USPSTF recommends CT lung cancer screening

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dhavalp

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  1. Attending Physician
Dreaming of a day when these folks will write a comprehensive book (updated as the exam is updated) for med students to use instead of having every tom, dick and harry medical organization having med students remember a different set of guidelines.
 
Dreaming of a day when these folks will write a comprehensive book (updated as the exam is updated) for med students to use instead of having every tom, dick and harry medical organization having med students remember a different set of guidelines.

Yeah that would be nice haha! I doubt they will update the exam this soon with these new guidelines. Another one is this new screening all baby boomers for Hepatitis C.
 
Screening for Hepatitis C Virus Infection in Adults:
The USPSTF recommends screening for hepatitis C virus (HCV) infection in persons at high risk for infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.

Link:
http://www.uspreventiveservicestaskforce.org/uspstf/uspshepc.htm
 
Not sure if shelf exams are updated as frequently as step 2....but one question on my peds shelf said how the girl got a pap smear because she was sexually active at 19 and then asked an unrelated question. I was like woah...that hasn't been updated in nearly a half of a decade.

We are talking about a few days or a week here. No way they will update it.
 
No lung cancer screening for at least a few years. That should mean everyone who is reading this thread now or in the next year is safe.

Interesting idea for CT scanning for screening.... I think expenditures are going to shoot through the roof in terms of screening now.
 
Dreaming of a day when these folks will write a comprehensive book (updated as the exam is updated) for med students to use instead of having every tom, dick and harry medical organization having med students remember a different set of guidelines.

An even better idea is to make the question bank open.
20,000 questions or so. You can see the questions that might pop up. If you memorize them, so what? You've memorized what they say you need to know -- seems the most effective way to make sure we have the knowledge they want us to have.
The problem with this method is that it undermines what the usmle really is - an intelligence test. They don't get to use all of their little tricks with 30-line long question stems that boil down to 'do you know that barium can't be used in suspected esophageal perforations?' that really don't test you on your medical knowledge but how fast you can read and how good your attention span is. The test, as is, appears to reward analytical thinking, but in reality, it punishes analytical thinking, because if you gave each question the analysis it deserved, you would never finish.

This is the way the FAA exams are. All the questions are posted publicly. You either know that in type E airspace when flying under visual flight rules, you must must maintain a minimum of 500 ft. between your aircraft and overhead clouds, or you do not. The questions do not say "pilot joe is flying a twin engine aircraft through type e airspace when he approaches a hot air balloon 3000 feet below him in type g airspace. Civilian twilight began 20 minutes ago. The copilot just informed him that he had 3 shots of whiskey 7 hours ago. He realizes he forgot to set the transponder after he took off and checks it - it says 1200. He is not carrying passengers and has not filed an IFR flight plan and is approaching clouds. In the past 6 months, he has completed 3 ILS approaches, and 2 simulated VOR approaches. What should his first action be? Requiring you to sift through about 15 different obscure facts in order to see if you know a single piece of knowledge. Anybody else would think this kind of question is absurd. USMLE plays these games to stratify test takers based on processing power, not knowledge base.

That's a shame. Imagine being in the ER: "Dr! We have a 88 year old man who just came in for shortness of breath and seizures. The EMTs were kind enough to do an EKG on the way and interpret for you - he has ST elevation in lead 2 and 3. We called his son who said he is a jehovah's witness and was a welder for his entire life. He has smoked 3 packs a day for 25 years. His BP is 180/95. His left face looks droopy, don't you think? He has a pacemaker. We found a bottle of aspirin in his coat pocket, along with a bottle of statins and metforim, an epi pen, 4 marbles, a box of matches from the Tip-Top club with a phone number on it, and a bus ticket from Arizona. WHAT DO WE DO DR?!

Ah, uhhh, lets go with ahhh, CT scan, ah no wait, ah call the ethics committee. **** I'm two minutes behind already on my next patient... Put him over there and give him a coke, I'll come back to him if I have time left at the end of my shift.
 
Imagine being in the ER: "Dr! We have a 88 year old man who just came in for shortness of breath and seizures. The EMTs were kind enough to do an EKG on the way and interpret for you - he has ST elevation in lead 2 and 3. We called his son who said he is a jehovah's witness and was a welder for his entire life. He has smoked 3 packs a day for 25 years. His BP is 180/95. His left face looks droopy, don't you think? He has a pacemaker. We found a bottle of aspirin in his coat pocket, along with a bottle of statins and metforim, an epi pen, 4 marbles, a box of matches from the Tip-Top club with a phone number on it, and a bus ticket from Arizona. WHAT DO WE DO DR?!

:laugh: ... hilariously written question stem! you should write for USMLE 😉
 
An even better idea is to make the question bank open.
20,000 questions or so.
I say they should announce their sources, especially when they want (or more importantly, don't want) answers based on the "latest evidence".

The test, as is, appears to reward analytical thinking, but in reality, it punishes analytical thinking, because if you gave each question the analysis it deserved, you would never finish.
They're probably getting us used to not being able to give each patient the care they deserve either.

USMLE plays these games to stratify test takers based on processing power, not knowledge base.
Funnily enough, the exams in my country take the complete opposite approach, the knowledge base one requires is essentially every word of every book and paper ever published. From hearsay, questions asked include the ratio of diameters of the round and oval window, and the airspeed of a house fly.
 
Funnily enough, the exams in my country take the complete opposite approach, the knowledge base one requires is essentially every word of every book and paper ever published. From hearsay, questions asked include the ratio of diameters of the round and oval window, and the airspeed of a house fly.

No wonder everyone comes the to US for medical care. You all know the airspeed of a house fly when clearly the airspeed of a mosquito is more pertinent.
 
No wonder everyone comes the to US for medical care. You all know the airspeed of a house fly when clearly the airspeed of a mosquito is more pertinent.

Spoken like a true outsider, everyone knows mosquitoes don't fly. They phase in and out, that's the buzzing sound you hear in your left ear one second and your right the next. What do they teach you in school over there?
 
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