EM NEWS “Dr Collman is the premier educator in the US for EM Board Preparation!” Jan 2009 Issue.
The Collman Institute/EMBoardPrep.guru/He has practiced EM since 1981 and is a live test item writer for Two EM boards/He trained examiners how to administer the oral exam for about a decade twice a year/He has the most accurate, well illustrated education and many organizations have ranked him as the “premier educator” for both clinical practice and all of the EM certification examinations. Over 400 US hospitals and virtually every branch of the US military has employed Dr Collman to train their physicians in the most rigorous conferences he created: The Oral Board Tutorial and then the 8-Day Interactive Review!. He is the only speaker! His content is detailed and directly from the core content you should gain as knowledge in an EM residency as outlined by the ACEP…he teaches in an informal style with easy to understand test items that are mandatory [so they are complex subjects] to certify any emergency physician!
Dr Collman is honored and thankful to have helped over ⅓ of the world’s emergency physicians! Brand new lectures full of images and illustrations will soon be listed on ours to webstore and he will host a video Youtube channel…we are planning that now. Dr Collman has been teaching EM board preparation but his underlying goal is always to make better physicians and other providers such as APPs. Our country has more iatrogenic errors than most providers realize…likely 10-20 fold more than 30 years ago…it was documented in 2010: “The Clinical Practice of Emergency Medicine [Ed 6], publisher Lippincott, author Ann Harwood-Nuss MD Professor Emeritus that the number was 1.1 million for all departments of all US hospitals. That was out of date by ~two years when published [as are all textbooks]. It was published a decade ago and as Dr Collman travelled and worked clinically it became obvious to him the problem is much worse and due to a lack of education by educators who are apathetic, overloaded, or suffer from numerous stressors. The problem includes even how we choose those who go into medicine…there are many factors but the truth and the data are clear…the numbers of injured or deceased patients caused by medical errors annually is on the rise in the United States!
This site is dedicated not to just board prep but to solving this issue and that is why it is called EMedNation.com…it is for our nation to come together and solve the problems faced by our overwhelmed emergency departments as well as all other departments that we work with daily. We do nothing by the day…its by the second or the hour…like a dopamine drip…and we need to solve this problem because technology is, for many, making it worse. An EMR does not make a better physician…in many cases it slows their performance reducing the number of patients they can care for each shift; the shortened training for APPs [PAs/NPs] is not helping and is one of the great blunders of medicine. They now want their own board status…yet they need years of additional training before that should happen for the responsibilities they are given. Business in medicine is just plain wrong. Physicians need to retake the management because patients are not clients…there is a distinction…a client is someone who is making a purchase…that is not a patient…they are there for often life-saving or disability-preventing service, fear, and many other issues…they are not “Happy to be in a hospital ever!” So lets not kid ourselves, this from business make medical decisions for patients and this has destroyed faith in us by the public. Lets get to work as a nation…and Dr Collman hopes he can help all of you who want his help….thats all the “public opinion speech delivery” you will get from us. Dr Collman is committed to teach emergency medicine using his well proven interactive methods [being an artist allows him to illustrate in the classroom or at the bedside so no provider misses the understanding they need…its that simple for him…I hope you will invite him to become your mentor for life…and support his 4 decades of work worldwide.
Your donations/conference fees also help Dr Collman care for indigent patients globally.
This is the new website for the Collman Institute Inc., which was officially reopened in 2018. He did not take a leave of absence, in part he decided to work more clinically to determine what he suspected…we have a huge set of problems that are growing in our speciality and he had 4 members of his family who needed his expertise and support.
For now enjoy the case study…G Hutchinson…a sample of the 52 cases that make up the OBT! [but there are actually 100 cases that were used to certify actual board candidates from recent years and over 1000 Live test items that were also used by two of the three recognized ABMS [AMA] Emergency Medicine Boards. Dr Collman record 33 audio CDs [33 h of listening of his live analysis at the Oral Board Tutorial! [the case management of those cases are the classics and many other products he has to offer you that will improve your confidence and understanding of the pathophysiology and how the ABEM, AOBEM and other boards create their critical actions and how they define their 8 performance ratings that create your scores.
