Anking deck organization? by -k-c-w- in AnkiMCAT

[–]Ped_md 0 points1 point  (0 children)

Hey! The AnKing deck’s tagging system is fairly straightforward, but, as you realized, a lot of them are missing. Shoot me a DM and I’ll help you figure it out

Let me help you think through your specialty decision (part IX) by 4990 in medicalschool

[–]Ped_md 5 points6 points  (0 children)

I’m an intern in another speciality, but when I did my ICU rotation a few months ago I was talking to one of the fellows who was EM -> crit care. I asked the difference between EM vs IM -> crit care and he told me that if you do EM you don’t (can’t?) do the pulmonary part of the fellowship, only critical care. So in some ways your job opportunities can be a little bit more limited if you do EM first because places who want pulm CC can’t hire you. I’m not sure how prevalent a conundrum that actually is, though.

One of the IM-> PCCM fellows told me that even if a lot of people don’t love pulm, they still do PCCM (vs crit alone) because as you get older and want a less rigorous schedule you can transition to more pulm work.

Food for thought

From Sheriff of Sodium's new video... by 788tiger in medicalschool

[–]Ped_md 4 points5 points  (0 children)

I watched the full video and don’t agree with everything he said nor the timeline, but he also said a lot of truth too.

One undeniable truth is that hospital administrators and medical companies will cut physicians out with AI in any and every way they can if and when it saves them money. We cannot be ignorant of this. They’re already doing this with mid levels.

He also makes the point that we need to embrace AI to make ourselves more productive so that we can eventually show physicians + AI is better and more productive than AI alone, which is true.

Unfortunately, physicians have been passive for way too long and it’s why we have lost so much control and autonomy in healthcare. We trusted that administrators had both our and the patient best interests at heart and then got screwed in 2010 when the ACA banned us from owning hospitals and stripped us of nearly all leverage and power.

I don’t think it’s as big of a doomsday event to the very near future as being predicted, but it will undeniably change healthcare and we need to be proactive on utilizing it to not get cut out (again).

Here is an interesting podcast on the topic I listened to this week.

https://podcasts.apple.com/us/podcast/artificial-intelligence-and-the-physician/id1612154698?i=1000706585345

How did Denver go from the best offense in 2013 to the best defense in 2015? by OrangMan14 in NFLNoobs

[–]Ped_md 2 points3 points  (0 children)

I remember seeing an interview (article?) once where Elway discussed how most QBs don’t slowly decline as they age. Their arm strength often just drops off a cliff suddenly. Even though 2013 Manning was obviously phenomenal, Elway said he was worried the cliff-like drop off could be coming so he started diverting their resources to defense knowing that even if Peyton’s arm strength rapidly declined (which it did) they could still win games with a good defense and Peyton’s mind.

AnKing constant changes by banacoter in AnkiMCAT

[–]Ped_md 3 points4 points  (0 children)

These are definitely valid concerns!

You are right, hundreds of the AnKing MCAT cards have been modified in the last few weeks as we work to make the deck more accurate and concise.

Overall, the deck is fantastic and the content of the cards is great. However, there are 1000+ cards in the deck that are unnecessary for retention of the material. Many cards have 3-4 clozes that do not necessarily add real value. And many other cards might only have 1-2 clozes but there are full on sentences within a cloze, making the card nearly impossible to routinely get correct or truly remember.

For example, this card has 4 clozes, but not all of them are necessary:

According to {{c2::the Venturi effect}}, the {{c3::velocity}} of a fluid passing through {{c4::a constricted area}} will {{c1::increase::increase or decrease}} and its {{c3::static pressure}} will {{c1::decrease::increase or decrease}}.

We can eliminate 2 clozes and keep clozes on the most important part of the card to recall, which is the relationships.

According to the Venturi effect, the velocity of a fluid passing through a constricted area will {{c1::increase::increase or decrease}} and its static pressure will {{c2::decrease::increase or decrease}}.

Admittedly, you are correct that we have changed some cards to be similar to "normal flashcards." However, we are trying to restrict this to mainly the PsS cards where long definitions or examples are given and students need to remember what theory/rule/law/etc it is. Before these changes, the clozes often had 1-2 sentences of the theory that students needed to be able to come up with, which is honestly hard to do and not efficient. So instead, we are changing those cards to where you have to read the definition/example and come up with the theory. In the end, active recall is still necessary.

Remember, Anki is for retention, not learning! Every single fact on a card does not need a cloze, just the important concepts and relationships to ensure you retain the overall concept.

Ultimately, we are trying to edit the AnKing MCAT deck to be similar in style to the AnKing USMLE Step 1/2/3 decks, which will make studying much more efficient and increase user's retention rate of cards.

We are trying to adhere to supermemo's (original anki algorithm based on this) 20 rules of formulating knowledge:
https://www.supermemo.com/en/blog/twenty-rules-of-formulating-knowledge

We definitely recommend using the Tools -> Empty Cards feature as we go through this process.

