JKL33

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About JKL33

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  1. JKL33

    Imposter syndrome

    If you are not being counseled by admin/preceptor about improvements that you need to make (in other words, if seem to be doing okay even though you may not feel like it) then carry on. Unfortunately I agree/would strongly advise against verbali...
  2. JKL33

    What skills should I develop and hone in med/surg?

    Use frequently (almost continually) on daily basis and the faster you become good at them the easier your life will be: Patient assessment, prioritization, professionalism, communication. Those last two affect everything, whether in terms o...
  3. JKL33

    EMTALA

    More info https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act
  4. JKL33

    EMTALA

    It can, but many times does not. All depends on specifics of how they are categorized and how they operate.
  5. JKL33

    EMTALA

    Those entities are (likely) not subject to EMTALA. https://www.acep.org/life-as-a-physician/ethics--legal/emtala/emtala-fact-sheet/ https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act
  6. JKL33

    Humiliated and scared

    Okay. nevermind.
  7. Good job maneuvering through this and good luck w/ the new job!
  8. JKL33

    Humiliated and scared

    I know it sounds outlandish given the OP's reporting of events, but may be one of the more reasonable things that happened actually, assuming that it could have been done 2/2 concerns of the ED provider based on exam. It certainly isn't something tha...
  9. That is not correct. Much better way to think of it is whether or not you have a legitimate need to know. Obviously one will have a legitimate need to know if the patient is directly assigned to you, but the opposite is not true (that if the pat...
  10. Agree with the poster above me. GBS has well-known association with viral illness. Your decision-making process is your own but the evidence-based position is that it is significantly associated with antecedent viral illness. According to UpToDate, a...
  11. JKL33

    Is this New Grad Residency Program...normal?

    If it seems like they were careful not to disclose their intention, that is certainly a red flag. As for the extended length of time with rotating shifts, it's a terrible plan. No one should be aiming that far out to do things that way but inste...
  12. We have fielded this type of comment many, many, many times, and the answer isn't going to change. Yes, we all make mistakes and we are all human. There are some types of things that are just hard stops, as in, I would *not* do that and it ...
  13. JKL33

    EMTALA

    Agree that she should've received a proper MSE (and whatever stabilization appropriate). On the other hand, an acquaintance recently needed to get their loved one to detox so they went to the ED. They were there for 12+ hours for the MSE and me...
  14. JKL33

    EMTALA

    Agree that she should've received a proper MSE (and whatever stabilization appropriate). On the other hand, an acquaintance recently needed to get their loved one to detox so they went to the ED. They were there for 12+ hours for the MSE and me...
  15. JKL33

    Dropping to PRN

    Agree, and it counts as giving excess information (info that is not guaranteed to put things in your own favor but could give others something specific to criticize). Just my preference, but I'd start this conversation with, "I'm going to need to adj...