Being board-certified comes with the risk of being held to that standard. Yet in some areas we still do not have consistent education by faculty uniformly in America [although the Core Curriculum/Competencies are well defined.
What can we do for you? Prefer to have Dr Collman tutor you privately? No problem! Call/receive a personal evaluation – absolutely free advice! Dr C is almost always available…if not, just txt him with your contact info. He is usually able to respond immediately but never more than in 24 hours!
Call him at 561-305-8163!
About Us…CME programs began in 1989. Dr Collman began practicing Clinical EM in 1981.
Accomplishments in his youth: Inventor of ECMO using a silicone membrane to exclude the blood gas interfaces making this device available for prolonged use in premature neonates. Won first place in the world in an international competition in medicine 1974. Sterling Scholar 1974. Elected Student Body President, Roy High School 1973-74. Dual Enrolled Weber State University [WSU] and Roy High School age 16 [Chemistry Major/Math and history minor]. Studied art for 10 years [oils] 10 years prior to entering medical school. Graduated 1st ever “Chemistry Student of the Year 1976, Weber State College.”…Ogden, Utah. He was accepted to his first choice for medical school [The University of Utah, School of Medicine] [he was accepted for entrance just after his 20th birthday and thus completed his MD degree age 24 [this included 4 special rotations and a Fellowship in General Anesthesia. He completed an Internship General Surgery [rotating] at UCLA Center for the Health Sciences in 1981; He moved to VA to begin a career as a medical illustrator [publisher: WB Saunders] and full-time clinical emergency physician in 1981..a decision he made because it allows him to use his surgical skills, to lead a more balanced life and because of a 2 year contract to illustrate the entire first significant textbook devoted to pediatric emergency care: Emergency Management of Pediatric Trauma; this text has the first RSI PROTOCOL ALGORITHM FOR PEDIATRIC PATIENTS. He was immediately identified as a talented leader/scholar and his illustrations have appeared in numerous emergency medicine texts, health magazines as well as his two most well known CME PROGRAMS; The 8-Day Interactive Review! and The Oral BOARD TUTORIAL! These programs are so well recognized that authors of many of the Chapters in the 8-Editions of Tintinalli’s texts have attended these programs. Everyone of them are brilliant and many have other board certifications. They all attended because of word of mouth comments that Dr C [as he is known] is a unique educator who was literally born to teach and practice medicine. No one in his family tree in any known prior generation was a physician…for whatever reason he was compelled as a child to go to the county library and study topics children would never choose…endocrinology, human physiology and the writings and art of his original mentors: DaVinci, Michaelangelo, Monet and Pissarro. He loved going to museums and would often be so fascinated that he would often be up all night painting and emulating the art of human anatomy and he was ill with pneumococcal pneumonia twice as a young child and he could barely walk but he read and painted [paint by number painting then he began mixing his own colors and was finally placed in the summer of 4th grade with a professional oil painter who trained Dr Collman in the methods that are classic in their origins. He also studied portrait painting but never had any instruction in drawing. He was taught how to use a limited palette of colors, how to create tints and to make secondary colors. Now he spends most of his “painting time on a pair of IPads and creates art in hundreds [sometimes thousands of layers with an unlimited set of palettes of colors [his art for the past 5 years has all be created with Procreate …an app for professional use with the IPencil. He has a collection of his life’s work that dates back to his childhood. He was able to make an income in his early teens…and in 1971 was able to buy a $500.00 racing bicycle…he still has that bike! The chain finally broke apart in 2015. He had indulged with carbon fiber bike and has not owned an automobile sine 2009! He does occasionally take Ubernor rent a vehicle but most of his life, a bicycle has been his primary means of transportation.
