharing of medical images to support education needs (clinical recordings in academic, non-clinical settings).

Medical Imaging Wiki

Nursing Wiki: a wiki-project for health care and nursing information.

PubDrug: PubDrug.org is an open access directory of drug monographs on a wiki platform.

Quality of medical data: This wiki was created to be a research resource for epidemiologists, healthcare workers, insurers, and patients interested in the issues surrounding the quality of medical data.

WikiCancer: Cancer stories,support and infromation.

WikiHealth: the collaborative online health and wellness community where your participation makes a difference!

WikiRadiology: The free medical imaging resource created by the radiology community.

WikiEcho: A wiki dedicated to echocardiology.

Advice for Medical Students

ivorkovic — Tue, 10 Jun 2008 19:17:38 CDT

Patient Care

Procedure Guides Step-by-Step. Clinical Cases and Images.
Physical Examination Videos. Clinical Cases and Images.

A Practical Guide to Clinical Medicine (UCSD

Electrocardiogram (ECG, EKG) Learning Tools. Clinical Cases and Images - Blog.
Physical Examination of the Newborn Infant - 10 Videos. Ivor Kovic, M.D - Blog.

Basic Science Course Resources

Website Recommendations

Over My Med Body, the writings of a Stanford Medical Student.

Family Medicine

ivorkovic — Tue, 10 Jun 2008 19:13:49 CDT

General Advice and Life Hacks

University of Cincinnati, Department of Family Medicine
Three free e-books associated with Rick Ricer's "Wisdom of the Ageds" series

Clinical Pearls: Handy tips for using in your practice
Humorous stories: Tales from clinical practice
Analogies: Analogies for simpler patient education

Advice for Specialists

ivorkovic — Tue, 10 Jun 2008 19:08:38 CDT

Would you like us to add a page for another specialty not listed here? Please start a new thread/post a message.

The Hospital

ivorkovic — Mon, 02 Jun 2008 16:28:14 CDT

Patient Care

Preoperative Care of Patients with Kidney Disease - 8 Clinical Cases. Clinical Cases and Images.
Procedure Guides Step-by-Step. Clinical Cases and Images.
Physical Examination Videos. Clinical Cases and Images.
Electrocardiogram (ECG, EKG) Learning Tools. Clinical Cases and Images - Blog.
Physical Examination of the Newborn Infant - 10 Videos. Ivor Kovic, M.D - Blog.

Hospitalist Blogs

Wachter's World. Author: Robert M. Wachter, MD is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco. The term "hospitalist" was first coined by him in 1996 in the NEJM article The Emerging Role of "Hospitalists" in the American Health Care System.
DB’s Medical Rants. Author: Robert M. Centor, MD, Chief, Division of GIM
University of Alabama at Birmingham and President of SGIM.
Notes from Dr. RW. Author: R. W. Donnell, a hospitalist in Northwest Arkansas.
The Hospitalist Blog. Author: Adam D. Singer, MD, Chairman, CEO and founder of IPC, one of the nation’s largest private practice hospitalist companies.
Fat Doctor. Author: Anonymous, DO.
The Happy Hospitalist. Author: Anonymous, MD.
RangelMD.com. Author: Chris Rangel, MD, a hospitalist in Texas.
Clinical Cases and Images - Blog
Source: Clinical Cases and Images - Blog

On Call

Advice for Being on Call

Nephrology

Anonymous — Thu, 29 May 2008 06:32:29 CDT

Patient Care

Cases from Clinical Cases and Images

General Advice and Life Hacks

Lifehacker.com

Book Recommendations

Primer on Kidney Diseases. (This is the book that made me become a nephrologist.)

Website Recommendations

HDCN.com

The Physical Exam

Anonymous — Wed, 28 May 2008 16:14:43 CDT

There is no abstract available for this page revision.

Medical News Resources

Anonymous — Sat, 17 May 2008 15:26:51 CDT

[Please enter your favorite sources of medical news here, including the website's name and address. You can add feeds by inserting a "Widget."]

Staying up to date with medical news and the medical literature is a challenge. These resources can help.

General Medical News

Clinical Cases and Images posted 5 tips to stay up to date with the medical literature (click the link for a detailed discussion):

1. RSS Feeds for Journals.
2. Podcasts.
3. Persistent Searches.
4. Text-to-speech (TTS).
5. Blogs.

Nephrology

American Society of Nephrology News Feed

Twitter

Life Hacks for Doctors

Anonymous — Fri, 16 May 2008 20:34:26 CDT

There is no abstract available for this page revision.

