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EM Clerkship

Round 29 (Weakness)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 January 2022

⏱️ 32 minutes

🧾️ Download transcript

Summary

Initial Assessment: Obtain Vitals and blood glucose level Time of onset (important for tPA/TNK vs thrombectomy) Neurologic and Cardiac Examination / NIHSS do not delay head CT to complete NIHSS, can always finish after CT Assess contraindications for tPA Workup: Labs: CBC, CMP, Troponin, Coags, EtOH, bedside accucheck CXR and UA (infections can cause recrudescence […]

Transcript

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0:00.0

Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for downloading

0:06.1

this month's episode of the EM Clerkship podcast. This episode is sponsored by Pearson Ravitts Insurance,

0:12.8

my personal disability and life insurance agent, and today is round number 29 of the game.

0:19.3

29. Yeah, 29. Okay.

0:21.3

A few of you have reached out to me recently because, as you may or may not be aware,

0:25.8

the ABEM, the American Board of Emergency Medicine, recently made changes to their test format.

0:31.0

So all these triple cases that we've been doing, those are gone all of a sudden.

0:34.7

And now they've replaced it with this new format called structured interviews.

0:39.5

Now, in full disclosure, I've never had to do a structured interview myself because this came

0:44.4

after I did my test.

0:45.9

But a few of these are available online.

0:47.9

I've listened to them.

0:48.9

And we're going to do our best attempt at this today to help Mike get ready for the oral boards.

0:53.2

I will say just as like kind of aside,

0:55.0

I think this is a good change for ABM to do because the triples were supposed to be checking

0:59.8

your ability to multitask. However, in the real world, multitasking is completely different

1:06.6

than these triple cases. Like, it's not, in the real world, it's not three interesting cases that,

1:11.9

you know, someone is timing out for you and spacing out for you that are all perfectly designed to be

1:16.1

it's like not like that. It's more like you just get 10 people that all say, you know,

1:20.1

COVID-19 as the chief complaint and one of them is a 30-year-old with apical ACS. You know, it's like, it's more, it's just not, I never thought it was a good

1:27.6

part of the test. These structured interviews are meant to make, to demonstrate that the candidate

1:32.5

can think through and not just that they've memorized like a template. Like, I need a BMP and a CBC

...

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