Summary: Advance your career and expertly navigate the job hunt with guidance from Dr. Alia Chisty of Temple University Hospital.  Highlights include Dr. Chisty offering up her personal email address for mentorship and Dr. Watto announcing our first contest. This episode is full of wisdom to enhance your career whether you're gainfully employed or looking for your first job. Clinical Pearls: Meet with your mentors at the start of the process. They can: Help clarify your goals Activate your network Look for jobs 9 months in advance. An ideal job: incorporates your interests, skills, and values. Leverage your network (friends, mentors, program director) to identify available opportunities Email your cover letter (typically an email) and CV to the division chair or section chief Craft your elevator pitch. Do your homework. Explain how you will add value. When interviewing: Give yourself credit! Highlight experiences in your CV (e.g. conference attendance, lectures given, etc.) Have someone review and proofread your CV. If an employer makes a promise, then have it included in your contract. Don’t just take their word! Have a lawyer review your contract. Goal: Listeners will learn to craft a systematized approach to finding their perfect job. Learning objectives: By the end of this podcast listeners will: Recognize timeline for applications and finding or switching jobs. Design an effective CV and cover letter. Recognize the importance and utility of mentors in the application process Disclosures: Dr. Chisty reports no relevant financial disclosures. Time Stamps 0:20 Intro 03:40 Rapid fire questions 07:10 When to start looking for jobs 09:22 How to narrow your focus 11:33 Too many choices may be worse 13:05 Asking yourself the right questions 14:40 Quick recap of what we

Summary: On this episode we’ll teach you to dominate hypertensive urgency and severe hypertension (HTN) in the clinic, the ER, or on the hospital wards. The Curbsiders offer you this delicious serving of knowledge food so you can manage high blood pressure (BP) without making the same egregious errors that we made during our more formative years. Of note, The Curbsiders are guestless for this episode. Guestless? Is that a word? Our guest for this episode was supposed to be Dr. Wallace Johnson, a Cardiologist, and expert on HTN from the University of Maryland. He did a fantastic job, but, unfortunately, technical difficulties caused us to lose any useable audio. Our sincerest gratitude and deepest apologies to Dr. Johnson. Nevertheless, we pressed on and used one of our own, the illustrious Dr. Paul Williams, as our expert guest. Clinical Pearls: Hypertensive crisis is divided into hypertensive emergency and hypertensive urgency. “Emergency” needs IV therapy NOW “Urgency” needs increased oral therapy over next 24-72 hours History, physical exam, and familiarity with the patient are key for triage (e.g. verify BP readings, assess compliance, etc.) Severe HTN and hypertensive urgency can often be treated in the outpatient setting IV agents are not indicated outside of true hypertensive emergency (i.e. objective end organ damage) We recommend increasing dose or frequency of existing BP meds as 1st line (better long-term solution) Intermittent dosing of oral labetalol, clonidine, and captopril can be considered as 2nd line (short-term solution) Rule out uncontrolled pain, volume overload, alcohol withdrawal, illicit drug, and missed medications as cause of severe HTN Evidence from observational studies suggests that headaches are NOT caused by HTN Untreated severe HTN was historically fatal in months to years prior to development of antihypertensives Goal: Listeners will become proficient in the appraisal of severe hypertension/ hypertensive urgency and employ safe and practical management strategies. Learning objectives: By the end of this podcast listeners will: Confidently triage patients with severe hypertension and provide appropriate disposition in a variety of settings Employ a safe and common sense approach to the treatment of severe hypertension in the clinic, the ER, or on the wards Be familiar with pharmacologic management of severe hypertension in a variety of settings Recognize the common causes of severe blood pressure elevation in the inpatient setting