Evidence based medicine is now the buzzword for all education, but unfortunately, a lot of the data was not obtained in blinded, multi-center, prospective studies. Much of the information is gleaned in meta-analysis format that uses flawed data as the source of their conclusions.
Treatment plans, protocols, and guidelines are far superior then in the past, but again contain "expert opinion" not necessarily the true facts. What is left out in these plans is the "Art of Medicine". An experienced clinician can take the best of the information and cater it to the individual patient.
- Develop a consistent plan that teaches you what is presently being taught in the residencies and medical schools. Take this information and adapt it to the reality of your practice.
- Maintain Board Certification because it forces one to take an extensive review course in 8-9 years.
- If possible, work with others. Isolation leads to "antique practices".
- have continuous access to the Internet at work- the former peripheral brain, or notebook in the pocket, with modern enhancement!
- Emergency Medical Abstracts- reviews the literature.
- Risk Management Monthly- all the lawyers I know listen to it!
- Emergency Medicine: Reviews and Perspectives (EM:RAP)- current real-time podcast education with practicing professors.
- American Board of Emergency Medicine- Lifelong Learning and Self-Assessment (LLSA)