http://forums.studentdoctor.net/ MD student topics. For current medical students. en Wed, 19 Jun 2013 08:33:30 GMT vBulletin 20 http://dkmg2azsloi0e.cloudfront.net/images/misc/rss.jpg http://forums.studentdoctor.net/ http://forums.studentdoctor.net/showthread.php?t=1013927&goto=newpost Wed, 19 Jun 2013 01:06:26 GMT Any tips to stand out as a surgical sub I during 4th year? thanks Any tips to stand out as a surgical sub I during 4th year?

thanks ]]> Allopathic osumc2014 http://forums.studentdoctor.net/showthread.php?t=1013927 http://forums.studentdoctor.net/showthread.php?t=1013887&goto=newpost Tue, 18 Jun 2013 23:16:37 GMT I've always been very interested in interventional clinical research? I always like reading studies that test different treatments to see which is more effective. I'm just wondering if this is realistic as a medical student. I wouldn't want to just read charts and analyze the data, I would like to actually be part of the experimental design and set up.

I've done bench research for about a year and I don't enjoy it at all. The only bench research I would consider appealing would have to deal with animal research geared towards medical treatments.

So can anyone answer how feasible it is to being a med student and being a significant part of the clinical research? I wouldn't mind doing data analysis and stats for publications but I'd prefer to have a long term clinical project if thats possible. ]]> Allopathic def1 http://forums.studentdoctor.net/showthread.php?t=1013887 http://forums.studentdoctor.net/showthread.php?t=1013881&goto=newpost Tue, 18 Jun 2013 22:53:58 GMT "An unwell doctor is a bad doctor."


http://www.nytimes.com/2013/06/18/he...-patients.html

Doctor Feelbad


In her new book, “What Doctors Feel,” Dr. Danielle Ofri tells the unforgettable story of a pediatrician she interviewed, a woman she calls Eva.
In taut, vivid prose, Dr. Ofri describes a tragic event that occurred during Eva’s residency. She helped deliver a baby doomed to asphyxiation within minutes of birth because of a severe lack of amniotic fluid in the womb.

The traumatized parents knew the outcome in advance, and made it clear they did not want to see the baby. After the delivery, the room leaden with silence, Eva wrapped the baby in a blanket and wondered where to go. The hospital had no room set aside for this. So the young physician, consumed with sadness for a child who would never be held by anyone but her, took the dying newborn into a supply closet.

There, knowing she would be reprimanded for not observing the precise moment at which the umbilical cord ceased pulsing, she gathered the baby in her arms. “In the cramped space Eva rocked back and forth,” Dr. Ofri writes. “ ‘I love you, baby,’ she whispered as the heart began its slow, cratering descent.”

In the hands of a less agile and intelligent writer, such a scene could easily grow maudlin. Indeed, calling attention to a physician’s emotional pain might be seen as distracting and self-indulgent. It is, after all, the physician’s role to ease the suffering of others.

Yet as Dr. Ofri points out, how doctors feel matters. And while she does write of joy, pride and gratitude, her emphasis is on negative emotions — which exert the strongest influence on medical care, particularly when a case grows unexpectedly complicated, frustrating or unyielding. “This is where factors other than clinical competency come into play,” she writes. An unwell doctor is a bad doctor.

Dr. Ofri is an internist at Bellevue Hospital Center in New York City, which cares for legions of indigent, uninsured patients, as well as a large population of immigrants. The author of three previous books and a frequent contributor to The New York Times, she writes for a lay audience with a practiced hand.

This book’s hallmark is her honesty, particularly when it comes to the emotional fallout of her medical mistakes. When she dismisses a patient’s litany of vague symptoms as stress-related, only to miss a blood clot in each lung, she is overwhelmed by shame and remorse.

She is also frank about her prejudices, particularly toward the worried well. Early in her career, during a summer job at a tony practice on Long Island, Dr. Ofri refused a woman’s request for weight-loss pills. “After three years of round-the-clock AIDS, cancer, congestive heart failure and cirrhosis, it was hard to get worked up over a couple of middle-aged pounds,” she writes.

But later she rethinks her reaction. “I wasn’t able to step past my own issues,” she writes. “Maybe underneath the seemingly superficial concerns were serious issues that were crying out for attention.”

Then there is the constant thrum of death: Eva and the dying newborn; a young patient under Dr. Ofri’s care with heart disease whose stormy course appears to end with a successful heart transplant, only to be followed by a fatal stroke.

