Misc. Med Thread Vol. 3: caribbean diabetus strikes back

[F23]

Question for those of you who are out of the classroom and into the hospital. When doing IM stuff what do you typically talk to the floor pharmacist about on rotations and such assuming you have floor pharmacists in your location? I am trying to get some preparation done now so I can be somewhat competent/prepared when asked questions. Obviously I have a strong general knowledge of medications, but I am trying to memorize more specific things that are important for an inpatient setting. Thus far I have poured over a lot of guidelines, some conversions between IV/PO doses, warfarin/vanco/aminoglycoside dosing calculations, and some general potency things like difference in potency between dexamethasone and prednisone. Anything in particular you fellas consult with pharmacy about?



Also, are there any controversial treatments that you are studying/researching or find polarizing? I am looking for a seminar topic and I am trying to find something interesting to talk about besides the usual new drug therapy in phase 2 or 3 trials. I am particularly interested in anything related to antimicrobial therapy.

On occasion we would have a phamacist follow us on rounds. We never went to the pharmacy during rounds. More typically though, if we had a pharmacological question, we would just call the pharmacy and ask.

[muscle beast]

Question for those of you who are out of the classroom and into the hospital. When doing IM stuff what do you typically talk to the floor pharmacist about on rotations and such assuming you have floor pharmacists in your location? I am trying to get some preparation done now so I can be somewhat competent/prepared when asked questions. Obviously I have a strong general knowledge of medications, but I am trying to memorize more specific things that are important for an inpatient setting. Thus far I have poured over a lot of guidelines, some conversions between IV/PO doses, warfarin/vanco/aminoglycoside dosing calculations, and some general potency things like difference in potency between dexamethasone and prednisone. Anything in particular you fellas consult with pharmacy about?



Also, are there any controversial treatments that you are studying/researching or find polarizing? I am looking for a seminar topic and I am trying to find something interesting to talk about besides the usual new drug therapy in phase 2 or 3 trials. I am particularly interested in anything related to antimicrobial therapy.

When we had pharm students on rounds some of the questions we'd ask about included drug interactions, side effects, and half-life of many drugs and specifically the dosing of uncommon drugs for common conditions (if a pt had a contraindication to something)

[Strive6]

Just finished a 16 hour call shift on our Cardiac-Renal unit. Such a bummer when you get home and realize you have to be back at the hospital in less than 8 hours...

[woodbarry]

When we had pharm students on rounds some of the questions we'd ask about included drug interactions, side effects, and half-life of many drugs and specifically the dosing of uncommon drugs for common conditions (if a pt had a contraindication to something)

Huh, well hopefully I'd catch most drug interactions n stuff looking through charts before rounds cuz there is a lot about that type of stuff I wouldn't know without looking some stuff up. Do they typically answer questions off the top of their heads or do they have to look some stuff up? I am getting pretty hyped to start doing hospital stuff after a couple years of doing retail stuff(working as a paid intern).

[muscle beast]

Huh, well hopefully I'd catch most drug interactions n stuff looking through charts before rounds cuz there is a lot about that type of stuff I wouldn't know without looking some stuff up. Do they typically answer questions off the top of their heads or do they have to look some stuff up? I am getting pretty hyped to start doing hospital stuff after a couple years of doing retail stuff(working as a paid intern).

Welcome to the art of pimping brah. Some stuff they will randomly ask you and some (most stuff) will be directly related to the patient. If you know you're rounding with the team then you gotta look up the patient's ahead of time and do your reading/research and try to predict what the attending might ask you. Other than knowing your siht cold, be prepared to say "I dunno lol" and feel like absolute siht every other day...

[DoctorGetSwole]

Question for those of you who are out of the classroom and into the hospital. When doing IM stuff what do you typically talk to the floor pharmacist about on rotations and such assuming you have floor pharmacists in your location? I am trying to get some preparation done now so I can be somewhat competent/prepared when asked questions. Obviously I have a strong general knowledge of medications, but I am trying to memorize more specific things that are important for an inpatient setting. Thus far I have poured over a lot of guidelines, some conversions between IV/PO doses, warfarin/vanco/aminoglycoside dosing calculations, and some general potency things like difference in potency between dexamethasone and prednisone. Anything in particular you fellas consult with pharmacy about?



