msmb med school merit badges full set

8/14/2019 MSMB Med School Merit Badges Full Set

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Med School Merit Badges:tackling stress in health care trainees at the grass roots

Case Presentation

It happens sooner or later to every medical student. Sometimes, you're lucky enough toescape your fate until your first year of residency or even beyond. But sooner or later, youfind yourself hungry, sleep-deprived and clueless, covering the medical ward on the tailend of a holiday weekend. And then, just when your energy and morale seem to havereached their nadir, a delirious alcoholic vomits on your shoe. Delightful, particularly whilewearing the ventilated plastic clogs which have found their way into standard hospital chic.However, there is still extra topping to be added to your special holiday Sunday; tenminutes later, you are called to a stat delivery on Obstetrics, where your toes arepredictably bathed in warm amniotic fluid followed by...something else. And it is then, fivehours before you are due to go home, with no change in shoes or socks in sight, that youbegin to feel most isolated and alone. I'll never make it through this, you lament. Even if Ido, no one will love me or accept me into their home with feet smelling like mine! No one,not since Vesalius illustrated page 190 ofDe corporis hum ani, had such foulness thrustbetwixt their toes as I! Why didn't I just do that MBA?

And then, as you slump dejectedly in your chair at the nursing station, the grizzled R2 ERresident wanders by, seeking from whence the smell. She stops, looks down upon yourmisery and proclaims, "Oh hey! 'Body Fluid Hat Trick'...congrats!" and rummages around inher white coat pockets for a moment. From within, she produces a sticker with anirreverent (and appropriately illustrated) cartoon which describes your current predicament.Without asking permission or even questioning the events that led up to your current state,she slaps the sticker onto your lapel and leaves, mumbling over her shoulder, "Nowhere togo but up".

And suddenly, you don't feel so alone any more.

Purpose

The Med School Merit Badges are a humorous set of stickers, available pre-printed or in electroniformat for print-on-demand. They are meant to serve as a simple morale booster for med students

and residents of all stages and specialties. It is well recognized that medical education is a longprocess and carries with it its own specific set of stressors [1]. Medical trainees experience aspecial brand of Hard Times and more than their fair share of Weird Events. Students often cite asense of being overwhelmed and isolated, as if some of the unavoidably negative moments theyexperience are theirs alone. As a profession, we have sometimes dealt with this by way of the "wastories" that get shared between students, supervisors and support staff, often late at night whenthings finally get quiet on the wards and in student lounges. As in turns out, though, a fairnumber of these stories get recycled and there are common themes and experiences that appearto be almost implicit in med school training.


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That being the case, the stickers have been culled from the experiences of many doctors andnurses, both those in progress and those who have graduated. These experiences have beencaricatured and captions have been added. The themes are universal enough that sooner or laterevery trainee can look at them at say, "That happened to me too!". And in doing so, hopefully theywill feel that:

A) They are not the only one who has had vodka-soaked spaghetti vomited onto them by a patient

at three in the morning on a Sunday ANDB) They may be able to successfully cope with it; someone else has clearly had it happen to themtoo and lived long enough to make fun of it on paper.

However, the point of the stickers goes further than just having trainees print them out forthem selves and stick them all over their locker for fun and bragging rights. Everyone in themedical education system is encouraged to photocopy or print out a set and then, when they noticone of their colleagues or classmates going through a particularly hard week of call [2], find anexcuse to "award" that otherperson with a relevant Badge. Part of the challenge of any difficultundertaking (such as medical school) is the mistaken sense that no one else knows what you'regoing through. A Merit Badge, firmly affixed to the inside of your lab coat, the cover of your

notebook or the back of your palm pilot, can serve as a tangible reminder that at least one otherperson noticed, and cared...that you got vomited on.

Instructions for use:The stickers are provided in .pdf format and are downloadable at several locations includingwww.healthcarerocks.ca . As well, email requests for the files can be filled by the authors [3]. Thefiles are readable by an Windows machine using Adobe Acrobat, or by any Macintosh. Thegraphics are formatted to print out correctly on standard Avery 2"x4" address/shipping labels [4].These are readily available at most stationery and department stores, and can be printed uponusing any ink jet or laser printer. In a pinch, they can also be printed out on regular paper and thencut and pasted onto a surface if one is sufficiently crafty. Since the labels are generally purchasedin packages of 25 sheets or more, it is far more economical for a batch to be made up at once, ieby an undergraduate class executive or admin secretary, and then distributed to interested partiesThe Med School Merit Badges may be freely reproduced and distributed with authorship intact,under a Creative Commons copyright.References

