do u get pimped on 2nd looks?

[p54]

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I think i did fairly well at the place where i would like to go. Some of the residents encouraged me to come back for a 2nd look. I think it might help me if I go back, but I'm just afraid there might be some pimping and I might mess the good impression that i made. What do you guys think? has anyone gone on a 2nd look here and been pimped heavily?

 

[BKN]

I think i did fairly well at the place where i would like to go. Some of the residents encouraged me to come back for a 2nd look. I think it might help me if I go back, but I'm just afraid there might be some pimping and I might mess the good impression that i made. What do you guys think? has anyone gone on a 2nd look here and been pimped heavily?

Pimping is always appropriate If you want the place, take the chance.

 

[orientedtoself]

I have not gone on any second looks. But if you do get pimped at a second look, you walk away with more information- you know it's the kind of place that would pimp its applicants. 👎

 

[Poety]

I like getting pimped..
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only when I know the answer 😛

 

[AngryTesticle]

Pimping may occur during the second look but I suspect that usually it is of a benign nature. It is a way to just increase communication and have some dialogue. Just do your best and don't be phased by it even if you don't know the answers.

I went on one second visit and I sat in on GI biopsy signout. A few questions were hurled at me such as "So is this an adenoma or hyperplastic polyp?", "What would you see in CMV gastritis?". I remember these two questions because they were the only ones I got right. The rest I got wrong...but I was still ranked to match at this place.

Don't sweat it. As BKN says, just go for it.

 

[Poety]

btw, don't tell the doc you're seeing as a patient you're a med student - I jsut got pimped by an ENT today 😱 that hurt - especially in front of the wee 6 monther 🙁 😳 😛

 

[orientedtoself]

btw, don't tell the doc you're seeing as a patient you're a med student - I jsut got pimped by an ENT today 😱 that hurt - especially in front of the wee 6 monther 🙁 😳 😛

Poety, your six month old doesn't know you got the question wrong! 😉

 

[fourthyearmed]

Pimped at a second look? I never even got pimped at an interview. They usually want you to come to their program, not scare you away.

 

[BKN]

And sometimes pimping is good for you:

In the middle of all this angst, what good things have happened?

Here's mine. Ten years ago we had an off-cycle position open. One of our graduates sent out a Doc who had been working for her. He was an FP who was working EM, but wanted to get the ticket.

So he showed up for an informal interview while I was on duty. We talked for about 1/2 hour, then my team showed up with a CT. I flipped it up and decided to pimp him a little. "What's your reading, Dr?".

"I think there's a small SAH with a little blood in the cisterns of the middle fossa."

I was pleased and said so. 5 Minutes later he had to leave, said he had to catch a plane. 😕

Later he told me that the whole team had gone behind my back and said "Leave, you're golden, you could only screw up by sticking around!"

He did make a very fine resident.

 

[Mumpu]

Pimping is pointless. 10 seconds with Eponyms on your Palm will generate a pimping question no one will be able to answer ("what is the Fourth Disease?"). If I wanted to know someone's knowledge base, I'd look at their USMLE scores and comments from rotations.

 

[BKN]

Pimping is pointless. 10 seconds with Eponyms on your Palm will generate a pimping question no one will be able to answer ("what is the Fourth Disease?"). If I wanted to know someone's knowledge base, I'd look at their USMLE scores and comments from rotations.

No, there is a point. It is to review relevant information and synthesize a diagnosis and plan when confronted with a patient. It's about being a doctor.

 

[chicamedica]

I like getting pimped..
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only when I know the answer 😛

ditto, although when i dont know, i remember the correct answer for a long time afterwards, so the socratic method is good for me. 😛

 

[Poety]

oh good call, and totally true! And oriented to self - she may not have known but "i knew"

 

[BKN]

oh good call, and totally true! And oriented to self - she may not have known but "i knew"

and thus you will never be able to project competence and protection again, she'll grow up with fear and join a cult. Damn the ENT!

good nite,I'll show myself out.

 

[eejakyule8]

And sometimes pimping is good for you:

In the middle of all this angst, what good things have happened?

Here's mine. Ten years ago we had an off-cycle position open. One of our graduates sent out a Doc who had been working for her. He was an FP who was working EM, but wanted to get the ticket.

So he showed up for an informal interview while I was on duty. We talked for about 1/2 hour, then my team showed up with a CT. I flipped it up and decided to pimp him a little. "What's your reading, Dr?".

"I think there's a small SAH with a little blood in the cisterns of the middle fossa."

I was pleased and said so. 5 Minutes later he had to leave, said he had to catch a plane. 😕

Later he told me that the whole team had gone behind my back and said "Leave, you're golden, you could only screw up by sticking around!"

He did make a very fine resident.

