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

Marquita S. Norman, MD, MBA is an Associate Professor and serves as the Associate Vice-Chair of Health Equity, Quality and Safety in the Department of Emergency Medicine at UT Southwestern Medical Center. She currently serves as chair of the SAEM Finance Committee and a member of the SAEMF Board of Trustees. She is a past chair of the Equity and Inclusion Committee and past president of the Academy for Diversity and Inclusion in Emergency Medicine. She completed her internship at Howard University and residency training at the University of Michigan. She completed her MBA from the Collat School of Business at UAB. Her work has been centered around healthcare workforce diversity and inclusion efforts involving K-16 pathways programs and development of opportunities for undergraduate and graduate medical education. Dr. Norman’s professional and community interests include health equity, health care workforce diversity, medical education, and communication skills.
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

Member-at-Large

UT Southwestern Medical Center, Dallas
Ava E. Pierce, MD is a Professor in the Department of Emergency Medicine at UT Southwestern Medical Center, the Associate Vice Chair of Outreach and Engagement 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 improve excellence in health care, thus strengthening a workforce that will provide quality medical care to all. She serves as a member of 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. Her research interests include medical education, health equity, 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. She has served as the Development Officer for the Academy for Diversity and Inclusion in Emergency Medicine (ADIEM), President - Elect for ADIEM for 2017-2018, ADIEM’s President 2018 – 2019 and ADIEM’s Immediate Past President 2019 - 2020. She was awarded the 2016 Outstanding Academician Award by ADIEM in recognition of her impact on the academic success of students and residents underrepresented in medicine. 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 2020-2023 and 2023 - 2026 Member-at-Large of the Board of Directors of the Society for Academic Emergency Medicine (SAEM). She is also a member of the National Medical Association, the AAMC Group on Diversity and Inclusion, and a fellow of the American College of Emergency Physicians. In 2022, she was appointed as holder of the Michael P. Wainscott, M.D. Professorship in Emergency Medicine at UT Southwestern Medical Center.
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.