#Meded

[kaapstadmk]

Mulling over something right now.

My journey into understanding neurodivergence and my own AuDHD-ness has changed how I doctor, and sometimes I can see this when looking at things like auto text scripts I set up previously.

For example, when it comes to picky eaters, I used to do a lot of education about how to get kids to eat, discussing strategies like gamifying intake of fruits and vegetables, enforcing #-bite rules, and having cutoff times for meals. I also put a lot more weight on having a balanced, whole-food meal. The only thing I discussed that was focused on any underlying reason was involving kids in meal prep, though I didn't necessarily have a reason as to why. And, to be fair, these strategies work for picky, NT toddlers.

Contrast that to today, where I'm asking questions about texture sensitivities and taste preferences. I'm acknowledging that processed foods are more predictable than fresh. I'm discussing meal prep involvement as a means of sensory food play. I'm discussing about how stressful #-bite requirements can be and I'm encouraging having safe foods available and permissable - not as a means of giving in, but to make trying a new food less stressful. I'm also acknowledging that some food is better than no food, as long as we get the basics/macros in as we can always supplement micros with multivitamins.

These are things that weren't taught when I was in medical school or residency. I attended in 2015, just after the DSM changes and the focus then was, and largely still is, eating a "well-rounded", normativized, white, upper-middle class diet. Anything other than that was treated as subpar and is bad medicine, let alone parenting.

You know the other thing? When I started asking, do you know how many of my picky eaters DIDN'T have some kind of sensory basis to their eating patterns? Do you know just how many undiagnosed, unseen neurodivergent kids are out there, masking along, not making waves, with equally ND parents who don't know otherwise?

The number of times I see at least one parent squirm when I start asking the kids, especially older kids, autism symptom questions and autism distinct anxiety questions... Why, if I had a nickel for every time, I would definitely have more than two. It's not a coincidence.

[cbirt]

Scientists from the University of California San Diego School of Medicine and Rady Children’s Institute for Genomic Medicine have developed a method for identifying mosaic mutations using deep learning. The process involves training a model to analyze large amounts of genomic data and recognize patterns associated with mosaic mutations. The researchers hope that this approach will help increase our understanding of the genetic basis of disease and lead to the development of more effective treatments.

Genetic mutations can lead to a wide range of disorders that are often difficult to treat or understand. One type of mutation, called mosaic mutations, is particularly challenging to identify because it only affects a small percentage of cells. These mutations can cause a variety of disorders but have been challenging to detect due to their rarity.

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[intrainingdoc]

We are proud to announce the publication of the next Pager Publications, Inc. print book, The Perfect Doctor, curated by Dr. Sasha Yakhkind and featuring 40 narratives written by patients, physicians and trainees about the imperfect pursuit of an ideal.

Learn more about the book at http://theperfectdoctor.org. You can purchase the book at http://tinyurl.com/theperfectdoctor.

All members of Pager Publications, Inc. are unpaid volunteers, and all book proceeds go to support the website hosting costs of our fellow online peer-managed publications, including in-Training.

[ihearthisto]

🏈 Super ‘Bowel’ Sunday LVII💩

This football-shaped egg is the spawn of the female whip worm Trichuris trichiura.

They can be found in water contaminated by feces or in delicious half-time hotdogs 🌭 handled by unsanitary fingers. Once ingested it makes its way into your intestines and after about 3 months will hatch into a worm.

Once mature, the worm burrows her head and mouth parts into the delicate and comfortable mucosa of your intestines to feed. It is here that she will trigger an inflammatory response and causes bouts of abdominal pain with plenty of (sometimes bloody) diarrhea. A disease called trichuriasis.

While she is feeding she dangles her vulva into the lumen of your intestine and has sex with as many nearby male worms as possible.

Our little parasite now becomes a momma and starts firing out somewhere between 2,000-10,000 of these little eggs…

Per day!

This life of feeding and egg-laying, if left untreated, can last for the lifespan of a roundworm which can be around 5 years… that’s a very busy worm and lots of eggs.

