The Differential
Blog Address: http://blogs.medscape.com/thedifferential
August 30, 2015

Gatekeepers

Life in the Emergency Department is fast. Patients are in and out with every compliant under the sun. Some stay for 5 minutes and some for 5 hours. After spending this past month in the ED I've gained a newfound respect for these gatekeepers of the hospital.

Sick or not sick? As simple as this question is, it is the deciding factor on how a patient is treated in the Emergency department. Determining a patient to be sick is to say that if they were to be sent home they would likely deteriorate significantly and that admission would increase life expectancy. The ED is not a place where patients come only for life threatening events. Complaints range from a s...

Posted By: Samuel Shapiro  

August 29, 2015

Against Medical Advice

0.1% to 2.7% of all ED patients leave against medical advice (AMA). This seems like a small figure, but I've already seen 3 patients that decided to leave the hospital AMA. That's 3 too many.

I remember eac...

Posted By: Felix Lee  

August 29, 2015

Step 2 CS

Another day, another exam. On Monday, I take Step 2 Clinical Skills (CS) and then my USMLE saga is over (for now). Unlike its multiple-choice question counterpart (Clinical Knowledge), CS involves real, live people!

CS tests your ability to take a history, conduct...

Posted By: Alexa Mieses  

August 25, 2015

A Culture of Well-Roundedness

Medical school admissions officers seek well-rounded matriculants. Nonscience majors are valued, applicants with unique interests stand out, and diverse class populations are ideal. A well-rounded physician is better equipped to relate to patients as people and handle cha...

Posted By: Heather Kagan  

August 23, 2015

Our First Patient, Our First Teacher

A week ago, donning scrubs and a lab coat, I headed up to the sixth floor of Evan's Hall at the Philadelphia College of Osteopathic Medicine. I walked down the hall, rounded the corner, and paused for a second outside the double doors leading to the anatomy lab. It was th...

Posted By: Rick Tumminello  

August 19, 2015

Vulnerability

Vulnerability is not often thought of as a good thing. We often think of it as a position of weakness, being exposed, or not in total control. Our intuitive feeling about being vulnerable is, simply put, uncomfortable. With the dictionary definition being "open to assult,...

Posted By: Matthew Marschall  

August 17, 2015

Truly Promoting Optimal Weight and Nutrition

It's official, orientation is done and classes begin today, and I've started to dive into Bates' Guide to Physical Examination and History Taking. Upon reading the section "Important topics for Health Promotion and Counseling: Optimal weight, nutrition, and diet,...

Posted By: Rick Tumminello  

August 14, 2015

Sacrificing the Little Things For Medicine

It is often difficult to process experiences while you are still immersed in them. I am six weeks into fourth year and with each day I gain more and more perspective on the last three years. It is finally setting in: I am in my last year of medical school!

I feel ...

Posted By: Alexa Mieses  

August 14, 2015

Microbiology: A Mental and Technical Debriefing

Second year of medical school is notorious for being the toughest. There's Step 1 looming at the end of the school year, and a whole lot of difficult material to get through before then. If M1 taught me anything, it's that prior warning and advice do not serve as steadfas...

Posted By: Heather Kagan  

August 12, 2015

Should Medical School Teach About Costs?


Recently, I overheard an attending asking a medical student, in a hallway, about why he would “order a Doppler ultrasound for a low-suspicion DVT in a patient?” The medical student gave an academic response that I would completely agree with. Ho...

Posted By: Jimmy Tam Huy Pham  

 
« previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 next »
About This Blog

Medical school and residency can be a stressful, demanding time. These medical students share their insights and experiences, good and bad, in order to create a community of support and understanding for medical students everywhere.

Contact the Webmaster
Poll: Are you still in contact with your roommates from 1st year? Yes, they're right next to me.|Yes, but we don't room together anymore|No, we didn't get along|I didn't have a roommate|

  • Alina Khurgel
  • Kolin Meehan
  • Neil C. Bhavsar

    Medical Student 
    New Jersey Medical School

  • Rick Tumminello

    Philadelphia College of Osteopathic Medicine

  • Sung Woo Koh

    Chicago Medical School at Rosalind Franklin University

  • Heather Kagan

    Temple University School of Medicine, Philadelphia, PA

    www.heatherkagan.com

  • Stephanie Nguyen

    Temple University School of Medicine

    Philadelphia, PA

  • Vincent Migliaccio Michaelson

    O&Med School of Medicine|Havard Developed Pilot Program

     

 
 


 
All material on this website is protected by copyright, Copyright © 1994-2017 by WebMD LLC. This website also contains material copyrighted by 3rd parties.