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The Match is a daunting process for everyone, but it can be exceedingly more complicated for couples. Accordingly, the Couples Match was introduced by the National Residency Match Program in 1984 and has been witnessing a steady increase in the number of participating couples over the past 30 years. The highest number of couples participating in the match, and the highest match rate among them, was recorded in 2018. In this article, we provide couples considering the Couples Match, with one or both partners planning to apply to emergency medicine, with insights on this process. Although it may initially appear to be complicated, the Couples Match enables partners to obtain postgraduate training in geographic proximity to one another. With good communication between the partners and their advisors, an exciting joint venture can unfold that is fueled by the strength of the couple.

Emergency medicine (EM) has its challenges, downsides, advantages, and accompanying lifestyle. Additionally, graduates of EM residency programs have abundant job opportunities. Accordingly, there is an increased interest in residency training in EM, even among residents with prior training. Transitioning from another specialty to EM can be complicated yet achievable, especially if EM is the transitioning physician's passion and career goal. Therefore, in this article, we elaborate on the transition process from another discipline to EM in light of changes in residency funding. We also explore the advantages and disadvantages of transitioning to EM with previous training in another specialty. Moreover, we expand on credit equivalencies for months already completed in another training programs, as well as the difficulties to be anticipated by transitioning physicians.

The Match is a daunting process for everyone, but it can be exceedingly more complicated for couples. Accordingly, the Couples Match was introduced by the National Residency Match Program in 1984 and has been witnessing a steady increase in the number of participating couples over the past 30 years. The highest number of couples participating in the match, and the highest match rate among them, was recorded in 2018. In this article, we provide couples considering the Couples Match, with one or both partners planning to apply to emergency medicine, with insights on this process. Although it may initially appear to be complicated, the Couples Match enables partners to obtain postgraduate training in geographic proximity to one another. With good communication between the partners and their advisors, an exciting joint venture can unfold that is fueled by the strength of the couple.

Less than half of patients with a chest pain history indicative of acute coronary syndrome havea diagnostic electrocardiogram (ECG) on initial presentation to the emergency department. Thephysician must dissect the ECG for elusive, but perilous, characteristics that are often missed bymachine analysis. ST depression is interpreted and often suggestive of ischemia; however, whenexclusive to leads V1‒V3 with concomitant tall R waves and upright T waves, a posterior infarctionshould first and foremost be suspected. Likewise, diffuse ST depression with elevation in aVR shouldraise concern for left main- or triple-vessel disease and, as with the aforementioned, these ECGfindings are grounds for acute reperfusion therapy. Even in isolation, certain electrocardiographicfindings can suggest danger. Such is true of the lone T-wave inversion in aVL, known to precedean inferior myocardial infarction. Similarly, something as ordinary as an upright and tall T wave ora biphasic T wave can be the only marker of ischemia. ECG abnormalities, however subtle, shouldgive pause and merit careful inspection since misinterpretation occurs in 20-40% of misdiagnosedmyocardial infarctions.

Chest pain accounts for approximately 6% of all emergency department (ED) visits and is the mostcommon reason for emergency hospital admission. One of the most serious diagnoses emergencyphysicians must consider is acute coronary syndrome (ACS). This is both common and serious,as ischemic heart disease remains the single biggest cause of death in the western world. Thehistory and physical examination are cornerstones of our diagnostic approach in this patient group.Their importance is emphasized in guidelines, but there is little evidence to support their supposedassociation. The purpose of this article was to summarize the findings of recent investigationsregarding the ability of various components of the history and physical examination to identify whichpatients presenting to the ED with chest pain require further investigation for possible ACS.Previous studies have consistently identified a number of factors that increase the probabilityof ACS. These include radiation of the pain, aggravation of the pain by exertion, vomiting, anddiaphoresis. Traditional cardiac risk factors identified by the Framingham Heart Study are of limiteddiagnostic utility in the ED. Clinician gestalt has very low predictive ability, even in patients with anon-diagnostic electrocardiogram (ECG), and gestalt does not seem to be enhanced appreciably byclinical experience. The history and physical alone are unable to reduce a patient’s risk of ACS to agenerally acceptable level (

Promotion and tenure (P&T) can be a complex process, which many junior faculty in academic emergency medicine may struggle navigating. This paper presents perspectives and key considerations to guide faculty through the promotions process. We explore tips through three key phases: plotting the course for a successful academic career, collecting data to support academic advancement, and packaging materials into a compelling application portfolio. This resource can inform faculty and faculty developers when planning for P&T. [ABSTRACT FROM AUTHOR]