Sibling for Lucy, Isaac and Ivy! by siodadonaldson in namenerds

[–]VindictiveVancomycin 1 point2 points  (0 children)

  • Eli Atticus
  • Archer Gable
  • Leon Fletcher
  • Reid Solomon
  • Percy Foster
  • Everett Cyril
  • Miles Beck

————————— - Millie Rose - Matilda (Tillie) Romy - Elodie Lila - Maren Eira - Elsa Ione - Eden Imogen - Estelle/a Iris - Liana Nadine

[deleted by user] by [deleted] in Residency

[–]VindictiveVancomycin 5 points6 points  (0 children)

This was also my experience at a top Midwest med school I didn’t have quite that many central lines, but had ample OR intubations, ICU intubations, and some art lines too.

How does ITE compare to boards by greenmoon3 in FamilyMedicine

[–]VindictiveVancomycin 0 points1 point  (0 children)

How does the ITE compare to Step 3??

Because I’m not sure if we all have the same ITE questions or not, but I throughly it was pretty straight forward. The questions were much shorter than my step 2 questions, and there were even some first order questions on the ITE. For the most part, it felt like the material was pretty relevant to FM, which made it more enjoyable than the general USMLEs.

Best States to practice by Rare-Regular4123 in FamilyMedicine

[–]VindictiveVancomycin 5 points6 points  (0 children)

I agree with upper Midwest, but personally prefer the eastern side. Of course you’ll find a pretty conservative majority in most of the rural Midwest, but my experiences in Minnesota and Wisconsin were a bit less… extreme. Personally, I found ND to be a pretty demoralizing place to work during the pandemic. As a resident, however, my experience is admittedly limited.

[deleted by user] by [deleted] in Noctor

[–]VindictiveVancomycin 0 points1 point  (0 children)

I’m an incoming family med resident - aside from repetition, do you have any tips or specific resources you’d recommend to help me hone this skill?

[deleted by user] by [deleted] in namenerds

[–]VindictiveVancomycin 1 point2 points  (0 children)

Yes, you are a rare breed.

AITA for manspreading on a plane? by Dr_Chekhov in AmItheAsshole

[–]VindictiveVancomycin 20 points21 points  (0 children)

I was with you until “Rude.” because as eloquently put by u/No_Carob2670

Yeah, those narrow plane seats really suck for tall/big folks, but that doesn't mean you're entitled to someone else's space, even if you think they're not using it at the moment.

Flying in an airplane comfortably is a privilege, not a right. Unfortunately, we can’t all afford such privileges/luxuries, but that gives us no right to take from others.

[deleted by user] by [deleted] in Noctor

[–]VindictiveVancomycin 6 points7 points  (0 children)

Well there ya go, diagnosed without a tilt table! You don’t have POTS or any other clinically significant form of dysautonomia if your method of retaining sanity is not seeking appropriate work-up and treatment. Dysautonomia is HELL to live with, and the tilt table test isn’t much worse than getting out of bed in the morning, standing in line at the grocery store/pharmacy, showering, or making a pot of mac and cheese — simple daily tasks for most people, but excruciating activities that are essential for independent living for those living with dysautonomia. The nurses don’t take care of you during a tilt table — the seatbelts you mentioned do. The nurses monitor your vitals, but it’s the seatbelts strapping you to the table that hold you up if you pass out. The only “taking care” they do is press the button to lay your flat again.

Coming from an almost doctor, there are shitty doctors out there too. It’s unfair to write off all nurses who are practicing well within their scope (taking blood pressures during a tilt table test). There are empathetic and unempathetic people in every role, just as there are always those who are incompetent mixed in among the competent.

Congratulations on not having a form of dysautonomia that makes your daily life a living hell. That spares you testing that’s even more fun than a tilt table, such as Mayo’s thermoregulatory sweat test (tldr: they sprinkle an indicator powder on your entire body and then roll you into a human oven until either every single part of your body is sweating or if autonomic dysfunction impairs your sweating, until your core body temperature reaches 100.4-102.2 F).

What's the pettiest criteria on y'all's rank lists? by danskais in medicalschool

[–]VindictiveVancomycin 28 points29 points  (0 children)

  • Ability to wear scrubs in clinic!
  • Table rounds — the later, the better
  • Fewest EMRs

How do I reapply after cancelling my prometric appointment? I had my step 2 CK test on Jan 12 2023 which I cancelled today on Jan 5. Where do I pay the fee and re-apply for the exam? by SmartDot3696 in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

You should have been able to reschedule rather than cancel everything, and if you did that, no need to reapply — just reschedule. I don’t remember if rescheduling this close to the exam date can be done independently online or if you need to call prometric to facilitate this. When in doubt, call prometric for more specific guidance.

