Twenty-two patients. One shift. Make it look easy.
Residency teaches you the medicine. Nobody hands you the playbook for the rest: moving fast, charting less, winning over a waiting room, and walking out on time. This is that playbook.
- Tricks of the trade from a board-certified front-line emergency physician
- 20 hard-won lessons from charting with an Ambient AI Scribe
- Order set frameworks, patient experience scripts, and a curated resource library
Fourteen years ago, a resident resource site out of Chattanooga got passed around the country. The links aged. The mission didn't. This is the modern version.
Dr. Mav EM is the resident resource site of Gaurav G. Mavinkurve, MD, FACEP, a board-certified front-line emergency physician in Dallas-Fort Worth, a Johns Hopkins-trained MD, and the creator of EM Chattanooga. It gives emergency medicine residents the tricks of the trade, lessons from charting with an Ambient AI Scribe, patient experience habits, order set frameworks, and a curated library of EM resources.
What residency doesn't formally teach
Each section is built to be read in the ten minutes before sign-out. Skim it, steal it, make it yours.
Tricks of the trade
The small habits that separate the resident drowning at hour nine from the one who is caught up and teaching the student. Flow, charting, sign-out, and the art of the parallel task.
Read the tricks20 things I've learned from my Ambient AI Scribe
Phone in the breast pocket, upside down. Pre-chart out loud on the walk to the room. Let the scribe write the whole note, then read every word before you sign. Pair it with dot phrases for the facts that have to be exact and three Power Prompts for pre-charting, admits, and the final sweep.
Read all 20 lessonsTwenty bedside habits that build trust fast
Knock and introduce yourself. Sit down. Acknowledge the wait. Lay out the plan and pad the timeline. A three-phase pocket card for building trust and moving patient-experience scores without slowing the department down.
See the pocket cardOrder sets, explained
A clean structure for the common complaints, built to sit next to your institution's approved order sets, not replace them. Know why each order is there.
View the frameworksEM resources that earn a bookmark
Decision rules, calculators, podcasts, ECG and imaging libraries, board review, and the organizations worth joining. The heart of the original EM Chattanooga, rebuilt and link-checked.
Open the libraryThe Embassy of Life
Every country has embassies. Humanity has the ER. An essay on sovereign ground, the law that keeps the doors open, and the S‑Class Treatment.
Read the essayKnow where you are in the year
A favorite feature from the original site, back by popular demand.
Built for the way residents actually learn
Grab one trick before shift
Every trick is short enough to read in the parking garage. Try one tonight. Keep the ones that stick.
Steal a framework
Use the order set and communication frameworks as a scaffold. Then make them match your hospital and your attendings.
Go deeper
When a case bugs you on the drive home, the resource library points you to the podcast, rule, or review that answers it.
The bookmarks that survived fourteen years
The original site starred its favorites. The classics are still here, plus a few newer must-reads.
Frequently asked questions
Who is Dr. Mav?
Dr. Mav is Gaurav G. Mavinkurve, MD, FACEP, a board-certified emergency physician in Dallas-Fort Worth and a Fellow of the American College of Emergency Physicians. He earned his MD at Johns Hopkins, studied computer science at Dartmouth, and completed his emergency medicine residency at the University of Tennessee College of Medicine Chattanooga.
What is Dr. Mav EM?
Practical emergency medicine for residents. It covers what residency doesn't formally teach: efficiency and flow, charting with an Ambient AI Scribe, patient experience, order set frameworks, and a curated library of EM resources.
How is Dr. Mav EM related to EM Chattanooga?
Dr. Mav built EM Chattanooga, a resident resource site out of Chattanooga that got passed around the country. Dr. Mav EM is its modern version, with the resource library rebuilt and link-checked.
What are the best tips for charting with an Ambient AI Scribe in the emergency department?
Phone in the breast pocket, upside down. Pre-chart out loud on the walk to the room. Let the scribe write the whole note, then read every word before you sign. Use dot phrases for the facts that have to be exact.
How can emergency physicians improve patient experience?
Knock and introduce yourself. Sit down. Acknowledge the wait. Lay out the plan and pad the timeline. Specific, repeated habits are what move patient experience scores, without slowing the department down.
Do these order set frameworks replace my hospital's order sets?
No. They are built to sit next to your institution's approved order sets, not replace them, so you know why each order is there.
Is Dr. Mav EM medical advice?
No. It is educational content for clinicians in training. It is not medical advice and not a substitute for clinical judgment, your attending, or your institution's protocols and approved order sets.
Nobody makes an appointment for the worst day of their life.
Gaurav G. Mavinkurve, MD, FACEP, is a board-certified emergency physician in Dallas-Fort Worth. Johns Hopkins for medicine. Dartmouth for computer science.
He built EM Chattanooga for residents, still mentors the next generation, and spends a lot of time figuring out how ambient AI can give clinicians their evenings back.
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