Class of 2014!!!!!!!!!!!!!!!!!!!!!!!!!!

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dingyibvs said:
Well, I called Case and they told me to email them to ask for an extension, haven't gotten any word back yet. So if they don't allow it, then Miami it is 😀

Man, I had some weird dreams last night, I can't remember any specifics, but I can vaguely remember choosing Case and trying to cook crack....
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:laugh: What?!
 
blog I read had this essay from the NEJM. interesting.

Susan Mackie said:
The Value of DNKs

Smiling and joking, having realized that her medical problems were in good hands, Ms. W. rose to leave my exam room. Knowing that my residency is limited in time, she asked nervously how long I would be in the practice — and expressed relief when I told her that I would be here with her for the next few years. I returned her smile, and the warm emotion I expressed was genuine. I had helped her, she trusted me, and I was doing what I loved. Ms. W.'s appointment was my last one for the day. I would go home and rest on my laurels. I was a good primary care doctor.

As I closed the door and slumped into my chair to begin my tedious dictation routine, I thought about the previous day. Then, my clinic had felt frenetic, I had felt cynical, and I know that my patients had left dissatisfied. What had changed? There were many possible factors — from what I had eaten for lunch to the traffic my patients had fought on their journey in — but one difference stood out in my mind: DNKs. DNK (pronounced "dink" and always uttered wistfully by the residents in my program) is the abbreviation that appears on our online schedule when a patient "did not keep" an appointment. DNKs obviously represent suboptimal care for the DNKing patients, as well as a financial loss for the practice. But as residents, we have all been guilty of hoping for DNKs in our schedule. I had always thought of this desire as a sign of laziness, but on that day, I began to suspect that the reason I felt I was a good doctor was largely the result of my two DNKs. DNKs create time. Time allows us to build relationships. And what is primary care about if not relationships?

My preceptor, a seasoned primary care physician, has been teaching me how to "make a 10-minute visit feel like a 60-minute visit." I've learned to incorporate some of her tricks — constructive listening to demonstrate empathy, adept questioning to elicit pertinent information, and good doses of eye contact thrown in at every step. These strategies have been immensely helpful as I strive to develop the effectiveness I see in my primary care mentors.

But when I consider the pivotal role that a few extra minutes' time played in the quality of the care I was able to provide, I question the validity, or at least the completeness, of this approach. Today, I am confident that Ms. W. is taking her medications as prescribed. On my advice, she is also planning to incorporate deep-breathing exercises into her daily routine to manage her anxiety-associated abdominal pain. These valuable conversations would not have happened without the extra 20 minutes we spent together. Although I have only 18 months of experience as a primary care physician, I have 28 years of experience as a human being, much of which has been spent developing relationships. My impression of that process thus far is that there is no substitute for time. Either I am not skilled enough to make 10 minutes be 60 minutes, or there is something real about clock time. I suspect it's the latter.

As I progress in my career, pressures to improve the quality of the care I provide will inevitably grow, as will my patients' expectations. Less certain is what will happen to the amount of time I can devote to the care of each patient. Enthusiastically, and perhaps naively, I have mentioned to my mentors that I look forward to a future in which I will be able to share responsibilities with nurse practitioners and physician's assistants in such a way that my appointments with patients will be fewer, more thorough, and more satisfying for everyone involved. None of the experienced physicians I've talked to have confidently embraced this vision. Perhaps they have seen too many changes for the worse to believe that a change for the better is possible.

I don't know the solution to the complex problem of payment for health care. Even in a hypothetical world with unlimited funding for primary care, I couldn't profess to know the ideal format for a patient's interaction with the health care system. Yet I firmly believe that adequate time — not simply perceived time, but real time — is an indispensable component of our encounters with patients if we are to be good doctors. How sufficient time can be most effectively incorporated into the structure of primary care delivery, given its payment constraints and expectations of quality, should be the subject of ongoing research, as new policies are codified. In the meantime, I will continue to take guilty pleasure from DNKs.
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oaklandguy said:
I'm confused, is Harvard NP Naturopathic or Nurse Practioner? What does HST stand for?
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NP = New Pathway (not so new. just straight M.D. path)

HST = Harvard & MIT Health Sciences & Technology (joint classes at MIT. used to make physician-scientists. kinda the halfway point between MD and MD/PhD. would you say, jla?)
 
