September 04, 2024 Residency Newsletter

• Applicants Securing Interviews
• Raise ITE and Board Exam Scores
• ER Ethical Obligations with Law Enforcement
• IDSA Updated Guidelines

How Signaling is Shaping the 2024-2025 Match Season

Interest signals from ERAS applicants to residency programs seem to be working well in helping applicants secure interviews:

• Roughly 70% of survey respondents agreed that program signals helped them identify applicants they might have otherwise overlooked.
• About half of the respondents used signals as part of a holistic application review process to decide whom to interview.
• Over 40% of respondents used signals as part of an initial screening process, alongside other data, before conducting a holistic review.

How Signaling is Shaping the 2024-2025 Match Season - Melissa Turner, MS, The DO (Journal)

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Ethical Obligations of Emergency Physicians in Interactions with Law Enforcement - Emergency Medicine News

While professionalism and teamwork are essential between emergency physicians and law enforcement in the ED, physicians are legally and ethically obligated to prioritize patient care when conflicts arise. Information gathering by law enforcement should not interfere with patient care. Particularly when minors are involved, physicians must be familiar with hospital policies, as well as ethical and legal requirements.

This means your EM residents and those on rotations should understand their hierarchy of obligations under HIPAA, mandatory reporting laws, minor consent laws, the principles of beneficence and non-maleficence, and the balance of interests in accordance with hospital protocols.

Ethical Obligations of Emergency Physicians in Interactions with Law Enforcement - Emergency Medicine News

While professionalism and teamwork are essential between emergency physicians and law enforcement in the ED, physicians are legally and ethically obligated to prioritize patient care when conflicts arise. Information gathering by law enforcement should not interfere with patient care. Particularly when minors are involved, physicians must be familiar with hospital policies, as well as ethical and legal requirements.

This means your EM residents and those on rotations should understand their hierarchy of obligations under HIPAA, mandatory reporting laws, minor consent laws, the principles of beneficence and non-maleficence, and the balance of interests in accordance with hospital protocols.

Complicated Intra-Abdominal Infections IDSA Update

The IDSA has released updated guidelines on complicated intra-abdominal infections (IAIs), addressing risk assessment, diagnostic imaging, and microbiologic evaluation. Key recommendations include using the APACHE II scale for risk stratification, abdominal CT for adults with suspected appendicitis, and ultrasonography for pediatric patients. The guidelines emphasize the need for obtaining intra-abdominal cultures in immunocompromised patients while suggesting limited routine cultures for others.

Complicated Intra-Abdominal Infections IDSA Update - Infectious Disease Advisor