Also, are there any controversial treatments that you are studying/researching or find polarizing? I am looking for a seminar topic and I am trying to find something interesting to talk about besides the usual new drug therapy in phase 2 or 3 trials. I am particularly interested in anything related to antimicrobial therapy.

off label uses of spironolactone? idk of many bizarre ones off the top of my head at my stage in training

[Dr. Horse]

Just finished a 16 hour call shift on our Cardiac-Renal unit. Such a bummer when you get home and realize you have to be back at the hospital in less than 8 hours...

I remember my first beer...

[MakeABanana]

I'm 6 weeks out from boards. My residency class is insane. Everyone's doing 9.6k general questions + ~2k physics questions + two review series (11 books each). I didn't study even a quarter as much material for step 1. There are multiple other sources in addition to this, but those are the question-related sources I'm using.

I'm like 4 years away from taking those boards but

*panic attack ensues*

[incomingbrOMS]

Question for those of you who are out of the classroom and into the hospital. When doing IM stuff what do you typically talk to the floor pharmacist about on rotations and such assuming you have floor pharmacists in your location? I am trying to get some preparation done now so I can be somewhat competent/prepared when asked questions. Obviously I have a strong general knowledge of medications, but I am trying to memorize more specific things that are important for an inpatient setting. Thus far I have poured over a lot of guidelines, some conversions between IV/PO doses, warfarin/vanco/aminoglycoside dosing calculations, and some general potency things like difference in potency between dexamethasone and prednisone. Anything in particular you fellas consult with pharmacy about?



Also, are there any controversial treatments that you are studying/researching or find polarizing? I am looking for a seminar topic and I am trying to find something interesting to talk about besides the usual new drug therapy in phase 2 or 3 trials. I am particularly interested in anything related to antimicrobial therapy.

Pharmacists = good. Have review med lists before on all the patients. Catch useful things. Have good suggestions.

Pharm students? LOL. The med students get more of the pharm student pimp questions right than they do in my experience. Of course no one would actually pimp a clinical pharmacist but still.


OH SO FOR ACTUAL ADVICE: Read up on all the actual patients ahead of time. Med students do this too. If that means 5am, it means 5am.

[Lafakad]

I'm 6 weeks out from boards. My residency class is insane. Everyone's doing 9.6k general questions + ~2k physics questions + two review series (11 books each). I didn't study even a quarter as much material for step 1. There are multiple other sources in addition to this, but those are the question-related sources I'm using.

Jesus. You also work full time right?

[efoi]

I'm 6 weeks out from boards. My residency class is insane. Everyone's doing 9.6k general questions + ~2k physics questions + two review series (11 books each). I didn't study even a quarter as much material for step 1. There are multiple other sources in addition to this, but those are the question-related sources I'm using.

u wot

[santal0l]

I'm 6 weeks out from boards. My residency class is insane. Everyone's doing 9.6k general questions + ~2k physics questions + two review series (11 books each). I didn't study even a quarter as much material for step 1. There are multiple other sources in addition to this, but those are the question-related sources I'm using.

Yeah, fuk that, dude.

[F23]

I'm like 4 years away from taking those boards but

*panic attack ensues*

Jesus. You also work full time right?

u wot

Yeah, fuk that, dude.

For the last 2 months before boards we only work 8am-12pm, no call. And then in the afternoon we typically have board review sessions until 3pm. Basically I've been studying (with increasing intensity) since December. This test is fukking massive.

