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- Slide 1
- Welcome! We will begin the session shortly. While you wait,
what worries you most about the family/internal medicine clerkship?
Let us know in the chat box (please reply all) For audio, please
call: 1-855-747-8824 Code: 446423# OR you can listen through your
computer.
- Slide 2
- If calling into the conference line, please make sure to turn
down the audio broadcast volume to the lowest setting or adjust
your computer volume. If you wish to sit back and listen to the
webinar through the computer, you can do so. You will just be able
to hear, not speak through the computer. Audio Line 1-855-747-8824
Code: 446423# Your phone line will be muted. If you wish to ask a
question or make a comment, you will need to type into the chat or
Q&A. You can ask questions by typing in the Chat or Q&A box
located on the right side of the webinar room. If the screen is
being shared by the presenter, you will find the chat tools at the
top tool bar. Just move your cursor to the top of the screen and
the toolbar will appear. Getting Started Welcome! 2
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- How to Thrive Webinar Series How to Thrive Webinar Series
Family/Internal Medicine Dr. Mark Duncan, author of Shelf-Life
Medicine
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- www.amsa.org How to Thrive Webinar Series WELCOME AND
INTRODUCTION
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- www.amsa.org How to Thrive Webinar Series What year in medical
school are you? A)MS1 B)MS2 C)MS3 D)MS4 E)Pre-med
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- www.amsa.org How to Thrive Webinar Series BEFORE WE GET STARTED
Qualifiers Wellbeing during the rotation and avoiding burnout Doing
well in each clerkship depends on your interaction with the
patient, the team, and scoring well on the shelf exam
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- www.amsa.org How to Thrive Webinar Series OUTLINE Background
Part 1 The Patient Part 2 The Team Part 3 The Shelf Exam
Q&A
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- www.amsa.org How to Thrive Webinar Series PREPARATION Know your
team, where to meet the first day, etc. Know what resources you
will use to study for the shelf exam in advance Have all your
equipment ready to go Maxwell, pen, penlight, stethoscope,
scutsheets, reference material, study materials Scutsheets
(http://www.medfools.com/downloads.php)
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- www.amsa.org How to Thrive Webinar Series
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- www.amsa.org How to Thrive Webinar Series
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- www.amsa.org How to Thrive Webinar Series
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- www.amsa.org How to Thrive Webinar Series Very different than
ambulatory medicine and family medicine Structure: Non-call days:
pre-round, run the list with the intern/resident, rounds, help with
the workload (calling consults, procedures, outside records, etc.)
+ educational activities Call days: same structure as above while
admitting new patients throughout the day (may formally present the
patient that day or the next day) THOROUGHNESS is key INPATIENT
MEDICINE
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- www.amsa.org How to Thrive Webinar Series AMBULATORY AND FAMILY
MEDICINE Ambulatory medicine and family medicine are similar
Structure: short patient visits, on-the- spot assessment and plan,
may work directly with the attending EFFICIENCY is key
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- www.amsa.org How to Thrive Webinar Series PART 1 THE
PATIENT
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- www.amsa.org How to Thrive Webinar Series GENERAL PRINCIPLES
The patient ALWAYS comes first It may not feel like it, but you
have much more time than your residents, so read about your
patients and know each of them well
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- www.amsa.org How to Thrive Webinar Series PATIENT CARE Good
rapport goes a long way Take full responsibility for your patients,
but still rely on the rest of the team A good history and physical
exam, documented in a well-written note and presented during
rounds, is FOUNDATIONAL Medical students are expected to be good
information-gatherers
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- www.amsa.org How to Thrive Webinar Series PROBLEM LISTING
Inpatient: First problem: chief complaint, or most serious problem
Any other patient complaints, abnormal physical exam findings,
abnormal labs/studies Chronic problems Finish with FEN/GI/PPx,
code, disposition Outpatient: Finish with health care
maintenance
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- www.amsa.org How to Thrive Webinar Series REFERENCES Medicine