Work done well, with a personal touch. You are mentored by Dr Collman. He has 52 cases each about 10-13 pages with visual stem sheets, and scoring sheets. He has created a true simulation of thee oral examination because he created his cases when the rules for their creation were published. That information is no longer available. He made a huge commitment! to give you a true simulation of the oral examination and has taught it live over 100 times. In addition, you have access to other self-study cases and his Miniprep cases he created to teach just before the oral exam in Chicago.
Our job starts with you: understanding what you need, so we can offer you options that make sense.. Near the end of the program Dr Collman reviews actual video of candidates to show them that a few days of practice is not adequate. It does not always produce confidence. It show deficits in knowledge. It helps candidates gauge the real time they need to prepare. You can order the syllabus a year in advance and this is highly advisable. This is the most rigorous program you will ever attend.
Our job starts with you: understanding what you need, so we can offer you options that make sense. Scoring of the ABEM ORAL EXAM HAS CHANGED YEARS AGO!
Dr Collman keeps all of your conversations with him private!
Dr Collman asks that you try to schedule a time when you are are at home relaxed! Your first consultation is always no at charge for the for 45 minutes to give you a focus plan to prepare. Most residencies do not adeqautely prepare their residents for oral exams and many residents miss these sessions. Dr Collman has videotaped every prior client and the tapes prove everyone needs to rehearse what they plan to say and actually say those words repeatedly so they sound natural…you must sound natural and not like you are emulating another words or sound robotic…they want to hear the “process of emergency medicine.”. By giving a drug dose on any case you will improve your score even if it is not a life threatening case…that is your goal…maximize your score. YOU MUST KNOW ALL ACLS, PALS, /Anaphylaxis doss and drips. Dr Collman has developed a simplified easy to verbalilze system that is accurate to 1/10th of a microdrop!. On video an author of the PALS manual failed the PALS simulation. The same was true for the world expert for th ACLS case. Dr Collman has proven that whatever area one is an expert, that is the most likely type of case which is at most risk of a failing score., e.g., an EP who has toxicology boards fails the toxicology case. This is because they have fear for what they are “famous for” or most skilled with…but most simply have fear of public speaking in front of an examiner. You need to maximize all of the points because the oral exam is now scored on a curve for years and you can now fail with a mean of 5.28 when the group you test with has a mean of 5.31. This seems impossible for examiners to be this exacting in their scoring. Prior to this rule change a pass was a mean of 5.00 (one could “kill” or injure 4 of 11 patients [i.e., a raw score of 66%] and pass the exam…but the candidate had to fail the “right 4 cases” [each of the lowest scores on a multiple patient encounter was averaged with the other 2 cases [easy to get a mean of 5.00], the field test item [FTI] and the low of the “high-low two cases” which were previously averaged which was easy to obtain an average of 5.00 [4.99 = 1 missed [CA] critical action or 1 dangerous action and produced a case score of 4.99]. A mean of 5.00 was a pass. This is no longer true. Now with the test scored on a curve with the group, candidates have failed with a mean of 5.28 when the group scored 5.31. [~1 SD below the group]!
Advice: Prepare a list of questions especially if Dr C gave you a sample test. Only rehearse oral cases near exam time with Dr Collman or a candidate who studied his methods. Often doing otherwise is a recipe for disaster. One helps the unprepared candidate and doesn’t help themselves. Dr Collman can help 12 clients the 3 days prior to the examination. He has a few experts he has trained to call if more require help. DO NOT PROCRASTINATE. Study his manual [330 p and all 52 of his cases repeatedly-we review them each 4 times at a conference. Then the candidates “flow” with their words.
Dr Collman can also show you how to enhance your memory and totally defeat any examination fatigue!
