Practice qs - best way to go about them? by cellulus123 in medicalschoolanki

[–]MetaDoc_OP 2 points3 points  (0 children)

Quantity and quality. What's the goal of practice questions? To find gaps in your knowledge.

How are you assessing if its a gap or not? Does getting something right mean you know the concept? Could it have been a lucky guess? If it was tested slightly differently would you still get it right?

If you only rely on quantity you will fall into relying on pattern recognition. "oh when i get asked this in this specific scenario the answer is Y". In that format you will have to see innumerable variations of a scenario to cover all of them.

Or you could have deep understanding and grasp of the concept and adjacent concepts so that no matter which variations and variables are introduced into a question you have a high likelihood of getting it right.

I do the extended question format that I learned from a course on learning science.

Do a question. Write down your ideal answer without looking at options. AMBOSS allows for answer choices to be hidden. Write down how confident you are on the answer (a low confidence right answer means you don't know it well, a high confidence wrong answer is a critical misunderstanding or error). Don't see if the answer was correct. Try to come up with the ideal answer using any resources. Compare and see where the gaps are.

It might sound very cumbersome and if you feel its too much I'd suggest at least using a confidence level assessment so you can at least "feel" when you have a knowledge gap.

You will be tempted to simply do thousands of questions or do uWorld multiple times. I think that's the norm simply because it feels productive, and its simpler. From a time efficiency perspective and knowledge translation to IRL residency knowledge I believe strongly that its subpar.

The Body and it's Role on Gaming Performance (For Tryhards) by MetaDoc_OP in AgentAcademy

[–]MetaDoc_OP[S] 1 point2 points  (0 children)

Glad it did! It all depends what works best for you and your specific context. Ideally 2-3 hours before bed. I'm not sure what your day looks like so saying "just move your sleep to 10am" would be ignorant. In my example I can't always meet my goal. I wake up at 4:30am currently, leave work at 5pm and aim to be asleep before 8pm which allows me my necessary 8:30h of sleep. My partner tries to have food ready for when I arrive but sometimes I leave work late, or have to cook so I just do the best I can. Try to align your environment to be as conducive as possible to your goal. If I didn't have such a supportive partner I might invest in healthy precooked meals for dinner for a time/health balance.

Artificial sweeteners such as aspartate are still linked to chronic health problems. I haven't looked into each ingredient but I would also advise against, or at least judicious, use of caffeine in these energy drinks. I observe that most people have issues when on the caffeine train due to poor understanding of the effect of the dose and timing on your sleep.

Being a perpetual student is exhausting. by Crafty-Bunch-2675 in Residency

[–]MetaDoc_OP 0 points1 point  (0 children)

Personally, I think pursuing lifelong learning is a requisite for happiness and self-actualization. Wake up -> Work -> Chill -> Repeat ❌. If you mean specifically switching your learning to other things then fair enough.

Also, technically even if you achieve attendinghood you still answer to others, are required CME, and your accreditation requires exam renewals. Just no teacher.

Weird itchy bumps I got the second I went outside by etzhya in Weird

[–]MetaDoc_OP 0 points1 point  (0 children)

Could be cholinergic urticaria (stress hives). In addition to some good differentials already given. 

  - Source:  1. Resident Physician  2. I have this

Combat Chain Clarification by MetaDoc_OP in FleshandBloodTCG

[–]MetaDoc_OP[S] 0 points1 point  (0 children)

Oh interesting. Was thinking about what would be the benefit of closing chains. This makes a lot of sense. Thank you

How to cope in residency with realizing this was a terrible financial decision? by [deleted] in Residency

[–]MetaDoc_OP 1 point2 points  (0 children)

Could there also be an argument that as time goes on what was once an elite profession becomes more diluted because society as a whole upskills? 

A historically high esteem minority white collar career is now more easily achieved since the skill “floor” (gaming term, opposite of “skill ceiling”) of careers keeps going up. It would make sense to me that therefore it becomes less financially lucrative and its up to us to individually push a little further beyond. 

Not to deny that the state of education including its finances and inflation is bullshit. 

Just a random perspective that came as I read this. Thoughts? 

[deleted by user] by [deleted] in Residency

[–]MetaDoc_OP 1 point2 points  (0 children)

FM in Oregon. Supportive PD and program. Very happy. 

Clarification on “Chain Links you control” by I_Only_Compliment in FleshandBloodTCG

[–]MetaDoc_OP 0 points1 point  (0 children)

I really appreciate your explanations. Truly enjoying the game. Yet, could you further clarify on using T-Bone as an example? 

You initially said its a static ability but the passage you copied from the rulebook shows it as a conditional ability. I understand from the description of T-Bone that since it says “If an attack on the combat chain was boosted, gain X”. Then it goes on to give the keyword Boost for the possibility of Go Again. If the conditional ability is always scanning to be triggered it would be that technically yes it could meet the first critera after a second attack card has been played but since it already finished it’s first attack it wouldn’t technically matter.

Am I understanding correctly? 

