So, I got my first pimp question today

[j-snake]

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Today was my first day of clinical rotations and I observed a tubal ligation. The chief resident asked me, "What is the male homologue of the round ligament?"

...and, I totally pulled it out of my butt. Gubernaculum. I was so proud of myself. I have no idea where I even learned that. I thought that that kind of information would be totally useless to me so I should strike it from my memory banks, but it must have nestled into some dark recess of my encephalon only to emerge later in all its Gubernaculatory glory.

Anyone else have some good pimp stories?

 

[tupac_don]

Today was my first day of clinical rotations and I observed a tubal ligation. The chief resident asked me, "What is the male homologue of the round ligament?"

...and, I totally pulled it out of my butt. Gubernaculum. I was so proud of myself. I have no idea where I even learned that. I thought that that kind of information would be totally useless to me so I should strike it from my memory banks, but it must have nestled into some dark recess of my encephalon only to emerge later in all its Gubernaculatory glory.

Anyone else have some good pimp stories?

What a useless piece of info.

 

[mastamark]

What a useless piece of info.

LOL

 

[j-snake]

I got my second pimp question right today as well. Why give MgSO4 to preeclamptic women? Seizure prophylaxis. Equally as useless to me because I don't think that I am going to be an OB. The factoid Gubernaculum, however, is not entirely useless because it makes a great conversation starter or discussion at dinner parties.

 

[Mumpu]

Ah yes, the days when I actually cared about remembering the "clapper bell testes."

You'll be surprised (and frightened!) by the things you'll remember in the heat of the moment.

 

[Stinger86]

My first pimp question ever was "this lady had a silent infarct, what would you expect to discover in her past medical history?"

That was probably the only pimp question he asked the whole month that was even remotely answerable (ie. relevant).

 

[OnMyWayThere]

My first pimp question ever was "this lady had a silent infarct, what would you expect to discover in her past medical history?"

That was probably the only pimp question he asked the whole month that was even remotely answerable (ie. relevant).

What's the purpose of asking "unanswerable, irrelevant questions"?

 

[tupac_don]

What's the purpose of asking "unanswerable, irrelevant questions"?

Why to put "you"/student in your place and show that the attending knows more than you.

 

[nutmegs]

My first pimp question ever was "this lady had a silent infarct, what would you expect to discover in her past medical history?"

That was probably the only pimp question he asked the whole month that was even remotely answerable (ie. relevant).

.......diabetes or a heart transplant??

:crosses fingers:

you guys are making me nervous for next week 🙁

 

[scrub monkey]

pimping often is given a bad rep.

most of the time, it's actually a way to teach. when things are busy, it's easier to ignore the medical student than to actually include them in the discussion. you won't remember things that are just told to you. but when you are asked a question, and come up with the answer, that's when you'll remember. or even if you don't come up with the answer, learning the answer is often an educational experience.

 

[primadonna22274]

THAT's a useful one.
How 'bout this: what's the action of Lasix on the renal tubule? Um...um...
(hint: when the CT surg asks you to get back to him the next day on a question you don't know the answer to, make sure you know the answer the next day!)
😱
Lisa

I got my second pimp question right today as well. Why give MgSO4 to preeclamptic women? Seizure prophylaxis. Equally as useless to me because I don't think that I am going to be an OB. The factoid Gubernaculum, however, is not entirely useless because it makes a great conversation starter or discussion at dinner parties.

 

[TruTrooper]

THAT's a useful one.
How 'bout this: what's the action of Lasix on the renal tubule? Um...um...
(hint: when the CT surg asks you to get back to him the next day on a question you don't know the answer to, make sure you know the answer the next day!)
😱
Lisa

Yeah but they never remember to ask you the next day. I caught on to this quick and it wasn't long before "look it up and get back to me" went into one ear and out the other. I figured that if they busted me still ignorant of the answer, I would just come up with some BS excuse.