All those eggs get flushed out of your body with your bloody diarrhea and, depending on where you live, ‘touchdown’ in the local water supply or back on that hotdog ready to be ingested once again and the whole process starts over.

i♡histo

[prasadmedicals]

How to Get a Medical Residency in the USA as an International Medical Graduate

Choosing to the medical residency for IMG medical students in USA is the best opt. With world-class training opportunities and state-of-the-art facilities, landing a coveted US residency spot allows you to advance your skills and expertise to the highest level.

However, getting a US medical residency as an IMG involves a step-by-step process with many requirements along the way. By understanding and following the key steps, you’ll place yourself in the best position to match into your desired residency program.

1) Register with the USMLE

Your first step when applying for US residency positions is registering with the United States Medical Licensing Examination (USMLE). The USMLE is a three-step exam assessing an IMG’s medical knowledge and clinical skills. It is a core requirement when applying to US residency programs.

Registering is an easy process online via the USMLE website. You’ll need to create an account and provide background information on your medical education and credentials. This allows you access to schedule test dates and testing center locations.

Registering with the USMLE is the vital first step for IMGs seeking US medical residencies.

2) Pass the USMLE Exams

The next step is successfully passing all required USMLE exams. These are challenging, marathon tests covering a wide range of topics. Thorough preparation through dedicated study time and practice questions is a must.

The USMLE step structure is:

Step 1 - Assesses core concepts in basic medical sciences. Often taken after 2nd year of med school.

Step 2 CK - Focuses on medical knowledge application in clinical settings. Taken during 3rd year typically.

Step 2 CS - Evaluates clinical and communication skills through interactions with standardized patients.

Scoring well on your USMLEs signals to residency programs your strong medical knowledge foundation. It also indicates readiness for the fast-paced rigors of a US residency.

Many IMG applicants space out their exam schedule over a 1-2 year timeframe. Create your own prep timeline backward from desired residency start dates.

Allow plenty of dedicated study time to pass the USMLE exams.

3) Get Valuable Clinical Experience in the USA

In addition to tests, US residencies want applicants exposed to the American healthcare system and culture.

Gaining clinical experience in the US through observerships and clinical electives are a big advantage. These allow you hands-on learning of workflows, systems, treatments, technologies, patient populations, documentation, communication norms and more in American hospitals and clinics.

Observership organizations like Prasad Medical Center (+1 718-774-6060) assist IMGs in securing observership positions across the country. Be sure to research and understand program eligibility terms before applying.

Even a few weeks of US clinical experience can give that important edge among competitive applicants.

US clinical experience highlights adaptability to American medical norms.

4) Register with the AAMC

The Association of American Medical Colleges (AAMC) has two key systems you must access during your application process:

MSPE (Medical Student Performance Evaluation) – Official record of medical education including grades, rankings and assessment.

ERAS (Electronic Residency Application Service) – Centralized online application portal distributing all materials to selected residency programs.

Register with AAMC early to get your credentials verified, understand each platform and have ERAS documentation ready when application season starts.

Connecting with the AAMC is essential throughout the residency hunt.

5) Pick your Residency Programs

When deciding which residency programs to apply for, start broad. Identify specialties matching your interests, strengths and USMLE scores. Use online directories to make a list of reach, reasonable match and safety options across several states or regions.

Factors like location competitiveness, program size, IMG match history and curriculum emphasis can help you categorize options. Have a few safety choices with higher IMG acceptance rates.

Research programs thoroughly to have residency options at each level.

6) Get your ECFMG Token and Register with ERAS

Once programs are selected, activate your ECFMG (Educational Commission for Foreign Medical Graduates) token. This allows ERAS to verify your test scores, credentials and identity when applying.

Next, access your MyERAS applicant profile. Add your exam history, experiences, publications and other credentials that programs will review.

Double and triple check all entries for accuracy before submitting to avoid costly mistakes or delays.

MyERAS is your central application hub throughout the residency process.

7) Finalize Documentation and Submit ERAS Application

With your MyERAS profile complete, finalize all required documentation:

Personal statement

Medical school transcripts

MSPE Dean’s letter

Letters of recommendation (3+)

School catalogues

Proofread all materials thoroughly before uploading to ERAS by the deadlines. Activate program selections and assign supporting documents for each.

