studentdrtobe

studentdrtobe

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All Content by studentdrtobe

  1. More frustration as an MD or an NP?

    26 is pretty young. Suck it up and go the MD route -- it offers the highest level of training in whatever field you end up in, hands down. The average age of matriculation in med school is a little...
  2. Fevers in adults

    Agreed.
  3. Ooops, I told off a doctor

    This whole scenario reeks of unprofessionalism. I'm with the crowd that would have waited till leaving the room before discussing patient management rather than attempting to make the physician look...
  4. Thanks for the concern, netglow. I appreciate it. I'm not asking for sympathy or anything. However, I'm not worried about the future either. No matter what, I'll always be able to find a job. Pretty...
  5. How many years will it take to get my MSN?

    Why don't you focus on getting quality training instead of being worried about how quickly you can get through it? There are no shortcuts to developing into a good
  6. Agreed. That's a huge reason why many of us in medicine have also preferred to hire PAs rather than NPs. Their curriculum is pretty solid! Plus, it's standardized! So we have a pretty good idea of...
  7. Did anyone get there degree online?

    Not really for those reasons. Trust me, no physician is "fearful" of midlevel incursion. We still know we have the highest level of training in our fields, by far. It's mostly the bad associations...
  8. How are your grades posted?

    +1. Best post of the
  9. Feeling insulted but not inferior

    Again, I don't really see what the big deal here is. If I was your physician, I wouldn't give out a referral either. Especially if you call me and say you need a referral to get some steroids. That's...
  10. Broken spirit....

    Yea, no. This may have been true a few decades ago, but certainly isn't true anymore. Are there still a lot of nerds who make it to med school? Absolutely. You have to be smart and, more importantly,...
  11. Feeling insulted but not inferior

    Why would the physician risk a potential lawsuit in case you turned out to be wrong? I refuse to give anyone a referral just because they ask if I don't physically assess them myself. The physician...
  12. It's where residents present articles and dissect them. Ex. the results of a large, potentially practice-changing clinical trial are published. A resident presents this data, along with a thorough...
  13. Actually, that's completely wrong. We "go back to the classroom" throughout residency training and beyond. During residency, we have mandatory conferences, grand rounds, journal clubs, and weekly...
  14. Can you help me to understand Acid- Base Balances?

    I'm not DocsWifey, but no, pH isn't the only measurement you look at when trying to figure out compensation. You also have to take into account the HCO3- and pCO2 levels, along with the rest of the...
  15. Can you help me to understand Acid- Base Balances?

    Use a systematic, step-wise approach to acid-base physiology: 1) What's the pH? If it's below 7.35, it's acidosis. If it's above 7.45, it alkalosis. Now, you've established whether the patient is...
  16. Why is it so hard to find a preceptor?

    Very eloquently put! The last sentence seems especially true. With this in mind, it would be a better idea to focus on improving the curriculum rather than opening more schools and looking to...
  17. Why is it so hard to find a preceptor?

    Are you sure about that? Admittedly, I don't know as much about billing (since we don't really get any formal education on that issue), but I was under the impression that it's illegal to bill for...
  18. Why is it so hard to find a preceptor?

    Yea, that was the point I was getting at. LOL! No. Just because you have an RN background and are an NP student absolutely DOES NOT make you equivalent to a resident or fellow! Extensive bedside...
  19. Why is it so hard to find a preceptor?

    Forgot to mention one thing. That's really, really scary that your schools don't offer organized clinical training for you guys! Seems like graduates will have a broad range of training, even within a...
  20. Why is it so hard to find a preceptor?

    That's not true actually. Med students are not preceptored (if that's a word) by non-physicians. During our pre-clinical years, we are taught by PhDs and MDs/DOs and during our clinical years, we're...
  21. How to deal with physicians effectively

    A tip for the future: Please have all issues regarding a patient ready when you call us instead of making multiple calls. It really does make things so much easier and, for residents who're on call...
  22. you just made my point. there's a huuuuuge difference between venting with colleagues in private or on an online message board, like sdn or an, and walking around in public wearing t-shirts saying...
  23. Did I ever say that this was my mindset or that I'm even an EM resident? No. So, don't put words in my mouth. It can't be denied, however, that in certain areas, a significant portion of patients who...
  24. That's a fair critique. Unfortunately, it's all too common to encounter drug seekers in the ED. I feel like it's to the point where patients are assumed to be drug seekers unless proven
  25. this whole "we protect patient's from those stupid, mean doctors" mantra has probably been one of the most annoying things i've encountered in medical training so far. you'd be surprised how often...