Ucem osce scenario 2017.1
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
After years of preparation, extensive reading, sleepless nights, marriage breakdowns and caffeine – your week of being show ponies has arrived as the F.UCEM examinations are upon us. Giving hope to those who pray to the Utopian FSM we have managed to locate and leak one of the OSCE examination questions for the upcoming exams – hope it helps.
UCEM OSCE SCENARIO
You are the ED Consultant in charge of a tertiary hospital ED
You are approached by the red team night regi...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Utopian Medicine F.UCEM OSCE Source Type: blogs
I ’ve seen over 8,000 medical professionals. Here’s what I’ve learned.
Today, I am a 40-year old with type 2 diabetes. I have been on glyburide since I was diagnosed four years ago and am otherwise healthy, although my blood pressure today is 140/96. I don’t check my glucose levels at home because I don’t have a monitor. Typically, I avoid sweets, but my diet is high in natural sugars, carbohydrates and starches. The only exercise I get is walking around on the floor of my retail sales job. My diabetic mother died of kidney failure, and I don’t want that to happen to me, which is why I’m seeing my doctor today.
Today, I am Lucy. Tomorrow, I will be someone else.
In real life, I’m a ...
Source: Kevin, M.D. - Medical Weblog - April 30, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/esther-covington" rel="tag" > Esther Covington < /a > Tags: Patient Medical school Source Type: blogs
The importance of a doctors ’ union in the age of Gorsuch
Before I started my residency program at Boston Medical Center (BMC), I had no idea that residents were unionized at 60 hospitals across the country. I actually didn’t know much about unions or the labor movement until I got involved in contract negotiations between my own union, the Committee of Interns and Residents (CIR), and Boston Medical Center administration. Through this process, I now know what it is like to really be part of a union and I am proud to say I am a union member. Here’s why:
Unions have collective power culminating in one voice.
That means the more members we have in our union, the more power we h...
Source: Kevin, M.D. - Medical Weblog - April 24, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/amir-meiri" rel="tag" > Amir Meiri, MD < /a > Tags: Physician Residency Source Type: blogs
Thanks for listening
When we walked into the room, you could sense the anger and frustration on the patient’s face, as well as two other relatives in the room. We knew that the patient had had lung cancer for several months and had failed radiation and chemotherapy. He had labored breathing and looked miserable.
I went to his bed and asked if I could sit down on his bed. I took his wrist and began checking his pulse. Then I asked him to tell his story.
The 50-something patient had many pack years of cigarettes. He understood his diagnosis and wanted to pursue further treatment options. His breathing had worsened, partly due t...
Source: DB's Medical Rants - April 16, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Physician Suicide
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
A friend of mine killed himself recently. I wouldn’t say he was a close friend, as such; the frequently discussed “beer after work” never quite materialised. This wasn’t through a lack of trying, though life always got in the way; but we had worked together over a number of years, published together and repeatedly put the world to rights over the course of long emergency department night shifts, and his death has hit me far, far harder than I would have expected.
He wa...
Source: Life in the Fast Lane - April 7, 2017 Category: Emergency Medicine Authors: Andrew Tabner Tags: Work Life Balance Andrew Tabner physician suicide Type A personality Work-Life-Balance Source Type: blogs
Things that bug me – 5 – ordering orthostatic BP rather than doing it oneself
This happens too often in my opinion. A patient comes to the emergency department after a syncopal episode. The next day on rounds, the intern reports that h/she order orthostatic BP but it was not done.
Now, some medical pundits have suggested that the physical exam is no longer relevant. No serious internist really believes that.
The first step in evaluating syncope is checking for orthostatic hypotension. If the patient does have orthostatic hypotension, then the pulse response can certainly help.
In such patients, measuring the BP and pulse is usually the most important part of the physical exam. Then why do ...
Source: DB's Medical Rants - March 14, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Compartmentalization failed me, and I ’m forever grateful
I’m humbled by the honor to practice medicine. We have the opportunity to be frontline participants in an ever evolving cascade of events in the lives of others. Our decisions, directions, and split second actions have the ability to unite families, sustain breath or literally a beating heart. Although biased, I can’t think of many professions more fulfilling and honorable. There are issues and concerns, but they pale in comparison to the fulfillment and gratitude I encounter on a daily basis.
As an emergency physician, I’m involved in many frontline encounters of life and death. Our seemingly ritualistic c...
Source: Kevin, M.D. - Medical Weblog - March 2, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jeffrey-mcwilliams" rel="tag" > Jeffrey McWilliams, MD < /a > Tags: Physician Emergency Source Type: blogs
Turns Out Most Patients Actually Like Their Radiologists
The doctor-patient relationship isn ’t always smooth sailing. The exam room is a vulnerable space for patients where some feel like their health is being scrutinized. Others complain that they don’t get enough face time with their physician, take for example this one 2013study that found medical interns only spend 12 percent of their working hours in direct service with their patients. However, radiologists might be outlier in the industry. According to a study published in theAmerican Journal of Roentgenology, radiologists receive overall positive feedback from their patients. Researchers evaluated 1,891 patient revi...
