Insights on Residency Training

September 27th, 2013

Duty Hour Reform Revisited

Akhil Narang, M.D.

 Discussions of resident duty hour reforms reached the point of ad nauseam a few years ago.  Everyone had their say – Program Directors (“In 2003 we instituted an 80-hour work week, in 2011 we switched to 16 hour shifts, what’s next – online residencies!?”), senior residents (“What? I have to write H&Ps again? I don’t […]

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September 11th, 2013

Oral Anticoagulation, Part I: Direct Thrombin Inhibitors

Akhil Narang, M.D.

When I started residency 4 years ago, warfarin was really the only choice of anticoagulation widely used for prevention of stroke in patients with atrial fibrillation (AF) and in patients with venous thromboembolism (VTE). Despite knowing about the coagulation cascade for decades, only recently have viable alternatives to warfarin become available. In this post, I hope […]

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August 23rd, 2013

Teaching Ultrasound to Internal Medicine Residents

Akhil Narang, M.D.

Welcome, everyone! I am thrilled at the prospect of sharing with you my thoughts on issues that pertain to residency training during the current academic year. I recently attended the Fundamentals of Critical Care Ultrasound course hosted by the Society for Critical Care Medicine (SCCM). It was well attended by a mix of intensivits, anesthesiologists, and […]

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