Official MCW Class of 2009 Thread

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Agent Splat said:
I miss my childhood.
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Okay, now I've got to pull the old lady card. I'm pretty sure Peter, Paul and Mary was MY childhood, infant!

Edited to add: also, you made me cry. I remember sitting on the living room floor when I was a little girl, listening to my sisters play Peter, Paul and Mary tunes on the guitar.
 
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I saw Peter, Paul, and Mary in concert when I was in 3rd grade, and I think I still have all their songs memorized.

Splat, if you want, I've got the Puff the Magic Dragon dvd you can borrow when I get back.
 
So how should I study for the medicine shelf?

I've got Cecil's essentials (thank you, Funk), the EKG book, MKSAP question book, and the free Kochar from Dr. Torre. I also have the Step-Up from the library but only until Monday. I figured I would look it over.
 
TheProwler said:
So how should I study for the medicine shelf?

I've got Cecil's essentials (thank you, Funk), the EKG book, MKSAP question book, and the free Kochar from Dr. Torre. I also have the Step-Up from the library but only until Monday. I figured I would look it over.
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My advice would be read UptoDate about any major conditions your patients have. Chances are you'll come across CHF, CAD, DMII, COPD, all those fun acronyms. This will allow you to sound smart when trying to come up with a plan or when you get pimped on pathophys, as well as give you good testable factoids.

I also liked Step Up (and wish I would have read it through completely) and loved Case Files for just about every rotation. Tried going through MKSAP and decided it wasn't for me, although plenty of other folks thought the questions were very helpful.

The EKG book is probably not necessary (even for Dr. Sebastian's quiz) although plenty of people took his advice and used it as bathroom reading material.

So in summary: my recs are Uptodate, Case Files, Step Up, and MKSAP if you like questions in roughly that order. Also be very conscientious about studying for this first shelf--the question stems are extremely long and chances are you'll really be fighting the clock at the end. A fairly significant number of folks seem to fail the medicine shelf during July-August because they either blow off reading during busy inpatient months or run out of time on the shelf. You're forewarned though, so you should be golden. 😉
 
or if you're lucky like me, you'll not bother reading about your patients, because it will seem that on every single rotation you'll get stuck with the weird patients that have messed up issues that give them no learning value whatsoever. 15 year old on pediatrics with chronic pain and/or somatization disorder and/or drug seeker? yeah, that's useful. glad I wasted plenty of time on that patient.
 
Agent Splat said:
or if you're lucky like me, you'll not bother reading about your patients, because it will seem that on every single rotation you'll get stuck with the weird patients that have messed up issues that give them no learning value whatsoever. 15 year old on pediatrics with chronic pain and/or somatization disorder and/or drug seeker? yeah, that's useful. glad I wasted plenty of time on that patient.
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Complaints about waste of time patients with ridiculous presentations and atypical chief complaints who nobody should be forced to see?

Amusing coming from Mr. Gung-Ho Emergency Medicine. 😀
 
DoctorFunk said:
Complaints about waste of time patients with ridiculous presentations and atypical chief complaints who nobody should be forced to see?

Amusing coming from Mr. Gung-Ho Emergency Medicine. 😀
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hey now, let me clarify something. once i've learned everything med school has to offer, i fully intend on no longer bothering to extend my knowledge, so THEN i'll be happy with those patients!

And let's not forget Splat's differential diagnosis technique....

M-VINDICATE
(the M stands for malingering...always #1 in the differential).
 
Agent Splat said:
And let's not forget Splat's differential diagnosis technique....

M-VINDICATE
(the M stands for malingering...always #1 in the differential).
Click to expand...

I tend to go for a more simple approach to the differential: MS. Malingering and somatization. It's all-inclusive, really.
 
DoctorFunk said:
I tend to go for a more simple approach to the differential: MS. Malingering and somatization. It's all-inclusive, really.
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i think i'm going to give every patient a diagnosis of fibromyalgia.
 
I almost got scutted out tonight to go pick up a dinner order at some Thai restaurant at 9:30pm...when I wasn't going to eat anything myself. Luckily, the place was closed and they only scutted me out to call for pizza and intercept the delivery man instead.