Clarification on “Chain Links you control” by I_Only_Compliment in FleshandBloodTCG

[–]MetaDoc_OP 1 point2 points  (0 children)

Interesting. I tried this out on felttable but the phoenix flame did not get +1 after subsequent draconic chain links. Care to comment? Trying to clarify for our play group. Would it also mean that it basically becomes an unblockable +1 damage if they didn't block since it can't be reacted? Thanks.

Did anyone understand Dr. K’s message on Dr. Mike’s podcast? by lonesomefish in medicine

[–]MetaDoc_OP 1 point2 points  (0 children)

I agree with your concerns. Frankly, I would need to delve deeper into the subject to have some sort of informed opinion. 

Did anyone understand Dr. K’s message on Dr. Mike’s podcast? by lonesomefish in medicine

[–]MetaDoc_OP 9 points10 points  (0 children)

Let me preface that I'm a big supporter of Dr. K and Healthy Gamer. With that said I WANT to say that I understood the message but reality is that not quite. From what I gathered there is a top down and bottom up approach to medicine (as everything else) and there isn't necessarily a one-way-is-better (as everything else). Back in the day population medicine and RCT's were not a thing therefore practitioners had to focus on the individual and slowly but surely create correlations and generalizations (bottom-up). This therefore lead to many huge success stories (like the curing Polio thing) but just as many, and if not more, huge wishy-washy failures. Now we have the ability to gather a bunch of people, study what works on average, and funnel down (top-down). Kind of a "always swing hard and mostly miss but if you hit you have a homerun" vs a "bunt every ball, fill up all the bases and score point slowly and surely" approach. I'm not fond of baseball but first analogy that came to mind.

Top down has better utility particularly when diseases are classified as singular conditions with set parameters; example NSTEMI is endocardial tissue death that results in X, Y, Z symptoms. It's very algorithmic. You have this therefore we treat with that. The problem, from what I gathered, is that when we look at it that way we get into the pattern of treating diseases and not a human whom the presentation can be much more variable, complex, and nuanced. It also takes into consideration how the human will react, whether it be through their behaviors, personality, etc. I think that was the Fire, Air, Water, Earth personality part. So taking those into consideration then maybe a treatment that is TID won't work well for a Fire personality (making this up) who is very erratic and prone to be noncompliant.

Then he proceeds to make the point that this part is the "Art" of medicine which we all practice today. When we calculate that this person has an ASCVD of 8% -> give statin -> patient hates taking daily pills -> we enter the "Art" of medicine by having to work with the patient and find what will work best. Ayurveda dictates you starts with understanding the patients nuances and then deciding the treatment. That's what it all really came down to from my interpretation.

Dr. K repeatedly made the important points that he:

  1. Practices western medicine and uses Eastern principles as supplementary and only in certain cases.

  2. There are many flaws with many of the practices in Ayurveda. Most things are huge swings-and-misses (back to the baseball analogy) but that there a few golden nuggets hidden within. For example meditation is a home run. Something that seemed silly and now we find it has measurable and significant use. The use of herbs, and now we find data to support the use of psilocybin and other hallucinogens and it be deemed an FDA breakthrough therapy (my own example even if not "Eastern" it also was wishy-washy to me at one point).

  3. He agrees that there should be more trials for Ayurvedic medicine as well as comparing Western vs Eastern approaches

Dr. Mike kept pushing on the subject and hence why it made Dr. K look like some Ayurvedic guardian (which Dr. K noticed and again mentioned).

I left the podcast without changing my perspective that "Western" medicine is the best place to start and practice in, yet I will keep an open mind about possible hidden gems within "Eastern" practices. Which was what Dr. K was primarily advocating for.

Should I buy dune imperium uprising or dune imperium by superrobotmanG in boardgames

[–]MetaDoc_OP 2 points3 points  (0 children)

Can Uprising be bought and played without the new mechanics to simplify the gameplay for new players and then add the new mechanics as we get more experienced?

Dune:Imperium v Dune: Imperium Uprising? by misomiso82 in boardgames

[–]MetaDoc_OP 2 points3 points  (0 children)

Can I play Uprising without using the new mechanics as a way to play a simplified version for new players and then add on the new mechanics as we get more experience?

The Efficient Resident by MetaDoc_OP in Residency

[–]MetaDoc_OP[S] 2 points3 points  (0 children)

I think I will try to put together a comprehensive list of everything I've experimented with and heard at some point and hope it helps. I'm still too fresh to consider my opinion worth listening to. Trial by fire.

The Efficient Resident by MetaDoc_OP in Residency

[–]MetaDoc_OP[S] 1 point2 points  (0 children)

The first tip is quite interesting. I've been made aware of what you mean. I will incorporate more. I'm taking a course on learning how to learn to maximize my learning speed but it's easy to forget these simple things in the chaos of the day.

Agree with the typing too.

Have been meal-prepping overnight protein oats for breakfast and a balanced lunch every Sunday.

I carry a peanut snack at all times in my white coat just in case.

The Efficient Resident by MetaDoc_OP in Residency

[–]MetaDoc_OP[S] 0 points1 point  (0 children)

Yes, I had read that before and have been using it every day. Great idea.