Candid Lessons with Richard Cantor
Candid Lessons with Richard Cantor
Dec. 2, 2024
Emergency physicians have the privilege of seeing a high volume of patients, treating everything from tetanus to COPD to simple fever. This diversity ultimately helps hone the skills necessary to master the art of medicine. Dr. Richard Cantor shares lessons from training generations of residents, lessons that have withstood changes in technology, documentation, and medical education.
Host
Lauren Rosenfeld, MD
George Washington University
Emergency Medicine Residency Class of 2026
@laurenatoregon on X; @laurenkrosenfeld on IG
EMRA*Cast Episodes
Guest
OVERVIEW
Known for candid perspectives and sense of humor, pediatric emergency medicine guru Dr. Richard Cantor shares how PEM reminds residents to be present with patients. The organic nature of PEM requires us to use all 5 senses, engage with patients and their families, and see past burdensome EMRs. Dr. Cantor recalls his transformation from day one as an intern to life as an attending, and he reminds new practitioners to always do what's best for patients and their families.
DISCUSSION
How does the field of pediatric emergency medicine evolve with innovations in technology? Is technology helping or hurting patient-centered care? What factors influence your ability to maintain mindfulness with each patient?
TAKE-HOME POINTS
- Pediatric emergency medicine reminds us to focus on patient presentations and physical exams rather than the reflexive reliance on lab results and imaging.
- Most technological innovations can aid with the function of medicine, but a physician’s consistent practice helps to develop the art of medicine.
- Protocols are important but can detract from physician mindfulness.
- Studies show electronic medical records have the potential to streamline patient care; however, this additional responsibility to record often leads to physician burnout and less authentic relationships with patients.
- Residents should feel empowered to take each interaction as an opportunity to impact and to learn. Every patient, consultant, EM colleague, advanced practice provider, nurse, and staff member has something to offer.
- Quoting his longtime friend Amal Mattu, Dr. Cantor reminds us, "What you do matters." Take every setback with a grain of salt, continue to treat with conviction, and always prioritize what's best for patients and their families.
Resources
- Garmel G. 20 Tips for Career Success and Longevity in Emergency Medicine. ALiEM. Oct 13, 2021.
- Burg MD. A piece of my mind. Gomer. JAMA. 2004;292(16):1935-1936.
- Safder T. The Name of the Dog. N Engl J Med. 2018;379(14):1299-1301.