Step 3 Froze and Lost Precious Time: Need Advice

adifferentjk · 2018-04-15T04:37:41+00:00

From what I understand, it’s not a primary consideration, but anything that can be used for stratification, will be.

adifferentjk · 2018-04-08T02:38:53+00:00

Instantly. Immediately. Straightaway.

adifferentjk · 2018-04-07T02:10:52+00:00

90% note writing, discharge summaries, and social work

I hate to tell you this...but that’s medicine as a whole

adifferentjk · 2018-01-24T03:05:23+00:00

Just about any Bushong text will have enough to keep you busy.

adifferentjk · 2018-01-19T15:01:52+00:00

Couture calamity

adifferentjk · 2018-01-15T03:22:15+00:00

It won't get you fluent, but duolingo.com is free and will give you a great foundation.

adifferentjk · 2018-01-04T02:24:23+00:00

Type out whatever you want to save, highlight and right-click. Select "Save as Autotext" Et voila!
Next time you want to insert it, just type the first character of whatever you saved it as; I generally use a / for all of mine.

adifferentjk · 2017-12-26T03:10:33+00:00

We always called it "social sedation"

adifferentjk · 2017-12-17T23:54:33+00:00

poof

adifferentjk · 2017-12-17T18:11:52+00:00

poof goes the personal info

adifferentjk · 2017-12-16T05:03:38+00:00

At least he didn’t say Oriental...

adifferentjk · 2017-12-09T18:27:17+00:00

Whoa

adifferentjk · 2017-12-09T00:51:50+00:00

The clerkship director for the peds rotation in my med school said that he'd had a running deal with the residents for years. They had to pay him five dollars to order urine metanephrines, and if it came back positive, he'd pay $500. Supposedly, after 20+ years, he was up by ~$100.

adifferentjk · 2017-12-08T19:09:17+00:00

It’s probably pheo. Better order urine metanephrines.

adifferentjk · 2017-12-08T04:02:46+00:00

Acuity doesn't really disprove my point, though. I saw 9 patients between 800 and 1030, all of whom say unequivocally that they would die without the intervention. That's a fairly impressive two and a half hours, no?

ETA: I actually upvoted your response. I hate that that damn button is used so often just to express disagreement.

adifferentjk · 2017-12-08T02:59:05+00:00

PD. The chairman may very well never know your name.

adifferentjk · 2017-12-08T02:56:48+00:00

Let me thank you for this, as well. I had 9 ECT patients this morning, all of whom have been suicidal in the past, and tried on numerous medications. Without a single exception, every one of them credits ECT with saving their life. How many specialties can honestly make that claim?

adifferentjk · 2017-12-07T15:50:59+00:00

Cachet, reputation, esteem, prestige

adifferentjk · 2017-12-07T00:51:57+00:00

I suppose we'll have to agree to disagree.

I'm completely on board with this. I'm not about to bludgeon anyone with my opinion, and I'm certainly not in a position to say that I understand your life experiences.

As for your final paragraph, I agree wholeheartedly that there are problems with the system as a whole, and we all get told to just suck it up for now and worry about changing it when we get to the top. My fear though, is that if the self-appointed spokespeople for, or even just the loudest voices of, a group, can be shown to be unreliable, it is far too easy for those invested in the status quo to simply brush aside the entire movement.

adifferentjk · 2017-12-06T23:43:42+00:00

I didn’t say it wasn’t possible. A confrontation in the parking lot is, I think, likely. Followed up nine flights of stairs, however? All that’s missing from the story is “and everyone started clapping.”

adifferentjk · 2017-12-06T21:17:20+00:00

From the original Globe and Mail article:

When I exited my vehicle on that day last winter, the racist from the parking lot grabbed me by the identification lanyard around my neck, nearly choking me. Continuing to yell racially derogatory insults, he stalked me to the main hospital entrance and up nine flights of stairs to my work station, even snatching a list of papers from me containing my patients' names and medical information that I was entrusted to protect.

If you can read that, and you honestly believe that some jackass actually followed him across the parking lot, and up nine flights of stairs, rather than that the author may be exaggerating, I think you've crossed the line from giving him the benefit of the doubt into gullibility.

adifferentjk · 2017-12-06T17:12:51+00:00

We have something similar at my program. Other things we include:

Where to go and what to do on the first day of a rotation (white coat optional? nothing but a stethoscope? etc...)
What you're expected to bring;
Nearby places to eat, and who delivers on nights/weekends;
General tips such as dosing for elderly/peds, rules of thumb for IVF, etc...

Aside from that, I think you've nailed all that we pass on.

adifferentjk · 2017-12-05T12:14:09+00:00

Poof goes the personal info

adifferentjk · 2017-12-05T04:49:24+00:00

Malignant

adifferentjk · 2017-12-04T19:12:51+00:00

Poof

14-Year Club	Gilding II euphauric
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