The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.
Round 3 (MW) – MVC
Show comments to be posted shortly
Interviews Part 1 – Crafting your schedule
* Understand the timeline – research programs to find out when they extend invites and when they host interviews* Prepare for invitations – set up email and text notifications, get a calendar* Accept invitations – respond promptly and keep your calendar updated* Optimize invitations – any interview date you get is a good one, but planning ahead can help you optimize timing* Too many or too little interviews – drop early, keep tabs with whether programs have extended invites and stay in close contact with your advisors
Ectopic Pregnancy (Deep Dive R2 MW)
Summary of Key Points
1. You should consider ectopic pregnancy in every patient who is capable of bearing children
2. If a patient of child bearing age presents with severe abdominal pain or vaginal bleeding and is either hemodynamically unstable or very ill appearing, this is a ruptured ectopic pregnancy until proven otherwise and I would recommend performing a bedside FAST exam immediately.
3. Remember that the discriminatory zone for TVUS is approximately 1500.
4. Don’t forget your three ACEP clinical policies on this topic: just to remind you,
4a. It is a level B ACEP clinical policy to obtain a TVUS in every stable pregnant patient presenting with abdominal pain or vaginal bleeding, regardless of serum b-HCG level
4b. There is also a level B ACEP clinical policy stating that in patients with an indeterminate TVUS, you cannot use serum bHCG value to rule out ectopic pregnancy.
4c. It is a level C ACEP clinical policy to obtain specialty consultation or arrange close outpatient followup in all patients with an indeterminate TVUS result.
5. Although this isn’t an ACEP recommendation, ACOG recommends rhogam for all Rh negative women diagnosed with an ectopic pregnancy
6. Don’t forget to consider heterotopic pregnancy, especially if IVF was used to help conceive.
ACEP Clinical Policy – Early Pregnancy
Round 2 (MW) – Abdominal Pain
You are working at Clerkship General when the next chart gets handed to you – a 31 year old female presenting with abdominal pain.
* Obtain pregnancy test* Confirm IUP * Administer Rhogam* Treat UTI* Counsel the patient and discharge them
CoreEM – Utility of Anti-D Immunoglobulin(Rho Gam) During First Trimester Pregnancy
EMDocs – Bleeding in Early Pregnancy
Things to consider when selecting residency programs to apply to: 1. What type of program (County, Community, Academic) 2. What length of program (3 year vs. 4 year) 3. Location 4. Culture and Lifestyle 5. Niches in EMFurther Resources:
EMRA Residency MapDoximity NavigatorSAEM Residency FairEMRA Residency Fair
3 Steps to assessing your competitiveness for matching in an EM residency: 1. Get a good advisor. 2. Look at the data. 3. Maximize your potential.
EMRA – Apply smarter not harderEMRA HangoutsEMRA Student-Resident Mentorship ProgramNRMP Charting the OutcomesNRMP Residency DataALiEM – Match AdviceUTSW Texas STAR
This is an awesome adjunct to my clinical training during PA school. I love the patient case episodes and the follow up episodes that go in depth about the topic. I’d recommend to anyone going through school or residency right now as an MD/DO, PA, or NP.
This podcast is great for learners of all levels. I used it as a PA student and at running through the episodes again as I enter an APP EM residency. I love how there are series and how the show’s progressed.
This podcast is truly a gem! The information is clinically relevant & the hosts are both very engaging.