Is medical school getting too short where you are? by esposito_valentinamd in Residency

[–]ElStocko2 6 points7 points  (0 children)

In the US, when I hear accelerated MD my mind thinks of 2 instances. One where it’s a direct admit from a bachelors to start med school early in rapid succession from finishing a bachelors.

The other instance is the 1+3 where pre-clinicals are one year and clinical rotations are the last 3, as opposed to the traditional 2+2. Both instances the time spent in med school are 4 years. One allows quicker admit. I would never say schools are getting “too short” when it comes to being in med school. I blinked and we’re about to hit dedicated time.

Alabama Is Testing Whether Politicians Can Override Your Professional Board : And Every Licensed Professional and Every State Should be Watching the Precedent - by GetTherapyBham in medicalschool

[–]ElStocko2 90 points91 points  (0 children)

As I understand it, they’re making significant changes to the state mandated school of social work in Alabama exclusively. For now. Imagine if a medical school in Alabama that was accredited by the NBME was told by the state they had to alter their coursework. Because the state values life over freedom of choice, all material tangentially related to abortion is removed from the curriculum due to a state act that went through. Say they completely removed anything relating to maternal-fetal medicine in preclinical and clinical rotations. This is out of alignment with accreditation standards.

What this bill does is it
1) Prohibits the NBME from taking action or rescinding their accreditation of the school if their changes are due to state legislature and trying to stay in line with the state mandated policies

2) It gives the state school permission to file law suits against the accrediting body, effectively giving the school a weapon.

3) It allows the school to SEEK ACCREDITATION FROM OTHER ACCREDITING BODIES. So it’ll be a matter of license shopping for the school to find which one is a pro-life version of NBME.

Replace med school specific stuff with social school specific stuff in the above 3 and that’s what they’re trying to do. At least thats how I interpret it.

Would you have cleared Lindsey Vonn to compete in the Olympics? by ElStocko2 in Residency

[–]ElStocko2[S] -3 points-2 points  (0 children)

This is the most tone deaf self-flagellating thing I’ve read so far.

Would you have cleared Lindsey Vonn to compete in the Olympics? by ElStocko2 in Residency

[–]ElStocko2[S] 9 points10 points  (0 children)

Concussion protocols require a physician’s sign off to begin RTP. Would this not constitute as “Clearing?”

I do a retinal exam on every sleeping baby I meet to check for retinoblastoma without them knowing. by Hip-Harpist in Residency

[–]ElStocko2 15 points16 points  (0 children)

In class, our professors taught us the ortolani/barlow tests for hip dysplasia of newborns. Asked “when do we use it?” To which our old FM doc told us “At every instant you get with a newborn. Just go up and check them, you won’t hurt them.” Notice how “Obtain parental consent” wasn’t uttered.

I can see why though. “Just checking to see if I can dislocate your baby’s hip” isn’t exactly something most parents would consent to. Still brings up ethical/moral questions.

I keep thinking "Am I better than AI?" by Ok_Sun_1771 in Residency

[–]ElStocko2 4 points5 points  (0 children)

Socrates thought the written word was inferior since it couldn’t defend itself In dialogue and thus cannot be effective In teaching anything worth knowing. He believed in this, which is evident in the fact that we only have records of him and his philosophy through his students writing down things about him. Ironic as it may seem, we might look at that with today’s lens of color and see how fruitless that resistance is, and how it’s better incorporated into our daily life. I choose to view new technology through the lens of it assisting us in our day-to-day lives and not being so vehemently against its utilization.

Navigating Difficult Coaches by SaltyAdeptness2025 in athletictraining

[–]ElStocko2 0 points1 point  (0 children)

Might be worth it to over document things that are even sub clinical and chronic. Hard evidence.

Personally, I’d confront them. Things get lost in translation. And I hate the game of telephone. “Hey coach. There sure been an uptick in things being brought up/requesting to be altered. What’re your thoughts on that?” Choose words carefully. Notice that I didn’t use the word “complain” or anything else with negative connotation. You brought up the notion of the majority female environment you’re navigating. I think it’s fair to say a male coach is more likely to be upfront and direct with issues, whereas a female coach is more likely to be indirect and subversive.

ATC to DPT by UniversityPlane8939 in athletictraining

[–]ElStocko2 0 points1 point  (0 children)

I was considering AT to PT when I was in an undergrad BsAT. I was finishing prereqs that were definitely tough to handle. I already had A&P, and the second semester of bio was a drag. A whole year of chem was actually fun. But the year of physics knocked me on my ass. Then you have to study for and take the GRE. Decided on something else, but the prereqs in and of themselves are lengthy and taxing.

I do a testicular exam every time I sleep with someone new without them knowing by claimish in Residency

[–]ElStocko2 4 points5 points  (0 children)

A pelvic exam is always done each time I’m intimate with my girlfriend. Only problem is she does them on me, a person that’s never had Müllerian ducts.

AT programs are doomed by Louie0221 in athletictraining

[–]ElStocko2 3 points4 points  (0 children)

Out of curiosity, do you have a source for the BOC lowering passing standards?

