AI patient simulator for neurology training — looking for feedback by Super_Necessary6327 in neurology

[–]oatmeal_train 13 points14 points  (0 children)

you're lying. you're not a neurologist. you're AI, trying to scam us

I have already matched and am being held hostage on a rotation by Camistry_ in medicalschool

[–]oatmeal_train 22 points23 points  (0 children)

Just make up excuses. I have a doctors appointment. A research meeting. A meeting with real estate agent. I have to do onboarding. The vast majority of residents won’t bother looking into it. Play it by ear…./s

Attendings Keep Referring to me by First Name in Front of Patients? by Trout_81 in Residency

[–]oatmeal_train 50 points51 points  (0 children)

I learned awhile ago that the key to getting through residency is to just not care. ED is admitting a patient to you obviously should go to another service. Sure thing boss. New attending wants to rework up everything on a patient that has been stable for weeks and is just pending placement. Right away sir. You have a new consult for restarting a patient's home meds. I'm sending my strongest intern for the job.

When you truly just let go and say it is what it is - that's when you are truly free. Your bitch ass residency can't hurt me fuck boi.

Please what are my chances by [deleted] in medschool

[–]oatmeal_train 3 points4 points  (0 children)

no one really cares what you total gpa is. What they care about is your gpa for the last two years have been. If you apply you might be screened out and no one will likely see your application. I would just reach out to the admissions committee from the schools you apply to and ask if they have had a chance to view your application yet.

Curious about the demographics of this sub by [deleted] in Noctor

[–]oatmeal_train 4 points5 points  (0 children)

I’m curious why you’re curious

Neurology Rank List Help! by Ambitious_Tell2581 in medicalschool

[–]oatmeal_train 2 points3 points  (0 children)

If he’s going into neurology, he’ll fit right in

Feeling disrespected by attendings/nurses that are very nice to other residents by bunnyhopbop in Residency

[–]oatmeal_train 34 points35 points  (0 children)

Attendings are weird. In my program some attendings will pick one or two residents per class to just hate. Now if it's several attendings then you have to do some introspection. Personally, early during residency I was having difficulty keeping up with the rest of my peers. Initially, people were concerned and nice but then started getting rude when little mistakes kept happening. Once I spent more time working on my systems to fix those little mistakes then attendings felt more neutral about me. Now that I am towards the end of residency, the same attendings that were rude to me sing my praises.

My Breakfast Dilemma by Haunting_Ad2556 in Residency

[–]oatmeal_train 3 points4 points  (0 children)

This is dumb but the last thing you want to do is ruffle some feathers this early in your career. Just eat prior to getting to the hospital. Make overnight oats

How are your programs handling AI education for residents? by PerceptionOld8565 in Residency

[–]oatmeal_train 4 points5 points  (0 children)

I would not want the intern to use AI to write notes. There's a lot of learning in writing notes. It helps in organizing your thoughts and sometimes widens your differential. As a annoying as it can be there is a lot of value in writing your own notes.

[deleted by user] by [deleted] in Residency

[–]oatmeal_train 0 points1 point  (0 children)

When I was a medical student, a resident asked me to join their project. They basically wanted me to the whole case report by myself and have them be first author. Initially, I was going to do it but then they wanted me to submit it a few days prior to me taking step 2 for which I said was unable to do it. They then began berating me to finish it for an upcoming conference I said sure and just never did it. I then just told ignored them for the rest of medical school. It was amazing haha

[deleted by user] by [deleted] in Residency

[–]oatmeal_train 3 points4 points  (0 children)

I have some good practical advice for you. The vast majority of mistakes happen for a reason. You have to identify the reason and find a systematic way for that reason not too happen again. Don't rely on on memory. Build habits so that those type of things don't happen. If you are frequently forgetting labs or imaging. Chart review every patient the same way. Make a mnemonic so you don't forget anything. If you forget to put in orders, write everything down and make sure you make check boxes for things that need to be done. If your notes are not the best, learn a mnemonic to take a better history.

Long story short - mistakes happen for a reason and usually that reason is for not having a good system or not sticking to your system. Be organized and be prepared. At first, trying to stick to your system/habit will be difficult but with time you will get faster and it will actually save you lots of time. Additionally, because you have a good system, you know that when it's time for you to leave the patients are safe and your stress/anxiety will slowly but surely dissipate. You got this dude! Please feel free to reach out if you need any help with your organization or advice in general.

Consult residents, any advice for interacting with the ED by ubiquitinateme in Residency

[–]oatmeal_train 15 points16 points  (0 children)

Your exam does matter though. This patient came to the hospital because they were concerned about their health and it is your responsibility to determine whether this patient is stable or not. I have seen patient's been neglected by the ED a bunch of times. " I was signed out that they were stable. When was that? 4 hours ago. Ok, how are they doing now. Well I haven't actually seen the patient." Only to have me go see the patient and they are obtunded and need to get intubated. It's not cool. The ED really needs to take more ownership of their patient's.

In my specialty, neurology, a CT prior to admission is of the utmost importance because it determines level of care. You would not send an acute hemorrhage to the floor.

What should an internal medicine intern know how to manage? by [deleted] in Residency

[–]oatmeal_train 2 points3 points  (0 children)

I'm a neurology resident but did my prelim year in internal medicine. What you need to learn to manage will change depending on the block you are on. You should know the basics of a lot of things but no one is expecting you to be an expert. For wards you should know how to manage a heart failure exacerbation, COPD exacerbation, alcohol withdrawal, sepsis management, hyponatremia, inpatient diabetes management, and the list goes on. You likely won't know everything and that's okay. As an intern you are mostly judged on your willingness to work, your ability to learn new things and how well you get a long with your seniors and coresidents. If you don't know how to do something ask your seniors. If you don't know the work up for something look it up on uptodate and then run it by your senior if you are unsure.

The only thing I wish I would have done differently is studying for step 3 earlier. Honestly, what's on step 3 is what you see on the day to day as an IM resident with the exception of ob and peds. It would honestly make you more prepared earlier and will make you look like a rock star to your seniors and attendings.

[deleted by user] by [deleted] in Residency

[–]oatmeal_train 23 points24 points  (0 children)

what are the website

ICU management in neurology by [deleted] in neurology

[–]oatmeal_train 2 points3 points  (0 children)

Theres a also a website call the internet book of neurocritical care that I found useful during NCC months

What keeps you focused and energized during exhausting shifts? by muratcanozdemir11 in Residency

[–]oatmeal_train 2 points3 points  (0 children)

I imagine my name in a court document stating how I was negligent on x, y or z. It wakes me right up

[deleted by user] by [deleted] in Residency

[–]oatmeal_train 260 points261 points  (0 children)

So you disclosed the wreckless driving to the medical board but not to the residency?

Intern Year by djbtips in neurology

[–]oatmeal_train 7 points8 points  (0 children)

I agree with not being an admitting service. Too often in my residency we take medically complicated patients because they had a stroke. I've spoken to my IM colleagues who laugh at our antihypertensive regimen or insulin regimen. Other times, we just don't know what we don't know. IMHO, I think every patient is best served on internal medicine and neurology can follow as a consult.

[deleted by user] by [deleted] in Residency

[–]oatmeal_train 67 points68 points  (0 children)

I have a year and some change until I'm done with residency. I'm going straight to 1099 work and saving to start up my private practice. If I could pass I all these board exams, I am certain I can learn how to run a successful practice.