Presentations

Anonymous — Fri, 16 May 2008 20:28:59 CDT

Web 2.0 and Medicine
Guidelines for Management of Venous Thromboembolism
Life Hacks for Doctors

Coding Advice from the Happy Hospitalist

Anonymous — Tue, 13 May 2008 20:06:20 CDT

Coding Clinic 99231

Mnemonics

Anonymous — Tue, 13 May 2008 14:18:52 CDT

[Please add individual mnemonics in it's own page under this category.]

Via Wikipedia:

A mnemonic device (pronounced /nəˈmɒnɪk/) is a memory aid. Mnemonics are often verbal, something such as a very short poem or a special word used to help a person remember something, particularly lists. Mnemonics rely not only on repetition to remember facts, but also on associations between easy-to-remember constructs and lists of data, based on the principle that the human mind much more easily remembers insignificant data attached to spatial, personal, or otherwise meaningful information than that occurring in meaningless sequences. The sequences must make sense though; if a random mnemonic is made up, it is not necessarily a memory aid.

Sources of Mnemonics:

Mnemonics from Clinical Cases
Medical Mnemonics by Keyword via Medical Mnemonics.org

Documentation and Coding

jschwimmer — Sun, 11 May 2008 10:13:52 CDT

Helpful Links

General Advice

Always ask the review of systems questions. If you're pressed for time, ask them during the physical exam. Learn it like you'd learn a poem. Here's a sample review of systems.

Review of Systems

jschwimmer — Sun, 11 May 2008 10:12:41 CDT

Learn the review of systems like you'd learn a poem. Asking the questions should be automatic and pleasant — don't stumble through it. Here's a sample ROS:

"Have you had any fever, chest discomfort, shortness of breath, nausea, vomiting, abdominal pain, pain on urination, joint swelling, hearing voices, eye problems? Anything like that?"

The Office

jschwimmer — Sun, 11 May 2008 10:04:36 CDT

[Add general advice for office management and care of patients in the office.]

Knock before entering.
Greet patients warmly. Smile. Make eye contact.
Sit down.
Always face them.
Don't appear to be rushing.
Write everything down for them.
Shake hands goodbye.

Advice for Residents

jschwimmer — Sun, 11 May 2008 10:03:16 CDT

Education

Procedure Guides Step-by-Step. Clinical Cases and Images.
Physical Examination Videos. Clinical Cases and Images.
Electrocardiogram (ECG, EKG) Learning Tools. Clinical Cases and Images - Blog.

Career Advice

Online Presence and Why You Need It. PaulStamatiou.com.

General Advice and Life Hacks

Dealing with information overload is a constant challenge. Choose *one* textbook for your specialty — general medicine, nephrology, cardiology, whatever — and make it your goal to read a few pages every night. (Current Medical Diagnosis and Treatment is a good choice for general medicine — Harrison's is just too sprawling.) Better yet, calculate how many pages you'd need to read daily to finish the book in a year, and read it every day. Simply reading a few pages daily will make you a much better doctor.
Learn documentation and coding when you're a resident, and it will make life much easier when you're an attending.

Book Recommendations

Website Recommendations

Cardiology

jschwimmer — Sat, 10 May 2008 14:47:11 CDT

Patient Care

General Advice and Life Hacks

Book Recommendations

Website Recommendations

Advice for Being on Call

Anonymous — Sun, 04 May 2008 14:15:10 CDT

These are productivity "hacks" for being on call, taken from this post on The Efficient MD.

--

"This weekend, I'm on call in the hospital and covering the practices of several other physicians. I'll be caring for more than 40 patients today. I'm curious: are there tips people would like to share for staying productive, focused, and sane while on call? I'll post a compendium of the best advice (with attributions and links, if you'd like). Please either leave a comment or email me at efficientmd@gmail.com. Thanks"

amangla said... Being on Call can be overwhelming especially if you have to see over twenty patients. I usually get my list of patients in the morning and then geographically I make a 'plan of attack,' and then I go full steam ahead. Try not to chat with people although it can be tempting. Staying focused on the patients and their issues rather than what you want to do when you leave the hospital really makes my speed remain fairly contstant. There is nothing so novel here that you haven't heard before- make yourt plan of attack, stick to it, focus on the work without getting distracted.

