jsw tcep15
TRANSCRIPT
The Single most Intriguing Talk of your life
“Secrets to Clerkship Nirvana” will begin in…
The Single most Intriguing Talk of your life
“Secrets to Clerkship Nirvana” will begin in…
Perfecting Presentations Nailing ProceduresSecrets to EM Clerkship Nirvana
J. Scott Wieters, M.D. Eternal Medical Student of the year....Forever Assistant Professor Texas A&M HSC College of Medicine Clerkship Course Director Baylor Scott & White Memorial Hospital
Twitter: @JScottWieters
email: [email protected]
Will work for
Conflict Of interest
7 San Antonio, TX Circa 1997
What Should I do?
Show up Prepared
-Andrew Crumey
“The First Impression Is the Truth,
and all that follows is merely the excuse of memory”
I don’t always make a good first impression…
Oh wait… Yes I do…
Polish your Presentations
Prepare for Procedures
Positioned for Success
Patient Ownership by Following up
Participate- You can Always Help
Practice Being an Active Learner
EM Presentation Philosophy
"If its too long we stop paying attention…
Keep it short and relevant, don't present every detail you collected…
If we want you to expand on something, we'll ask you.”
-Dr. Mike ParsaClerkship DirectorTX Tech, El Paso, TX
Drew Juergens MD Associate PD TX A&M Scott and White
Dr. Michael Van Meter Clerkship Director UT Houston
Reporter or
Interpreter
Dr. Kim Leeson Clerkship Director Christus Spohn Corpus Christie, TX
The One Liner…
The One Liner…
Dr. Jeff Van Dermark UTSW Clerkship Director
Social
plan and dispo
Dr. Kevin King Clerkship Director UT San Antonio
DIGABCDEFGPKEKINSRL HIGJLMNOPQRSTUVWMEXYZUANSIPLQL
P
T
S
RQ
HPI
O
ROS
List DDX
Rule Out Serious
EXAMVital Signs are Vital
Lets act it out
Exam
List DDXor
MDMWorse Case Scenario
Make A Decision Man
Commit
With Humility
“The’re fine”“He’s a drug seeker”
“We don’t need to Admit”“I wouldn’t scan him”
“I don’t think its anything bad”
“I’m concerned”“Maybe we should take him
seriously for a bit?”“I’ve heard this can be
dangerous”“The safest approach is to
do a work up”
Aggressive
RespectfulCareful
Clinical spectrum
DismissiveArrogant
Conservative
Hang ups Ticks
“um”
“like”
Posture
Speed
Attire
Russell Jones MD TX A&M Scott and White
Break for Questions?
EM Philosophy One liner Rule Out Serious EXAM-DDX Make a Decision Man!
Summary
Take a Selfie...
Nailed It!
Placement
Prepare
SIM“It’s ok if you make mistakes and Kill me….”
“A little more to the right….”
image of youtube nejm procedure videos
NEJM Procedures Youtube videos?
Be Aggressive But Safe!
$1,000,000 Question
What should we do next?
Reassess
• Eclipse
• Camouflage
• Meditation
• The Muffin
• Fake Repeat
• Electronic Shuffle
• The Politician
• Honorable Surrender
Pimping Avoidance
EclipseCamouflageMuffinMeditationFake RepeatPoliticize
Break for
Questions?
Preparation Practice Procure Permission Proactive Pursue Feedback
Summary