For MakeABanana, hope that your program actually gives you time/resources to pass this thing. My program has its issues, but overall it's been excellent about giving us time to go to review courses and time off from work to study. The faculty are also very devoted to giving board review lectures that are actually worth our time. We have a legacy of beating the chit out of boards and they don't want to lose it. Other programs apparently don't give their residents time off, don't let them go to review courses, and/or don't give board review sessions. I honestly would be panicking if I was at one of those places (I know that U Michigan and some of the University of California programs aren't very accommodating).

[woodbarry]

Pharmacists = good. Have review med lists before on all the patients. Catch useful things. Have good suggestions.

Pharm students? LOL. The med students get more of the pharm student pimp questions right than they do in my experience. Of course no one would actually pimp a clinical pharmacist but still.


OH SO FOR ACTUAL ADVICE: Read up on all the actual patients ahead of time. Med students do this too. If that means 5am, it means 5am.

Yeah for the 4 hours I spent basically shadowing a p4 in rotations I caught the back end of them looking through each case, then discussing it with their preceptor, and then finally talking about certain points on rounds.

Pharm students arent exactly taught the specifics needed to know and instead are taught to cram unimportant information before tests. Some of the brilliant students in my class are similar to dictionaries but I am not so fortunate which is why I am trying to prepare myself in advance. Luckily I have a pretty solid network of nurses/doctors(mainly u brahs lol), and other recent pharm grads to help facilitate competence.

[CobraTrapz]

is it advisable to do research (clinical) in M1?

[dxw]

is it advisable to do research (clinical) in M1?

Stack up those pubs, brah

[CobraTrapz]

Stack up those pubs, brah

racks on racks on racks?

[F23]

is it advisable to do research (clinical) in M1?

It's worth it if:
1.) Your grades don't suffer and
2.) You get listed as an author

Otherwise, IMO don't do it. But publications pretty much always look good on your CV. The more the better.

[swimmd99]

For the last 2 months before boards we only work 8am-12pm, no call. And then in the afternoon we typically have board review sessions until 3pm. Basically I've been studying (with increasing intensity) since December. This test is fukking massive.

Quit messing around and read the MRI's I ordered.....Patients have been hospitalized longer because I keep forgetting to correlate clinically without being reminded!

[Peyronie]

OK broskis, gonna need some ideas for presents to ask for (for graduation). Don't say crap like money or blowjobs or alcohol or not-medicine-related things (I gots all that). Really hoping for actual work-related things.

[ViktorFrankl]

OK broskis, gonna need some ideas for presents to ask for (for graduation). Don't say crap like money or blowjobs or alcohol or not-medicine-related things (I gots all that). Really hoping for actual work-related things.

Ask for a microscope so you can try and spend some time before you start examining your own peen to learn the anatomy

[Peyronie]

Ask for a microscope so you can try and spend some time before you start examining your own peen to learn the anatomy

Bruh, not everyone has a ViktorFranklpenis (no longer called micropenis, btw). Silly of you to assume otherwise, lil feller

[dxw]

I liked you better when you were sub 50 posts

[JCTWP46]

Check out this sweet license plate I saw yesterday:

[santal0l]

Check out this sweet license plate I saw yesterday:

[img]http://forum.bodybuilding.com/attachment.php?attachmentid=8279241&d=1461797481[/i g]

you have got to be kidding me

[muscle beast]

Check out this sweet license plate I saw yesterday:

strong user title

[MakeABanana]

Check out this sweet license plate I saw yesterday:

10/10. Would key.

[F23]

Check out this sweet license plate I saw yesterday:

[img]http://forum.bodybuilding.com/attachment.php?attachmentid=8279241&d=1461797481[/i/mg]

Finally I've seen something worse than an MS1 wearing his white coat in a grocery store.

[woodbarry]

10/10. Would key.

savage. But seriously why tf brag about the 90% likelihood that your gonna switch from a bio major to something else?

[Kaduceus]

Finally I've seen something worse than an MS1 wearing his white coat in a grocery store.

just no

stop

I've seen nurses wearing theirs outside at starbucks

I've seen med students wearing them in the undergraduate library ---- on the completely opposite end of town, on the undergad campus