Medliorate

Improving medical students

Archive for the ‘Family Practice’ Category

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]

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

How to Approach Adolescent Athletes – Sports Preparticipation Examination

Posted by medliorator on November 30, 2009

The adolescent athlete frequently appears in clinic for sports preparticipation examination.  3rd & 4th year medical students should be prepared.  Important aspects of this assessment include:

  • cardiovascular health (hypertrophic cardiomyopathy)
  • non-cardiac issues (loss of consciousness or concussion, recovery from musculoskeletal injuries)
  • general health assessment
  • counseling
  • assessing fitness level for specific sports

Medliorate readers will benefit from the Georgia Chapter of the American Academy of Pediatrics’ Preparticipation Physical Evaluation form.  Print off a few copies for your clinic rotations in pediatrics and family medicine.  The form includes a history portion that the guardian may complete.

AAP [Georgia Chapter]

Posted in Diagnostic Examination, Family Practice, Pediatrics | Comments Off on How to Approach Adolescent Athletes – Sports Preparticipation Examination

Family or Internal Medicine?

Posted by medliorator on December 6, 2008

Does family medicine training close doors?
Some argue pro and some con.  When examined objectively, family medicine opens many doors but does close some doors.  Choosing family medicine clearly leads to primary care or a closely related field.  Internal medicine still often leads to subspecialty training.  Many more internists become hospitalists than do family physicians.  I suspect that occurs due to a combination of ones preferences in selecting a specialty and the impact of the training.

Of course as an internist I am biased about the value of inpatient adult medicine education.

Once again, both choices are legitimate and desirable.  You should choose the one which fits your personality and your career goals.

Family medicine vs internal medicine II [DB’s Medical Rants]

Posted in Family Practice, Internal Medicine | Comments Off on Family or Internal Medicine?

Components of Good Rural Doctoring

Posted by medliorator on August 14, 2008

the success of family practice in adapting to the wide variety of rural settings lies within its generalist approach. We begin with a wide base of common illnesses across the lifespan, and this serves as a base from which to develop competence in more specialized topics. The generalist education prepares us to meet problems we’ve never seen before, research them, seek help when necessary, or initiate a work-up on our own. This is an approach which has served me extremely well during my first years in Rural, when I had to begin practicing in a community very different from the one I knew well during residency.

Components of the generalist mind-set:

  • An understanding that no problem is inaccessible to the generalist.
  • An independent cast of thought, an ability to keep your own counsel.
  • An intellectual curiosity that overpowers inertia. Investigating the unknown takes time and energy.
  • An ability to set a reasonable threshold for consultation, i.e. avoiding knee-jerk consultations but not delaying appropriate referral.
  • A tolerance for uncertainty.

Becoming a Rural Doctor, Part 2: The Generalist’s Mind [Rural Doctoring]

Posted in Clinical Rotations, Family Practice | Comments Off on Components of Good Rural Doctoring