No blame, no claim culture and infected blood scandal
(Source: BMJ Comments)
Source: BMJ Comments - May 21, 2024 Category: General Medicine Source Type: forums

MCAT question
Hi everyone, I have a bit of a strange case regarding the MCAT. Two years ago I scheduled to take the MCAT. My studying was very weak. I think I scanned through some kaplan books for about a month and maybe flipped through some anki cards here and there, but I was distracted and didn't put my all into it. I ended up getting a 503 (breakdown C/P: 125 CARS: 128 B/B: 125 P/S: 125). I stupidly didn't research what it meant to take the MCAT and didn't know that adcoms can see every score, but I... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 17, 2024 Category: Universities & Medical Training Authors: Coolguy23 Tags: Pre-Medical (MD) Source Type: forums

Whose heads are you scanning?
Was wondering if my practice matches others; single coverage community so don't get a lot of feedback kids = PECARN severe mechanism, worrisome story or exam = scan any age anticoagulated = scan (usually even if not headstrike) 65 or over with headstrike = scan Most curious about whether others scan anti coagulated or >65 falls with NO headstrike? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2024 Category: Universities & Medical Training Authors: TrailRun Tags: Emergency Medicine Source Type: forums

post-operative knee pain ( > 1 year out)
Hi, What is a good treatment for post-operative knee pain 1 year out (TKA), negative work-up of infection (3 phase scan, infecitous labs, no mechanical instability) Assuming, no genicular nerve block/ablation is option, no pes-anserine bursa. Does someone have streamlined approach to this? Would love review articles/approaches (Source: Student Doctor Network)
Source: Student Doctor Network - March 28, 2024 Category: Universities & Medical Training Authors: SpineandWine Tags: Pain Medicine Source Type: forums

Inbox management and other lifestyle questions
Incoming fellow. I made the mistake of joining the multiple physician Facebook groups and found these comments about the heme-onc lifestyle (can delete if this isn't allowed on sdn). The world today has moved very fast in Oncology, I spend 1 hour every night reviewing the latest data and still cannot keep up. The other half of my free time is fighting for scans and chemotherapy drugs that people need. And during my workout time, I try to answer all patient messages can be 50-100 a day... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2024 Category: Universities & Medical Training Authors: MifflinDunder Tags: Hematology / Oncology Source Type: forums

A national scandal
(Source: BMJ Comments)
Source: BMJ Comments - February 13, 2024 Category: General Medicine Source Type: forums

Foreign Step cheating scandal - recalls and screen shots
US Board Discloses Cheating, Grads Say Problem Is Rampant USMLE says it is invalidating some scores amid mounting allegations that online sellers of test questions have been operating without consequence. www.medscape.com Interesting development, posting since I haven't seen it discussed here yet. Given the high stakes, it's really not too surprising that this happens. Sheriff of Sodium's thoughts on how they were caught: I really think the benefits of high S2 scores tends to fade away somewhere in the low/mid 260s, so by pushing for 270s & ...
Source: Student Doctor Network - February 4, 2024 Category: Universities & Medical Training Authors: Billiam95 Tags: Medical Students (MD) Source Type: forums

M1 prostate / denial of treatment by Evicore
So, the Evicore guidelines say ... You can treat per STAMPEDE in these scenarios - meets low volume criteria BUT not by the standards of the study (i.e. they used bone scan which vastly under shows disease). In my case, the bone scan study showed limited disease. For whatever reason, a PSMA-PET was also ordered. Since that showed more disease than bone scan, this was considered high volume. - must be castration naive. If they got a smidgen of ADT, they are not eligible for treatment -... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: RealSimulD Tags: Radiation Oncology Source Type: forums

Dartmouth Cheating Scandal and Culture
Hello! To anyone who is a medical student at Dartmouth, what are your opinions on the culture among students or between students and faculty? I am considering applying to Dartmouth, but am worried about the support from faculty following the cheating scandal. I would love any personal insight about this! Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - January 3, 2024 Category: Universities & Medical Training Authors: Lauren Markus Tags: Medical Students (MD) Source Type: forums

AI workflow design thread
What's up muppets. The desire to collaboratively jam on AI-powered workflow automations and design has awoken me from an sdn slumber. I'd read through the seminal private practice threads which are quite inspiring and useful. I've scanned recent AI thread topics and found some lively interesting commentary. But besides @SmallBird 's idea about creating behavioral activation handout for depression and maybe a few ideas about clinical uses, I didn't see too many specific use case... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2024 Category: Universities & Medical Training Authors: Nasrudin Tags: Psychiatry Source Type: forums

Writing "RIP" in official documentation
I frequently see non-survivable trauma where I work. Junior staff are all writing "RIP" at the end of their notes. This is a neurosurg note from earlier today: "[history/exam findings] ... CT scan showed [findings] ... In keeping with non-survivable brain injury. RIP." Patient's still alive at the time of the note. It irks me a bit. Either keep it clinical and formal, or if you absolutely must write "may they rest in peace" or something. Not RIP... Also give the poor bastard 5 minutes to die... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 31, 2023 Category: Universities & Medical Training Authors: woopedazz Tags: Anesthesiology Source Type: forums

GAMSAT 2024 is online
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Source: The Student Room - December 1, 2023 Category: Universities & Medical Training Authors: moors Tags: Medicine Source Type: forums

Electronic Intake Data Capture in Pain Clinic
We still have patinets fill out paper charts, which is time consuming and not useful since it has to get scanned into the EMR, so not searchable. The patient is giving you the HPI basically in writing. This should be going automatically into your note, IMO, without manual input. Is anyone here doing all electronic data capture on intake and follow up? Are you doing PROs (outcome measures) to see the efficacy of your treatments? One of the departments here hands every patient an ipad in the... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 24, 2023 Category: Universities & Medical Training Authors: drg123 Tags: Pain Medicine Source Type: forums

Hand held ultrasound?
Does anyone have a handheld ultrasound system they recommend? My main use case for ultrasound is essentially piriformis, knee/shoulder, and carpal tunnel injection (in that order of frequency). Ideally I’d need a linear and curved probe to cover superficial and deep structures…even better if unit has both. I’ve looked online at Clarius, Butterfly IQ, Eagle View, Vue scan but no real world usage. I hate subscriptions which a lot of the companies use to lock in useful features like needle... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 10, 2023 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums

Perverse incentives in the underfunded NHS Re: “Silent scandal” of missing lung diagnostics in England’s most deprived areas—where respiratory disease is most prevalent
(Source: BMJ Comments)
Source: BMJ Comments - October 2, 2023 Category: General Medicine Source Type: forums