They were SO cruising for a bad comment on the course eval.

This brings me to point #2, where I complain that food in general has begun to disappoint me, and I no longer really have an appetite for foods. I'm sick of everything, and even if I'm hungry I find I'd rather not eat that have what's available, even if I'm at work, home, or a restaurant. I feel like I need something new.
 
i don't get it Agent Splat but it is cute and sorta funny!!!!!! :luck: but i was wacthing it for like 30 minutes until i realized it never stopped!!!! ok maybe not 30 but a long time! lol
 
Ashers said:
I found an awesome "new" old sport that'd be so conducive to lakes. Paddle boarding aka stand up paddling. So much fun.
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I've seen pictures of some celebrity doing that...maybe Jessica Biel or someone like that. Looked kinda lame to me...
 
Gimlet said:
I've seen pictures of some celebrity doing that...maybe Jessica Biel or someone like that. Looked kinda lame to me...
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Apparently it gets really fun when there's a wind, and that helps push you downwind. I was told that you can go 20-30mph.

Anyway, it's my perfect sport since I could always balance on non-moving surfboards in the water, but I could never stand up on them when it was moving after I caught a wave.

A bunch of the big wave surfers do it, but then they add paddle surfing (catching waves), and one of the big wave surfers paddle boarded across the English channel.
 
And to go along with exciting/extreme paddle boarding that has nothing to do with funny-faced Jessica Biel, here's an article from yesterday's Maui News

HILO (AP) - A professional surfer says his up-close encounter with Kilauea was thrilling but he wouldn't recommend trying to copy it.

With a photographer overhead in a helicopter, C.J. Kanuha stood on an 11-foot-6-inch board and paddled to within 20 feet of where the lava from the volcano meets the boiling water crashing onshore.

Photos of the stunt were recently published in Outside Magazine.

The 24-year-old Kanuha, of Kailua-Kona, says he planned the ride for years and was culturally respectful, saying a prayer to volcano goddess Pele when he got onto the nearby black sand shore. Kanuha says he may go back someday.

County Civil Defense Director Quince Mento says it's very dangerous in the area and called Kanuha's visit ''really not smart.''
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505871_1.jpg
 
the MICU team has almost taken control of all the other ICUs!!! We've filled our own, have 3 in the CICU, 6 in the SICU, but none in the NICU.

We literally rounded from 8am-until 4:30pm today with only an hour and a half break for lunch/lecture. In-sane.
 
hey guys, two questions
1. What hospitals do m3/m4s do their rotations at?
2. Is froedtert owned by MCW- I know there was a recent "merger" with Accension health care and that Froedert is Non-Profit but that's about it

My preceptor asked be these questions and I had no idea
-thanks for the help in advance
 
630670 said:
hey guys, two questions
1. What hospitals do m3/m4s do their rotations at?
2. Is froedtert owned by MCW- I know there was a recent "merger" with Accension health care and that Froedert is Non-Profit but that's about it

My preceptor asked be these questions and I had no idea
-thanks for the help in advance
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M3/M4s rotate at: (some may be used once, more than once, or not at all)
Froedtert
VA
Community Memorial
St. Luke's
St. Joseph's
St. Mary's
Racine Family medicine place
Milwaukee County Mental Health Complex (best time ever!)
and other random community practices

did I get them all? i think so.

As for Froedtert and MCW: separate. Neither owns the other. Froedtert is a Lutheran hospital and MCW spawned from the Marquette University med school that was closing...which I think was Jesuit?
 
i just did extensive research and decided I was in fact correct....it's Jesuit
 
Agent Splat said:
hey now, let me clarify something. once i've learned everything med school has to offer, i fully intend on no longer bothering to extend my knowledge, so THEN i'll be happy with those patients!

And let's not forget Splat's differential diagnosis technique....

M-VINDICATE
(the M stands for malingering...always #1 in the differential).
Click to expand...

Dont ever ever say that next month...they will chew you out
 
Agent Splat said:
M3/M4s rotate at: (some may be used once, more than once, or not at all)
Froedtert
VA
Community Memorial
St. Luke's
St. Joseph's
St. Mary's
Racine Family medicine place
Milwaukee County Mental Health Complex (best time ever!)
and other random community practices

did I get them all? i think so.

