#highyield

[basedfinance]

PROTOCOL UPDATE

📣  BASED FINANCE PROTOCOL UPDATE  📣

🔥500K $BASED BURNED🔥 🔥500K $BBOND BURNED🔥

🏛️ $BASED Circulating Supply: 23,994,827 🏛️ 🏛️ $BBOND Circulating Supply: 8,155,173 🏛️

Stay $BASED & $SMELT $OBOL

[medschooltutors]

Now, That's What I Call High-Yield: Gastrointestinal

Dr. Brian Radvansky continues his high-yield Step 1 study material series with a review of important gastrointestinal anatomy and ailments.

We have a gut feeling this will help you with your #Gastrointestinal #USMLE prep. #HighYield #StepPrep #MedEd #MedStudentLife #MedicalSchool

[shadingadream]

MS4′s notes on the Oral Presentation – what isn’t taught

NB: If you can demonstrate to your new attending on Day 1 that you can deliver a concise and thorough oral presentation, regardless of the strength of your A&P, you have already earned a High Pass (or at least, you should, given the RIME model of medical student evaluation, but more on that later). Instead of spending chunks of the rotation working on your presentation skills, you can concentrate on managing your patients – that is the most enjoyable and truly rewarding part of third year!

~

So how do you deliver a concise and thorough presentation?

I assume knowledge of the proper presentation structure already. Here’s what isn’t always realized: a good presentation, for medstud purposes, doesn’t actually require possession of a large fund of knowledge. The most important components – and this is not stressed enough – are the soft skills that go into being an excellent communicator: organization, confidence, diction, perception and insight (the last is where clinical acumen really comes into play).

Organization and confidence: these go hand-and-hand, for the more organized you are, the more confident you’re going to be – not stuttering over your words, or having awkward multi-second pauses because you get lost in your presentation. Flow from one section to the next smoothly. Don’t repeat yourself. A great way to achieve fluency in your presentation is to make use of excellent scut sheets – or better yet, to not have scut sheets at all, but to have notes printed before rounds, even if they’re not 100% complete. Printing autopopulated labs and vitals on Epic is 10x faster than having to write them down by hand, every morning, for every patient. Plus, the EMR note should already be organized in the correct format for oral presentation – making it near impossible to get lost. That said, try not to spend 100% of your presentation reading off your notes; making eye contact and acknowledging each member of the team will keep people engaged with what you’re saying.

Diction: This requires some use of medical knowledge. Be succinct, not wordy, by using the appropriate medical terms in the appropriate contexts. Ex: “the patient started having chest pain that was associated with their breathing, and their oxygen saturation decreased from 98 to, uh, 92,” vs. “the patient developed pleuritic chest pain and de-satted from 98 to 92.” Convey the same information more precisely and in half the words. This is not the easiest skill to develop, but it’ll help if you…

Perception: ...watch what your residents do and say! This is so valuable. Their presentations are not as thorough as yours should be, so what they do say is extremely important. How do they organize their HPIs, subjectives and objectives? What aspects of the patient are they prioritizing? How does the attending react? Paying attention to these nuances in the context of patients’ illnesses will make you a better presenter and clinician, period. 

Insight: So the aforementioned hypothetical patient developed pleuritic chest pain associated with an O2 desat. Pretend your attending is hearing this for the first time; that’s all the detail he/she needs to know to be highly concerned about the possibility of pulmonary embolism. They will then be paying attention to whether you are concerned about PE and if you assessed the patient’s history and physical with that must-rule-out diagnosis in mind. Is there anything in the patient’s history indicative of Virchow’s triad? Cancer? Immobilization or recent travel? How’s their cardiopulmonary exam? Is there any sign of DVT? Did you assess the components of Well’s criteria? You don’t even need to mention the words “pulmonary embolism” during your subjective & objective – just by stating the pertinent positives and negatives, your team will know that you were actively pursuing that possibility. Even if your plan is crud, by focusing a thorough examination towards a reasonable diagnosis and communicating the results, you have positively impacted the care of that patient. This is the skill that will take you time to develop through your reading and studying, and you’ll get there.

Let’s say you worked to incorporate these fundamentals; how do you know how you’re actually doing? Ask for feedback. This is an awkward habit to build at first, but it’s by far the best way to convey to your attending that you’re genuinely dedicated to improvement. It forces them to assess both your strengths and weaknesses, and allows you time to build upon them, as long as you incorporate that feedback (they will be be paying attention to whether you do, I promise!)

IMO, soft skills and the overall art of communication are highly important yet massively overlooked components of the everyday practice of medicine. I hope this primer is helpful in building habits that make a difference!

[medschooltutors]

Now, That's What I Call High-Yield: Renal Function

Renal function is vital for human life ... and for passing USMLE Step 1. Here is our guide to high-yield renal study for Step 1 to help you along the way.

#RenalFunction on the #USMLE is no joke. We’re not kid-ning around. 

[medschooltutors]

Four Tips for Parsing Out the High Yield for the USMLE

So. Much. Material. Not. Enough. Time. (Sigh.) We get it. You need help. Identifying what is most likely to be on the USMLE is a critical part of your Step prep. Here are some tools to help med students like you extricate the high-yield without high anxiety.

Help yourself to a second helping. #TBT 

[medschooltutors]

Free High-Yield Study Guide For Last 5 Days Before the USMLE Step 1

Wondering what you should be focusing on those final five days before your USMLE Step 1 test day? Well, here you go!

Yup, it’s a free guide. You’re welcome. 😉

[medschooltutors]

Now, That's What I Call High-Yield: Neurology, Part 2

Check out Part 2 of the Neurology edition of Dr. Brian Radvansky's high-yield study for the USMLE series.

Worrying about #Neurology on the #USMLE? Bear this in mind.

[medschooltutors]

Now, That's What I Call High-Yield: Understanding Tracts of the Spinal Cord

Looking to better understand spinal cord tracts as you prepare for the boards? Check out this edition of Dr. Brian Radvansky's series on high-yield studying for the USMLE.

Understanding the tracts of the spinal cord should not be undervalued. Understood?