Jeffery Hill, MD MEd
drjeffy.bsky.social
Jeffery Hill, MD MEd
@drjeffy.bsky.social
EM physician interested in MedEd, training the next generation of EM docs who can practice EM anywhere, anytime, and take care of anything. Side projects include woodworking, cooking some good food here and there, and making things grow in the garden
5.) Residents attend the huddle

Residency is a cognitive apprenticeship. Let senior residents participate in/attending high level department flow organizational meetings

pmc.ncbi.nlm.nih.gov/articles/PMC...
bit.ly/4hX2gUX

@tchanmd.bsky.social
November 22, 2024 at 4:26 AM
4.) Let them know what your thinking

Residents are role modeling your behavior and always watching your behavior and watching what you are dealing with. If you are moving pts around the dept or arranging for transfers let them know what challenges you are overcoming
November 22, 2024 at 4:26 AM
3.) Work on micro skills

Being efficient is not just one thing - it's gathering data quickly (EMR + pt), having accurate orders, thinking 3 steps ahead, anticipating and overcoming roadblocks

Work on just 1 or 2 things per shift

pubmed.ncbi.nlm.nih.gov/34027282/
November 22, 2024 at 4:26 AM
2.) Be strategic with how you interrupt

A supervising attending behavior can negatively impact a residents efficiency. (-2.71 RVU/hr)

pubmed.ncbi.nlm.nih.gov/34027282/
High-efficiency Practices of Residents in an Academic Emergency Department: A Mixed-methods Study - PubMed
Several discrete behaviors were found to be associated with enhanced resident efficiency. These results can be utilized by EM residency programs to improve resident education and inform evaluations by...
pubmed.ncbi.nlm.nih.gov
November 22, 2024 at 4:26 AM
1.) Don't have unreasonable expectations

Don't expect a PGY-1 to operate at a PGY-3/4s efficiency

Keep track of efficiency metrics of your residents - and feed that data back to residents so they know where they are and where they need to be.

pubmed.ncbi.nlm.nih.gov/31078348/
November 22, 2024 at 4:26 AM
Thanks for helping build back this community! #MedEd
November 21, 2024 at 1:42 PM
Indeed. Their focus seems to be mostly instagram and by extension Threads. My best woodworking community seems to be in instagram though maybe that’s because that’s where I cultivated that community? Regardless I’m glad to leave X and Twitter behind
November 17, 2024 at 11:45 PM