You've told this one before. 😉

😴

 

[Poety]

ssshhh, let him tell it again, thats part of his fun 😉 they start to "repeat" things you know as they age.... 😛

 

[Orange Julius]

No, there is a point. It is to review relevant information and synthesize a diagnosis and plan when confronted with a patient.

Not really. Generally, it's been a while since we've been actively memorizing the knowledge base. That's stuff has a pretty short half-life in most human brains. If you want to know how well we "rewiew relevant information and synthesize a diagnosis and plan when confronted with a patient" then just look at our clinical grades. 🙄

 

[Orange Julius]

Pimping is pointless. 10 seconds with Eponyms on your Palm will generate a pimping question no one will be able to answer ("what is the Fourth Disease?"). If I wanted to know someone's knowledge base, I'd look at their USMLE scores and comments from rotations.

👍

 

[BKN]

ssshhh, let him tell it again, thats part of his fun 😉 they start to "repeat" things you know as they age.... 😛

😕 P, that was amazing, I don't even have the beginning of a comeback. That's the last time I make fun of you!

Happily I'll have forgotten the whole embarrassing episode by the time they bring the pablum in the AM. 🙂

 

[BKN]

Not really. Generally, it's been a while since we've been actively memorizing the knowledge base. That's stuff has a pretty short half-life in most human brains. If you want to know how well we "rewiew relevant information and synthesize a diagnosis and plan when confronted with a patient" then just look at our clinical grades. 🙄

I think we are talking about two different purposes here. You think it's about testing, I think it's about teaching. Anyway, I'm done with this one.

 

[orientedtoself]

Pimping can be okay or it can be bad depending on how it is done. Sometimes it is more like a discussion or teaching session, while other times it can feel like you're in front of a firing squad, getting hammered with useless minutiae in order to demonstrate how stupid you are. In my experience, that tends to happen more in Surgery.

 

[Poety]

I agree with oriented .... but for the most part, I've found that if an attending didn't pimp you - they probably thought less of you At my school its done in a teaching/collaborative way, except in surgery where if you are pimped, and don't know, they'll never ask you again and give you the "look" 😱 we all hate that "look" 🙁

And BKN, awww come on, I was just teasing ya 😳 😛 😉 And it was a nice story, I didn't mind reading it..... "again"

 

[BKN]

I agree with oriented .... but for the most part, I've found that if an attending didn't pimp you - they probably thought less of you At my school its done in a teaching/collaborative way, except in surgery where if you are pimped, and don't know, they'll never ask you again and give you the "look" 😱 we all hate that "look" 🙁

And BKN, awww come on, I was just teasing ya 😳 😛 😉 And it was a nice story, I didn't mind reading it..... "again"

What story? 😕

 

[Poety]

Oh you're scaring me now BKN The story about the guy that came to your hospital and knew about the SAH on the CT!!!! Did you forget you told it already? awwww 😉 😳

 

[BKN]

Oh you're scaring me now BKN The story about the guy that came to your hospital and knew about the SAH on the CT!!!! Did you forget you told it already? awwww 😉 😳

Oh, you want to hear that story. Well we had a midyear open slot and uh, um. . .

 

[Poety]

Oh, you want to hear that story. Well we had a midyear open slot and uh, um. . .

 

[ericdopt]

BKN and Poety,
Great back and forth...I enjoy reading your (plural) replies.

To get back to "being pimped". Yes, I did on my 2nd looks. I missed a lot, but I matched where I wanted to be. Also, if pimping is done correctly, you can get a lot out of it. I think my ratio of correct to incorrect responses during my "career" in medicine thus far is: 25/75 (that's correct/incorrect). I'm terrible during pimping sessions. I like more than 5 seconds to think of an answer. I also despise "medical jeopardy" sessions (you know, all of the students/interns/residents are rounding and the attending asks a question and the person who comes up with the correct answer first gets the beatific glow from the attending, a hardy handshake and a slap on the back. Those of us who are too slow are free then to slink away to lick our wounds for another round later.) But, maybe that's just me. 😀

 

[surg]

Back to the original poster's question. Assuming that your 2nd look involves hanging out with one of the clinical teams or being in a person's clinic, you should absolute expect to be treated as the other students in that situation would, i.e. if they typically pimp their students, you will probably also be pimped. You may even get the "honor" of being the 1st to get to answer a stream of questions. The other thing that you might get asked is, how they might handle a similar disease/presentation at your home institution. This is mostly curiousity, as for many things there is more than 1 right way to do it.

Stellar knowledge will obviously make you stick out in a good way, but not knowing all the answers is expected. Knowing NONE of the answers... well ok, not so great. I think you have hit on a good point, which is, if you think you already made your BEST impression or at least a good enough one to match, don't return unless YOU feel that you need to get more info about there. Plenty of ways to express your interest without physically showing up again IMHO.

