The spread
It ' s been more than fifteen years sincehanging chads dominated discourse, but they made a big impression on me.No one had any idea what hanging chads were, or how they should be interpreted, before the 2000 Presidential election - but as soon as it became clear which interpretation favored Bush, and which interpretation helped Gore, pundits assorted themselves along established party lines. It really showed me there was no over-arching ideology behind what columnists and talking heads were saying - everyone was just supporting their team.It ' s really no different than sports - look at last year ' s discussions of Deflat...
Source: Blogborygmi - January 12, 2016 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Program update
It's an honor to be included among the high-quality EM blogs and podcasts in Brent Thoma's article, in this month's Annals (second line in the figure). But it's also a reminder that blogborygmi.com content has become sparse. More of my on-the-spot EM (and informatics) opinions are posted at EPMonthly.com, specifically the Crash Cart series. (Source: Blogborygmi)
Source: Blogborygmi - October 21, 2015 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
#SAEM15 panels
I'm very happy to be in San Diego for SAEM's Annual Meeting - and fortunate to be participating in a few didactic sessions this week. Here are links to the program, slides and references.Tuesday 1-5:30pm - Nautilus 3: Social Media Bootcamp - led by Brett Rosen - slidesWednesday 1:30pm - DS-18 Point Loma Ballroom A: I'll speak on clinical decision support projects for residents, as part of Jeff Nielson's panel called "Emergency Informatics Research: Interesting, Approachable Projects for the Resident or Career Scientist" along with Jason Shapiro and Adam Landman - slides - referencesWednesday 2:30 pm - ...
Source: Blogborygmi - May 12, 2015 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Pulse check
Now that Medium's gotten more bloggy I expect to use it more - for topics too long for a tweet, but too short for an EPMonthly article.So head over to Medium to read a few brief takes - like my thoughts on Snellen eye chart apps. Or view my Prezi on medical apps for the #AllNYCEM8 conference.At EPMonthly, my recent article on healthcare workplace violence is available.And check back here around May, for links to #SAEM15 resources. (Source: Blogborygmi)
Source: Blogborygmi - March 12, 2015 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Medium high
So it's been three years since I sang the praises of Tumblr, and about two years since I last logged in. Much like the iPad was a "in between" device whose appeal plateaued as smartphones get bigger and laptops get more nimble, for me Tumblr was always stuck between short Tweets and real sit-down-and-think writing. And both Twitter and real writing are taking up more of my mindshare.I've been writing and blogging a bunch (not here, of course) over at EPMonthly. Specifically I'm enjoying the weekly Crash Cart, commenting on new EM stories with Bill Sullivan and Mark Plaster. The fodder is chosen by the EPMonthly staff ...
Source: Blogborygmi - December 16, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Order Sets & the Art of Medicine
When I was part of Jeff Neilson's illustrious Informatics Research panel at SAEM in Dallas this past spring (we were recently invited back for San Diego next year) I spoke on the topic of simple clinical decision support projects, particularly evidence-based order sets. I also talked about incorporating clinical calculators into orders, so trainees could enter discrete patient data into the EHR and see if the test they were considering was appropriate.These are feasible research projects that can have measurable impacts in utilization or even care, don't require big budgets, and can be done in a resident-friendly timeframe...
Source: Blogborygmi - December 9, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Order Sets & the Art of Medicine
< br / > < div > When I was part of Jeff Neilson ' s illustrious Informatics Research panel at SAEM in Dallas this past spring (we were recently invited back for San Diego next year) I spoke on the topic of simple clinical decision support projects, particularly < a href= " http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560899/ " > evidence-based order sets < /a > . I also talked about incorporating < a href= " http://www.interruptions.net/literature/Handler-AcEM04-1135.pdf " > clinical calculators into orders < /a > , so trainees could enter discrete patient data into the EHR and see if the test they were considering was ap...
Source: Blogborygmi - December 8, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Analyzing Twitter for Public Health Research - #med2 tutorial
Michael Chary and I presented our tutorial, Analyzing Twitter for Public Health Research, at the Medicine 2.0 World Congress in Maui just recently.Our audience was a diverse group of clinicians and researchers. There was substantial pre-meeting prep, where we guided prospective attendees through registering on dev.twitter.com and GitHub, then logging into a new account on Codio and forking our repository full of setup scripts and sample code.At the meeting we presented slides and references, passed around handouts and gave hands-on help and advice to the room.We think we've given our audience a good foundation to...
