Clinical Scenarios

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This session will focus on problem-based learning and provide key information to help students excel when evaluating patients during their EM rotations.  Pearls and pitfalls of the problem-based approach will be highlighted.  The session will focus on the evaluation of patients with chest pain/shortness of breath, abdominal pain, dizziness/focal weakness/headache, and fever.
Authors
  • Tatiana Carrillo

  • Marquita Norman Hicks, MD

    Dr.  Marquita Norman Hicks is an Associate Professor in the Department of Emergency Medicine and serves as the Assistant Dean for Student Inclusion and Diversity at Wake Forest School of Medicine.  She was born in Pine Bluff, Arkansas and completed her undergraduate education at Hendrix College in Conway, Arkansas. She attended medical school at the University of Kansas School of Medicine, in Kansas City, KS. She completed her internship at Howard University in Washington, D.C., and residency training at the University of Michigan in Ann Arbor, Michigan.  Dr. Hicks' professional and community interests include communication skills, healthcare workforce diversity,  diversity education, pre-health education and healthcare disparities.   Outside of work, she enjoys spending time with her young son.
  • Christopher San Miguel, MD

    Emergency Medicine Clerkship Director, Assistant Professor – Clinical Institution: The Ohio State University

    Christopher San Miguel is the 4th Year EM Clerkship Director at The Ohio State University. Originally from North Carolina, he attended North Carolina State University as a Park Scholar and completed medical school at the University of North Carolina School of Medicine in Chapel Hill. He completed his Emergency Medicine residency training at The Ohio State University where he served as Chief Resident. Before joining the faculty, he also completed a fellowship in Medical Education. His professional interests include curriculum development and innovation, simulation, and cognitive errors in medical decision making.
  • Tiffany Mitchell, MD

    Instructor

    Jacobi Medical Center/Montefiore Medical Center

    Dr. Mitchell is an Emergency Medicine physician in New York City. She obtained her Bachelor’s of Science from Columbia University before attending Keck School of Medicine of USC. Dr. Mitchell completed residency training at the Jacobi-Montefiore Emergency Medicine Program before joining the faculty at The Mount Sinai Hospital.
  • Sreeja M. Natesan, MD

    Duke University, Durham NC

    I am an associate professor and associate program director at the Duke University Emergency Medicine Program, as well as the Duke EM Justice, Equity, Diversity & Inclusion co-founder/co-chair. My primary area of interest and expertise is in diversity & inclusion, clinical teaching, and feedback. I am enthusiastic, with a passion for collaboration growing talent, and helping to contribute through my project management, organizational, and communication skills. I have served on several national committees for education & diversity including helping with the Educational Summit for SAEM, helping to create a DEI mini-track for CORD last year, being a speaker for the DEI webinar series for ADIEM in 2020, and serving as co-founder and facilitator for CORD DEI Stronger Together bookclub, among other contributions. I possess a broad clinical and research training experience centering around project management, collaboration, and educational skills training. Briefly, this includes Duke Teach Equity Now, Duke Moments to Movement Foundation Course, ACEP Teaching Fellowship, ALiEM Faculty Incubator Program (where I now serve as chief operation officer), AAMC Medical Education Research Certificate program, Duke Educational Skills Longitudinal Mentorship Program, and Duke Academy for Health Professions Education and Academic Development (AHEAD) Med Ed Certificate Program, among other development.

    I would be honored to work with others to advance diversity, equity, and inclusion for our medical education community through education and research. I believe together collectively, we have the power to have a greater impact and am excited to be involved further to give back to our community. I desire to help disseminate knowledge by curating and providing resources to our community surrounding Diversity in Medical education, best practices/promising practices surrounding faculty/resident recruitment with the use of holistic review, and mitigating bias in the education/feedback we provide. I helped lead our CORD Best Practice team to focus on 3 papers regarding DEI in med ed (Holistic Review & Mitigating Bias; Physician Pipeline and Pathway Program; both under review by WestJem; Faculty Recruitment and Representation - accepted for publication). I believe through ADIEM we could do similar work to help serve our community.