Source: radRounds - February 23, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs
To BPT, or not to BPT, that is the junior doctor ’s question …
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
As my graduating peers and I embark on our medical careers, it’s a fitting time to consider which medical careers we actually desire. I’ve always had a strong sense of direction for the specialty path I wish to pursue, but at times, like now, I flirt with the idea of pursuing other avenues. It is an important issue that deserves deliberate consideration as it’s what most of us will dedicate the lion’s share of our lives to.
Is being a “specialist in life” as a GP ...
Source: Life in the Fast Lane - February 21, 2017 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical career basic physician training BPT Source Type: blogs
Getting an Early Start: Developing the MD-MEd Program at Vanderbilt University
By: William Sullivan, MD, MEd
William Sullivan, MD, MEd is a fourth-year resident in internal medicine and pediatrics at Vanderbilt University Medical Center. He is the first Vanderbilt Medical School graduate to earn both the MD and MEd degrees jointly. He will be chief resident in internal medicine during the 2018–2019 academic year.
When I was a third-year medical student at the VA hospital in Nashville, an attending physician posed a simple question that fueled my desire to delve deeper into medical education. “How do you think about acute kidney injury?” he asked, after silently listening to my presentation. I w...
Source: Academic Medicine Blog - February 16, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Trainee Perspective humanities in medicine medical education medical students professional identity formation Source Type: blogs
Travel Ban Is Revealing —but Does Not Threaten American Medicine
BY JANE ORIENT, MD
A 90-day ban on travel from seven countries has sparked tremendous outpourings of worry or outright opposition by some 33 medical organizations.
“The community is reeling over the order, fearing that it will have devastating repercussions for research and advances in science and medicine,” states an article in Modern Healthcare.
Certainly the order is disrupting the lives of individual physicians who have won coveted positions in American medical institutions and were not already in the U.S. when the order was issued. Also their employers have a gap in the work schedule to fill. War tears people’s ...
Source: The Health Care Blog - February 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
On National Women Physician Day, how far have we come?
I was thrilled when I found out that February 3rd is officially National Women Physician Day. Then I realized that February 3rd coincided with the 195th birthday of Elizabeth Blackwell, the first woman to receive a medical degree in America. Dr. Blackwell had the strength and determination of a superhero. She faced extreme opposition, was rejected numerous times, and was still seen as an oddity and inferior when she was finally “accepted” to medical school. When she finally became a doctor, there were many men who refused to work with her, refused to assist her in surgery. While there were many female healers and nurse...
Source: Kevin, M.D. - Medical Weblog - February 3, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/eve-kellner" rel="tag" > Eve Kellner, DO < /a > Tags: Physician Primary care Source Type: blogs
Building Unity Farm Sanctuary - First Week of February 2017
Running an animal sanctuary requires constant attention to the care and well being of all the creatures living there. This week, Pippin, our 30 year old Welsh pony stopped eating hay and required urgent intervention. He did not appear to be suffering from colic. He ate treats and sweet grain, which we minimize because of his Cushing ’s disease. We knew he had numerous dental issues but to evaluate the situation he needed to be sedated. The vet figured out he had a loose tooth that prevented him from chewing grasses. She removed the tooth, placed him on antibiotic coverage and ...
Source: Life as a Healthcare CIO - February 2, 2017 Category: Information Technology Source Type: blogs
How to Achieve Any Goal In 5 Easy Steps
You're reading How to Achieve Any Goal In 5 Easy Steps, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
If you could achieve just one thing this year, what would it be?
Whether you’re picturing yourself crossing the finish line of the London marathon, shaking hands with your boss after earning a huge promotion, or buying a one-way ticket to Australia, all of us dream of becoming a better, happier, healthier version of ourselves. Yet so often the goals we set seem so hopelessly impossible to achieve that we give up befo...
Source: PickTheBrain | Motivation and Self Improvement - January 31, 2017 Category: Consumer Health News Authors: Beth Leslie Tags: featured happiness motivation self improvement success goals resolutions selfimprovement Source Type: blogs
Advice for students and residents – always remember that the patient is a person
The title could (and should) provoke controversy and concern. Yesterday, I was giving feedback to my interns and resident after a 2 week VA rotation. We had an interesting 1/2 month. Several patients stand out, not because of their disease, but because we focused on them and how to help them.
A phrase I often use points out that we have two jobs, treat the disease and treat the person. Understanding the person with the disease often trumps understanding the disease. We have many patients for whom we have no more options to eradicate the disease. We always have options to help the person.
Patients can tell if yo...
Source: DB's Medical Rants - January 30, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