Source: Blogborygmi - November 17, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Modern convenience
I'm glad some people choose to share their health data - be it RunKeeper routes and times, or WiThings weights or blood pressures, or the latest Quantified Self device. There's certainly evidence that social pressure can promote real change in people's lives.It's just not for me. At least, not at this time.But I'm finding the problem with these modern fitness apps is, they're each in a deadly competition for VC funding, for market share, for app store rankings. So they're under huge pressure to grow their user base - and that means, increasingly, pestering users to access one's contacts and one's social feeds.So now, if I ...
Source: Blogborygmi - August 11, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Coming down on The Night Shift
I've been reviewing episodes of NBC's The Night Shift for EPMonthly. Specifically, I took the pilot, then episodes 5-8, while Dr. Aaron Bright handled episodes 2, 3 and 4.It's not a good show. The plot twists are predictable. The characters are mostly caricatures. Worst of all, to me, is that the medicine is awful - it's absolutely impossible for an emergency physician to say, "We manage patients like that," or "That's what my job is like."But I understand there are fans of the show. A lot of them. And they may want a collection of our medical impressions. So, here you go:Episode 1 - PilotEpisode 2 - "Second Chances"Episod...
Source: Blogborygmi - July 16, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
No doubt
I've been a proponent of social media for over a decade. Broadly distributing the tools for sharing one's thoughts just seemed like it would lead to better communication, more understanding - and would improve the culture.When apps like Secret and Whisper appeared, I dismissed them as a aberrations; deliberately incomplete tools that provided some brief novelty but were fundamentally unserious. These apps seemed to be built around gossip, and provided no actionable information to users. No links to useful resources. No identity. It's as if someone took Twitter's biggest problems - difficulties with authenticity, a preponde...
Source: Blogborygmi - July 1, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
Everything in its right place
I once chided my med school roommate for entering dozens of numbers into his landline phone's high-capacity speed-dialer. After programming a few frequently-dialed numbers, I argued, you'll end up wasting more time entering digits than you could ever save through speed-dailing - the effort outweighed the benefit.He had a lengthy response, that appealed to a sense of order and touted the less-tangible benefits of reducing cognitive load. The phone is for calling people. By having people's numbers in the phone, instead of in a half-dozen notepads and desk drawers scattered about the apartment, he could make calls without muc...
Source: Blogborygmi - June 25, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
You can go FOAM again
Last month I got on stage at SAEM's Annual Meeting, and said (among other things) that excelling at medical education through social networks was a calling - one that I didn't hear. Despite being an early adopter of social media for EM education, it's clear when you look at the best exemplars of #FOAMed that there's a passion behind what they do. Just look at the prodigious output and quality at sites like ALiEM or Emcrit, for instance.And while I've lodged some criticisms of #FOAMed (in the pages of EPMonthly and in a Skeptic's Guide to Emergency Medicine podcast), it's mostly because th...
Source: Blogborygmi - June 23, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
CMD 2014 talk on acute and chronic liver emergencies
Welcome, readers from Clinical Decision Making 2014 in sunny Ponte Vedra.The most recent version of my slides (some tweaks from what's on your USB drives) is available.You can also review my references and I've put up a cleaned up, slightly abridged version of my speaker's notes as well.Questions and comments are always welcome! Leave a comment or find me on Twitter @nickgenes. (Source: Blogborygmi)
Source: Blogborygmi - June 14, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
#SAEM14 panel discussions on social media scholarship & clinical decision support
I was very pleased this year to participate on two panels at SAEM in Dallas. On Thursday, I joined Michelle Lin and (remotely) Rob Cooney for the panel led by Jason Nomura, called "From Twitter to Tenure - Use of Social Media to Advance Your Academic Career" (search for DS067 in the program).Jason has posted our session on his blog at his blog, and on YouTube. On Saturday I joined Adam Landman and Jason Shapiro in a didactic session led by Jeff Nielson, called "Emergency Informatics Research: Interesting, Approachable Projects for the Resident or Career Scientist" (search for DS095 in the program). I en...
Source: Blogborygmi - May 17, 2014 Category: Emergency Medicine Authors: Nick Genes Source Type: blogs