Now, I couldn't dare try this on my IM
rotation because they always remembered to follow up but I think surgeons just feel they are supposed to ask students to look things up but don't care if they actually do.

 

[Mumpu]

I'm with scrubmonkey -- I learn very well from pimping. On my surgery rotation, I specifically asked my team to pimp me in an attempt to con them into teaching. Naturally, I got asked about 3 questions during the entire six weeks. Reverse psychology anyone? 🙂

 

[primadonna22274]

Ohhhh....not true. This guy (Gary Ott, boy genius, CT surgeon at 30 or younger, started the 2nd heart transplant program off the hill in Oregon after he left OHSU) DID remember and DID ask me the next day. I felt like such a stupid girl 'cuz I'd been too tired to read the night before and I DIDN'T look it up. Sheesh.
But I learned lots of other good stuff on that rotation!
L.

Yeah but they never remember to ask you the next day. I caught on to this quick and it wasn't long before "look it up and get back to me" went into one ear and out the other. I figured that if they busted me still ignorant of the answer, I would just come up with some BS excuse.


Now, I couldn't dare try this on my IM
rotation because they always remembered to follow up but I think surgeons just feel they are supposed to ask students to look things up but don't care if they actually do.

 

[Green912]

I was the victim of a drive by pimping the other day. I'm doing my 1st rotation in Rads, which is pretty laid back. I was standing in the dark room when a GI attending came down to view his pt's study. He looked back and me and said "are you a medical student?". I said yes and his reply was "good" then he proceeded to pimp me on the ins & outs of an upper GI study. Never saw the guy before or since. Guess he just wanted some fun for the day. I did feel good about knowing most of what he was asking.

A glimpse of things to come.

 

[Ramoray]

Today was my first day of clinical rotations and I observed a tubal ligation. The chief resident asked me, "What is the male homologue of the round ligament?"

...and, I totally pulled it out of my butt. Gubernaculum. I was so proud of myself. I have no idea where I even learned that. I thought that that kind of information would be totally useless to me so I should strike it from my memory banks, but it must have nestled into some dark recess of my encephalon only to emerge later in all its Gubernaculatory glory.

Anyone else have some good pimp stories?

If i HAD konwn what a Gubernaculum was i would feel like an assclown, i would rather not know and not answer. that is the dumbest question i have ever heard.. i feel bad for you that it made you feel good to konw what a gubernaculum was. peace

 

[Pyroclast]

If i HAD konwn what a Gubernaculum was i would feel like an assclown, i would rather not know and not answer. that is the dumbest question i have ever heard.. i feel bad for you that it made you feel good to konw what a gubernaculum was. peace

lol, that's great. "Uh, you suck, you're an idiot, and uh...you suck. PEACE!"

 

[tigershark]

If i HAD konwn what a Gubernaculum was i would feel like an assclown, i would rather not know and not answer. that is the dumbest question i have ever heard.. i feel bad for you that it made you feel good to konw what a gubernaculum was. peace

How could you NOT know about the gubernaculum? That's one of the best words in medicine and I havent forgot it since they talked about it in anatomy.....the person probably asked the question simply because it is a funny word..you need to lighten up, all your posts are filled with such angst.

 

[j-snake]

If i HAD konwn what a Gubernaculum was i would feel like an assclown, i would rather not know and not answer. that is the dumbest question i have ever heard.. i feel bad for you that it made you feel good to konw what a gubernaculum was. peace

I have this (not very pretty) picture of Ramoray sitting on the can, red in the face, eyes bulging, vein sticking out in his forehead, grunting and occasionally yelling out words like "ASSCLOWN" as he strains to get the 15 pound turd out of his cracked and bleeding rectum, and then finally . . .

"PEACE"

Actually, knowing about the Gubernaculum was not as useless as you would think. A woman came into OB triage the other day complaining of pain in the inguinal area which radiated partway down the front of the thighs. I knew that the Gubernaculum descended with the testes into the scrotum and the round ligament does the same, terminating in the labia. She was simply experiencing round ligament pain, which is common in pregnancy.