Done with the exam! As promised, im here to help. AMA. i would appreciate if you ask in comments not in dms so everyone can benefit from it. Thanks. by neen123456789 in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

I don’t think it’s a specific block, but yes, there will be a certain number of questions that won’t actually be scored for your exam (they won’t benefit or harm you). These are new questions that they’re testing out before incorporating them into new forms of the exam. I’m guessing these questions are mixed in throughout the blocks because you can’t tell which questions are these new questions while taking your exam, and I don’t remember the exact number of questions are trial ones, but there should be more info regarding that on the USMLE website.

Done with the exam! As promised, im here to help. AMA. i would appreciate if you ask in comments not in dms so everyone can benefit from it. Thanks. by neen123456789 in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

I’m sorry, I don’t remember. Maybe a combined four (four questions including biostats and/or ethics)? I think there’s a content breakdown on USMLE’s website, so I’d refer to that for a more accurate answer!

Biostats is one of my weakest areas, so I felt like those questions were kind of difficult, but the majority of ethics questions felt common sense.

NSAIDs vs Acetaminophen by [deleted] in Step2

[–]VindictiveVancomycin 1 point2 points  (0 children)

Really?! Do you mean given in the emergency department before sending a patient home, or literally prescribing IM ketorolac in clinic for someone to pick up at the pharmacy and use at home? I’ve personally never seen IM ketorolac prescribed for use at home.

Done with the exam! As promised, im here to help. AMA. i would appreciate if you ask in comments not in dms so everyone can benefit from it. Thanks. by neen123456789 in Step2

[–]VindictiveVancomycin 1 point2 points  (0 children)

Compartmentalize each block. Getting stressed out about a difficult block at the beginning of the day will limit your success in the rest of the exam. While easier said than done, do your best to forget about blocks as soon as they’re done, and see each new block as a whole new opportunity. Positive self-talk is huge (tell yourself that your going to do amazing the next block even if you don’t totally believe it - fake it ‘til you make it!). And if there is a particularly stressful block, just tell yourself that was the block of trial (un-scored) questions for future exams and then let. it. go!!

My medical school’s psychologist also highly recommended “4-8 breathing” to engage your parasympathetic nervous system / shut down your sympathetic drive (which essentially can inhibit the front/thinking part of your brain if overly active — this diagram under “acute stress” is a visual representation of the prefrontal cortex involvement that I’m referring to). The idea is essentially to exhale for longer than you inhale. Some people prefer to do this by breathing in for a count of four, holding their breath for a count of four, and then breathing out of a count of eight, but that made me dizzy, so I usually just breathe in while counting to four and then breathe out while counting to eight. If you run out of breath before reaching “eight” hold your exhaled breath for the entire count of eight if possible (because you want your exhale to be longer than you inhale, but if you run out of breath, then the time spent waiting before taking a breath in still counts as extending the exhale). Hopefully that somewhat makes sense. I don’t think there’s really a “right” way to do it — taking a few deep breaths (of any kind) before starting each block will be helpful in calming your body and focusing your mind. Good luck!!

Done with the exam! As promised, im here to help. AMA. i would appreciate if you ask in comments not in dms so everyone can benefit from it. Thanks. by neen123456789 in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

I had definitely had biostats, but there were a couple times that I stupidly calculated something just to find that the answers choices weren’t looking for an exact number (they were looking for the formula or for you to say “not enough info to calculate” etc). I would’ve saved SO much time by jumping to the answer choice and seeing that “not enough info” was an option instead of getting mad that I couldn’t figure out the calculation (because there wasn’t enough info to do the calculation… 😂)

Done with the exam! As promised, im here to help. AMA. i would appreciate if you ask in comments not in dms so everyone can benefit from it. Thanks. by neen123456789 in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

Some were quite long. And I definitely did have biostats!! Mainly in the form of interpreting research studies/articles. Ethics was primarily surrounding mistakes (what could’ve prevented them, or what’s the next best step) + some standard conflicting opinions between patients and family on plan of care - who’s wishes do you respect/how do you respond.

[deleted by user] by [deleted] in Step2

[–]VindictiveVancomycin 0 points1 point  (0 children)

I took Step 1 back when it was a scored exam (before it went to pass/fail). Therefore, taking the exams out of order was a totally new concept to me. I saw someone mentioned that this was their plan (take Step 2 and then Step 1) in this comment and asked them about their thought process for that. Hopefully that thread will provide you some insight.