Jolt21 said:
really? COMPLETELY different? I didn't even know that. so I guess we wont even see you. haha
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Yeah, you guys have a block schedule but we have a semester format (4 classes/semester). Makes it hard to overlap 🙁 but we do get the same orientation!

oaklandguy said:
I'm confused, is Harvard NP Naturopathic or Nurse Practioner? What does HST stand for?
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NP = new pathway, HST = health sciences & technology. They're the two tracks at HMS that both lead to an MD degree (although HST is also a graduate program with PhD students in it)
 
Jolt21 said:
NP = New Pathway (not so new. just straight M.D. path)

HST = Harvard & MIT Health Sciences & Technology (joint classes at MIT. used to make physician-scientists. kinda the halfway point between MD and MD/PhD. would you say, jla?)
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:ninja: you are faster than me. yeah HST is very academic and seems to be well suited for engineers. something like 1/3 of HST is MD/PhD, and 1/3 extend their studies to do a fifth year of research.

jolt are you all set on HMS??
 
jla314 said:
:ninja: you are faster than me. yeah HST is very academic and seems to be well suited for engineers. something like 1/3 of HST is MD/PhD, and 1/3 extend their studies to do a fifth year of research.

jolt are you all set on HMS??
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Let's keep the streak of us answering questions for each other going:

Yes, he is.
 
Jolt21 said:
NP = New Pathway (not so new. just straight M.D. path)

HST = Harvard & MIT Health Sciences & Technology (joint classes at MIT. used to make physician-scientists. kinda the halfway point between MD and MD/PhD. would you say, jla?)
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jla314 said:
Yeah, you guys have a block schedule but we have a semester format (4 classes/semester). Makes it hard to overlap 🙁 but we do get the same orientation!



NP = new pathway, HST = health sciences & technology. They're the two tracks at HMS that both lead to an MD degree (although HST is also a graduate program with PhD students in it)
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Thanks for clearing that up. Harvard is so legit.
 
jla314 said:
crack is whack
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yo yo yo yo yo, what it is mother****ers
oooh ****, here comes pacman. hey pacman, what's up?
me, you bitches, i'm high on crack. wanna a freebase?
no pacman, drugs are bad
p*sssssies....whoooaaa... holy ****!
 
jla314 said:
well so far, we've only been answering questions for jolt 😀
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well true, i guess i thought oakland's question was directed toward you.

i suppose we're just too fast for jolt, or that we hang around sdn too much. i prefer the former explanation 😀
 
dingyibvs said:
well true, i guess i thought oakland's question was directed toward you.

i suppose we're just too fast for jolt, or that we hang around sdn too much. i prefer the former explanation 😀
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too fast indeed. lol
 
mornin (well afternoon) ya'll. I miss anything good? Been a crazy couple of days...

going to get worse though - this is Columbia's study week and most finals are on 5/10 or 5/11 so I've got an insane amount tutoring sessions 🙁 Guess I shouldn't really complain though :laugh:
 
the very fact that there *is* a hedgehog awareness week means that pedie needs to come to his senses and change his avatar back
 
Wow you guys are making a heavy push with that article

Taking advantage of my empathetic side 😳
 
Sentinel said:
mornin (well afternoon) ya'll. I miss anything good? Been a crazy couple of days...

going to get worse though - this is Columbia's study week and most finals are on 5/10 or 5/11 so I've got an insane amount tutoring sessions 🙁 Guess I shouldn't really complain though :laugh:
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Hey Sentinel.

I'm having a boring day myself. So boring that I might actually go to class after lunch.
 
Me too. Someone needs to relieve me for a lunch break. I've had enough of this day... Some horrible patients
 
Wow... This thread has moved so fast. I think its bc of the regular night crew now. The hours of 130 to 6 am are covered
 
For some reason this past semester has been very positive as far as grades go. Everyone I know has done significantly better than usual, at least as far as pre-meds go. I was sooooo pumped that I 4.0ed advanced physiology without having the physiology and biochem prerequisites. I visited the profs office today and straight told him that I hadn't had the biochem prerequisites and he said that if I had told him that the first week of classes he would've dropped me from his class.
 
My school is offering a PBL undergraduate special interests class on Diabetes, taught by a Biochem professor who used to teach at Duke's med-school. This class will offer me nothing towards my degree, but do you guys think it would be good to take it to help for the adjustment into PBL?
 
DrYoda said:
a booby?

blue-footed-booby2.jpg
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I like boobies.

Pedie Packs said:
Wow... This thread has moved so fast. I think its bc of the regular night crew now. The hours of 130 to 6 am are covered
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Last couple of nights haven't moved much, but it was the weekend.
 
100,000 posts is basically inevitable now. Same with 2014 pages.
 
