SMART EM
Facilitator - Self-guided
0830 - OVERDIAGNOSIS
Overdiagnosis: when good intentions meet vested interests (Iona Heath)
Reflection:
If definitions of disease are broadened to incorporate people previously deemed healthy, what will be the impact on pharmaceutical efficacy for treating the disease?
Reflection
Why is it unwise to make diagnoses in the absence of symptoms?
Overdiagnosis: How Our Compulsion for Diagnosis May Be Harming Children (Coon et al)
Reflection:
When did you last admit a child to hospital that didn’t need admission? What the factors surrounding the presentation that led to admission?
1030 - PREGNANCY
South Australian Coroner - Splenic artery aneurysm inquest findings
Reflection:
How would you establish this time-critical diagnosis on a night shift?
Managing Acute Headache in Pregnant and Postpartum Women (Greige, Edlow)
Reflection
What are you clinical test thresholds for further working up the pregnant patient with headache?
For auditing purposes - 20% paediatrics