Anonymous said... Certain period of the day are more conducive to rounding. 8AM is notoriously hard because the nurses are signing out and there is no workspace available. Family visiting hours, usually from 10 am until the early afternoon, can be tough too if you have a lot of patients to see. If you only have a few patients to see, this is probably the best time as you can take the time to explain things to the family and patient together. Like another person has written, avoid socializing.

nephron129 said...
The best piece of advice for weekends on call came from one of my mentors. The people who are the most bitter are those who think that just because it's a weekend that somehow they can still make plans to attend some event in the early afternoon.

I find that I do best when I treat it just like a regular work day. I go through my same routine. I don't come in later, but rather at my usual time. I avoid nurse signout time (7am at our hospital) and I start with the most critically ill.

PLAN TO BE THERE. If you don't try to rush out...you'll be far less aggravated if the beeper goes into status beepicus or the ER has "another one for ya".

I try to avoid socializing but I also try to recognize when I've hit the wall and I need a break. I try to take 10-15 minutes to recharge in the late morning and then again in the early afternoon. It sounds silly but getting nourishment is important too. If you remember back to your intern days, you usually had a snack in your pocket or at least knew where the food was on the nursing units.
Just some thoughts.

Anonymous said... MAKE SURE YOU KNOW WHERE THE PATIENTS ARE IN THE HOSPITAL:

WE HAVE A RATHER LARGE HOSPITAL. IT'S IRRITATING, AND TIME-WASTING, TO GO TO THE ICU TO SEE MRS X, ONLY TO FIND THAT SHE'S JUST BEEN TRANSFERRED TO THE REGULAR NURSING UNIT -- USUALLY THE ONE YOU WERE JUST AT -- WHICH IS THE EQUIVALENT OF 2 BLOCKS AWAY. SOMETIMES, EVEN THE PHYSICIAN SIGNING OUT TO ME MAY NOT KNOW THAT HIS/HER PT HAS BEEN OR WILL BE TRANSFERRED.

WE ALSO HAVE A TERRIBLE HOSPITAL EMR WHICH ITSELF MAKES IT HARD TO FIND PATIENTS, SO WE HAVE TO BE SURE THAT SIGN-OUTS AND CONSULTS GIVE US PATIENT'S EXACT FULL NAME. EG IF I WERE TOLD (ON THE PHONE) TO SEE A HARRISON BROWN, BUT HE'S REALLY HARRISON BROWNE, THIS EMR SYSTEM WOULD SIMPLY TELL US NO HARRISON BROWN IN SYSTEM -- OR WOULD GIVE US INFO ON WRONG PT.

FINALLY, MAKE SURE THE PT STAYS IN THE ROOM WHEN YOU'RE ON YOUR WAY. TELL NURSES TO VERIFY HE'S IN HIS ROOM AND KEEP HIM THERE. I'VE SOMETIMES GONE TO SEE A CONSULT (IN THE A.M.) FOUND, UPON ARRIVAL, THAT PT WAS DOWN AT MRI AND WOULDN'T BE BACK FOR AN HOUR, AND HAVE THEN HAD TO COME BACK LATER IN DAY (OR EVENING) TO DO WHAT I INTENDED TO DO AT 8 A.M. KEEP PT IN ROOM; THEY CAN DO THE MRI OR WHATEVER AFTER YOUR EVAL, UNLESS IT'S REALLY URGENT.

Huck said... Have your fellow pre-round on everyone and come in at 8.

If you don't have a fellow, start ridicuously early. I am fond of showing up at 5 or 6AM.

The Efficient MD Wiki - Recently Updated Pages

electronic stethoscope

About The Efficient MD Wiki

Supporters and Contributors

Other Medical Wikis

Advice for Medical Students

Patient Care

Basic Science Course Resources

Career Advice

General Advice and Life Hacks

Book Recommendations

Website Recommendations

Family Medicine

General Advice and Life Hacks

Advice for Specialists

The Hospital

Patient Care

Hospitalist Blogs

On Call

Nephrology

Patient Care

General Advice and Life Hacks

Book Recommendations

Website Recommendations

The Physical Exam

Medical News Resources

General Medical News

Nephrology

Twitter

Life Hacks for Doctors

Presentations

Coding Advice from the Happy Hospitalist

Mnemonics

Documentation and Coding

Helpful Links

General Advice

Review of Systems

The Office

Advice for Residents

Education

Career Advice

General Advice and Life Hacks

Book Recommendations

Website Recommendations

Cardiology

Patient Care

General Advice and Life Hacks

Book Recommendations

Website Recommendations

Advice for Being on Call

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