The !2 LEAD ECG: This is a classic example of a test item every emergency physician will likely see because it is so dangerous yeah not always obvious do you mean in a 12 lead EKG: the final diagnosis is this is a classic example test item every Emergency Physician I will likely see because it is so dangerous yet not always obvious even in at 12 calling the final diagnosis Torsade de Pointes. There are both in general and acquired forms of this serious form of [VT ] ventricular tachycardia. It is always related to a prolonged QTc interval. VT w/o a pulse requires immediate unsynchronized cardioversion [but starting w200 J]. The right answer for the alcoholic patient is to administer intravascular [IV] Magnesium sulfate starting with 1 to 6 g. Magnesium sulfate starting with 1 – 6 g. [Initially patients receive 1G over 15 minutes] and this shortens the QT interval. The answer that mine for some people is to increase the heart rate with a temporary transvenous pacer or without that transcutaneous pacing if capture can be obtained to speed up the heart rate. This is beyond the knowledge of many primary care providers Who also often misdiagnose a rhythm strip which could also be an examination question TI [test item] Because CDP can’t look like the VF especially if one looks at just a portion of a rhythm strip. Most physicians i’ve never thought about this and that is why create a interactive review is so vital because I review the most important clinical errors! Physicians know that the QT this must be measured by the ECG algorithm and the measured QT must be corrected by dividing that initial value by the square root of the R-R interval [ but most might not know any potential correct answer on the question as the name of the formula: Bazetts equation]. Because the QT interval changes with underlying HR [heart rate] QT Where is the basis for the calculation. This was presented in an early chapter of Tintinalli in 1986 Ed 3 [aks T3] [by the Virginia cardioologist so well-known for his work on radioisotope cardiac scanning that when he attended the program to prepare for his EM certification examination Dr Collman remembers he had to stop the meeting and get physicians to treat this physician like a normal human…meaning get this group to sit near-the cardioologist!
Sometimes people are truly in awe of others [they all wear a name badge And if they completed an Emergency Medicine residency they likely know his name as the author of the chapter] or years ago as the VA [Virginia] residency program director.; Fame comes mostly with benefits but can also be detrimental [In this class he was being sort of ostracized because no one would sit next a.m. because they all knew how famous he was and ID’d by his name badge (his name)] . The classic combination of a mycin ABX plus an antihistamine was rapidly id’d as a strong etiology of TDP and sudden dearth? The combination of Saul Lee thought that it was because of a ban on certain Anna histamine in the United States in the 1990s and this was published in the Annals Of Emergency Medih NYU
in this class he was being sort of ostracized because no one would sit next a.m. because they all knew how famous he was and recognize his name bad I his name] and even prove lethal. Hard to believe? It might not be what you would expect to read on this site. It happened to DrC…[stalking for pecuniary gain using of fear of threat of his losing his life]…that is extortion by sociopaths who trolled the internet]. It is why he had to change his entire life/and it stole decades of happiness. There is no such thing as “a low profile on the internet”! He interjects this because if you looked for a calculator to calculate the QTC we all know that never happens because it’s done by an algorithm when you get a print out of an ECG tracing; it won’t be on your exam but one of these will: since it can be acquired they could ask a list, “Which is not an acquired cause of TDP?”… that answer could include on of the two congenital etiologies plus 4 additional choices, only one of which is the false answer [the correct answer]. The two congenital forms are Romano-Ward syndrome and Jervel Lange Nielsen syndrome. Hypokalemia, hypothermia, alcoholism [ because it causes both a low K_’] but especially the low magnesium [the 2nd MC intracellular cation [2nd only to K] are the common answers most EPs [emergency physicians] would know]. This was a prior question also on the prior ACEP PEER examination . “Expecting the unexpected “…a good concept for EPs also includes subtle wording… “What is the overall Tx of choice for all TDP” …A subtle word change which changes the answer to overdrive pacing. The Tx of choice for an alcoholic with TDP w/a pulse [BTW TDP is often miDxed]-…Yet there is a very long list of medication-induced forms of TDP & calling up this by memory is quite a feat. The list Dr C published in the 2-Volume program syllabus and in the slide program for the 8-day Interactive Review! that was published in Keynote this year [And if you attend the five or 8-day version of the program you’ll see this in the conference slides and Doctor Collman will review all of this because he has a strong believer in repetition