Ebers Papyrus Clinical documentation has a deep pedigree that dates back more than 4000 years to the ancient Egyptians. Transcribed onto papyrus in a format surprisingly similar to modern day case presentations, clinical documentation appeared to have served the dual purpose of teaching apprentices and guiding the management of future patients. Subsequently, Greek physicians continued… Continue reading The S.O.A.P Factory
Tag: Cognitive Scaffold
in the Shadows, between the Lines
It has been estimated that an emergency physician makes 10,000 decisions in an 8 hour shift. I am not sure how that statistic was derived, but as an emergency physician I can experientially attest to the feeling of decision fatigue during many shifts. Many and the most salient of those decisions revolve around what tests… Continue reading in the Shadows, between the Lines
Fitness Functions
If the “burnt out” attrition of emergency physicians, the shortage of emergency nurses, the unfilled emergency medicine residency positions, the prevalence of errors (here and here), the persistence of misdiagnosis, or the news headlines (here, here, and here) are relevant indicators, then the emergency department (ED) could be considered a failed - or at least… Continue reading Fitness Functions