Dear Director: As part of my New Year’s resolution, I want to focus on being a more successful emergency physician. But I’m a little stuck. How do you define success in emergency medicine, and how do I move in that direction?
Dear Director: My hospital CEO told me to make sure my group is donating to the hospital foundation this year. Don’t I give enough to the hospital every time I take care of an uninsured patient? Why should I be doing this?
Dear Director: I recently had a nurse yell at me in front of everyone at the nursing station because I didn’t clean up after repairing a lac. It was an incredibly busy shift; I threw out the sharps but wanted to get back to work quickly so I left everything else for her to clean up. It had already taken her an hour to get everything out of the locked supplies closet so I could do my work. I think her behavior is inappropriate. What should I do?
My CEO is concerned about our ED’s quality because we’ve experienced a recent increase in our 72-hour returns for admission. As an ED chairman, I know that quality is about more than one metric, so how seriously should I take this?
How many clinical shifts does your chair need to work in the trenches in order to stay current with what’s happening in the department?