Carefully prepare all pieces of your ERAS application package.

8) Medical Residency Interview

With a strong application submitted early, interview offers should follow!

Interview formats vary widely across residencies. Common options include one-on-one, panel interviews, multiple mini interviews (MMIs) and virtual interviews.

Careful preparation is key. Research programs, polish answers to common questions, hone your communication style, dress professionally and send prompt thank you notes.

Treat travel associated interviews as 24/7 assessments of fit. Be gracious, avoid complaining and share your passion for medicine and interest in the program.

Interviews are critical to sealing a residency position – make the most of them!

9) Register with the NRMP

After interviewing, register with the National Resident Matching Program (NRMP) by late January. Creating your NRMP account starts the matching process based on how you rank programs and how they rank applicants.

The yearly Match Day in mid-March reveals results simultaneously to applicants across the country. This coordinated effort fills nearly 40,000 residency roles each spring.

Understand match statistics for given specialties and programs to set realistic expectations before this nerve-wracking day!

Learning match nuances helps ease the anticipation leading up to Match Day!

10) Residency Post-Match Focus

If matched, congratulations on achieving that coveted US residency program spot! Notify all relevant parties, celebrate thoroughly and handle any needed visa application processes.

Review program details to address required paperwork, licensing, preparations or moving requirements before start dates. Share excitements and ask graduated residents for advice as you transition to this intense but rewarding new chapter!

For those not matched, don’t be discouraged! Strategize about strengthening certain areas of your application and discuss options with mentors. Often success comes with perseverance and giving yourself the best opportunities the following year.

We hope this overview gives international medical graduates more clarity on the pathway to getting a US medical residency. While challenging, thousands achieve this goal annually through careful planning, dedication to preparation, and showing your passion for serving US patient populations.

If you still need assistance securing clinical experience or have any other questions along your journey, don’t hesitate to contact the knowledgeable team at Prasad Medical Center at (+1 718-774-6060) or visit https://www.prasadmedicalcenter.com/ We wish you the best of luck in achieving your American medical career dreams!

[drawittoknowitmedical]

www.ditki.com

[kaapstadmk]

Oh, no, we do. It varies per country and state, but we do.

Where I work, it's 24 hrs of CME per year, and then you have maintenance of certification requirements, depending on your specialty and licensing board. (For me, every 10 years)

So, yeah, you better believe we have continuing education requirements.

Now, to get to the point of "why does my doc not know about x?" Well, the current accumulated volume of medical information is vast and it's continuously growing. Just look at medical review books from 10 yrs ago, compared to now. So, if it's not in your specialty, you lose it. Also, the general specialties are so broad, that you'll see individual docs who become relative experts on certain facets and remain generalists in all other ways, because they focus on their areas of interest and stay more abreast on new information there, compared to everywhere else.

To highlight, as a pediatrician, don't expect me to remember much of anything related to adult medicine. Additionally, I have interests in autism, ADHD, asthma, and access to care, so I'm more current on these topics by comparison to, say, pediatric obesity. I still stay abreast on all topics, but I definitely find it easier to do so for my particular interests

I'm so extremely serious when I say doctors should be put through an extremely extensive reliscensing process every 10 years. Doctors should have their knowledge scrutinized against current medical research and be de-barred at even the tiniest discrepancy. Too many old doctors absolutely refuse to stay up to date on research and dismiss patients because of their personal experiences. Too many people die every year because doctors don't take us seriously and refuse to listen to people who KNOW something is wrong. Too many people are told their problems are nothing and come back in a year or more with serious illnesses and doctors are just like "lol everyone makes mistakes" but doctors mistakes routinely cost people their lives! I'm tired of medical malpractice being swept away under the guise of "mistakes were made."

[mohd009]

Best Physics NEET Coaching in Laxmi Nagar, Delhi

[orthotv]

🌟 Announcing the 2nd Edition of Essentials of Shoulder MRI 🌟

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Q&A and Doubt Sessions with a few test cases

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[kaapstadmk]

This is hugely important, and you see it in white collar fields as well

Take medicine, for example:

Many residents love to complain about ACGME and the fact that they can be worked up to 80 hrs/wk, with as little as only 1 day off in 7, and no longer than 28 hrs per day, with no less than 8 or 12 hrs between shifts.