 

[nutmegs]

Today was my first day of clinical rotations and I observed a tubal ligation. The chief resident asked me, "What is the male homologue of the round ligament?"

hahahahhahahahh this ended up being mine too!!!!! only in a c-hyst

 

[Stinger86]

.......diabetes or a heart transplant??

Yeah, she had diabetes. She was on the can when she passed out. A little too much "stress" I suppose.

When it's relevant to medical care, pimping is great. My second month on Internal Medicine clinic, the resident came in one day and pimped me on hypercalcemia.

"What lab value indicates hypercalcemia"
"What are some causes of hypercalcemia"
"What are ways of diagnosing these other causes"
"How do you treat some of these causes"

Then, when I mentioned lung cancer as a possible cause, he proceeded to ask me what the different kinds of lung cancers were, their presentations, txs, etc. He spent about 30 minutes with me doing that, which was really useful for pulling all that stuff out again for use during the year.

Again, pimping is great if used correctly

 

[citygirl]

Yeah but they never remember to ask you the next day. I caught on to this quick and it wasn't long before "look it up and get back to me" went into one ear and out the other. I figured that if they busted me still ignorant of the answer, I would just come up with some BS excuse.


Now, I couldn't dare try this on my IM
rotation because they always remembered to follow up but I think surgeons just feel they are supposed to ask students to look things up but don't care if they actually do.

I think they do care when they ask, but they just forget and mentally move on by the next day. I've found it helpful to actually type it out and hand it to the person who asked the question. That sparks their memory, but if things are too busy to discuss it further, you have done your part. It also locks the topic in to your own memory banks AND keeps you from feeling like it was a total waste of time.

 

[citygirl]

If i HAD konwn what a Gubernaculum was i would feel like an assclown, i would rather not know and not answer. that is the dumbest question i have ever heard.. i feel bad for you that it made you feel good to konw what a gubernaculum was. peace

It is relevant in urology.

 

[Ramoray]

It is relevant in urology.

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

 

[citygirl]

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

Since I am a 3rd year student on a surgical subspecialty rotation in urology.....yes, it is good to know. "Use your brain"? Gee, glad my classmates are a kinder, gentler bunch.

 

[nutmegs]

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

is a 3rd year med student supposed to know OB which is a specialty? is a 3rd year med student supposed to know GYN which is a specialty? is a 3rd year med student supposed to know pediatrics which is a specialty? is a 3rd year med student supposed to know psychiatry which is a specialty? is a 3rd year med student supposed to know neuro which is a specialty? is a 3rd year med student supposed to know endocrinology which is a specialty?

golly gee, why do we even go to med school at all? why not just go right into our specialities? I see you've chosen yours as being a complete jack*ss and are already there. congrats.

 

[Pox in a box]

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

You're way off. You have to think more outside the box. Just because a patient is on a psych consult doesn't mean he or she doesn't have a subspecialist surgical or medical issue. Patients are multidimensional.

 

[bigfrank]

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

Be sure to save this comment in your back pocket for during the third year. Attendings will be impressed with your honesty and forthrightness.

 

[Larry Renal]

My favorite is when the attending snickers when he asks the question...chuckling to himself that he KNOWS you won't know the answer, but hopes to see you squirm in trying. "What's the LEAST common cause of X?"

 

[Pyroclast]

well is a 3rd yr med student supposed to know urology which is a speciality. that is dumb, you should ask a 3rd yr medstudent stuff atleast in the relm of the rotation, not beyond into a speciality. use your brain

Hey Ramoray, you forgot to say "peace."

 

[irish79]

My first PIMP question was, "What nerve innervates the appendix?" Ha, ha, what a stupid question that was (I'm on my IM rotation). I guessed superior epigastric and celiac and the resident said to me, "oh, is it?" She then told me to go look it up and report back to her! Why ask a question if you are unsure of the answer? The questions are fun though; they at least make me think about those things I wouldn't normally think of!