How I keep up to date in Critical Care

As a trainee As a non-consultant fellow As a consultant How I keep up to date Difficult •Rostering pressure •Exam pressure – which actually helped to focus on the big stuff •Family pressure ? Very tricky •Clinical pressure •Non-clinical pressures –> time-leeching tasks •Lack of exam pressure Need to find a way to work efficiently. The amount of material being produced is way in excess of most individuals’ ability to digest and retain it all. No one method works for everyone. You have to find what works for you. (Einstein’s theory: Everything is relative.) "I don't sleep very much and I just read all the time. But I wouldn't advise it as a lifestyle choice ... very unhealthy." Scott Weingart http://resusme.em.extrememember.com/ Cliff Reid Targeted intake - Having a narrow field of interest - Looking things up at work as I encounter something I'm rusty on - Knowing where stuff is when I don't have time to read it now Grazing - Middle of night / early morning - scanning literature - Following medical Twitter feeds - Podcasts on drive to work Teaching others - Giving talks and preparing for them - Being director of training and having to run inductions four times per year - Blogging http://emcrit.org/ Minh Le Cong 1. Do not seek to merely learn, seek inspiration to excel - How could I do it better next time. - Cliff's "Islands of excellence". 2. Monitor current and future trends in clinical practice, evidence and research through colleagues. - Your critical care learning community will watch your back and keep you informed of the latest developments 3. Take your learning with you and incorporate it into daily life. - Adopt smart device technology Twitter | @rfdsdoc http://lifeinthefastlane.com/ Chris Nixon Chris' strategy is described here: http://lifeinthefastlane.com/2009/07/information-overload/ I never read any journal cover to cover (leave that to Cliff and Scott) I largely rely on filters to tell me what the exciting new stuff is Otherwise, I just seek out answers to clinical questions by searching pubmed, MDConsult, etc; then usually write a blogpost. 1.Motivation 2.Time 3.Trusted sources 4.Participate Key components Motivation Sense of duty and responsibility Fear Stick it to the SODS Omniscience Time You will never feel that you have enough Have a structure Find the time pockets Commute to & from work Don't take an early mark Using your time at the private Jobs around the house Picking up the kids Going for a run / Walking the dog Trusted sources Best advice: "Work out the strengths of your colleagues and use them to your advantage." Knowledge gaps • Textbooks • eMedicine & UpToDate • Review articles • Medline / Pubmed • Society guidelines Finding out the latest • Medline / Pubmed • Journals • Colleagues – include other consultants and your registrars. Use meetings, ward rounds and corridor conversations •Online websites, blogs, podcasts, newsgroups 1) Build up your library of high yield sources and check in regularly - Journals: Critical care / General / Targeted - Digests: The Intensive Care Monitor - Online resources: • CCM-L newsgroup – liberal use of the delete button • EM Crit: http://emcrit.org/ (@emcrit) • Resus ME: http://resusme.em.extrememember.com/ (@cliffreid) • Crit-IQ: http://www.crit-iq.com.au/ (@wwwcritiqcomau) • Intensive Care Network: http://www.intensivecarenetwork.com/ (@I_C_N) • Life In The Fast Lane: http://lifeinthefastlane.com/featured/ (@sandnsurf and @precordialthump) 2) Maintaining your library can be made easier by using resources such as RSS feeds, iTunes and setting up an iGoogle page. Buy a smart device. Participate Functions as a system check –> How far off the beaten track have you strayed? • Teach on ward rounds – it’s not one-way • Get involved in formal department teaching sessions • Voice an opinion at department meetings – Great motivator to check your facts and great memory aid when you get it wrong • Get involved in courses and conferences – exam courses, targeted workshops, update courses • Post comments online. • Start your own blog or become a resource on someone else's. Your colleagues are no longer just those in your department Objective Strategy