rmorelan Posted November 5, 2012 Report Share Posted November 5, 2012 I am in a summer research program and I only get 1-2 weeks vacation. On one hand, I think I need my vacation to rest my brain but on the other hand I can see the merit in spending a week or two weeks doing medicine or something to help me improve my clinical skills. Physical exam skills are really the area I feel the least confident about, but I'm hoping I'll learn fast once clerkship starts. Actually I was surprised how made clerkship was for that They assume (as you have been taught) that you know all the physical examination skills by then. You will often simply be asked to go examine someone. It is great practise but often you have to self evaluate your performance. Link to comment Share on other sites More sharing options...
Renin Posted November 5, 2012 Report Share Posted November 5, 2012 I think it depends on your clerkship program, but if I had to do it again, I'd recommend spending the summer before living it up and catching up on sleep. I worked two jobs that summer (not recommended). I also think that reading all those "how to be amazing clerk" books are kinda pointless, because really ... just as long as you show up, be willing to work, be easy to work with and offer some good insights once in awhile, you're good to go. Link to comment Share on other sites More sharing options...
tooty Posted November 5, 2012 Report Share Posted November 5, 2012 that's an interesting perspective renin. it's important to note that the game is played differently for people interested in primary care vs. competitive residencies. for competitive residencies, I gather that PDs look to clerkship evaluations and comments to tease out the relative strengths of their applicants. while it's not bad to have comments like 'good to work with... enthusiastic,' they won't help to set you apart and may even look weaker compared to students who consistently have 'strong knowledge base... excellent student' in their evals. you can't really get great comments like that by just showing up, doing the work, and offer some insight once in a while. you have to stand out. Link to comment Share on other sites More sharing options...
NLengr Posted November 5, 2012 Report Share Posted November 5, 2012 that's an interesting perspective renin. it's important to note that the game is played differently for people interested in primary care vs. competitive residencies. for competitive residencies, I gather that PDs look to clerkship evaluations and comments to tease out the relative strengths of their applicants. while it's not bad to have comments like 'good to work with... enthusiastic,' they won't help to set you apart and may even look weaker compared to students who consistently have 'strong knowledge base... excellent student' in their evals. you can't really get great comments like that by just showing up, doing the work, and offer some insight once in a while. you have to stand out. For competitive residencies, they aren't gonna care how you performed on psych etc, just that you have no red flags (aka didn't show up etc.). Elective performance is what counts. Link to comment Share on other sites More sharing options...
Jochi1543 Posted November 5, 2012 Report Share Posted November 5, 2012 I think it depends on your clerkship program, but if I had to do it again, I'd recommend spending the summer before living it up and catching up on sleep. I worked two jobs that summer (not recommended). I also think that reading all those "how to be amazing clerk" books are kinda pointless, because really ... just as long as you show up, be willing to work, be easy to work with and offer some good insights once in awhile, you're good to go. Yeah, while I think a few weeks of clinical experience is nice, I definitely don't see the merit of spending your entire summer on it. Also, you forget so much once you leave a service. For example, I had my gen surg rotation not too long ago (May), but I am currently on a multidisciplinary elective where I'm spending a little bit of time with a surgeon, and I'm finding I've forgotten quite a lot. I have a Gen Surg elective coming up in a few weeks and I realized I'm gonna have to read up on some stuff again. Link to comment Share on other sites More sharing options...
Lactic Folly Posted November 6, 2012 Report Share Posted November 6, 2012 For competitive residencies, they aren't gonna care how you performed on psych etc, just that you have no red flags (aka didn't show up etc.). Elective performance is what counts. YMMV - all other things being equal, I'd favour someone with consistently strong performance across multiple rotations rather than someone who performed just adequately. It shows adaptability to different environments, skill in dealing with different personalities, and a consistent striving for excellence no matter the situation. As well, a consistent record boosts the validity of what are often rather subjective judgments of students made on the basis of limited exposure. IMO pulling out all the stops on an audition elective in one's area of interest is more expected than noteworthy. Link to comment Share on other sites More sharing options...
