Arranging follow up: medical-legal risk?
I'm a newish EM attending, who recently started practicing in a new hospital that has much fewer resources than places I've previously worked. The call panel gets more and more bare bones everyday--no neurosurg, cardiothoracic, ENT, ophtho, OMFS, ortho, plastics, hand. On top of that, the population is heavily Spanish-speaking only, heavily uninsured/Medicaid only, and patients frequently have no PMD. Wondering if anyone can share best practices on how they set up follow up care with... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2021 Category: Universities & Medical Training Authors: holabuster Tags: Emergency Medicine Source Type: forums

Bad to have multiple low-hour volunteer activities?
So I'm at the point where I'm prepping for reapplication in case things don't go my way this cycle. The only red flag on my application that I'm aware of is a significant lack of volunteer hours. I want to increase at least the clinical volunteering hours, but I haven't been able to find opportunities that offer a lot of hours and that work in my schedule. This semester, I have joined the volunteer team with a mobile clinic that serves uninsured patients in my area, but they don't have any... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 21, 2021 Category: Universities & Medical Training Authors: EmmaculateMD Tags: Pre-Medical - MD Source Type: forums

Pill Mill Shutdown
I'm hospital employed. Recently, a local pain management clinic was shut down. It was cash pay, non-Interventional. MED doses ranging from 30-300, probably 80% of patients on Benzos, vast majority uninsured or "self pay" with a smattering of Medicaid. These patients have now fled into the community and most are seeing their PCP's, who give one month refills of their old regimen and then "refer to pain management." All the local PP's in town block them at the level of the receptionist, so... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2020 Category: Universities & Medical Training Authors: Centurion38 Tags: Pain Medicine Source Type: forums

Aymptomatic HTN...that actually has damage
So we all know the ACEP policies regarding asymptomatic HTN. But what do you do when that screening comes back positive? Some proteinuria, very mild AKI, etc... Not much in the way of recs on that regard. Especially if the patient doesn't have any established f/u. Admit and subject them to a hefty inpatient bill(especially if uninsured)? Hope they followup in the standard 1-3 days? I've had this dilemma a few times recently since entering the "real world." Obviously not including the people... Aymptomatic HTN...that actually has damage (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2020 Category: Universities & Medical Training Authors: wareagle726 Tags: Emergency Medicine Source Type: forums

Diversity topic?? I'm so desperate...
I know the diversity essay isn't just referring to race/ethnicity/religion but for context I'm ORM, second-generation, middle class. I am really having a hard time coming up with a decent topic because I am truthfully not that interesting of a person. 1) Lots of off-campus involvement during undergrad. A majority of my ECs revolved around community outreach, specifically in an urban underserved area with large immigrant and uninsured populations. I made it a point to engage with the city's... Diversity topic?? I'm so desperate... (Source: Student Doctor Network)
Source: Student Doctor Network - August 16, 2020 Category: Universities & Medical Training Authors: gljj Tags: Pre-Medical - MD Source Type: forums

What do you recommend patients with no insurance do when they can't afford their inhaler?
Let's say you have a patient on medium dose ICS/LABA and can't afford it. Assume he/she has no allergies. If they can't afford it, I see about the doctor changing it to airduo and using the goodrx card. This patient has no insurance. Have another patient who can't afford Dulera 200. The savings cards for symbicort/dulera/breo aren't very good anymore. I recommended they try advair diskus generic on the goodrx card. What do recommend to people when they have no insurance and can't afford... What do you recommend patients with no insurance do when they can't afford their inhaler? (Source: Student Doctor Network)
Source: Student Doctor Network - June 20, 2020 Category: Universities & Medical Training Authors: n64bomb Tags: Pharmacy Source Type: forums

Seeking volunteers for a free telemedicine clinic for Coronavirus patients
We're a team of volunteers setting up a COVID-19 telemedicine clinic staffed by volunteer medical students, doctors, nurses, and retirees. This is to give healthcare providers on standby & in isolation a way to still provide services to the public. Patients in vulnerable communities (particularly uninsured people) will be able to get an instant video consultation from any phone or computer without needing to pay or install an app. The technology was built out over the last few days and is... Seeking volunteers for a free telemedicine clinic for Coronavirus patients (Source: Student Doctor Network)
Source: Student Doctor Network - March 27, 2020 Category: Universities & Medical Training Authors: ghu7994 Tags: Internship, Residency and Fellowship Positions Source Type: forums