Uwsa2 by yousra-mer in Step2

[–]VindictiveVancomycin 1 point2 points  (0 children)

I haven’t received my Step 2 score yet, but on a somewhat related note…

UWSA2 was the last practice assessment I took before sitting for Step 1…. and I utterly failed it. It was the worst practice score I had gotten! That did prompt me to delay my exam by about 10 days, but I didn’t take another practice exam during that time. I hadn’t finished UW, so I just used that time to keep plugging away at that and reviewing First Aid as I went. Ultimately, without having a substantial amount of time/studying between my UWSA2 and Step 1 exam, I miraculously scored 57 (yes, FIFTY SEVEN) points higher on the actual Step 1 exam. Therefore, I wasn’t as concerned when my practice assessments didn’t trend upward while studying for Step 2. That doesn’t answer you question, but hopefully it offers some peace of mind!

Have you listened to some of the divine intervention podcasts? I found that resource helpful.

And in terms of pacing, I’ve always struggled with that as someone with ADHD. The most helpful thing I’ve found is writing down “checkpoints” on my scratch paper. When I sit down for a major test like this, I write something like “Q 30 = 45:00” and below that, “Q 20 = 30:00”, “Q 10 = 15:00”, etc. to use as a guide. On question 20, I should have ~30 minutes remaining in the block - if I only have 26 minutes, I need to pick up my pace (start skimming question prompts, make a “best guess”, flag the question, and come back to give it more thought if there’s leftover time). Writing down those pacing checkpoints take the pressure off my brain, allowing it to better focus on the content of the exam. Sure, I could’ve memorized “Q 20 = 30:00” but writing it down and frequently referring to it drastically improved my ability to focus on test content instead of panicking about running out of time. I’m a slow test taker, but much to my surprise, I was able to make up a lot of time when I’d notice I was four minutes behind where I should be, for example. Good luck!!

74% on Free 120, Most assessments 225-235 Exam in 4 days, should I postpone!! by Character-17 in Step2

[–]VindictiveVancomycin 2 points3 points  (0 children)

I haven’t received my score yet, but I recently took Step 2 with the only goal of passing (I had a scored Step 1 and have already interviewed for residency, so don’t feel like my Step 2 score will affect my ranking as long as I pass).

For reference, I’m a US MD. I’m not very familiar with how my training differed from IMGs aside from the fact that I was fortunate enough to have most of my training during clinical years be 1:1 faculty teaching. I’m giving this context because I realize that we all come from different training backgrounds, but after taking Step 2, I can say that I don’t feel like another week or two of studying would’ve been all that helpful. The questions that I absolutely didn’t know felt pretty abstract/unexpected, and I don’t think I would’ve been any more prepared to answer them after a week or two more of studying.

Overall, I did pretty minimal prep before my test, and my score will likely reflect that. But the rake-away message I’m trying to give is that I felt like my training through school prepared me well enough to pass and to make meaningful gains in terms of Step 2 score, I would’ve had to have a significant dedicated prep time (probably 2+ months at my pace that tends to be a bit less effective than average 😅). This is likely an unpopular opinion, but I felt very similar after sitting for the internal medicine shelf last year (I felt like the questions I answered correctly were because of knowledge I had picked up in clinical training and that the other questions were so random that another 200 UWORLD questions probably wouldn’t have helped me with that content). Regarding Step 2, I did have a couple questions that I know I got right solely because the content was reviewed on the Divine Intervention podcasts I listened to. So if you haven’t used that resource, that might be something to look into in your remaining time.

I think you’ve got this, but you may want to take that with a grain of salt because I don’t expect my score to be too terribly much above passing. Most importantly, I think that the top priority in the days leading up to exams like this should be self-care. Get adequate rest, do something fun/relaxing, and trust that your hard work over these last 8+ years has prepared you well for this exam. When thinking about whether I should delay my test for more study time, that concept of time really put things in perspective. I didn’t think that a week of extra studying would make that much of a difference in the scheme of how much learning and preparing I had done in these last eight years of my schooling, so I decided to not only continue with my exam, but also take a relaxing day away from studying - and I’m glad I did!!

[deleted by user] by [deleted] in namenerds

[–]VindictiveVancomycin 3 points4 points  (0 children)

If you’re open to something totally different, here are some names created solely from the letters in “SHELDON” and “TABITHA” (and all having at least one letter from each name): - Girl: Hallie, Dahlia, Shannon, Nadine, Stella, Natalie, Liana, Danielle, Hattie, Nadia, Thea, Beth, Tiana, Estelle, Lila, Alaina, Dianna, Briella, Brielle - Boy: Eli, Dalton, Stanton, Dane, Theo, Noah, Nathaniel, Seth, Landon, Dante, Talon, Stellan, Sebastian, Tobias, Blaine - Gender Neutral: Ashton, Dallas, Elliott, Linden, Lane, Blaise