May 16th lol, I have my first exam of the summer on may 14th, how crazy is that? Some people won't even be done with finals by then.
 
oaklandguy said:
My school is offering a PBL undergraduate special interests class on Diabetes, taught by a Biochem professor who used to teach at Duke's med-school. This class will offer me nothing towards my degree, but do you guys think it would be good to take it to help for the adjustment into PBL?
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might be interesting but i dont think it would help that much. every med student i talk to either from other schools or even read on sdn, say that pbl is utter crap and they all hate it. I think its one of those things that is great in theory but in practice fails miserably. Sadly every school does some pbl now...at least the ones im going to limit to a few hrs a week 🙁

does your school do pbl yoda? (where do you even go? 😕 )
 
Elijah05 said:
might be interesting but i dont think it would help that much. every med student i talk to either from other schools or even read on sdn, say that pbl is utter crap and they all hate it. I think its one of those things that is great in theory but in practice fails miserably. Sadly every school does some pbl now...at least the ones im going to limit to a few hrs a week 🙁

does your school do pbl yoda? (where do you even go? 😕 )
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Thanks for the advice. I know Yoda's school does PBL. I know Michigan State MD, and Oakland University MD will both have PBL, although OU's is called TBL team based learning. I mainly want to take the course to meet the med-school faculty because it will be taught by the guy from Duke who will be an adcomm at OU as well as a few other OU med scohol faculty, but at the same time I don't know if it is worth it especially because it will have to come out of pocket as far as expenses go because my scholarship is only Fall & Winter semesters.
 
PBL would be neat if everyone took it seriously.

Back to the conference, ttyall later.
 
oaklandguy said:
Oakland University is like a mile down the road from the HUGE Chrysler plant.
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The headquarters is a pretty cool complex.
picture for the people who don't know what we're talking about.
091029-01-Chrysler_headquarters.jpg

oaklandguy said:
My school is offering a PBL undergraduate special interests class on Diabetes, taught by a Biochem professor who used to teach at Duke's med-school. This class will offer me nothing towards my degree, but do you guys think it would be good to take it to help for the adjustment into PBL?
Click to expand...
IMO PBL isn't hard to get acclimated to, so I don't know if I'd take it for that reason. It could be a neat class though if your interested in diabetes or just seeing the diagnostic thought process.

metallica81788 said:
I like boobies.
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Me too!
drizzt3117 said:
PBL would be neat if everyone took it seriously.
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:laugh: I'm not even sure the faculty takes it seriously here, we just have it to have it.
 
There's an office in the Chrysler logo of the tall building. It's pretty sick.

I'll still talk to my adviser about that class just to see what he thinks, (he will be an adcomm as well). My physio prof told me I'd be a lock at OU's med-school if I took it, I'm not sure if I believe that statement, but that is the reason I am looking into it.
 
That HQ looks sweeet.

Bout to be an uncle in a few hours. strangee.

"Hey!" ... ::gone for 4+ years::. Hope I'm not the awkward absent uncle. Hahaha
 
oaklandguy said:
There's an office in the Chrysler logo of the tall building. It's pretty sick.

I'll still talk to my adviser about that class just to see what he thinks, (he will be an adcomm as well). My physio prof told me I'd be a lock at OU's med-school if I took it, I'm not sure if I believe that statement, but that is the reason I am looking into it.
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Yeah, nothing is ever a lock. But it's always useful to know someone...
Zona Pellucida said:
That HQ looks sweeet.

Bout to be an uncle in a few hours. strangee.

"Hey!" ... ::gone for 4+ years::. Hope I'm not the awkward absent uncle. Hahaha
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Congrats.


And I'm off to class.
 
Zona Pellucida said:
Sameeee heree. :lame:

I felt like **** on Day 2 of my second look and have been sick since... I blame the hotel room (I turned the fan on the air conditioner on high because I can't sleep without some noise...probably a bad idea)
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i was pretty sick at second look this weekend too. it sucked because i got to see 3 college friends i rarely see and i had a fever/stuffy nose so i couldn't enjoy it as much as if i'd been healthy. it was still fun though, i learned a lot about "gayworld", as my friend calls it😛-we went to a drag show fri night and a gay club sat night haha.

dingy-i had weird med school-related dream last night too. i was accepted at and going to cornell despite the fact that i didn't even apply there lol. and there was this awesome special highway i discovered that took me right into manhattan with no traffic!
 
Zona Pellucida said:
No one knows..not even my sister. (well, besides whoever imaged it)


She wanted it to be a surprise. Also, we don't know any name options either... more surprises haha.
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Wow, that takes grit. Geeze. I don't think I could do that. Withholding gender is pretty cool, but knowing makes for better gifts @ the shower IMO.
 
K, I'm about to go running for the first time in a while. Last time I pulled off 2 miles in like 20 minutes. Granted, I started smoking during finals and have only recently quit and haven't had any real cardio exercise in a while (sex doesn't count). We'll see how I do, I'm gonna try for a 2.5 mile jog with walking spliced in.
 
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