Trouble with fellowship
I’m a pulmonary/critical care fellow, and I’m finding myself surprised with hospitalist requests and interactions lately. I find that I’m frequently tasked with: obtaining IV access, requests for educational materials for the residents on their team, consults for procedures that are not pulmonary related (Like lumbar punctures), insistence on performing procedures that I don’t think are appropriate, etc. I use the word request but it feels like the expectation is that I do whatever they...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2021 Category: Universities & Medical Training Authors: Levofriend Tags: General Residency Issues Source Type: forums
Leptomeningeal Carcinomatosis
Case discussion time. Serious replies only please.
Imagine a hypothetical young woman, 35 years old with known breast cancer on systemic therapy, well controlled and limited systemic disease, comes in to ED with headaches that become controlled on dexamethasone. MRIs of brain and total spine show subtle faint streaks and dots consistent with leptomeningeal carcinomatosis in brain and cauda equina. Lumbar puncture is performed confirming cells in CSF on cytology. You are the rad onc...
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Source: Student Doctor Network - June 18, 2021 Category: Universities & Medical Training Authors: Neuronix Tags: Radiation Oncology Source Type: forums
Performing Interventions as an Intern
I am an M4 in interview season. One of the practice questions I was asked was the following:
You are on call and a patient needs a lumbar puncture. You have never done one on a patient. But you have practiced on simulation models and have seen attendings do LPs.
The physician on call at home asks you to do the LP. Do you do it?
Is this a skill interns should be able to do without direct supervision? (Source: Student Doctor Network)
Source: Student Doctor Network - February 6, 2020 Category: Universities & Medical Training Authors: 1stYearGunner Tags: Internship Source Type: forums
Gaining 5 GCSEs and 3 A-levels within 4 years possible???
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Gaining 5 GCSEs and 3 A-levels within 4 years possible???
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Source: The Student Room - September 29, 2018 Category: Universities & Medical Training Authors: ecolier Tags: Medicine Source Type: forums
Re: Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline
(Source: BMJ Comments)
Source: BMJ Comments - June 26, 2018 Category: General Medicine Source Type: forums
ED Procedures for Med Students
Aloha everyone, and Happy New Year
I haven't done my EM rotations yet, but I want to watch some videos to familiarize myself with procedures that are done in the ED so that I can assist/do when needed on my rotations. I wanted to touch base with the forum and get a sense of what procedures I should keep in mind. Could we put together maybe a top 10 or top 20 list? Off the top of my head, I'm thinking definitely venipuncture and maybe abscess I+D, lumbar puncture, intubation & central...
ED Procedures for Med Students (Source: Student Doctor Network)
Source: Student Doctor Network - January 10, 2018 Category: Universities & Medical Training Authors: Perfect Hair Day Source Type: forums
Lidocaine necessary for lumbar puncture?
Lidocaine often messes up my landmarks for LP. Everything gets too squishy and I can't repalpalpate as well for spinous processes to make sure I'm dead center. What are your thoughts on Versed +/- Fentanyl and just using the spinal needle without local? Crazy? Cruel? (Source: Student Doctor Network)
Source: Student Doctor Network - June 7, 2017 Category: Universities & Medical Training Authors: Angry Birds Source Type: forums
Mayo Clinic Arizona IM training program - resident experience
Wanted to let applicants know about the training experience in this program. They do have the Mayo name and that is about it. The variety of cases seen is pretty poor. Just a lot of zebras. Bread and butter cases are not frequent. ICU rotation sucks. You are just a note monkey. Just putting in notes for the patients. Do not get to do enough procedures. They call themselves the safest teaching hospital in the county. You get only one stick for central line placement / lumbar puncture, after...
Mayo Clinic Arizona IM training program - resident experience (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2016 Category: Universities & Medical Training Authors: immayo078 Source Type: forums
Needle type for lumbar puncture, time for a change
(Source: BMJ Comments)
Source: BMJ Comments - December 19, 2014 Category: Journals (General) Source Type: forums
