Path is in our rear view mirror part 01

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it could be that once I did OB that killed me. I think I am still recovering.
 
Going off service makes you realize just how much better EM is as a field.
 
To make it worse I am killing myself this week because I made a switch with a colleague.. Of course I am off 4 days next week.
 
DrMom said:
tell me about it! *sigh* I'm very tired.

I'm hanging in there. Only 4 more days of pretending to be a nephrologist.

We do our residency interviews on Friday so I get excused for the day 🙂
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Congrats.. imagine pretending to be an OB..
 
I mean.. asking women what they will use for birth control? Breast vs Bottle feed? Seriously... EMERGENCY MEDICINE..
 
im watching this thing on when dolphins attack.... cool!
 
But I really dislike OB.. FWIW I dont mind medicine that much.. and trauma is wel.. trauma...
 
We do trauma later...can't remember what year our required rotation is. We also do some required (next year) and elective rotations (I don't have any electives this year) at one of our local trauma centers. (caveat: we don't have any level 1s here, but the big traumas still have to go somewhere 🙂)
 
I hear ya.. Trauma is a tough one.. We are incredibly busy here.
 
[spoken like Mr.T]

I pity da fool who doesnt pad.. Match day.. might not be so pleasant
 
It's going to be a loooong day. Lots of catching up to do.
 
EctopicFetus said:
It is a Grrrrrind..
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No actually, it's a trap!

ackbar_l.jpg
 
Is there a high prevelance of poorly worded questions in med. school and on the USMLE's? I swear to God I just asked more questions during my last test, which was for a lab I might add, than any other tests in my entire life combined. This is the first time I have ever contemplated going to the faculty and telling them to fix the questions for the next class. No one should ever have to go through that. Current mood= 😡
 
MirrorTodd said:
Is there a high prevelance of poorly worded questions in med. school and on the USMLE's? I swear to God I just asked more questions during my last test, which was for a lab I might add, than any other tests in my entire life combined. This is the first time I have ever contemplated going to the faculty and telling them to fix the questions for the next class. No one should ever have to go through that. Current mood= 😡
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As you move up the chain (when exams are more national than local) they get better - and worse. They are written better and are less ambiguous, but, also, VERY precise. However, it's not that you say "they're both right" - you say "I know one is right, but I don't know which one" - and you know that it is YOUR knowledge gap, and not the question.

The reason is that the national questions have research and $$ behind them. That's a BIG reason (beyond cheating) that the USMLE prohibits reproduction of questions, because (I think) each question in the ~60,000 question bank (which is now indubitably larger) costs between $50 and $500, for paying the writer, and all of the reliability testing that goes on - and that is what makes them good questions.

Your professor/associate/assistant/TA in college or med school is just pulling the question out of their respective asses, and, if any statistical analysis is going on, it is both one-off and post hoc, so it has no future value (unless the tests are re-used).
 
Apollyon said:
Your professor/associate/assistant/TA in college or med school is just pulling the question out of their respective asses, and, if any statistical analysis is going on, it is both one-off and post hoc, so it has no future value (unless the tests are re-used).
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:laugh: I was a TA and that is exactly where I got my questions!
 
Why do the antibiotics have to be so BORING?
 
HIANMI said:
Who knows. I wish they were more exciting too...maybe there is a way to do this. Any ideas?
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Take care of a sepsis patient. It might not make the ABx themselves exciting, but it won't be a boring event in the least.
 
IbnSina said:
Take care of a sepsis patient. It might not make the ABx themselves exciting, but it won't be a boring event in the least.
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A really sick, septic gentleman came in the night I spent at roja's work (where is roja, by the way? WE MISS YOU!). It was sad, but definitely not boring.
 
Good to know. I think I am getting bogged down. I may just need to leave for a while and get away from school...clear my mind some.
 
exciting night.. non Urgent care, saw 17... NO ADMITS.. so UC like..
 
IbnSina said:
Take care of a sepsis patient. It might not make the ABx themselves exciting, but it won't be a boring event in the least.
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I've seen many, but it will be a while before I get to take care of any. 🙁 But, no worries, I promise to learn my ABx (among other things) so that I'll be ready.
 
hyperbaric said:
I've seen many, but it will be a while before I get to take care of any. 🙁 But, no worries, I promise to learn my ABx (among other things) so that I'll be ready.
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I really couldn't get worked up about antibiotics until I was a second year (peds) resident - as an intern I saw sick kiddos... but not REALLY sick kiddos. I mean, come on, one million rule out sepsis 3 week olds and not one with a positive culture. Ampicilin and gentamicin? Boooooring! Once I had seen a couple of really Sick kids - a sick fever/neutropenia patient, a GBS meningitis baby (with the pus oozing out from the tap), community-acquired MRSA sepsis with cardiorespiratory collapse - then I got interested.

But I still feel like I'm behind.

(Have I mentioned that I haven't read the policy AAP statement for flouroquinolones in kids yet? Stupid beagles. Yargh...)
 
+pad+ for the day...things are just too busy anymore. Is that the same reason no one else is padding it up here?
 
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