and reinforcement of lists & pathophysiology-and that is why he calls himself a trainer/educator and not simply an educator. Is he really doing? He is teaching doctors to memorize by activating the limbic hippocampal connection! So he asked to come up with some emotional story something silly or something otherwise emotional and bad will keep that information stored in your memory for a recall forever! That’s if he does his job right which means he has to repeat the subject material each day and build on concepts-and that leads to the idea of why it is important to attend every single day of the program and why He is the only presenter. There is no other program in the world whether it’s one person who teaches the entire curriculum for a rapid review and most reviews are just two or three days possibly four days long which is a fraction of the time he spends with his position participants. This year and in future years he is hoping to gather up all of the APP‘s and train them in a separate program because you’ll have to slow The place because they simply do not have a proper background in medicine because their education is so truncated I miss usually 24 months and then they are on the job! Now to finish up other drugs that are well known etiologies of TDP include malarial agents [For most that would be tough to remember like just like the newer now listed [T7/T8] 5th species of plasmodium-knowleski. It is this unique use of mental muscle memory in which he combines what seem to be unrelated facts but are related in the sense that these words or conditions are repeated throughout the literature for the course content that has been described as the curricula him to complete an emergency medicine residency as defined by the American College of emergency physicians. Some of you might remember that I surprise increases heart rate so it is a rarely use drug in emergency medicine more commonly used in the Milyer to I see you Physicians and it would also decrease the QTc & thus treat TDP! Yeah this is a typical minimum amount of knowledge that Doctor Collman walks around with and thinks about every day because he is a penultimate lifetime student of just facts and knowledge that can be combined into useful list by organizing it in unusual ways…That’s what activates the brain to improve long-term memory and short term memory. The man is no different then the rest of his colleagues and appears to have a photographic memory but that is faults if you ask him…it represents the simple process of typing the lists over and over for decades…And even those congenital syndromes he can’t get out of his head Because when you build a conference over and over with the same data it is emotional and it is quite an accomplishment which in his case makes him happy and for the rest might seem a bit bizarre because they probably would prefer to be outside just getting a tan. But most don’t realize about him is he leads a very normal life in bad he takes a lot of downtime and he simply bring a pen and paper wherever he goes like a diary and today he can simply carry an iPhone or an iPad with an entire text and the knowledge of the world! [on Variety of formats including being, Google and other search engines]. And originally he took the time to scan the entire original copy of T3 into our computer before they had it on CD before CDs were common. He was sad to he was sad to learn about the 8thed edition of the “study guide” [T8] did not include a whole CD of the entire book learn so again he has to type in every chapter fact. It’s better that he do this then hire a staff member because that improves again this recall how many has done this for decades now since 1989 at least 13 times for a variety of manuals and text book as well as his presentations. So making his career as an artist and author has also made him a walking compendium of medical knowledge for his specialty and all specialties that are recognized by the AMA because that’s what emergency medicine it represents as a body of knowledge-all 23 a BMS/AMA recognize’d bo so making career as an artist and author has also made them walking compendium of medical knowledge or is this specialty and all specialties that I recognized by the AMA because that’s what emergency medicine he represents as a body of knowledge-all 23 ABMS/AMA recognized board specialties! It’s almost Bizzarre because the number 23 is now 24 but at the time the 23rd specialty was emergency medicine and that happens to be the day of the month of his birthday! Doesn’t believe in numerology but he certainly believes in using statistical analysis to determine test items and to recall facts and your birthday number is a key number that he teaches you how do you use to promote your own long-term memory! Wow that was a long explanation about TDP! It is not the complete list of drug-induced causes but it is a pretty good start!
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Dr Collman teaches emergency medicine for board preparation and he is always prepared to teach a grand rounds, cases studies that every emergency provider should know. Text him 7 days a week: 561.305.8163!
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