Government is full of crap on COVID-19 testing
I cant believe the level of total utter chaos in the COVID-19 testing sphere, something every country has been able to figure out without much trouble. To recap: ~Trump said testing would be free for those who want it ~Gavin Newsom said there would be NO co-pay ~Pence now says that even UNINSURED will get the test for free Fine, fine I get this is totally steamrolling... CMS is real sh!t disturber of this theater of the absurd released a guidance in 2018 basically saying they would pay... Government is full of crap on COVID-19 testing (Source: Student Doctor Network)
Source: Student Doctor Network - March 16, 2020 Category: Universities & Medical Training Authors: LADoc00 Tags: Pathology Source Type: forums

Help with school list/what are my chances?
MCAT: 518 GPA: 3.97 sGPA: 3.94 ORM Clinical Experience Volunteering 380 hours over the past couple of years at a volunteer clinic for the uninsured. I triage, take vitals, coordinate payment plans, run EKGs, translate, schedule...basically everything cause it's a small, understaffed, overcrowded clinic (I will continue volunteering here) 240 hours last summer helping take visual acuity measurements and disbursing medication in Ghana 30 hours of hospice care over... Help with school list/what are my chances? (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2019 Category: Universities & Medical Training Authors: touchdowntrevor Tags: What Are My Chances? WAMC Medical Source Type: forums

How often do you encounter patients from other countries with no travel insurance...
I have encountered almost at least once every couple admitting shifts there are one or two patients who travelled from another country just to take advantage of the healthcare here. But have no insurance or plan to pay, and our hospital eats the costs. Anyone in the ER notice the same? Or just my city? Had one patient was a grandfather to family living here in the US. This grandfather resided in India and had been told by his doctor there that his diabetic/PVD diseased maggot infested and... How often do you encounter patients from other countries with no travel insurance... (Source: Student Doctor Network)
Source: Student Doctor Network - July 27, 2019 Category: Universities & Medical Training Authors: wamcp Tags: Emergency Medicine Source Type: forums

What Are My Chances? Low MCAT Average GPA Good Experiences
Thank you for taking the time to read this. I appreciate it so much. Major: Cell Biology cGPA: 3.67 sGPA: 3.61 MCAT: 501 (127/122/127/125) Extracurriculars: 1000+ research hours - oral presentation - Research support grant recipient - 2 poster presentations primary author - possible publication by matriculation 300+ clinical hours - Providing screenings for uninsured individuals around my campus area - Working at a free health clinic - Cardiorehabilitation center volunteer 100+... What Are My Chances? Low MCAT Average GPA Good Experiences (Source: Student Doctor Network)
Source: Student Doctor Network - June 26, 2019 Category: Universities & Medical Training Authors: malicky98 Tags: Pre-Medical - DO Source Type: forums

Are volunteers ethically allowed to do this?
I volunteer at a free medical clinic for low income and uninsured individuals. My position is in the back office, where we call patients in from the waiting room to interview them and record basic vitals in their chart before they see the doctor. I ask the patient's birthdate to confirm, then take height, weight, blood pressure (automatic), temperature, and record respiratory rate. On rarer occasions I do finger pricks to test blood sugar for diabetic patients, or ask female OBGYN patients a... Are volunteers ethically allowed to do this? (Source: Student Doctor Network)
Source: Student Doctor Network - June 23, 2019 Category: Universities & Medical Training Authors: blueberry4104 Tags: Pre-Medical - MD Source Type: forums

Criminal conviction for medical school
Thread Starter Criminal conviction for medical school Follow 5 hours ago 5h ago ...
Source: The Student Room - May 18, 2019 Category: Universities & Medical Training Authors: KingOfAfrica Tags: Medicine Source Type: forums

frequent fliers you can't get rid of
I'm sure we've all got the frequent flier population in our ED. There's one group that's just there by choice, because they're drug seekers, want food etc. etc. But another group is the one that's there because of systemic issues, which is the more difficult one to get rid of for most physicians, and i thought people might want to share stories about this group at their shop. We've got a young hemodialysis patient with no insurance, who shows up for dialysis every week, or 'when he's not... frequent fliers you can't get rid of (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2018 Category: Universities & Medical Training Authors: bravotwozero Source Type: forums

How would you set up your own independent pharmacy club/cash discount club?
Walmart has the $4 list Walgreens has Prescription Savings card club. How would an independent pharmacy set up a similar club? Say you wanted to give your club members a $10 charge on a regularly priced $34.99 medication if they are part of the club (assuming no insurance contracts) Would you simply change the price at the register, or would you have to set up an entire system where you create a bin, pcn, and ID number? (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2018 Category: Universities & Medical Training Authors: DrIndy Source Type: forums