[1] White Coat, Mood Indigo: Depression In Medical School, N Engl J Med 2005; 353:1085-1088,Sep 15, 2005[2] Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion,JAMA.2005 Sep 7;294(9):1025-33[3] www.healthcarerocks.ca and [email protected][4] www.avery.com product code 5263 or equivalent
http://www.healthcarerocks.ca/http://creativecommons.org/licenses/by-nc-sa/2.5/http://content.nejm.org/cgi/content/full/353/11/1085http://jama.ama-assn.org/cgi/content/abstract/294/9/1025?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Neurobehavioral+residents+alcohol&searchid=1&FIRSTINDEX=0&resourcetype=HWCIThttp://www.healthcarerocks.ca/mailto:[email protected]?subject=---%3ERequest%20for%20MSMBhttp://www.avery.com/us/Main?action=product.Details&catalogcode=WEB01&node=10211262&productcode=5263http://creativecommons.org/licenses/by-nc-sa/2.5/http://content.nejm.org/cgi/content/full/353/11/1085http://jama.ama-assn.org/cgi/content/abstract/294/9/1025?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Neurobehavioral+residents+alcohol&searchid=1&FIRSTINDEX=0&resourcetype=HWCIThttp://www.healthcarerocks.ca/mailto:[email protected]?subject=---%3ERequest%20for%20MSMBhttp://www.avery.com/us/Main?action=product.Details&catalogcode=WEB01&node=10211262&productcode=5263http://www.healthcarerocks.ca/


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HARRISON'S

HYPOCHONDRIA

HYPERLACRIMOSIS

Iexperienced

sudden,

uncontrollable

tearductspasm

confidential

medstudent/resident

helpline:1-866-HELP-DOC

MedSchoolMeritBadges

sponsoredby

www.healthcarerocks.ca


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IATROGENIC

SYNCOPE

Ifaintedduring

clinicalpractice


sponsoredby


Istudiedit

onMonday

andcontracted

itonTuesday

INSTITUTIONAL

INCEST

M

edSchoolMeritBadges

sponsoredby

w

ww.healthcarerocks.ca

Ihookedupwith:

amedstudent

aresident

astaffperson

anurse





M

edSchoolMeritBadges

COOTIES

Igotthesefrom

apatient.

Wantsome?

SIMIANCOPROPHAGE

(akaScutMonkey)

PBL101

(PanicBasedLearning)

Iwonderif

t

here'safellowship

availableinScut?

CRUSHING

DEBT-PAIN

Mydebtinthousands

exceedsmyweight

inpounds

NOSOCOMIAL

ALBINISM

Ididn'tseethelightof

thesunfor72hours

straight

PEDAGOGIC

PARASOMNIAS

Ifellasleep

inclassor

inthewards

Whenindoubt,

chooseC

A)Leptospirosis

B)Ehlers-Danlos

C)Lupus

D)Allof

theabove

E)noneof

theabove


4/4

Ireceived

twomoreconsults

whileanswering

thefirst

Ibroughtback

someonewhowas

VSAlonger

than10minutes


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A.B.C.

(Airway,

Breathing,

CONSULT!)

Ididnotexcrete

for12hours

Yayme!

A.O.D.

(AngelofDeath)

NECROMANCER

Iknewsomething

mysupervisor

didn'tknow!


THEPIMP

You'drather

haveabottle

infrontofme...

JAMA.

2005Sep7

;294(9):1025-33

M

edSchoolMeritBadges

sponsoredby

w

ww.healthcarerocks.ca

DE

LTA-WAVE

LO

BOTOMY

Istuckasharpobject

intomyselfor

mycolleague

Oopsie!

ELMATADOR

IcausedaCodeBlue

justbywalking

intotheroom




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DIETARY

TRIATHLETE

SBL101

(Shame-Based

Learning)

Ididn'tknow...

andthankstomy

supervisor,now

everyone

KNOWS

Ididn'tknow

I'vegone16hourswithout

consuminganycalories

AND

I'veeatennothingbutsugar,

starch&caffeinefor48hours

AND

I'veeatenanentire

mealin5minutesflat

BUNGED

LumbarPuncture

DUMD

UMS

FOR

SeeOne

DoOne,TeachOne

(butdon'tbesad,

cuztwoouttathree

ain'tbad)


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M

edSchoolMeritBadges

SINKORSWIM

msmb med school merit badges full set

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