#Medical education

[rjzimmerman]

From what I can read online without a paywall block, US medical schools are moving in the direction of requiring or offering courses on climate change. I'm copying this directly from my Duck Duck Go search results:

The number of medical schools in the United States that include climate change in their curriculum has been increasing, with 65% of MD-granting schools requiring or offering courses on the topic in 2022.  A survey by the Association of American Medical Colleges (AAMC) found that the percentage of medical schools with climate change in their curriculum increased from 27% in 2019–2020 to 55% in 2021–2022, and then to 65% in 2022. 

Excerpt from this EcoWatch story:

A network of universities across Europe has launched an initiative to train medical students on climate change-related illnesses as well as provide education on more sustainable healthcare.

The initiative includes 25 universities that have formed the European Network on Climate & Health Education (ENCHE), which will incorporate climate change education into the existing curriculum. The goal is to better prepare students to treat humans facing health disparities linked to climate change as well as to improve the sustainability of the healthcare system.

“From the spread of infectious diseases to increasingly deadly heatwaves, the health impacts of climate change are becoming ever more dangerous,” Iain McInnes, co-chair of ENCHE and vice principal and Head of College of Medical, Veterinary and Life Sciences at the University of Glasgow, said in a statement. “As educators, it is our responsibility to ensure that the next generation of doctors, health professionals and medical leaders have the skills they need to face these challenges and can provide patients with the best care possible.”

The network will be led by the University of Glasgow and supported by the World Health Organization (WHO), and universities from Belgium, France, Germany, Ireland, Italy, Poland, Portugal, Slovenia, Sweden, Spain, Switzerland and the UK will be involved in ENCHE.

Other health organizations, part of the Sustainable Markets Initiative Health Systems Task Force, will provide additional support to ENCHE. The network will serve as a regional hub for the Global Consortium on Climate and Health Education (GCCHE) at the Columbia University Mailman School of Public Health, with GCCHE providing collaboration and expert support for the initiative.

ENCHE has a goal to train 10,000 or more medical students on treating climate change health impacts in the first three years of the program. According to the University of Glasgow, there is not a consistent curriculum in medical schools that teaches on the links between climate change and health impacts.

This training could help save many more lives, as human health becomes increasingly vulnerable to the impacts of climate change. According to the WHO, about 99% of humans globally are exposed to air quality below WHO standards, while more than 7 million people die from air pollution-related health impacts. Rising heat is another concern, with heat-related deaths expected to triple by 2050 in a business-as-usual scenario. 

[stephenstrange-md-phd]

From Stephen Mun :

Hello everyone posting my kofi account here, where I upload my art and trying to raise funds for immigration and to fund my medical education. All tips and donations directly go towards my education and ensure I get become the next star ✨ female CT surgeon in USA.

My vision is not only to inspire but also help thousands to come by volunteering in global surgery, dealing with critically ill patients in the CT Surgery ICU and to continue to guide young woman and people from humble backgrounds to feel more confident about playing life bigger.... All big dreams and I'm taking baby steps towards them. All and any help is appreciated

Tagging people I know here so that they can spread the word @salty-ironstrange-shipper @ironstrange-is-the-endgame @puppybaby15 @natasharomanoff-anon @loki-anon @americasfineasscaptain @stripesofbrooklyn @officialpeter-parker @born-to-be-mischievous

[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.

[butch-reidentified]

Sotos Syndrome: An Educational Post on a Rare Genetic Disorder

Hey so, to follow up on the last reblog I added to this post about my wife: I realize most of you probably haven't heard of Sotos Syndrome, so I thought I'd talk a little about what it is and how it affects her. I'll put a couple of links here, but also briefly cover what it is and how she experiences it. She's given me permission to discuss it, and y'all are welcome to ask questions. If I can't answer them, I'll tag her in to help.

Note: She is also diagnosed with hEDS and POTS. This will be relevant later.

Sotos Syndrome is a rare condition resulting from a genetic mutation on chromosome 5 - specifically of the NSD1 gene. There are thought to be a wide variety of ways this gene mutation can occur and cause Sotos Syndrome, and the condition can manifest somewhat differently with different NSD1 mutations.

At the core of the disorder is rapid overgrowth in childhood; patients are taller and often heavier than their peers, and grow far faster. In some cases, this advanced growth timeline starts in the womb, and in other cases may start shortly after birth. Individuals with Sotos Syndrome typically have a larger cranial circumference than normal as well, though this often normalizes in adolescence or adulthood. The overgrowth almost always normalizes in adolescence or adulthood as well - patients usually reach a final height only slightly taller than would be expected of a healthy individual of the same sex and genetics. That is to say, the patient often ends up being on the tall end of normal, or a little taller, compared to other family members of the same sex.