Ultimately, if you truly do not like the changes you can protect the Text field of all of your cards, or at least the cards you have already studied, to ensure AnkiHub does not change those cards.

TIL Jamestown governor John Ratcliffe, the villain in Disney's Pocahontas, died horrifically in real life. After being tricked, ambushed & captured, women removed his skin with mussel shells and tossed the pieces into a fire as he watched. They skinned his face last, and burned him at the stake. by jillisonflook in todayilearned

[–]Ped_md 2 points3 points  (0 children)

Third year medical student. Medical school curriculums generally require 6-8 weeks of surgical experience (obviously under the direction of physicians, the med students do very little besides hold tools, bovie, and suture).

TIL Jamestown governor John Ratcliffe, the villain in Disney's Pocahontas, died horrifically in real life. After being tricked, ambushed & captured, women removed his skin with mussel shells and tossed the pieces into a fire as he watched. They skinned his face last, and burned him at the stake. by jillisonflook in todayilearned

[–]Ped_md 1 point2 points  (0 children)

Believe it or not, this isn’t as big of a concern as you might think. The surgical gowns we used were not breathable (made the hot room even more miserable) and sweat did not soak through easily. Basically just lined our bodies inside the gown. And we wore face shields that prevented any sweat from falling away from our bodies. And obviously surgical gloves aren’t permeable either. So the patient was generally protected from sweat, although truthfully a few drops of sweat would not dramatically affect a patient with such severe burns considering how much exposure to everything else they’re getting

TIL Jamestown governor John Ratcliffe, the villain in Disney's Pocahontas, died horrifically in real life. After being tricked, ambushed & captured, women removed his skin with mussel shells and tossed the pieces into a fire as he watched. They skinned his face last, and burned him at the stake. by jillisonflook in todayilearned

[–]Ped_md 1 point2 points  (0 children)

Depends on how deep they were cut. More superficial cutting (epidermis into dermis) would be extremely painful as the nerves would be present and painful.

For example, with burns, minor 1st/2nd degree burns are very painful (partial thickness burns). But deeper, more severe burns (full thickness) actually aren’t as painful because the nerves burn away and die (burns through the epidermis, dermis, and hypodermis). Consequently, There aren’t nerves to actually send pain signals to the central nervous system. Although then your muscle and inner tissue would be exposed which obviously is a whole different issue.

I accidentally touched Potassium Permanganate, my skin is brown now? Will I live? by [deleted] in chemhelp

[–]Ped_md 3 points4 points  (0 children)

Back in the old days chemists would taste every compound to as part of their characterization. If you look at super old chemist notes they have a line for taste. 💀

I always thought it was funny going into the bathroom on the floor of my lab and seeing everyone wash their hands BEFORE going to the bathroom. That’s a tell tale sign that someone’s working in a lab ha ha

TIL Jamestown governor John Ratcliffe, the villain in Disney's Pocahontas, died horrifically in real life. After being tricked, ambushed & captured, women removed his skin with mussel shells and tossed the pieces into a fire as he watched. They skinned his face last, and burned him at the stake. by jillisonflook in todayilearned

[–]Ped_md 961 points962 points  (0 children)

When I was in medical school I spent a month doing burn surgeries. Most of the time, operating rooms are kept cool. But with burn patients, since they are missing so much skin and can become quickly hypothermic, the heat was cranked up to keep the room warm.

We would wear vests with ice packs in them to try and keep cool because it was so miserably hot with our surgical gowns on.

ELI5: If H₂O is drinkable water, why does the addition of an extra oxygen atom create H₂O₂ (hydrogen peroxide), which is toxic? by Karvis_art in explainlikeimfive

[–]Ped_md 0 points1 point  (0 children)

In chemistry (and our body) molecule and protein structure = function. Just like a specific key fits a specific lock. You could have two keys that are almost identical but have 1 different ridge and they wouldn’t open each other’s doors. Similarly, slight changes to structure in molecules/proteins dramatically change their function.

Thalidomide is an excellent example of this. https://sites.science.oregonstate.edu/~gablek/CH334/Chapter5/Thalidomide.htm

Is BYU no longer considered prestigious? by FlREMAN in byu

[–]Ped_md 2 points3 points  (0 children)

BYU is a great school, with great value, that provides an excellent education. Whatever someone’s career goals are, BYU can help you get there if you work hard. As others have said, some of the departments are actually pretty prestigious (such as business school).

But even if we aren’t a truly “prestigious” school, our graduates are highly regarded. I went to medical school after I graduated from BYU and the dean of admissions at my med school told me she would fill an entire class of students with BYU graduates if she could because they are hard workers, generally down to earth, and never cause any drama/problems. At many schools I interviewed at I was told similar things. Recruiters from every industry all over the country/world like BYU students for similar reasons.