Renin Posted November 7, 2012 Report Share Posted November 7, 2012 For competitive residencies, they aren't gonna care how you performed on psych etc, just that you have no red flags (aka didn't show up etc.). Elective performance is what counts. FWIW; actually surgeons place a lot of stock on psychiatry. Link to comment Share on other sites More sharing options...
thebouque Posted November 8, 2012 Report Share Posted November 8, 2012 FWIW; actually surgeons place a lot of stock on psychiatry. No they don't Link to comment Share on other sites More sharing options...
rmorelan Posted November 8, 2012 Report Share Posted November 8, 2012 No they don't ha I guess it depends then on the surgeon. Link to comment Share on other sites More sharing options...
futureGP Posted November 9, 2012 Report Share Posted November 9, 2012 No they don't lets not fight! NPs are engorging upon our field! CRNAs are engorging upon our field! Pharmacists want prescription rights! NDs want prescription, diagnostic testing rights! Chiropractors want in it too! MDs need to unite! and protect our turf! while respecting the boundaries of other health care professionals! We don't ask to give elaborate diet management advice! we let dietitians do it! We don't ask to give us rights to sell medicine! We let pharmacists do it! We don't ask to be able to perform spinal maneuvers! We let chiropractors do it! We don't ask to be able to sell herbal medicines, homeopathic medicines! We let NDs do it! So leave us alone all you health care professionals! We respect your expertise and will refer you patients! Please respect ours too! Link to comment Share on other sites More sharing options...
justletmein Posted November 9, 2012 Report Share Posted November 9, 2012 lets not fight! NPs are engorging upon our field! CRNAs are engorging upon our field! maybe you meant... ENCROACHING? Link to comment Share on other sites More sharing options...
Lactic Folly Posted November 9, 2012 Report Share Posted November 9, 2012 I like engorging - it's more evocative. Link to comment Share on other sites More sharing options...
thebouque Posted November 9, 2012 Report Share Posted November 9, 2012 Troubled souls unite we got ourselves tonight I am fuel you are friends we got the means to make amends I am lost I'm no guide but I'm by your side I am right by your side Link to comment Share on other sites More sharing options...
deeman101 Posted November 9, 2012 Report Share Posted November 9, 2012 I am doing very well on exams and if prompted, things do come back to me - so perhaps I will buy a copy of T Notes this year to review before clerkship. I also have the Calgary Black Book. Basically clerkship teaches you to pre-empt with your knowledge in the practical setting instead. IMO just use 1st and 2nd year to gain familiarity with everything. So that when the cardio goes on a long winded talk about re-entry pathway pathophys you can look interested and engage him/her back every once in a while. And I actually think doing the USMLE the summer before is a great prep for clerkship. I've had a lot of "holy **** that BS from qbank is frealz!" moments. I don't think I ever recalled anything from med1/2 the same way. Mostly though is to stop freaking out and thinking about it if you are not actually a med3 yet. Its a hell of a ride as is already. No need to spend more time agonizing about it. Link to comment Share on other sites More sharing options...
tooty Posted November 9, 2012 Report Share Posted November 9, 2012 futuregp wins grammar-error-of-the-year award. bravo. Link to comment Share on other sites More sharing options...
NLengr Posted November 9, 2012 Report Share Posted November 9, 2012 FWIW; actually surgeons place a lot of stock on psychiatry. I can guarantee that we don't. Not to be offensive overall, we just don't care about psych performance when making CaRMS decisions. Link to comment Share on other sites More sharing options...
Lactic Folly Posted November 10, 2012 Report Share Posted November 10, 2012 I'm sure there is room for variation in individual preferences. People tend to like those who are like themselves.. athlete or mathlete. Link to comment Share on other sites More sharing options...