Sotos Syndrome doesn't only cause rapid overgrowth; it affects bone development in several ways. Patients often have larger and heavier bones than average, large hands, and flat feet, as well as vertebral abnormalities (my wife suffers significant back pain due to several malformed vertebrae). Sotos Syndrome also almost always presents with specific facial features: a slight downward slant in the outer corners of the eyes, an enlarged forehead/brow bone, a pointed chin, a narrow face, thinner hair on the anterior (front) portion of the scalp, to name a few. These are usually most distinct when the patient is young, but typically some aspects are still noticeably present into adulthood (particularly the forehead and chin).

Children with Sotos Syndrome often experience developmental delays in a variety of areas, including speech/language, motor skills, social skills, and more. Some patients have intellectual disabilities, while others have normal intellectual and cognitive capabilities. Many have learning disorders such as ADHD, dyslexia, or dyscalculia. My wife has ADHD, dyslexia, and a communication issue (which we unfortunately don't have answers to from any doctor yet) that presents as fairly similar to aphasia. Some patients, especially as children, display "autistic-like behaviors" despite not actually having autism. My wife and I disagree on whether this is true of her (I, the actual autist of the relationship, think it is, but mildly). It can also cause anxiety (which she definitely has) and aggressive tendencies (which she couldn't possibly have less of).

Individuals with Sotos Syndrome often struggle with coordination and motor skills to varying degrees. Before knowing about her condition, I thought my wife was just the clumsiest person I'd ever met. As annoying as I'm sure that is for her, it also means that I often wind up with an accidental elbow to the face due to the combination of her lack of coordination and our size difference 🥲 Seizures and tremors are also a somewhat common problem. My wife has had a couple of seizures in the past, but typically only suffers from very occasional arm tremors. She also spontaneously loses her grip strength from time to time. I haven't seen this last one documented specifically as a symptom, but her neurologist says it's likely related. At least we have a good excuse to never own expensive glassware!

Another frequent symptom of Sotos Syndrome is joint laxity - an obvious overlap with EDS. I've been unable so far to find any documentation regarding the comorbidity of the two, but she has numerous EDS symptoms other than the joint issues, so our EDS specialist diagnosed it. She has hypotonia (reduced muscle tone) as well, a very common Sotos symptom. If she and a healthy woman lifted weights for the same amount of time, using the same regimen/diet/everything, she would see a fraction of the progress the other woman would. Her near-sightedness and mildly impaired hearing are also likely caused by this disorder, though EDS can impact hearing as well, and near-sightedness is not uncommon in general (and runs in her family, though strangely only in the women). Other possible symptoms include various tumors, acid reflux, and thickened skin, bone, and/or subcutaneous tissues.

I'm gonna wrap this up for now, though there are many more things I could dive into about this condition, but I may edit and add more later when I'm less exhausted. I hope this has been educational, and again, please feel free to ask me/us anything! 💓

[natalka777]

tetanus

[cmitimesnews]

NEET UG Counselling Round 1 Results to be Declared Today; Documents Required for Admission Process

NEET UG Counselling Round 1 Results: The consequences of the first spherical of NEET UG 2024 counselling Round 1 could be declared by the Medical Counseling Committee (MCC) today on August 23. Candidates who have been allocated seats must file to their respective colleges among August 24 and August 29, 2024, for file verification and admission techniques. Candidates have to convey all of the necessary files to make certain that the verification and admission method runs smoothly.

After the reporting stage, the facts of the appearing applicants may be tested through the respective university. After that MCC will percentage this statistics between 30 and 31 August, 2024. This step is vital in finalizing the admission system, making sure that each one seats are allocated as it should be.

To test the Round 1 results, applicants can follow these steps:

Step 1: Visit the legitimate internet site- mcc.Nic.In.

Step 2: Click at the “UG Medical Counselling” phase.

Step 3: Enter credentials NEET UG roll wide variety, password, and safety pin.

Step 4: Access the end result click on Seat Allotment Results” link.

Step 5: View the result, down load and take a print the end result.

Step 6: Report to allocated university (if allocated), among August 24 and 29, 2024, with vital files.

Candidates need to assessment the legitimate statistics brochure provided by way of MCC, which details the steps to be accompanied after the result assertion. These encompass reporting to the allotted colleges with the desired files.

Documents Required for Verification and Admission:

Candidates are required to give the following files for the verification and admission process at the time of reporting.

Allotment letter

NEET UG admit card

Date of start certificate (if date of birth no longer included within the tenth Certificate).

Class 10 and 12 mark sheets

Passport-length pictures (equal as affixed on the NEET UG application form).

Proof of identification (Aadhar/PAN/Driving Licence/Passport). If relevant, applicants ought to offer extra certificates consisting of SC/ST Certificate, OBC-NCL Certificate, Disability Certificate, and EWS Certificate.

It is usually recommended that candidates verify the precise requirements of the allotted university, as extra documentation may be essential.

