#sabine221b

[marta-bee]

sabine221b

replied to your photo

“Do the math on this one and it comes about to just over ten minutes a...”

We were told not to spend more than 10 mins on each paper, you should be able to read the abstract, intro and conclusion in that time and determine if the paper goes in the good pile or bad pile. Those in the good pile you look at in further detail later.

I stand corrected. And of course you’re right. Though I was in philosophy, so it was less a good/bad pile than relevant/not relevant to the question I was working with - actual quality of thought wasn’t so quickly obvious. But yeah, there’s a definite culling process, and ten minutes per paper is actually a bit generous for that.

Here’s the bit that makes me giggle, though: once you’ve identified a good study/article, you’re still supposed to go back and read it in more depth. Except --and again this is speaking as a philosopher/theology/linguistics scholar, and this will probably vary by discipline-- nobody did this. Ain’t nobody got time for that, as the meme says. If you were quoting and positioning yourself against or critiquing or expanding on a certain piece of scholarship, sure, but if it was just a footnote reference, the ten minute skim was usually all you got.

Maybe I really was a bad scholar, I’m not sure! But it did seem like more than an isolated experience to me, and thinking back it is a bit amusing, this tacit acknowledgment that this was the level awareness so many of us had of our references and sources, by necessity.

[darcylightninglewis]

sabine221b reblogged your post:Shades’s relationship with Comanche is 1000000%...

Really really really wanted him to flip on Mariah and leave with Comanche. I wanted more gay gangsters.

riiiiight!? Like, his perspective on their relationship fascinates me. And he could still have applied what he discovered he wanted to their life. UUUUUGH. GAY/BISEXUAL GANGSTERS FOR LIIIIFE.

[texanforevermd]

Hi from a UK med Student (almost). I have been following a few US Medblrs and a few have mentioned getting work experience as a ward/A&E scribe? Can you elaborate what this is. In my head is is someone following a ward round writing in the patient notes. But in the this is the job of the FY1 (the most junior doctor on a firm), and really would not be the job of someone on work experience. I mean, how would you know all the shorthand, TLAs and diagrams to draw? Plus Confidentiality?

I totally had to look up what A&E is (accident and emergency - aka our Emergency Departments in the US). Basically, at least where I scribed, I would go see the patients in the Emergency Department with the doctor. I would document the HPI (history of present illness aka why they were in the emergency room) as the doctor asked those questions, the review of systems, and then the doctor would dictate to me the physical exam after we saw the patient. I would also put in the chart what labs the physician was planning to order and the general plan. I would also write the note after they were seen about their transfer of care and what the next steps were for them (whether they were being discharged or admitted). The doctor would read my notes and then make any changes necessary and then sign off on them. I was not supposed to directly ask the patients anything, I was just a fly on the wall in the exam room (or hallway, we didn’t have that many rooms). 

At the hospital I worked at, I did not work for physicians who had residents (or what I think y’all call FY1′s). I’m not sure what TLA is. My company trained us for a week in a classroom (where we had tests on the abbreviations and medical terms and anatomy) and then we had training shifts with other more experienced scribes. A lot of the learning was on the job though. A good scribe saves a physician a lot of time not having to type out all the notes and just reviewing ours instead. The learning curve can be pretty steep though. 

We were required to be trained on HIPAA (act about patient privacy in the US) and only looked at the patient records of people that we went to see. A patient could say they didn’t want me to see them with the doctor and I would just step out (mostly if it was a sensitive exam). Confidentiality isn’t any different with us than with any of the physicians, nurses, medical assistants, etc. who also go and see the patient and hear their story. 95% of patients did not mind having me in there. 

[starrose17]

Billy Connely said we have a misconception of old people being nice and sweet. However he found that young arseholes had a tendency to become old arseholse. Your gran sounds like an old arsehole. This is something I have seen to be true in nursing.

Oh she is, she's caused my mum and I hell for 20 years.  Now she's finally gone, it's like a different household, and it's gonna be bliss when I move up to Scotland because I will never have to see her ever again.

Ever!

[starrose17]

Hope things improve hon. Send the old biddy to a home or kick her out on her ass. Seeing as you say she can look after herself I think that might be the answer. Please don't go to jail.

We can’t she owns 30% of the house and refuses to move, and mum and i can’t afford to move out.  So it’s live here in this hellish abusive prison until she dies. Which is why I'm now off to the pub with my laptop to get drunk.