Medliorate

Improving medical students

Archive for June, 2010

How to Be a Problem Solver on the Wards

Posted by medliorator on June 10, 2010

take special note of the things the residents and attendings complain about.  What annoys them?  What frustrates them?  Come to think of it, when you are on their service, what annoys/frustrates you?  Make it your goal during 4th year to fix one of these problems.  They will be impressed.

During my fellowship, one of the residents noticed that the ICU attendings complained a lot about the care the Emerency Department (ED) was providing to patients with diabetic ketoacidosis (DKA)…. He did a literature search on diabetic ketoacidosis and created a clinical pathway complete with a standard order sheet (so you really can’t screw up the pathway) that the ED and ICU both agreed to.

Turning Problems into Opportunities to Impress [Medscape]

Corollary: How to Master Humility on the Wards

Posted in Clinical Rotations | Comments Off on How to Be a Problem Solver on the Wards

Nasopharyngeal Specimen Collection – A Guide for Medical Students

Posted by medliorator on June 8, 2010

The New York City Department of Health has prepared an excellent guide for nasopharyngeal specimen collection that describes both nasopharyngeal aspirate and nasopharyngeal swab methods.  This concise review will prove helpful for those medical students beginning outpatient medicine rotations or family medicine.

Nasopharyngeal Specimen Collection for Viral Respiratory Pathogens [NYC Dept of Health]

Posted in Diagnostic Examination, Family Practice, How-To, Infectious Disease | Comments Off on Nasopharyngeal Specimen Collection – A Guide for Medical Students

Basic Lung Sound Primer

Posted by medliorator on June 4, 2010

Stethographics offers a review of commonly encountered lung sounds that includes audio samples and graphical illustrations of the following breath sounds:

  • Bronchial
  • Vesicular
  • Fine Crackles
  • Coarse Crackles
  • Wheezes
  • Rhonchi

Don’t forget to check out there brief heart sound primer.

Basic Lung Sounds [Stethographics]

Posted in Diagnostic Examination | Comments Off on Basic Lung Sound Primer

Caffeine Maintenance – Can Missing Your Morning Cup of Coffee Reduce Productivity?

Posted by medliorator on June 2, 2010

An update on Professor Peter Rogers caffeine research…

“Although frequent consumers feel alerted by caffeine, especially by their morning tea, coffee, or other caffeine-containing drink, evidence suggests that this is actually merely the reversal of the fatiguing effects of acute caffeine withdrawal,” wrote the scientists, led by Peter Rogers of Bristol’s department of experimental psychology.

The team asked 379 adults — half of them non/low caffeine consumers and the other half medium/high caffeine consumers — to give up caffeine for 16 hours, and then gave them either caffeine or …placebo.

The medium/high caffeine consumers who got the placebo reported a decrease in alertness and increased headache, neither of which were reported by those who received caffeine.

But measurements showed that their post-caffeine levels of alertness were actually no higher than the non/low consumers who received a placebo, suggesting caffeine only brings coffee drinkers back up to “normal.”

Caffeine addicts get no real perk from morning cup [Reuters]

Corollary: Achieve Morning Alertness without Caffeine
Corollary: Neuroprotective Effects of Caffeine
Corollary: Coffee Drinking and Heart Disease
Corollary: A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features.

Posted in Productivity, Wellness & Health | Comments Off on Caffeine Maintenance – Can Missing Your Morning Cup of Coffee Reduce Productivity?