Resident Lounge

Quality improvement (QI) is a disciplined effort to make healthcare delivery safer, more effective, patient-centered, timely, equitable, and efficient (less wasteful). These six domains were established by the National Academy of Medicine in 1999 as the tenets of...

Welcome new doctors! Yesterday you were medical students and today you are physicians! What a scary feeling. Remember that everyone shares similar concerns and fears as they start their residency and wants to succeed. Getting into residency is the beginning of an incredible journey. Savor it, relax, enjoy the ride, and be open to...

The consequences of the climate crisis are both clearly evident (e.g., record heat, intense storms, and raging forest fires) and less obvious (e.g., rising pollen levels and decreased nutritional quality of food). Have you considered how the climate crisis affects your...

With breaking news every hour, it’s hard to stay ahead of the tide of information on Covid-19. As physicians, we work on the front line, where information and sound decision-making are key to protecting patients and ourselves. Have you seen patients who were exposed...

The arrival of the novel COVID-19 to the U.S., and the inevitability of its eventual spread, raises an interesting question: Should we avoid exposing residents to the virus?

Over a month into the new year and feels like the world around us is in grave peril. There are many reasons to lose hope: the climate crisis with Australia’s wildfires, the evolving COVID-19 epidemic, the acquittal of the President’s impeachment charges, and the list...

In a national survey of 7409 surgical residents, 32% reported discrimination based on their self-identified gender, 32% verbal or physical abuse, 10% sexual harassment, and 38% burnout symptoms. Mistreatment was more frequently reported by female residents, and...

We have invited the residents and faculty from the University of Texas Health Science Center at Tyler’s Internal Medicine Residency Program to lead a journal club discussion about the NEJM article, "Targeted Temperature Management for Cardiac Arrest with...

We have invited the residents and faculty from the University of Vermont Internal Medicine Residency Program to lead a journal club discussion about the NEJM article, "C-Reactive Protein Testing to Guide Antibiotic Prescribing for COPD Exacerbations" found here: https://www.nejm.org/doi/full/10.1056/NEJMoa1803185. The authors of the...

“If you’re in an accident, you don’t want a doctor on the scene. You want a nurse or an EMT. Doctors are useless outside a hospital.” The wilderness first aid instructor paced and surveyed our progress as we stabilized the femur fracture of an imaginary hiker with a...

By all objective indicators, I should have been unhappy in those grueling months I spent as a medical house officer. But the hospital pub offered an egalitarian escape where I could unload — and learn more medicine than in all the grand rounds I’ve ever attended.

African-American physicians-in-training may be isolated within the walls of their institutions, alienated by their patients, and disconnected from their training programs. Listen to the challenges and aspirations of some inspiring African-American residents in the latest episode of this podcast series.

Competency-based medical education holds the promise of producing a bettertrained workforce — and for many physicians, this training could be accomplished within a shorter time frame.

With trainees increasingly exposed to a culture that values efficiency, clinical protocols, and specialized expertise over scientific debate and critical thinking, new programs are creating linkages between unexplained patient presentations and scientific inquiry.

As an intern, you arrive at the hospital before dawn, speed-walk to sign-out, plan a route to see your patients before morning report — less than 10 minutes each to see how they’re feeling, examine them, check in with the nurse. Which are the moments that will matter?