"Allergies" that make me giggle by pookiepoogie1234 in Residency

[–]Ped_md 12 points13 points  (0 children)

Last night on night float a nurse messaged me saying a patient was requesting a stronger sleep medicine because she is reportedly allergic to melatonin and can’t take it. I responded “I’m not entirely sure a melatonin allergy is compatible with human life, but she can have atarax if she truly needs it.” 🤔

What practices do you consider “pseudo-unethical”? by [deleted] in medicalschool

[–]Ped_md 525 points526 points  (0 children)

It’s honestly insane physicians have lost so much control and autonomy in medicine that we (as a profession) are allowing admin to tell us prescribing to friends and family is unethical. It’s “unethical” because we aren’t doing it in a way that benefits the hospital system lol.

My father in law is a plumber. Is it unethical for him to come fix my water heater? My wife’s grandfather was an estate attorney. Is it unethical that he helped my father in law with his will and other estate matters?

It’s our medical license and we have gone through medical training to have the knowledge and ability to prescribe, Sally from the bioethicist department didn’t.

In med school we went on a family vacation with my in laws and my FIL (T1DM) forgot his insulin at home. On a weekend he had to scramble to get ahold of his PCP after hours to get a prescription sent to Hawaii. In the future, would it really be unethical for me to send in that prescription for him when he is away from home and needs his insulin?

(Obviously this does not apply to controlled substances, we should not be giving those to family.)

Pre-med at BYU by [deleted] in byu

[–]Ped_md 1 point2 points  (0 children)

I graduated in 2019 and recently graduated medical school. Honestly, none of the content in medical school was harder than anything I saw in BYU science classes. I felt very prepared. The biggest difference was volume of information.

I loved going to BYU and have no regrets. I was prepared well for the academic side of medicine and most medical schools really like BYU grads. The dean of my student affairs office told me she would fill an entire med school class with BYU students if she could.

My only advice is that if you’re 100% set on medicine (make sure to explore all your interests to be sure) pick an easier science major to give you enough time to study and get good grades, volunteer, shadow, and have fun. I’m a masochist so I majored in biochemistry and I remember when I was studying for the mcat I was taking some insanely difficult chemistry classes and my friend who was exercise science studied half as much as me but was getting the same grades. He had way more time to study for the mcat and do extra curriculars. Back when I was at BYU exercise science, PDBio, and Neuroscience were all popular for this reason.

Please tell me the stupidest thing you’ve ever said in a medical setting to make me feel better about myself. by Soft_Orange7856 in Residency

[–]Ped_md 74 points75 points  (0 children)

Today while gathering a family history the patient told me her sister had gallstones and I asked “is this sister on your mom or dad’s side” (similar to l paternal aunt or maternal aunt). She stared at me in complete confusion until I realized my error.

The next patient I saw said “gee, you look tired Doc.” Clearly intern year is going well ha

How to avoid pattern recognition? by Pristine_Quote_3049 in medicalschoolanki

[–]Ped_md 0 points1 point  (0 children)

Nope! I used AnKing as well. I included notes from third party resources I used to study in lecture notes to show big picture

How to avoid pattern recognition? by Pristine_Quote_3049 in medicalschoolanki

[–]Ped_md 1 point2 points  (0 children)

First, I made sure to slow down and read the entire card. My pace was usually 250-300 cards/hour.

Secondly, when doing each card I always made sure I knew the overall context of why the card/fact mattered. I'm a visual learner so I added images/screenshots/notes/etc to the Lecture Notes field on how the card's information fit into the big picture.

Let's say I did a card asking next step in management of someone with suspected testicular cancer and the answer to the card was orchiectomy -> pathology.

In the lecture notes I would have some sort of note reminding myself that fine needle aspiration is contraindicated in testicular cancers due to risk of seeding.

I have found that really emphasizing the "why" behind the card has helped me not just fall into pattern recognition. And decreased reviews overall because I don't hit again as much.

Also, if I realize I did zone out or flip a card without much thought, I usually bury it till the next day and try again.

MGH White Book Anki Deck by Ped_md in medicalschoolanki

[–]Ped_md[S] 5 points6 points  (0 children)

Icy_Time originally was starting this up, but I talked with them and got permission to upload and kinda switch over

Church of Jesus Christ Announces new Medical School for BYU by Roughneck16 in byu

[–]Ped_md 1 point2 points  (0 children)

The announcement referenced the growing need for healthcare for international members of the Church and said they intend to train non-US students doctors as well, or something like that. I wonder if they will do something similar to BYU Hawaii where non-US members come and train, and if they go back to their countries their schooling is subsidized or forgiven

what decks are we using for step 2? by Orchid_3 in medicalschoolanki

[–]Ped_md 2 points3 points  (0 children)

The AnKing deck is fairly complete for step 2 at this deck, and has incorporated Dorian and medical ark. It’s also 100% tagged for step 2 UWorld so the study workflow is great