It's all worth it

[Dr. Puffs]

I have been an attending for 9 months. I am enjoying my 3 day weekend, reflecting on the journey. Every day since freshman year was looking to the future. "I only need 3 more years of college, 4 years of medical school, 3 years of residency, and then I've made it". Well, it's finally here. Residency was tough but rewarding. Being an attending is incredibly difficult and I am learning more and more every day... Looking back, I would do it again. I had more fun in medical school than I did in undergrad, and my undergrad was fun. I made more close friends in medical school than I did in undergrad. My residency? the most supportive, chill IM residency in the country! I made even MORE friends AND I met my wife. It wasn't even my #1 rank. So when you're sitting there slogging through mandatory bull**** lectures, or freaking out about your stupid OMT bull****, just remember that it is worth it.

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[Goro]

Mandatory lectures? That's so 20th Century!

 

[DOFOSHO]

The OMT part is not worth it, but agree with everything else.

 

[Goro]

The OMT part is not worth it, but agree with everything else.

Consider OMT (and COMLEX) a tax on screwing up either MCAT and or undergraduate GPA.

At least it helps you get used to touching other people, which patients really like, and learning your surface anatomy.

Otherwise, close your eyes and think of England.

 

[amoxicillin_resistant]

The OMT part is not worth it, but agree with everything else.

in DO school, can you choose to not participate in OMT stuff?

Also, as a DO physician do you still use OMT on patients?

I wonder as an ER DO doc would you do OMT in an acute care setting? - would be interesting to see

 

[Goro]

in DO school, can you choose to not participate in OMT stuff?

Nope, it's a requirement


Also, as a DO physician do you still use OMT on patients?

Most do not.


I wonder as an ER DO doc would you do OMT in an acute care setting? - would be interesting to see

Possibly

 

[Ho0v-man]

in DO school, can you choose to not participate in OMT stuff?

Also, as a DO physician do you still use OMT on patients?

I wonder as an ER DO doc would you do OMT in an acute care setting? - would be interesting to see

You might not have to disrobe for certain religious reasons. But still have to do it. It’s on your board exams.

Most of the OMT that’s actually real hasn’t proven to be more efficacious than standard medical therapy and is likely inferior to PT. When you consider OMT requires special equipment and is time consuming and the standard options are a click in the EMR, there’s little utility in the real world. I’ve done for patients in renal failure and in a few pregnant patients. They can’t take NSAIDs so OMT+ Tylenol is probably better than Tylenol alone.

You should be very cautious doing OMT in the acute setting. In our litigious environment, claims could be made that you worsened a patients pain. Very few select reasons I would consider.

Furthermore, you have to keep up with OMT to be safe doing it. But there’s so little real world utility most won’t use it in the rare instances it would be useful.

 

[DOFOSHO]

in DO school, can you choose to not participate in OMT stuff?

Also, as a DO physician do you still use OMT on patients?

I wonder as an ER DO doc would you do OMT in an acute care setting? - would be interesting to see

1. No.
2. No.
3. No.

 

[Dr. Pineal Gland]

in DO school, can you choose to not participate in OMT stuff?

Also, as a DO physician do you still use OMT on patients?

I wonder as an ER DO doc would you do OMT in an acute care setting? - would be interesting to see

did OMT with an FM resident who was a DO and felt like a freaking masseuse, not a physician.

But I agree patients appreciate palpation and there are times when I feel in conjunction with stretching, it would help them more than taking NSAIDs/OTC medications.

There is seldom ever time in the ER to do OMT, maybe its helpful for knwoing the anatomy but unless you do FM or PMR, using OMT as an attending is unheard of.

 

[DOVinciRobot]

I don’t know about y'all but I in include checking Chapman’s points as a part of my primary survey on all traumas. Airway, breathing, Chapman’s points. The trauma ABC’s

 

[Ho0v-man]

I don’t know about y'all but I in include checking Chapman’s points as a part of my primary survey on all traumas. Airway, breathing, Chapman’s points. The trauma ABC’s

How do assess for ocular trauma without palpating the humerus?

 

[DOVinciRobot]

How do assess for ocular trauma without palpating the humerus?

Exactly. Ophtho loves it when I consult them right away when I feel bogginess at the numeral head

 

[amoxicillin_resistant]

How do assess for ocular trauma without palpating the humerus?

wait no way thats a thing