Articles by Michael Silverman, MD

Management

by Michael Silverman, MD on August 31, 2009

Dear Boss,
I have been called by a couple of PMDs recently who said they don’t like talking to our mid-level providers who are caring for their patients in the ED. We have a busy ED and our MLPs see about 40% of our patients and although their admission rate is low, they definitely admit a few patients and have interaction with numerous attendings and consultants each day. How should I handle this?

Work + Life

Do I Really Need This Fellowship?

by Michael Silverman, MD on July 31, 2009

Dear Boss,
I am just starting my final year of residency and while I know I want to practice community emergency medicine, I am thinking that I should do an ultrasound fellowship to help me get the best community job out there. Do I need a fellowship?
Signed,
Fellow Wanderer

Management

EM By the Book

by Michael Silverman, MD on June 30, 2009

Director's Corner

You may think that your hospital and departmental rulebooks don’t apply to you, but nothing could be further from the truth.

Management

Defuse the “F” Bomb

by Michael Silverman, MD on June 2, 2009

Directors Corner

Colleagues swearing like sailors? Sure, the ED is a stressful place, but know when, and how, to curb the cursing.

In My Opinion

Is That Alcohol On Your Breath?

by Michael Silverman, MD on May 11, 2009

Strategies for handling the impaired physician in the ED

Director's Corner

Management

In EDs, Efficiency is King...no matter how you slice it

by Michael Silverman, MD on April 17, 2009

Director's Corner

Q. I’ve heard about a technique called “thin slicing” that’s used to increase efficiency. Does it work?

Management

Dealing With Dr. Early Dispo

by Michael Silverman, MD on February 28, 2009

Director's Corner

I have gotten several complaints from our hospitalist staff about one of my new physicians.

-Concerned about Dr. E.D. (Early Dispo)

Work + Life

Where In the World Should I Work?

by Michael Silverman, MD on January 31, 2009

Director's Corner on Finding a Job

Management

Charts Raise Questions of Credibility

by Michael Silverman, MD on December 31, 2008

Directors Corner

I have received a couple of patient complaints alleging that one of our doctors didn’t adequately examine them (the patient). When I reviewed the chart, the doc appears to have dotted all the I’s and crossed all the T’s. I spoke with the doc and he said he clearly remembered the patients and then asked, “How could I have made their diagnoses without examining them?” What are your thoughts?

Work + Life

Four years in and I’m already burning out. Help!

by Michael Silverman, MD on November 24, 2008

Dear Boss,
I’m a board certified emergency physician who has been working full time for 4 years in a busy ER since getting out of residency. I thought I’d be able to do this forever, but I’m already feeling burned out. I can’t imagine doing this for another 25 or 30 years. Can you help me?
Signed,
Singed

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