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Science of Expertise

Janna Baker Rogers, MD
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04:25
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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03:09

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EM:RAP 2018 02 February Written Summary 535 KB - PDF

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Steven W. -

Dr. Rogers - I thought your piece on Science of Expertise was awesome. I took some time to read Peak, and I thought it was a great read. The author kept referring to some success he has had with physicians, but I feel he never really got into the nitty gritty on HOW we do those things. As a new grad (I still like to use new even though I've been out of residency for almost two years!), I wonder if there any any specifics or types of training that you have run into while looking up this segment?

Thanks!

Steve W

Janna B., M.D. -

Hi Steve!

Thank you so much. It's great to hear that you enjoyed the book as well.

As far as your question, that's part of what I've been trying to accomplish with my piece. There really wasn't enough detail in the book to provide a lot of guidance for us specifically regarding deliberate practice in emergency medicine. Additionally, there are myriad skills that we need every day in the department.

Nevertheless, I see potential here. For example, procedural skills could be trained in simulation laboratories, where the provider can break down the skills in to their component parts and focus on areas of difficulty.

Developing medical decision making skills can be done in many ways. I love when EM:RAP has experts going through a case, because the listener can pause throughout the segment and think through the case and its management before continuing on to hearing the expert's decision-making process. There is a segment on Urgent Care RAP called, "What Would I Do Next?" that allows for the same process.

For training in communication skills, our Palliative Medicine colleagues have many communication training resources (ex. VitalTalk) that might help identify weak areas and give some small steps that could be incorporated into your next shift. Subsequent review, reflection, and improvement can help this become deliberate practice.

For visual diagnosis skills, there are radiology image banks and EKG interpretation resources available that can help build a training regimen.

I would also emphasize that talking to someone whose particular skills you admire can be very beneficial. Pick their brain, trying to get inside their decision-making process. That can be a great starting place to breaking down the desired skill into steps, and it may give you a place to start developing your own training plan.

Best wishes for your practice!
Janna Rogers

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Ready, Set, Pause... Full episode audio for MD edition 193:51 min - 270 MB - M4AEM:RAP 2018 February Aussie Edition Australian 40:30 min - 56 MB - MP3EM:RAP 2018 February Canadian Edition Canadian 31:36 min - 43 MB - MP3EM:RAP 2018 February Spanish Edition Español 85:53 min - 118 MB - MP3EM:RAP 2018 February French Edition Français 35:07 min - 48 MB - MP3EM:RAP 2018 February German Edition Deutsche 102:13 min - 140 MB - MP3EM:RAP Board Review Answers 2018 02 February 84 KB - PDFEM:RAP Board Review Questions 2018 02 February 92 KB - PDFEM:RAP 2018 02 February Spanish Written Summary 1 MB - PDFEMRAP 2018 02 February Individual MP3 252 MB - ZIPEM:RAP 2018 02 February Written Summary 535 KB - PDFEMRAP 2018 02 February Individual Summaries 953 KB - ZIP

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