Scholars@Duke
Megan J Rivera

Megan J Rivera

Assistant Professor of Emergency Medicine
Emergency Medicine

Scholarly Works - Journal articles

Mitigating Bias in Feedback in the Emergency Department.

Journal article AEM Educ Train · June 2026 Mitigating bias in learner feedback is critical because it shapes how learners are assessed, the feedback they receive, and the opportunities available to them. Bias in feedback, whether implicit or explicit, has been associated with inequities in training ... Full text Link to item Cite

More than Just a Bag-Purple Urine Bag Syndrome as a Manifestation of Vulnerability in Geriatric Patients: A Case Report.

Journal article Clin Pract Cases Emerg Med · May 2026 INTRODUCTION: Purple urine bag syndrome (PUBS) is an uncommon yet visually striking condition observed in patients with long-term urinary catheters. It is associated with urinary tract infections caused by bacteria that metabolize tryptophan into indigo an ... Full text Link to item Cite

Escape Intern Orientation! - A Capstone and Team Building Activity for New EM Interns.

Journal article J Educ Teach Emerg Med · April 2026 AUDIENCE: This activity is designed as a team building capstone exercise for new interns to review important content from intern orientation at an emergency medicine residency program. INTRODUCTION: Medical students matriculate into residency with various ... Full text Open Access Link to item Cite

Aortic Arch Pseudoaneurysm Causing Acute Coronary Artery Occlusion and Cardiogenic Shock in a Postoperative Patient Presenting to the Emergency Department.

Journal article J Emerg Med · October 2025 BACKGROUND: Pseudoaneurysm is one complication of type A aortic dissection (TAAD) arch repair. It occurs in 10-24% of patients after TAAD repair and typically warrants elective operative intervention in hemodynamically stable patients. CASE REPORT: We pres ... Full text Link to item Cite

Collar and dependent viscera signs: A case of hiatal hernia with prominent visceral herniation

Journal article Visual Journal of Emergency Medicine · October 1, 2025 Full text Cite

Helping Learners Receive Feedback in the Emergency Department.

Journal article AEM Educ Train · August 2025 Feedback is essential to professional development in emergency medicine, yet its impact hinges on the learner's ability to receive and apply it-an often-overlooked element of the feedback equation. In the high-acuity, time-pressured setting of the ED, crea ... Full text Link to item Cite

Innovations report: A grading committee for a required fourth-year emergency medicine clerkship.

Journal article AEM Educ Train · August 2024 BACKGROUND: Assessment of medical students in the clinical learning environment is fraught with challenges. Seemingly small variations in clinical clerkship evaluation can significantly impact a student's future. As such, the integrity of the grade selecti ... Full text Link to item Cite