handbook UpToDate PubMed Read case reports
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- www.amsa.org How to Thrive Webinar Series
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- www.amsa.org How to Thrive Webinar Series PART 2 THE TEAM
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- www.amsa.org How to Thrive Webinar Series Show me a [med
student] who only triples my work and I will kiss his feet. - Law
#11, House of God
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- www.amsa.org How to Thrive Webinar Series GENERAL PRINCIPLES
Team structure, inpatient vs. outpatient How to impress your
attending Good patient presentations and notes Teaching Staying
engaged during rounds Being a team player and NEVER throwing your
coworkers under the bus Ask for feedback, letters of
recommendation
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- www.amsa.org How to Thrive Webinar Series PRESENTING YOUR
PATIENTS Inpatient vs. outpatient presentations There is no perfect
presentation, each attending is different and has different
expectations! A concise presentation is the hallmark of clinical
maturity, but you have to first earn the trust of your team Include
only the pertinent items Exclude extraneous information HOWEVER,
you must first earn the trust of your team before making your
presentations concise
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- www.amsa.org How to Thrive Webinar Series PRESENTING YOUR
PATIENTS Assessment/Plan section is where you display your
reasoning, and is how attendings will judge you A good A/P sets you
apart from many students that act only as information gatherers
Oral presentation guidelines, Steve McGee
(https://catalyst.uw.edu/workspace/medsp/3 0311/202905)
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- www.amsa.org How to Thrive Webinar Series TEACHING Provide
teaching to the team: Short summary of a topic Presenting a paper
When and how this is done is team and workload dependent
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- www.amsa.org How to Thrive Webinar Series PART 3 THE SHELF
EXAM
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- www.amsa.org How to Thrive Webinar Series OVERVIEW OF THE EXAMS
Inpatient Medicine: 110 questions, 2:45 Ambulatory Medicine: 100
questions, 2:30 Family Medicine: 80-100 questions, 2-2:30
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- www.amsa.org How to Thrive Webinar Series How do you feel about
the Shelf exam ? A)Prepared B)Alright C)Nervous D)Freaking out
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- www.amsa.org How to Thrive Webinar Series GENERAL ADVICE
Studying begins on day 1 (kind of) Read to learn, not just to
finish the material Pick the resources that fit your learning style
the best Flashcards for important topics/questions
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- www.amsa.org How to Thrive Webinar Series QUESTION TYPES
Pathophysiology (AKA Step 1 type questions; eg, patient presents
with hemoptysis and hematuria mechanism by which this condition
causes renal damage is most similar to which other disease process?
bee sting, Graves disease, SLE, poison ivy) Diagnosis (eg, HIV
patient coming in with fever, cough, and shortness of breath what
is the most likely diagnosis?) Next step (eg, Alcoholic patient
presents to ED with confusion, ophthalmoplegia, and ataxia next
step in management?) Health and health maintenance (Other category
with random questions about disease screening, prognosis, ethics,
etc.; eg, Older male patient presents with UTI, found to have
urinary retention relieved with catheterization, prostate exam
revealed a diffusely enlarged prostate he asks you about his chance
of having prostate cancer or he asks you about screening with
PSA
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- www.amsa.org How to Thrive Webinar Series RESOURCES
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- www.amsa.org How to Thrive Webinar Series Which of these
resources would you consider using? (Check all that apply) Step-Up
to Medicine Case Files Internal Medicine Blueprints Medicine
PreTest Medicine USMLE World
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- www.amsa.org How to Thrive Webinar Series RESOURCES Text:
Step-Up To Medicine, Case Files, (Master the Wards, Blueprints)
Questions: USMLE World, MKSAP, (NBME Practice Exam, Pretest) Coming
soon: Shelf Life Medicine
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- www.amsa.org How to Thrive Webinar Series Q&A ???
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- www.amsa.org How to Thrive Webinar Series Thank you for joining
us! Make your calendars for the next Thrive webinar on Physiology
with Dr. Linda Costanzo, author of BRS Physiology, Tuesday January
20 th at 8 pm (ET)