It does make one wonder how doctors cope. A study of oncologists cited by Dr. Ofri found that these specialists learned to compartmentalize their grief. Yet the most striking finding of the study was how poorly that strategy worked. Grief spilled into the physicians’ daily lives and sapped them of their inner strength.

After the newborn’s death, Eva walled herself off from all emotions, only to have them return many months later with full-blown post-traumatic stress disorder.

Bitterness is here, too. Dr. Ofri devotes much of one chapter to malpractice lawsuits. She describes her own harrowing experiences of being sued — in one instance, by the family of a woman she had not just grown close to, but gone well out of her way to care for. “Dealing with a lawsuit is often likened to having a death in the family,” she writes. “Doctors end up (often unconsciously) grieving for the doctors they used to be.”

Counterintuitively, perhaps, Dr. Ofri is at her most compelling when telling other physicians’ stories. It’s almost as if she still needs to keep a slight cool distance from her own experiences. But this is not necessarily a sign of weak writing. It is an indication of just how raw the inner life of a doctor can be. ]]> Allopathic roadlesstravel http://forums.studentdoctor.net/showthread.php?t=1013881 http://forums.studentdoctor.net/showthread.php?t=1013880&goto=newpost Tue, 18 Jun 2013 22:51:37 GMT I know some women take a year off between 2nd and 3rd year to have a kid. I'm not sure if any others take a year off between for various reasons. If you didn't care about being late graduating could this be advantageous by getting some full time research in if your gunning for a competitive specialty. I know someone who did a year off to do derm work at the NIH after 4th yr and also have a kid during time. She was able to match into derm. Since it was a last minute decision to go for derm she needed the research also even though she was aoa and did well on the boards.

Anyways if say someone wants to have a kid, has the grades and board score, but is weak in research would taking a year off between 2nd and 3rd yr make them more competitive if they did say did NIH research during that time? ]]> Allopathic bollywoodlover http://forums.studentdoctor.net/showthread.php?t=1013880 http://forums.studentdoctor.net/showthread.php?t=1013825&goto=newpost Tue, 18 Jun 2013 20:50:27 GMT I just started listening to Goljan and am shocked at how many times he says "a student told me this exact question was on their step 1," then proceeds to tell the question to the class. In just one lecture he shared at least 20 basically verbatim step 1 questions that he says students told him about from their tests.

Isn't this a major violation of the USMLE policies by both the students and Dr. Goljan? What it amounts to is basically reproducing test questions from memory and then selling them for money.

I don't really care either way but I was surprised that I had heard nobody bring this up before. Are there any other resources that are full of actual step 1 questions? ]]> Allopathic LargeDocGuy2 http://forums.studentdoctor.net/showthread.php?t=1013825 http://forums.studentdoctor.net/showthread.php?t=1013798&goto=newpost Tue, 18 Jun 2013 19:14:29 GMT Been contemplating a purchase. But are those thin pages going to cause problems when highlighting text (will the ink seep through and smudge the other side?). Hopefully some seasoned highlighter can enlighten me. Been contemplating a purchase. But are those thin pages going to cause problems when highlighting text (will the ink seep through and smudge the other side?). Hopefully some seasoned highlighter can enlighten me. ]]> Allopathic Tuloste http://forums.studentdoctor.net/showthread.php?t=1013798 http://forums.studentdoctor.net/showthread.php?t=1013726&goto=newpost Tue, 18 Jun 2013 13:47:01 GMT I don't necessarily mean read things, I'm don't want to do that my 2 weeks off after step 1, but I mean more so in terms of what kind of things I need to buy and just general tips I guess! ]]> Allopathic sharklasers http://forums.studentdoctor.net/showthread.php?t=1013726 http://forums.studentdoctor.net/showthread.php?t=1013714&goto=newpost Tue, 18 Jun 2013 08:48:33 GMT Pericardial Tamponade Vs Pericardial effusion ( What Is the difference ?? ) Thanks for all note : i searched and founded this quastion but no one give a correct answer and very old post thanks all and i wating you :D Pericardial Tamponade Vs Pericardial effusion ( What Is the difference ?? )

Thanks for all

note : i searched and founded this quastion but no one give a correct answer and very old post


thanks all and i wating you :D ]]> Allopathic Askar http://forums.studentdoctor.net/showthread.php?t=1013714