#65 Scott Weingart of EMCrit on Emergency versus Internal Medicine: The Devil of the Gaps

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 30 October 2017

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

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Summary

Fighting with Emergency Medicine colleagues is stupid. Learn how EM doctors think and avoid the petty infighting with tips from Dr. Scott Weingart, MD FCCM FUCEM DipHTFU, host of the EMCrit podcast, Clinical Associate Professor and Chief, Division of Emergency Critical Care at Stony Brook Hospital, NY. We discuss decision making, how to avoid anchoring bias, the devil of the gaps, why the elderly always get admitted, how to build relationships with the ED, and Scott’s pet peeves.

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

00:00 Intro

01:10 Picks of the week

05:28 Guest bio

07:00 Getting to know our guest

12:00 Do EM and IM docs hate each other?

14:04 Where conflicts arise.

17:05 System 1 versus system 2 thinking

20:19 When the patient doesn’t match the story

23:55 Why does every 85 year old get admitted?

26:05 Transitions of care: form ED to medical ward

32:08 Is face-to-face signoff only needed for sick patients?

36:28 The devil in the gaps

41:03 Scott’s beer recommendation

42:17 BP cutoff for discharge home

43:44 Scott’s biggest pet peeve with primary care

45:04 How to make friends and collaborate with your EM colleagues

47:14 Take home points

50:35 Outro

Tags: emergency, department, room, em, ed, im, conflict, devil, gaps, post-test, probability, illness, serious, system, one, bias, heuristic, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medical, medicine, practitioner, professional, primary, physician, resident, student

Transcript

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0:00.0	There's a natural inclination to say, oh God, the internal medicine people are going to
0:04.5	tell me where I f***ed again.
0:06.0	And there's number one.
0:08.1	Welcome back to the Curve Siders.
0:27.7	Well, hello.
0:28.7	Hello, Stewart.
0:30.2	This is the internal medicine podcast that uses expert interviews to bring you clinical
0:34.8	pearls and practice changing knowledge.
0:37.6	I'm Dr. Matthew Wato here with multiple co-hosts.
0:40.8	Dr. Stewart is saying this now.
0:42.8	Dr. Stewart can't break them.
0:44.6	Well, hello again.
0:45.8	Dr. Paul Williams.
0:47.4	There he goes.
0:48.4	And Dr. Shreya Paresh Travedi.
0:51.2	Hello.
0:52.4	I thought you spelled Paresh with a U for some reason, but I'm not surprised that I was
0:55.9	guessing wrong.
0:57.2	He is.
0:58.2	He is.
0:59.2	He is just a case of the audience wants to write it down for themselves.
1:02.0	Shreya, did they have you back?
	...

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