 

[eejakyule8]

Back to the original poster's question. Assuming that your 2nd look involves hanging out with one of the clinical teams or being in a person's clinic, you should absolute expect to be treated as the other students in that situation would, i.e. if they typically pimp their students, you will probably also be pimped. You may even get the "honor" of being the 1st to get to answer a stream of questions. The other thing that you might get asked is, how they might handle a similar disease/presentation at your home institution. This is mostly curiousity, as for many things there is more than 1 right way to do it.

Do you ever have to actually do clinical work, like see patients and present them to the attending. After, a couple of "vacation" (interviewing) blocks and a few non clinical rotations prior to that, I'm more than a bit rusty. 😱

Plenty of ways to express your interest without physically showing up again IMHO.

Do please share some of these. 🙂

 

[Orange Julius]

I think we are talking about two different purposes here. You think it's about testing, I think it's about teaching. Anyway, I'm done with this one.

Oh, really.

So he showed up for an informal interview while I was on duty. We talked for about 1/2 hour, then my team showed up with a CT. I flipped it up and decided to pimp him a little. "What's your reading, Dr?".

"I think there's a small SAH with a little blood in the cisterns of the middle fossa."

I was pleased and said so. 5 Minutes later he had to leave, said he had to catch a plane.

Later he told me that the whole team had gone behind my back and said "Leave, you're golden, you could only screw up by sticking around!"

Doesn't sound like you were testing here, at all. Was this guy "golden" because you had just taught him something?


😛

 

[BKN]

Oh, really.

Doesn't sound like you were testing here, at all. Was this guy "golden" because you had just taught him something?


😛

No, it was a very subtle film. He was golden because he didn't have to be taught something that would have stumped 1/2 of my EM2s. He surprised me. In this case, it wouldn't have hurt him if he'd missed it. We jsut would have done the teaching.

If I'd had a film with an obvious bleed and shift and he'd missed that, sure it would have been bad for him.

Anyway, we're not going to agree on this. I'm still done.

 

[Orange Julius]

No, it was a very subtle film. He was golden because he didn't have to be taught something that would have stumped 1/2 of my EM2s. He surprised me. In this case, it wouldn't have hurt him if he'd missed it. We jsut would have done the teaching.

If I'd had a film with an obvious bleed and shift and he'd missed that, sure it would have been bad for him.

Anyway, we're not going to agree on this. I'm still done.

Wait, a minute. There's testing going on there, for sure. You ain't foolin' no one, mister.


Nice try, though. 😛

 

[surg]

Do you ever have to actually do clinical work, like see patients and present them to the attending. After, a couple of "vacation" (interviewing) blocks and a few non clinical rotations prior to that, I'm more than a bit rusty. 😱

Obviously this will vary from place to place. I would doubt that you would actually have to do real work (in no small part because your school's malpractice insurance may or may not cover you doing it), but in the very few 2nd looks that I can remember, most would round with a team in the AM, observe an operation or two, maybe meet with a faculty or someone during the day (especially if there was an area that you wanted to know more about, e.g. the lab opportunities, etc.), etc. In our program, 2nd look people were usually paired up with someone/some team that they had a common bond (e.g. same medical school, etc.) with, or a team that they were interested in (e.g. if you said you were interested in liver surgery, we'd try to get you on the GI surgery team if possible).

I have no idea how other places handle these.

Do please share some of these. 🙂

Thank you notes, having other people call for you, etc. Plenty of threads on this that I'm going to suggest using the search function 😉

 

[BKN]

Wait, a minute. There's testing going on there, for sure. You ain't foolin' no one, mister.


Nice try, though. 😛

*sticks fingers in ears*

LA-LA-LA..I CANT HEAR YOU. . .LA-LA-LA. . . and I'm going to go right on tes-uh-teaching.

 

[Orange Julius]

*sticks fingers in ears*

LA-LA-LA..I CANT HEAR YOU. . .LA-LA-LA. . . and I'm going to go right on tes-uh-teaching.

 

[Mumpu]

To my mind, pimping and asking questions to gauge the students' knowledge are different things. Pimping is done with the purpose of intimidation and obliteration and relies on pointless trivia, obscure eponyms, and other minutia. Asking questions is done with the purpose of teaching and relies on real-life clinical examples (Socratic teaching).

I'm a huge fan of Socratic teaching, both dishing it out and being on the receiving end, but I do not pimp.

What BKN did was teaching, not pimping. Pimping would've been "who was the famous Norwegian surgeon of the 17th Century who first described the said condition."

 

[Mumpu]

Double post. BUHLETED!