UnsCripted Medicine

Some call it O.B.G.Y.N, others prefer to say O.B-gine, and then there are those who say O.B.-gin. Regardless, it is all about women’s health and the miracle of childbirth. On this episode, Robbie sat down with Jacqi Riemersma & Mikail Siddiki to discuss the OBGYN clerkship. No matter when in third year you have your OBGYN clerkship, this episode is bound to be insightful.

Clean-up

The cervical exam: a) dilation (how open in cm), b) effacement (thinning of the cervix, expressed in percentage), c) station (presenting part in relation to the ischial spines, with zero station being at the level of the ischial spine).

"Uterolytic" was referring to tocolytic (medications to stop contractions).

Routine prenatal visits address many concerns and screenings in pregnancy. Some refer to these visits as "belly checks" but much more happens at the visit, even if the most routine check.

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So you know some biochem, huh? Well, Cellular Medicine is up next (AKA Fundamentals 2) and it’s nothing to sneeze at. Listen in for an excellent discussion with Robbie and guests Sierra and Kinsey as they talk about how to kick this course in the flagellum. Bacteria, viruses, and lymphocytes, oh my! 

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Cincinnati Children's, ever heard of it? Well, we have the pleasure of rotating there for our Peds Clerkship. It’s quite the treat! You may or may not gain the peds 10 (the food is great!), but you will definitely get a few URIs along the way. Listen to Robbie, and guest hosts Ellie and Katie talk about their experiences at CCHMC while on the Peds Clerkship.

Resources:

Vaccine Schedule: this link provides a stellar mnemonic for the pediatric vaccine schedule… https://www.youtube.com/watch?v=WrlVbDmCVyw

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Hear first hand from an OR expert herself, Erica Baden. With many years of OR experience, Erica provides her elevator pitch on why the OR is awesome. Robbie and Zach discuss their rookie mistakes and Erica shares her practical advice that will have you walking with confidence on your first day in the OR.

Clean-up:

1. @41 min - Dupuytren’s contracture was botched by both Zach and Robbie…the correct pronunciation is (du-pwe-TRANZ)

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We have three phenomenal future surgeons who are going to give you the inside scoop on the surgery clerkship. Madison, Jalen, and Michela will help you approach the clerkship with the right attitude and give you the pro-tips necessary to excel on rounds and in the OR. You’re gonna work a lot, but you’re gonna love doing it (maybe)!

Additional Resources:

1. Surgery Rounding Template
2. Surgical Recall: the tried and true gold standard for those aiming to Honors the clerkship and soar in the OR.
3. Dr. Pestana’s Surgery Notes: this is a great resource for those looking for surgery specific vignettes and questions.

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We got you covered for the Renal-Pulmonary block. Major takeaways…You can consume all the salt you want, don’t smoke (or vape…), and get vaccinated!

For some, this block is a breath of fresh air. For others, it’s just not their cup of pee. Either way, you’re in for a ride, and we’re not kidney-ing.

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Some call it FOMM, others call it Fundies, you may even hear it referred to as Molecular. Regardless, if you are about to launch into Fundamentals of Molecular Medicine, you have come to the right place. The first content heavy block of medical school definitely serves up a few challenges, but we recommend disregarding the pancake and fire hose analogies because you’re a boss and you'll master ALL of it. After listening to the wisdom Kerry and John discuss in this episode, you will be ready to hit the ground running. 

Resources

1. BRS Biochemistry
2. Lippincott’s Q&A Review of Biochemistry

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The transition back to school can be tough for many students. We sit down to talk about transitioning back to school, Heme-cardio as a block, and M2 as a whole.

Kevin and Robbie provide the down-low on what to expect from your Heme-Cardio block. They break down high-yield topics, the best study resources, and how to get back into the swing of things after a summer of fun.

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You've made it! Listen to the UnsCripted team as they share a few pearls on how to thrive during the first few weeks of medical school.

Clean-Up:

1. Radiology has been removed from O(R)SA. Radiology will be introduced with ultrasound later in Fall Semester.
2. The number of P&S exams has been reduced from two to one exam for Fall 2019.

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You’ve passed Step 1! You currently know more about basic science than you will for the rest of your life. You’re ready for the wards. Tune in to hear what Robbie, Madison, and our guest host, Adam Price, have to say about the 3rd year of medical school. Also, don’t forget to clean your white coat!

Cleanup

15:00 - Students are encouraged to take care of their own health and are able to request excused time off for healthcare appointments during M3 clinical duties. All of this is detailed in the policy for excused absences (see Student Handbook for a complete explanation).

47:00 - Keep in mind that the type of information (such as a preliminary diagnosis) you share with a patient can depend on many factors (e.g. your level of training, the disease severity, particular patient, setting, attending, etc.). We recommend careful consideration before sharing an assessment with your patients. It’s not a bad idea to let them know that you need to discuss your A&P with the attending physician first. We do it all the time!

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