Robin Hood Posted November 10, 2012 Report Share Posted November 10, 2012 lets not fight! NPs are engorging upon our field! CRNAs are engorging upon our field! Pharmacists want prescription rights! NDs want prescription, diagnostic testing rights! Chiropractors want in it too! MDs need to unite! and protect our turf! while respecting the boundaries of other health care professionals! We don't ask to give elaborate diet management advice! we let dietitians do it! We don't ask to give us rights to sell medicine! We let pharmacists do it! We don't ask to be able to perform spinal maneuvers! We let chiropractors do it! We don't ask to be able to sell herbal medicines, homeopathic medicines! We let NDs do it! So leave us alone all you health care professionals! We respect your expertise and will refer you patients! Please respect ours too! thebouque is a resident. How did you conclude he's not in medicine? Link to comment Share on other sites More sharing options...
Hieu Posted November 10, 2012 Report Share Posted November 10, 2012 CRNAs are engorging upon our field! Nurse anesthetists have been providing anesthesia care in the United States for nearly 150 years. The first "official" nurse anesthetist is recognized as Sister Mary Bernard, a Catholic nun who practiced in 1877 at St. Vincent's Hospital in Erie, Pennsylvania (1). Reference : (1) Thatcher, V.S. (1953) History of Anesthesia, With Emphasis on the Nurse Specialist. Philadelphia: J.B. Lippincott Company, p. 54. Link to comment Share on other sites More sharing options...
rmorelan Posted November 10, 2012 Report Share Posted November 10, 2012 Nurse anesthetists have been providing anesthesia care in the United States for nearly 150 years. The first "official" nurse anesthetist is recognized as Sister Mary Bernard, a Catholic nun who practiced in 1877 at St. Vincent's Hospital in Erie, Pennsylvania (1). Reference : (1) Thatcher, V.S. (1953) History of Anesthesia, With Emphasis on the Nurse Specialist. Philadelphia: J.B. Lippincott Company, p. 54. True I mean in the operating room at least (and that really is a relatively small aspect of the thinking part of the profession) you can see the draw to nursing support. 99.9% of the time you are just sitting there. The argument is what happens when something goes wrong - and then you need someone with the higher level of training to jump in (which is why they have a ratio of docs to nurses for such things). Link to comment Share on other sites More sharing options...
aaronjw Posted November 10, 2012 Report Share Posted November 10, 2012 thebouque is a resident. How did you conclude he's not in medicine? What makes you conclude that he concluded that thebouque isn't in medicine? Link to comment Share on other sites More sharing options...
preppy038 Posted November 10, 2012 Report Share Posted November 10, 2012 FWIW; actually surgeons place a lot of stock on psychiatry. man.. psych's hard Link to comment Share on other sites More sharing options...
Robin Hood Posted November 10, 2012 Report Share Posted November 10, 2012 lets not fight! NPs are engorging upon our field! CRNAs are engorging upon our field! Pharmacists want prescription rights! NDs want prescription, diagnostic testing rights! Chiropractors want in it too! MDs need to unite! and protect our turf! while respecting the boundaries of other health care professionals! We don't ask to give elaborate diet management advice! we let dietitians do it! We don't ask to give us rights to sell medicine! We let pharmacists do it! We don't ask to be able to perform spinal maneuvers! We let chiropractors do it! We don't ask to be able to sell herbal medicines, homeopathic medicines! We let NDs do it! So leave us alone all you health care professionals! We respect your expertise and will refer you patients! Please respect ours too! Read his last paragraph. The message is adressed to the one futureGP was quoting. What makes you conclude that he concluded that thebouque isn't in medicine? Link to comment Share on other sites More sharing options...
preppy038 Posted November 11, 2012 Report Share Posted November 11, 2012 Read his last paragraph. The message is adressed to the one futureGP was quoting. i think that 'you' could also refer to all the other 'health care professionals' that futuregp talks about, just like when you address the public directly Link to comment Share on other sites More sharing options...
holiday1001 Posted November 11, 2012 Report Share Posted November 11, 2012 do any residents have insights as to how mac vs u of t clerks perform during electives? I've only recently begun to appreciate how different our pre-clerkship educations are Link to comment Share on other sites More sharing options...
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