Online preceptor for non-clinical ultrasounds?
A few of us independent solo or small group family docs in our area are working on adding Point of Care Ultrasound (POCUS) but are having a hard time hiring a local or online preceptor to review scans we've done so we can get enough precepted scans to satisfy our med mal carrier.
We've already had courses, have the equipment (mostly Butterflys) and are piling up scans but have yet to find a preceptor to review them with us. These are scans that we've done for our own training, not...
Online preceptor for non-clinical ultrasounds? (Source: Student Doctor Network)
Source: Student Doctor Network - March 1, 2020 Category: Universities & Medical Training Authors: FamilymedMD Tags: Family Medicine Source Type: forums
Institutional Action Warning -- False accusation
Hi all,
Recently, my online music class was involved in a cheating scandal. Essentially, a group was created by my friend who created it with good intentions, but it ultimately ended up turning into a hub where students sent test answers. My friend and I were completely unaware of this, but were caught in the middle of it, unfortunately.
We were joking around and I basically asked if anyone would write my papers for the course, and he proceeded to ask for $20. It was...
Institutional Action Warning -- False accusation (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2020 Category: Universities & Medical Training Authors: freshdoe Tags: Pre-Medical - MD Source Type: forums
Re: Clare Gerada: We need to stop being frightened of the bogeyman; GMC has failed to prevent large scale medical scandals
(Source: BMJ Comments)
Source: BMJ Comments - February 25, 2020 Category: General Medicine Source Type: forums
Ophthalmology residency in a scandinavian country as a German
Hello, everyone!
I am a resident ophthalmologist in my third year in Germany. The working and living conditions in Germany (in medicine) are not the best. Because of the very good living conditions (work, leisure, nature, social-security and education) my wife and I to move to a Scandinavian country (Sweden, Norway or Denmark). We would like to do that in about 12 months, which is why I want to apply for a new job soon. So far, we "only" speak German, English and Spanish. As soon as I have...
Ophthalmology residency in a scandinavian country as a German (Source: Student Doctor Network)
Source: Student Doctor Network - January 14, 2020 Category: Universities & Medical Training Authors: All_in_and_out Tags: General Residency Issues Source Type: forums
Accused of cheating
Hey guys, I’m seeking out advice. I’ve been accused of cheating on a scantron sheet. My professor thinks that I changed the bubble sheet before returning it to her to regrade it because there were discrepancies. I am not a cheater. I have several peers and faculty members who can attest to my character. I am such a hardworking student and would never even think to cheat, especially on a scantron. I don’t know how to defend my innocence and for me all hope seems lost. I have a one on one...
Accused of cheating (Source: Student Doctor Network)
Source: Student Doctor Network - January 4, 2020 Category: Universities & Medical Training Authors: Character-Assisted Tags: Pre-Medical - MD Source Type: forums
Peer to peer for MRIs
I have noticed a trend over the past couple months that has me suspicious.
I have had 3 lumbar MRIs and a few CT scans to R/O badness come up with a peer to peer requests before approval. Granted, this is not unusual, however for this carrier (BCBS), I typically NEVER have to go through this process. Also, these are the first requests for a P2P that I've received all year, and they have all come in the last few months of the year. Has anyone else noticed a similar trend?
Is there a...
Peer to peer for MRIs (Source: Student Doctor Network)
Source: Student Doctor Network - December 30, 2019 Category: Universities & Medical Training Authors: mark v Tags: Family Medicine Source Type: forums
Measuring Quality for ED Doc pay
Another question about ED doc pay.
Any of you guys and gals at your work have, as part of your compensation package, a component tied into the nebulous concept of "quality"?
It can come via any number of mechanisms, some fair and some not fair (i'm just tossing some out there)
- press gainey scores
- door-to-doc time
- 48 hr return rate
- CT scans ordered
- narcotics given
- Narcotic Rx given
- patient satisfaction
I know some of these are not based on quality. I'm just trying to get a...
Measuring Quality for ED Doc pay (Source: Student Doctor Network)
Source: Student Doctor Network - December 18, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums
How long should a woman have to wait for a scan?
