A REVIEW of postgraduate or continuing education of physicians in the New England area of the United States requires at the outset clear definition of the ground to be covered in this presentation. It is apparent that the term 'postgraduate' does not have precisely the same meaning for members of the British and the American medical professions. On inquiry it has been learned that in the United...

More than 100 years ago Abraham Flexner’s report changed medical education in the United States (USA) and consequently worldwide. He simply used a gold standard against which all medical schools at that time were measured (Cook et al., 2010). The report at that time was concerned mainly with undergraduate medical education. Since then medical education has developed immensely and flourished int...

Objectives: Dizziness and vertigo account for about 4 million emergency department (ED) visits annually in the United States, and some 160,000 to 240,000 (4% to 6%) have cerebrovascular causes. Stroke diagnosis in ED patients with vertigo/dizziness is challenging because the majority have no obvious focal neurologic signs at initial presentation. The authors sought to compare the accuracy of tw...

Objectives: The objective was to determine the interobserver agreement of historical and physical examination findings assessed during the emergency department (ED) evaluation of children with blunt abdominal trauma. Methods: This was a planned substudy of a multicenter, prospective cohort study of children younger than 18 years of age evaluated for blunt abdominal trauma. Patients were exclude...

Objectives: Endotracheal intubation of trauma patients is a vital and high-risk procedure in the emergency department (ED). The hypothesis was that implementation of a standardized, preprocedural checklist would improve the safety of this procedure. Methods: A preprocedural intubation checklist was developed and then implemented in a prospective pre-/postinterventional study in an academic trau...