NEET UG Round 2 Counselling Registration:

If you had been no longer allocated a seat in the first spherical or want to upgrade your seat, registration for Round 2 of NEET UG 2024 counselling will begin from September five and could keep till September 10. Eligible candidates include the ones who've no longer got a seat. In Round 1, folks who have been allotted seats however did now not document, and people searching for improve.

MCC will behavior four rounds of counseling for NEET UG 2024, protecting 15% of the All India Quota seats along side seats from imperative universities, AIIMS, JIPMER and other scientific institutions across the u . S . A .. This procedure is designed to make sure that every one eligible applicants get an opportunity to steady a seat in the medical college.

[gamer2002]

And pay for their student debt

[breadcrumbstoons]

NEET PG postponed last minute suspecting leaks. Indian medical education, doctors and hence general public suffer.

[prohoetips]

I'm taking a course on lactation right now and boy lemme tell you

I forgot the extent to which my traditional medical education has made me used to "high yield" format content

The amount of useless rambling, non-necessary examples, and weird tangents going on in these lectures is excruciating. I haven't had lectures this...poorly geared...to adult learners in years

[alex2xander]

Having TMJ (Temporomandibular Joint Dysfunction) is something I wish myself and no one else had to deal with

I have chronic tension headaches that occur nearly every day leaving me with constant level 3-5 pain

I have to reset my joint at minimum 10 times a day, and every single night

I cannot sleep on my stomach or side without joint misalignment

My ears feel constantly full/pressurized

On very bad days the disorder causes vertigo and dizziness

I cannot stretch my mouth fully open without risking pain or misalignment which affects my ability to eat and yawn

[stephenstrange-md-phd]

Hey. It’s me again. Just this time I have medical question about pregnancy and might have punched my OBGYN when he got handys. So. I’m 5 months pregnant, is it normal for the baby to be kicking so hard it’s causing cramps?

More of a neurosurgeon than an OBGyn but yeah the baby can hear what you hear, feel most of your emotions and respond to your stress... While everyone experiences pregnancy in different ways... Fetuses can cause a lot of commotion in the uterus... Soothing music, cutting out chaos or high end dopamine stimuli might help you... Taking up more natural sources of dopamine to keep you happy and content is encouraged , such as being close to nature , spending time with loved ones , indulging into music art or forms of craft you like.

I hope you get a new OBGyn and are able to get your required shots and prenatal vitamins as well as your required screening during this time.

[juniperandjustice]

College admins/teachers/programs who get away with discriminating against disabled students.

TW

  The thing about how I got rejected from the program I had worked so hard to get into, at my previous university, bc the head of the program thought that I was incapable due to disabilities (she didn't know what kind- plus, she didn't like me) really traumatized me.  I mean seriously sent me on a downward spiral and added to my existing PTSD.  Ever since I started at my current college and especially now that I've been accepted into the program, I have been constantly terrified and nervous/anxious that at any time, they might decide I'm not fit.  They might not like me.  They might reject me.  I might not be good enough.  It isn't a logical thing, but a constant fear in the back of my mind.  I am extremely stressed and anxious about starting the program this fall.  

I’m now afraid to ask for accommodations or work with the accessibility office AT ALL.  (Though they also say no accommodations for the program itself.)  I’ve used them for prerequisites.  

Even the things they're having us do this summer have me seriously nervous and anxious.  I'm also worried that this mental state, which is very distracting, will affect my memory, cognitive function, ability to focus, and homework/grades/performance- because that is something that happens with me.  The ableism allowed in these programs is astonishing.  

Do people like that have any idea how damaging their choices and remarks can be?  How much hell they caused for me?  How the hell is ongoing?  It affected my health badly, too.  I gained a lot of weight after that and had a lot of illness/infections.  I was hurting in many ways.  I'm still recovering. I chose this subject/career because I knew I was totally capable of everything that would be required of me... but not necessarily if I'm stressed/anxious to distraction.

(I'm not looking for advice/remedies.  I have psych/therapy help and medication and am aware of/using many alternative techniques.) It also means constant nightmares, which makes me afraid to sleep.  I'm exhausted. This might sound horrible, but I kind of hope someday I will have the opportunity to subtly rub it in her/their face(s).

I've had an inferiority complex my whole life and every trauma has made it progressively worse, until I am afraid I'm acting like a shifty, untrustworthy, sketchy klutz because I'm so nervous that someone will see that I'm not worthy or good enough and I'm trying NOT to act that way, but it's like self-fulfilling. I had a massive panic attack a couple evenings ago that lasted about 2.5 hours and I cried until I was sick. My eyes are still swollen and I still have the migraine and sore throat. My PTSD got triggered badly.

[doctoraxiom]

Putting on the white coat used to feel like I didn't deserve it, like I was in costume.

And now, somehow, it feels like I don't need it, because I already have what it represents within me.

[zyduswellness1]

[autoeroticalgolania]

firework accidents, hand x rays

via ben ditto