(Source: BMJ Comments)
Source: BMJ Comments - November 27, 2019 Category: General Medicine Source Type: forums
Walter Reed Failed to Examine Almost 2,000 CT Scans - does this happen in a non-government institution?
Walter Reed Failed to Examine Almost 2,000 CT Scans
Nearly 2,000 radiology scans went unread for several years at Walter Reed National Military Medical Center, leading to at least one documented delay in treatment and one physician fearing hundreds more, an internal investigation found.
www.wsj.com
Nearly 2,000 radiology scans went unread for several years at Walter Reed National Military Medical Center, leading to at least one documented delay in treatment and one physician fearing hundreds more, according to an internal investigation.
The queue...
Source: Student Doctor Network - November 23, 2019 Category: Universities & Medical Training Authors: wamcp Tags: Radiology Source Type: forums
Silent PE
Should we look for silent pulmonary embolism in patients with deep venous thrombosis?
Anybody else find themselves scanning your DVT patients for PE more frequently after the publishing of all this literature touting the high percentage of silent PEs with concomitant DVTs?
Some of these numbers are crazy. 32%-66% in some of these studies. I doubt the clinical relevance. Most of these pt's are asymptomatic from the PE and are on proper anti-coagulation for the DVT and would probably be fine...
Silent PE (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2019 Category: Universities & Medical Training Authors: Groove Tags: Emergency Medicine Source Type: forums
overseas anesthesia?
has anyone ever done anesthesia overseas (UK, Scandinavia, Netherlands)? if so, is the process of maybe working overseas a few years even doable? love my current PP job right now but looking for something different maybe for a few years. i don't care about the pay cut but looking to experience something different. no kids, no SO, just alot of time on my hands. thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2019 Category: Universities & Medical Training Authors: jeesapeesa Tags: Anesthesiology Source Type: forums
Should we get a gas?
Work at a large community hospital.
Elderly female last night with obvious LVO and on CTP a huge amount of MCA territory brain at risk (almost the entire hemisphere). GCS is 11 at best. She is going for EVT. I'm with her in scanner and she starts looking a little worse, some grunting respiration and increased respiratory effort. I decide to intubate for airway protection before she goes up to lab. RT comes in and says "Should we get a gas first?" and then scoffs when I say "no".
When...
Should we get a gas? (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2019 Category: Universities & Medical Training Authors: migm Tags: Emergency Medicine Source Type: forums
Fibular osteomyelitis
I have several patients right now with fibular osteomyelitis that were dumped on me by ortho (ankle fracture ORIF complications) and two from wound care where chronic wounds were over the fibula for months and resulted in contiguous spread. Lab work up demonstrates elevated inflammatory markers. Advanced imaging workup usually includes CT/bone scan (if hardware present) and MRI (if hardware is not present).
What are people doing for these?
My go to is to excise the fibula and/or remove...
Fibular osteomyelitis (Source: Student Doctor Network)
Source: Student Doctor Network - September 25, 2019 Category: Universities & Medical Training Authors: CutsWithFury Tags: Podiatric Residents & Physicians Source Type: forums
Combined EM/Diagnostic Radiology?
Okey, why did i thought of this combination.
I work as EM resident in europe and we do not evaluate much CT scans. You can learn self of course. But my thought is - if you are double specialized with rad maybe it can give much to patient flow, you can take quick evaluations self and avoid long with times till you get rad answer. You have good ultrasonography skills and if you want to avoid a bit patient contact can work for exemple 50/50 or 60/40.
Maybe it is just me who thinks that way...
Combined EM/Diagnostic Radiology? (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2019 Category: Universities & Medical Training Authors: Mikucs Tags: Combined Residencies Source Type: forums
Re: Use of sodium glucose cotransporter 2 inhibitors and risk of major cardiovascular events and heart failure: Scandinavian register based cohort study
(Source: BMJ Comments)
Source: BMJ Comments - September 11, 2019 Category: General Medicine Source Type: forums
