The Yale Emergency Medicine Residency Program strives for excellence in all areas. Starting this year, we will be offering a scholarship to underrepresented minorities accepted for a sub-internship or ultrasound rotation at the Yale Emergency Medicine Program.
 
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This scholarship will provide up to $1500 to assist in travel, lodging, & associated application fees while rotating at Yale-New Haven Hospital. Preference given to those rotating during the earlier academic months.
 
If interested, applicants should email their CV and a statement explaining their interests in leadership and academics at the time of their VSAS submission to Lisa Courtney at lisa.courtney@yale.edu. For questions please also contact lisa.courtney@yale.edu.

Emergency Medicine Lectures will take place at Yale on Wednesday, May 18th at 333 Cedar Street in Harkness Auditorium beginning at 9:00am. Breakfast will be served.
 
The second day of AWLS training and hands-on sessions will take place on Thursday, May 19th. Keep your eyes peeled on your email for further details!
 

0900 Wilderness Infections (Della-Giustina)
1000 Altitude Illness (Della-Giustina)
1030 Drowning (Jess Singh)
1100 Hot, Cold, and Frostbite (Mike Yip)
1200 Animal Bites and Stings (Matt Dolan)
1300 Diving Medicine (David Hao)
 
19 May
 
0845 Introductions/Overview
0900 Patient Assessment/Skills (Della-Giustina)
1000 C-Spine Management (Della-Giustina)
1100 Small Group: Medical Problems (Jess Walrath)
1130 Medical Kits (Jess Walrath)
1200 Lunch
1300 Splinting/Dislocations (Dan Savage)
1345 Litters and Patient Packaging (Dan Savage)
1430 Lightning (Bethann Mohammed)
1500 Small Group: Infectious Disease (Jonathan Maisel)

Congratulations to Matt Dolan, PGY3, for being named Resident of the Month for April!
 
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The support for this nomination was overwhelming. Here are some of the top comments:
” Unfailingly hard-working, unflappable, and always a pleasure to work with. He goes above and beyond in all aspects of his work. He is liked by the nurses, co-residents, and attendings alike. He’s a great clinician and a great guy.”
 
” I would like to nominate Matt Dolan for resident of the month for his high quality, compassionate, patient-centered care. Not only is it a pleasure to work with Matt because he is always smiling, never complains, and goes beyond what is asked of him every shift, but he does all of this in the most unassuming way. Anyone that works with Matt or is fortunate enough to be cared for by Matt will agree this he is most deserving of this honor.”
 
” Whenever I get a consult from Matt Dolan, he is always professional, reasonable, and willing to discuss what is the best course of action for his patient’s care.”

Emergency Medicine Lectures will take place on Wednesday, May 4th. Please see details below for specific times and locations for your AOC.
 
8:45am – Admin AOC at the School of Management starting with coffee at 8:45 am and invited speakers at 9:00 am sharp.

    Location: Yale School of Management, Room 4420, 165 Whitney Avenue, New Haven, CT 06511
    Why and how to get an MBA as a physician
    How does a line at McDonalds relate to the ED
    An in-depth review of Affordable Care Act and how it impacts physicians and patients (Dr. Howie Foreman)
    Doctors as entrepreneur and resources at Yale to help to turn visions into reality

 
9:00am – Wilderness & EMS AOC at Sleeping Giant State Park on Mt. Carmel Avenue. Meet in the main parking lot.
 
9:00am – US & CC AOC at the SIM center at 728 Howard Avenue

Emergency Medicine Lectures will take place at Yale on Wednesday, April 13th at 464 Congress Avenue beginning at 9:00am. Breakfast will be served.
 

 
9am – 2pm: Airway Day (Goldflam, Agrawal, Venkatesh, Moadel and Bonz) – SIM

Emergency Medicine Lectures will take place at Yale on Wednesday, April 6th at 333 Cedar Street in Harkness Auditorium beginning at 9:00am. Breakfast will be served.
 
Please join us in welcoming Dr. Rachel Isba, as she share her thoughts, research, and experience on Pediatric Emergency Medicine and Public Health in the UK.
 
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9am – Simulation Debriefing – Dr. Dodge
10am – REBOADr. L. Hile
11am – M&M – Dr. Sagnella
12pm – Grand Rounds – Pediatric Emergency Medicine & Public Health in the UK – Dr. Rachel Isba, BM BCh, PhD, MPH
1pm – Lunch

Congratulations to Bryce Campbell, PA-R1, for being voted Resident of the Month for March 2016! Bryce is one of our PA residents in our inaugural class and has done an amazing job this year.
 
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Check out some of the comments in support of Bryce’s recognition:
“Since his time at Yale he has distinguished himself by going out of his way for his patients. When on other rotations he frequently comes to the ED to perform procedures and help out a busy shift. I am not infrequently stopped after one of his shifts so that I can hear about his extraordinary work ethic, knowledge and overall fantastic personality. He is a pleasure to work with.”
 
“Bryce is an exceptional resident. He is kind with an excellent work ethic. Most residents comment that the quality of his work far exceeds his level of training. ”
 
“His best professional skill is his openness to learn and humility.”

The language of medicine is one that can both illuminate and obscure: “I have a patient with a Lisfranc fracture,” is often all one needs to say to get the full attention of the consulting orthopedist. Yet, “I have a septic patient who I think warrants ICU-level care,” universally prompts the intensivist to ask for more information prior to accepting the admission. This is for good reason as sepsis-like physiology is present in many disease processes and even many non-disease states, such as normal labor, intense physical activity, and competing in the national debate finals, which do not need ICU-level care.
 

 
Simply meeting the criteria for sepsis as previously defined (SIRS + probable infection) does not fully describe how ill a patient may be, because sepsis is heterogeneous syndrome with an intentionally overly inclusive definition. The previously broad criteria reflect both a need to avoid missing patients who might be suffering from this life-threatening condition and an acknowledgement that the underlying pathophysiology is complex and not yet completely understood. Yet in spite of this sensitive but not very specific terminology, modern medicine still misses some of these patients—those with occult sepsis. As such, the hope is that a better understanding of the pathophysiology of sepsis, with additions and revisions made to its very definition and the states along its continuum, would yield the needed advances in detention and management, and mortality reduction. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), would seemingly seek to address these at-risk and under-identified patients, but it seems to have gone completely the other way in an effort to redefine sepsis more precisely as far as outcomes are concerned. Of note, this summary is actually of the manuscript describing the derivation of these new definitions, not of the consensus statement itself.
 
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Another Match Day is in the books, and we are beyond stoked to welcome the Class of 2020 to the Yale Emergency Medicine Family!
 
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Enjoy the rest of your last year of medical school, and we will see you in June!

In our anticipation waiting to learn who our new interns will be this coming Friday, we almost forgot about all the excitement happening right here in New Haven! It turns out that the Department has a ton of birthdays to celebrate this month, so let’s give a big set of birthday shout outs to all of them:
 

 
3/11
Neil Sreshta, Class of 2014 and now attending physician at Yale-St. Raphael’s
 
3/12
Justine Nagurney, PGY-3
 
3/13
Chad Sagnella, PGY-4
Matt Thornton, Former Yale Pediatric Emergency Medicine Fellow, Class of 2014
 
3/14
Ricky Rechenmacher, PGY-1
 
3/15
Harman Gill, Class of 2014 and current Critical Care Fellow at the Cleveland Clinic
 
3/16
Lisa Sander, PGY-4
Krystal Daniels, RN
Lynette Marie, RN
 
3/17
Brian Steiner, PGY-3
 
HAPPY BIRTHDAY ALL!

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