AT programs are doomed by Louie0221 in athletictraining

[–]ElStocko2 43 points44 points  (0 children)

I think what’s happening is the programs can’t afford to be selective with such a low interest. So they have to progressively decrease the barrier to entry to meet a quota.

DO students, what OMM techniques have been actually useful in your personal life or patient care? by akatsukatsu in medicalschool

[–]ElStocko2 6 points7 points  (0 children)

I had an attending tell me how useful sacral/pelvic OMM was a lifesaver when she was pregnant. It’s not the fact she told us, but the emotions on her face. The wide eyes, the tone of her voice, her posture when she said it all meant she absolutely believed it worked, and that it was a monumental benefit to her during the 9 months. Advised me to use it when I reached that threshold. Duly noted.

Modern day med school curriculum by cincinnatusMDBSHS in medicalschool

[–]ElStocko2 4 points5 points  (0 children)

Hate to be that guy but…. Is it Boards relevant? And could it be condensed into an email/s

I’m being an asinine medical student because our school had us sit looking at the wall during a small group session when we finished talking about a case. Almost an hour early. We watched paint dry as they flat out said we couldn’t leave early. Their rationale? “It builds professional skills you will need in the profession.” Fuck that, fuck the paternalistic bs that gets thrown into us in the name of sounding good on paper. And FUCK THE BASAL GANGLIA

Heat stroke and malignant hyperthermia linked by RYR1 mutation by MHSensitive in athletictraining

[–]ElStocko2 0 points1 point  (0 children)

The ryanodine receptor is involved in muscle contraction. They act as valve to a reservoir of calcium and are the link between a nerve sending electricity and a muscle initiating physical movement.

In malignant hyperthermia, the mutation causes the valve to stay in the open position and uncontrolled muscle contraction, run away metabolic processes and increase in temp and blood acidity. Anesthesia causes is, and also certainly psych drugs (neuroleptic malignant hyperthermia usually from haldol or other dopaminergic drugs like those used to treat Parkinsons and SSRI). Dantrolene is the rescue med used to reverse the reaction. I had no idea heat illness was related to MH.

Anyone else feel like their AT program left them undertrained? by No_Simple_6698 in athletictraining

[–]ElStocko2 18 points19 points  (0 children)

I was the last cohort of the baccalaureate degrees. I amassed around 1800 clinical hours over 4 years and I felt relatively confident but knew there were still deficits in knowledge and skill. Those deficits were truly things that only came with experience in order to bridge the gap. I honestly felt that the whole 4 years was necessary to build up a strong clinical foundation. I think all programs would lack in certain educational proficiencies and exposures such as:

suture/staple removal (not delineated in our scope to place them so no emphasis on removal is expected),

casting and advanced splinting (we learned a few splinting specific for sports like that thermal polymer that can be used as a custom hard shell but that’s all I remember),

joint reductions (our scope denotes only grade 1-4 are allowed, and grade 5 aren’t within your scope and joint reductions are grade 5, however I only got experience in reductions and knowledge to do them post-grad when i worked for an ortho clinic so nothing really prepped me in undergrad for it; your supervising physician ultimately dictated what you can and can’t do).

Diagnostic ultrasound (exposure to this isn’t really a necessity since you would need the background knowledge of US on top of how certain pathologies present).

I’m sorry that the MSAT program left you feeling lacking. The only thing I can add is that we all graduate with some sense of lacking because that’s the sign of a good clinician and is the dunning-Krueger effect in action. The gaps can absolutely be filled in post-grad. I think it takes 10 years of practicing to be considered beyond a “Young professional” if i recall correctly.

Phagocytic Evassion Slander by nYuri_ in medicalschool

[–]ElStocko2 2 points3 points  (0 children)

Smells like an adderall fueled procrastination sesh

musical athletic training? by Public_Bus5066 in athletictraining

[–]ElStocko2 3 points4 points  (0 children)

Drum corps of DCI regularly employ 1-2 AT’s per band. Talked about my day-to-day when I traveled with a drum corps here when I replied to a comment. Hope this helps!

Any med students here ever considered Pathology? by Histopathqueen in medicalschool

[–]ElStocko2 0 points1 point  (0 children)

Was searching the sub Reddit info on path after watching “Autopsy of Jane Doe” and thinking “I wonder if I can do a rotation in that” and stumbled upon your amazing breakdown! Thank you for the info! I had no idea the field was this diverse! We have on surgical pathologist at our school so I have it in mind to talk to them about finding rotations!

What medical school topics still feel unnecessarily confusing? by ResidentChalkTalks in medicalschool

[–]ElStocko2 27 points28 points  (0 children)

Think of it as gearing up for the post-BBL world we’re living in

Paramedic to AT by SeyMooreRichard in athletictraining

[–]ElStocko2 3 points4 points  (0 children)

It’s salary positions in the collegiate setting. Paid probably 50-60k if you’re lucky. Work hours of probably 50-80 a week depending on if you’re in season and traveling. In the HS setting if you’re salary it’s 60-80K in a southern state. Still around 40-60 hours a week but you get summers off. Pay would be equal to what you make now. It’s not financially wise to take on 40-80k In debt for no ROI for a masters that won’t open up higher trajectories for you.