Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Nasolacrimal Duct Obstruction

Abstract: Nasolacrimal duct obstruction (NLDO) or dacryostenosis is the most common disorder of the lacrimal system. Approximately 6% to 20% of newborns patients present with some symptoms. Typically, NLDO presents more often in the first weeks or months of life with symptoms beginning when normal tear production occurs, presenting as excessive tearing and ocular discharge. Erythema of the periorbital skin, upper and lower eyelids may result from irritation and rubbing produced by dripping of tears and discharge due to inadequate drainage. As a result, the condition may be apparent as chronic unilateral conjunctivitis. Most the cases resolved spontaneously or with minimal intervention by the first year of life; however, unresolved cases need to be referred to the pediatric ophthalmologist for probing and may require surgical intervention. In children younger than 6 months of age, a conservative approach is a typical management. Massaging the lacrimal sac, eye drops, and topical antibiotics are commonly used, and surgical treatment is considered for patients whose symptoms persist after 12 months of age.

Professionalism Milestones Assessments Used by Emergency Medicine Residency Programs: A Cross-sectional Survey

Abstract: Author(s): Stehman, Christine R.; Hochman, Steven; Fernandez-Frackelton, Madonna; Volz, Emilio G.; Domingues, Rui; Love, Jeffrey N.; Soares, William B. | Abstract: Introduction: Professionalism is a vital component of quality patient care. While competency in professionalism is Accreditation Council for Graduate Medical Education (ACGME)-mandated, the methods used to evaluate professionalism are not standardized, calling into question the validity of reported measurements. We aimed to determine the type and frequency of methods used by United States (US) -based emergency medicine (EM) residencies to assess accountability (Acc) and professional values (PV), as well as how often graduating residents achieve competency in these areas.Methods: We created a cross-sectional survey exploring assessment and perceived competency in Acc and PV, and then modified the survey for content and clarity through feedback from emergency physicians not involved in the study. The final survey was sent to the clinical competency committee (CCC) chair or program director (PD) of the 185 US-based ACGME-accredited EM residencies. We summarized results using descriptive statistics and Fisher’s exact testing.Results: A total of 121 programs (65.4%) completed the survey. The most frequently used methods of assessment were faculty shift evaluation (89.7%), CCC opinion (86.8%), and faculty summative evaluation (76.4%). Overall, 37% and 42% of residency programs stated that nearly all (greater than 95%) of their graduating residents achieve mastery of Acc and PV non-technical skills, respectively. Only 11.2% of respondents felt their programs were very effective at determining mastery of non-technical skills.Conclusion: EM residency programs relied heavily on faculty shift evaluations and summative opinions to determine resident competency in professionalism, with feedback from peers, administrators, and other staff less frequently incorporated. Few residency programs felt their current methods of evaluating professionalism were very effective.

An adolescent with lower-extremity swelling.

Abstract: Lower-extremity swelling is an uncommon presentation in a pediatric emergency department. Deep venous thrombosis is one of the common differential diagnoses in a patient with an underlying predisposing factor. We report a case of a previously healthy adolescent without any risk factor for thromboembolism presented with deep venous thrombosis. The pertinent literature is reviewed.