Tag Archives: residents

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DMacA_3Domhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

They found the body. A short paragraph buried in the newspaper. Dr Rose Polge left her hospital shift two months previously and had not been seen since. Her car was found parked by the sea.

A young doctor took her own life. I wanted to write about it at the time but it was difficult to find the words. It seemed to me a tragedy, a great loss of a young life full of potential. But, these words cannot capture quite what I felt. Where have we gone wrong?

It brought me back. I remembered my first year after qualification. It was brutal; a shock. Suddenly I felt I carried all the responsibility. I saw seriously ill patients in the middle of the night and had to make critical decisions. It was a small hospital. I was the cardiac arrest team. The tiredness was unrelenting, the gnawing anxiety continuous. ...continue reading

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Highlights from the March 17th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Domhnall MacAuley, associate editor.

Dr. Fletcher and Dr. MacAuley discuss the following:

  • How different duty schedules affect day-time sleepiness of residents (in-depth author interview)
  • Using the Rowland Universal Dementia Assessment Scale (RUDAS) cognitive assessment tool for multicultural populations (in-depth author interview)
  • Who gets appropriate follow-up after visiting an emergency department for chest pain (in-depth author interview)
  • How to manage neonatal jaundice
  • Frequent night-time urination
  • Cannabinoid hyperemesis syndrome from daily cannabis use
  • Eruptive xanthomas in tattoos
  • Atrial mass in molar pregnancy

And more...

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This week's author interviews:

Interview with Dr. Christopher Parshuram, critical care specialist with the Hospital for Sick Children in Toronto. He is the lead author of a randomized trial published in CMAJ looking at patient safety, resident well-being and continuity of care for three resident duty schedules in the ICU. Work schedules incorporating shorter periods of continuous duty affected neither doctors' daytime sleepiness nor adverse outcomes in patients.

Interview with Dr. Thomas Maniatis, internal medicine training program director and clinical ethicist at McGill. Dr. Maniatis is the author of a commentary published in CMAJ. He argues that resident duty-hour reform must be further evaluated in order to design systems that provide maximal benefit and minimal harms for all involved.

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NEW! Subscribe to CMAJ Podcasts on iTunes, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page. Our podcasts are also released on cmaj.ca and here on the blogs.