But let me remind you: all those old school attendings and CEOs calling you weak, harkening to the "Good Old Days", etc. are not your friends.

When they were residents, they worked 120+ hrs, they didn't leave the hospital for multiple days on end. Residents and patients died. Meanwhile, their attendings weren't necessarily in the trenches with them.

And you know what, if it went back to that, your attendings wouldn't necessarily be in the trenches with you, now.

Yes, attendings don't have ACGME hour restrictions or mandated off times, but they have the luxury of being able to negotiate their schedule, and having residents to work in their place and only call them if needed

So, if your program pressures you to under-report your hours, or to fudge your off-call hours, report them. As a whistleblower, you have protections. However, if you never report, they can hold your degree and debt over you until you comply

I’m still thinking about that “is OSHA regulations Cop Behavior” post. Like. You know who thinks regulations are for losers? People who build submersibles out of logitech gamepads and rejected carbon fibre. People who trust starlink as their only surface lifeline.

Do you wanna be like the fine film on the floor of the Atlantic that was once a billionaire? Is that the hill you’re really gonna die on?

We have an expression in my field- “Regulations Are Written In Blood”

People don’t have fucking safety standards as a power trip, we have them because somewhere in the past, NOT having those regulations killed or maimed someone.

A lot of laws out there are bullshit- safety regulations sure as fuck aren’t. I have the literal scars to prove it.

[imedicalschool]

Should betablockers be started before surgery? Check out https://youtu.be/8DH0K1qtARs to understand you need to rethink your practice

[cbirt]

Human Cell Atlas Mission: A Reference Map for Analyzing Human Health and Identifying, Tracking, and Treating Diseases

In order to better understand human health and to identify, track, and cure diseases, the International Human Cell Atlas collaboration is building detailed reference maps of every human cell, which is life’s basic building block.

The Human Cell Atlas aims to map every type of cell in the human body, revolutionizing how we understand biology and disease and possibly resulting in significant improvements in how diseases are identified and cured.

The molecular mechanisms of disease are viewed by addressing the kinds of cells, states, programs, and contexts in which they operate at the cellular and tissue levels. This understanding can be further employed to develop effective disease diagnostics, identify novel therapeutic drug targets, their therapeutic potential, toxicity, and resistance mechanisms, and enable new types of therapies, from cancer therapies to regenerative medicine. 

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[intrainingdoc]

New on in-House, poetry by pediatric resident physician Holly Ingram, MD, MPH.

"Shots at two months

are Hep B part two,

But Rota, Hib, DTaP,

pneumo and polio are new."

https://in-housestaff.org/pediatric-vaccine-schedule-2023

[baiabazadze]

Call for Abstract !! Don't miss this opportunity to showcase your work and connect with peers in the field! at CE/CME/CPD of 15th American Healthcare, Hospital Management, Nursing, And Patient Safety Summit from May 14-16-27, 2025, in San Francisco, United States Abstract Submission Deadline is Extended to June 30th, 2024 Submit your abstract now: https://health.universeconferences.com/submit-abstract/

[anandhu-transorze]

Are there any opportunities for research or independent study in the medical scribing course in Kochi?

While the primary focus of the medical scribing course at Transorze Solutions in Kochi is on practical skills and training for the healthcare industry, there may be opportunities for research or independent study depending on individual interests and program requirements.

Students interested in pursuing research or independent study projects related to medical scribing topics are encouraged to discuss their ideas with instructors or academic advisors. Transorze Solutions may provide support and resources to facilitate such projects, including access to relevant literature, guidance on research methodologies, and assistance with project development and presentation.

Engaging in research or independent study can offer students valuable opportunities to explore specific areas of interest within the field of medical scribing, deepen their understanding of key concepts, and develop critical thinking and analytical skills.

For more detailed information, visit our official website: https://transorze.com/

[sakuraswordly]