As for Froedtert and MCW: separate. Neither owns the other. Froedtert is a Lutheran hospital and MCW spawned from the Marquette University med school that was closing...which I think was Jesuit?
Click to expand...

waukesha
 
pratik7 said:
Dont ever ever say that next month...they will chew you out
Click to expand...

This holds true for neuro too, in my experience. My otherwise incredibly nice resident essentially told me that I would kill a future patient if I consistently kept malingering as a part of my diagnostic tree in neuro patients.

In the end, that particular patient had no etiology of her symptoms found and we concluded that it was "idiopathic". Feel free to read that as malingering.
 
Ashers said:
So I just filled out the OB/gyn eval. I complained about Beckmans -- I like reading, but I sure don't like that book, and the family practice residents. If it hadn't been for them, I would've caught a baby. It's semi-sad that I didn't catch one on OB/gyn. Not that I particularly wanted to, but I should maybe've done it once.
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This is happening to me too. I've been right there for 10 deliveries and have delivered 0 babies. The FP resident has to deliver 25 more babies by the end of july or something bad happens. But, I'm still on gyn until next week.

You'll like this update: They now give students the day before the shelf off to study and, in addition, they prohibit anyone from being on call the day before the day off. ha.
 
DoctorFunk said:
This holds true for neuro too, in my experience. My otherwise incredibly nice resident essentially told me that I would kill a future patient if I consistently kept malingering as a part of my diagnostic tree in neuro patients.

In the end, that particular patient had no etiology of her symptoms found and we concluded that it was "idiopathic". Feel free to read that as malingering.
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is that why in my very first week of psych consults at Froedtert we got three (yes, THREE) consults...ALL from neuro to "rule out malingering?" (exact consult reason)
 
indo said:
You'll like this update: They now give students the day before the shelf off to study and, in addition, they prohibit anyone from being on call the day before the day off. ha.
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Yeah, but you guys get a psych OSCE now. Suck it, Trabek.
 
Agent Splat said:
and TBL in family medicine as opposed to PBL.

AND they have to take USMLE Step 4 as part of the new wave of board examinations.
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I forgot that the class of 2009 will also be the last awarded the MD and referred to as "doctor". All classes from that point on will receive the PANP degree and be referred to as "separate but equal advanced practice practitioners of medical practice". Residents, of course, will be referred to as "practicing separate but equal advanced practice practitioners of medical practice".
 
DoctorFunk said:
I forgot that the class of 2009 will also be the last awarded the MD and referred to as "doctor". All classes from that point on will receive the PANP degree and be referred to as "separate but equal advanced practice practitioners of medical practice". Residents, of course, will be referred to as "practicing separate but equal advanced practice practitioners of medical practice".
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and we're the last to get long white coats (the short ones transmit fewer diseases) or DEA numbers to prescribe narcotics.
 
Agent Splat said:
and we're the last to get long white coats (the short ones transmit fewer diseases) or DEA numbers to prescribe narcotics.
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The class of 2010 and beyond will also be government employees upon graduation. This means working for $30K/yr, but with paid govt. holidays and the promise of a sweet pension. They will, however, have to do all physical exams and paperwork in triplicate.
 
DoctorFunk said:
The class of 2010 and beyond will also be government employees upon graduation. This means working for $30K/yr, but with paid govt. holidays and the promise of a sweet pension. They will, however, have to do all physical exams and paperwork in triplicate.
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and they can't wear scrubs. ever.
 
DoctorFunk said:
The class of 2010 and beyond will also be government employees upon graduation. This means working for $30K/yr, but with paid govt. holidays and the promise of a sweet pension. They will, however, have to do all physical exams and paperwork in triplicate.
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If you wouldn't do this for $30K/year, it just means you're in it for the money, and I would hate to be one of your patients.
 
Agent Splat said:
and TBL in family medicine as opposed to PBL.

AND they have to take USMLE Step 4 as part of the new wave of board examinations.
Click to expand...

Total butt liquid as opposed to partial butt liquid?

Honestly, I don't remember what those letters mean, but I do remember that they represent a waste of time.
 
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