    I have been able to do some work surrounding this here at Duke by teaching holistic review to our program directors at our institutional GME meetings. I would love to have regular offerings to our community in the form of skills training and workshops to practice tools that can then be shared at the participant’s local institutions. By doing so, we can have a larger impact on our work and reach. I look forward to the opportunity to be involved, create networks and relationships, and to serve our ED community.
  • Ava Pierce, MD

    SAEM Member-at-Large

    UT Southwestern Medical Center, Dallas

    Ava E. Pierce, MD is an Associate Professor in the Department of Emergency Medicine at UT Southwestern Medical Center, the Associate Chair of Diversity and Inclusion for the Department of Emergency Medicine, the Director of the Emergency Medicine Research Associate Program, a Co-Director of the Joint Admission Medical Program (JAMP) at UT Southwestern and works clinically at Parkland Health and Hospital Systems. She obtained her medical degree from Louisiana State University School of Medicine at Shreveport and completed an emergency medicine residency at Emory University School of Medicine.

    Dr. Pierce completed the Medical Education Research Certificate (MERC) Program and the AAMC Healthcare Executive Diversity and Inclusion Certificate Program and is committed to making innovative changes that will enhance diversity and inclusion and improve excellence in health care, thus strengthening a diverse workforce that will provide culturally competent quality medical care to all. She serves as a member UT Southwestern Medical Center’s Medical School Admissions Committee and is a faculty liaison for Housestaff Emerging Academy of Leaders (HEAL), which focuses on professional development and mentoring for residents and fellows from under-represented groups. Her research interests include medical education, diversity and inclusion, and cardiac resuscitation.

    Dr. Pierce has built a steadfast academic career with involvement in numerous capacities at SAEM. She has been actively involved in the Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) since it was founded and has served as ADIEM’s development officer and president. She was awarded ADIEM’s Outstanding Academician Award in recognition of her impact on the academic success of students and residents from underrepresented minority groups. She has also been a member of SAEM’s Membership Committee, SAEM’s Ethics Committee and SAEM’s Diversity and Inclusion Task Force. She is an elected 2020-2021 member-at Large of the Board of Directors of the Society for Academic Emergency Medicine (SAEM). She is member of the National Medical Association, the AAMC Group on Diversity and Inclusion, and a fellow of the American College of Emergency Physicians.

  • Mark Rendon

  • Ashlea Winfield, MD, MSPH

    Assistant Program Director Cook County Health

    Dr. Ashlea Winfield is an emergency medicine physician and the Assistant Director of the Cook County Health Simulation Center in Chicago, IL. Dr. Winfield earned her Master of Science in Public Health from the Tulane University School of Public Health and medical doctorate from the Louisiana State University Health Sciences Center School of Medicine in New Orleans. She then went on to complete her residency and emergency simulation fellowship at Cook County Health. 

    Dr. Winfield is committed to increasing diversity in medicine, specifically the recruitment of underrepresented groups in medicine. As the founder and chair of the Cook County Emergency Medicine Diversity and Inclusion Committee she coordinates multiple activities aimed at fostering a culture of safety for all individuals within her program and institution.

    As the Assistant Director for the Cook County Simulation Center, Dr. Winfield focuses on procedural competency and task trainer development, using simulation to teach topics in DEI, and the use of medical simulation to inspire interest in STEM careers.

     
  • Lesley J. Walinchus-Foster, MD

    Attending Physician Clinical Faculty, MedStar Emergency Physicians

    Lesley Walinchus-Foster is an Attending Physician at MedStar Emergency Physicians in the Greater DC Area. She splits her time between MedStar Southern Maryland Hospital Center in Clinton, MD and MedStar Washington Hospital Center in DC. Lesley completed her residency in Emergency Medicine at Cooper University Hospital in 2020 and served as Chief Resident for the 2019-2020 AY. She graduated from Geisinger Commonwealth School of Medicine in 2017 and has a Masters in Pharmacology from Jefferson University. Lesley graduated with a BS in Cell Biology and Molecular Genetics from the University of Maryland in 2009. Her clinical interests are FEMinEM, medical education, EM advising, and airway education. Her professional goals are to be an example of female leadership in academic medicine.