tag:blogger.com,1999:blog-73988196321485292902011-07-30T22:01:12.222-07:00Observations, Experiences & Musings of an Internal Medicine ResidentDigitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.comBlogger121100tag:blogger.com,1999:blog-7398819632148529290.post-32202046595420551492011-04-09T15:16:00.000-07:002011-04-09T15:33:05.190-07:00

Feeling Appilicious ? Got an idea ? The American Medical Association wants to reward you for it.All you need is a idea and a description of features - no programming or drawing.The Downside ? The submission agreement :"If you share your App Idea with the AMA, you will forfeit proprietary rights to your App Idea."(does not matter whether you win it or no)So then you have to wonder, if the app

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-19995728682555379632009-11-30T16:38:00.000-08:002009-11-30T17:16:24.751-08:00

...And that totally excites me, and if you are a geek-doctor like me, I am sure you would share in the excitement. As a resident I keep encountering countless frustrations with current EMRs and moments of "Wish Steve Jobs made EMRs too", I know for a fact that medical information access, presentation and computing is no longer just geeky business, it can have real tangible, implications in

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-50975782263840978182009-09-30T07:38:00.000-07:002009-09-30T09:50:31.548-07:00

Diabetic patient followups make up a huge majority of primary care stuff that both residents and medical students gotta handle, here's a ABCD style mnemonic to remember what to keep tabs on for diabetics:A - A1c : Target A1cHb Less than 6.5B - Blood Pressure target Less than 130 /80 in Diabetics to slow renal failure! Start off with ACE inhibitors , and remember annual microalbuminuria checksC

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-17195079811148465912009-08-21T07:20:00.000-07:002009-08-21T07:28:06.975-07:00

Emailed to me by a reader who recently started his residency - and here's a real cool "prescription pill" bottle that their residency program gave all incoming interns:Here's the medicine label ;):And here are the contents !!And here are intructions...Sweeeet...

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-73828261869251364062009-07-22T06:18:00.000-07:002009-07-22T06:42:36.005-07:00

Just when you thought that you can now take a future-planning break after you matched into an Internal medicine residency, your ears pick up the ticking sound of the fellowship-applications clock..lol. Unfortunately, for a physician, there will always be that next academic / career goal to work for ....The other day I was talking to an inquisite, fresh intern about fellowships and these stumbled

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-22908457433844304892009-07-03T13:45:00.000-07:002009-07-08T15:23:14.893-07:00

Just started my second year of residency and my first rotation is a relaxed primary care clinic rotation..lovin it ! The last week, Mr. Z, a jolly white man showed up for his 6-month followup with his very pleasant wife. I went over his notes, problem list, labs and meds on the Electronic Medical Record, which all looked fine and optimal. On the vitals screen, I saw that his blood pressure

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-70102494881650517262009-06-21T15:33:00.000-07:002009-06-23T17:03:01.903-07:00

This is how it works at the VA Hospital inpatient rotations where I am currently at. In the first year, we spend about 4 month-long VA hospital slots scattered in the first year. The other two hospitals we do not take any calls and spend 3 months doing that. The rest of the 5 months of the first year were relaxing elective rotations with weekends off and fixed work times anywhere from 8 /9am to 4

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-64668771749844566402009-06-21T12:15:00.000-07:002009-06-21T12:55:05.918-07:00

Full sleeve white coats that look sparkling, clean & scientific also harbor resistant hospital germs like C.Diff, MRSA etc. that make nosocomial infections more likely. In fact, Residents & physicians at the prestigious Mayo clinic wear only full business attire, no white coats:"More than 2,800 staff physicians wear business attire, unless they are in surgical scrubs, to convey professionalism

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-54892796476667306232009-06-21T10:53:00.001-07:002009-06-21T11:05:21.506-07:00

Here are some good recommended ones to carry as quick reference :(Most residency program will pay for books for a total specific sum each year) My Favorite ! A Must-Have !

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-36785661375209316362009-06-21T07:31:00.000-07:002009-06-21T10:02:56.490-07:00

A Simple concept that does it's bit in simplifying a residents life - a steth light is a good one to have instead of adding more weight to your overburdened white coat ! And unlike a separate penlight, I never forget to carry this one and have not lost it since a year !And it is an example of a useful 'gift' from Pharma companies ;)

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-84456334235260086862009-06-11T19:40:00.000-07:002009-06-11T20:53:30.434-07:00

There are tons of articles talking about reducing medical errors by giving residents more sleep time on one hand and the extra 1.6 Billion dollars cost of doing that, on the other.So what exactly are the new Resident duty hours recommendations?A Brief Summary:1. 4 Week average work hours of not more that 80 hours a week2. No More than 16 hours continuous work at any time, unless a 5-hour

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0tag:blogger.com,1999:blog-7398819632148529290.post-78385289850444303322009-05-26T03:14:00.000-07:002009-05-26T03:26:28.444-07:00

...by the ACGME, reasons not made public, but most likely resident duty hour violations. Individual Residency programs not affected, probabtion apparently at system level."Because the probation is at the system level, it also does not currently include any of MU's 39 residency programs, which represent 390 doctors training in specialties from anesthesiology to urology. Those programs are reviewed

Digitaldoc, MDhttp://www.blogger.com/profile/06490732171275104383noreply@blogger.com0