J Emerg Med
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For graduating emergency medicine (EM) residents, little information exists as to what attributes department chairs are seeking in hiring new attendings. ⋯ How a physician relates to others was consistently rated as the most important part of the candidate's application. However, finding a job in academic EM is difficult, with graduates having limited job prospects.
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Guaifenesin is a common nonprescription medication that has been implicated in drug-induced nephrolithiasis. Dextromethorphan, a nonprescription antitussive found in some guaifenesin-containing preparations, is increasingly recognized as a substance of abuse by many youth and young adults. Renally excreted medications known to have poor solubility in urine have the potential to precipitate when ingested in large quantity, leading to acute obstruction of the ureters and renal failure. ⋯ This case highlights the potential for acute renal failure secondary to guaifenesin and dextromethorphan abuse.