Recent content by AJM

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    GERD treatment

    These forums are not for soliciting medical advice. Closing thread.
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    Questions about Vascular Medicine....

    Vascular medicine is usually in the realm of cardiologists. There's no formal fellowship for vascular per se, but many cards folks will end up focusing in it.
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    Interview-Trail Impressions

    Just to clarify, unless they've gotten rid of short call all together at BWH, the intern cap of 7 in a call night is only for saturday and sunday calls. Calls during the week cap at 5 admissions per intern. This is still following the ACGME rules, because the weekend on-call team often get 2-3...
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    Workload for intern on call?

    Hmmm, I thought the ABIM regulations for IM residency programs stated that interns are not allowed to admit more than 5 patients per call night... some programs are able to get around this somewhat, such as capping at 6 admits per intern call night with the argument that 1 of those pts is...
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    Which anesthesia/CC programs...

    MGH and the Brigham do on a case-by-case basis. They usually have one IM-trained fellow per year. Stanford's program is a little bit more formalized, since I think they're accredited by both ABIM and the anesthesia credentialing org to train their critical care fellows, so they more routinely...
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    Are there any residencies not physically demanding in regards to standing all day?

    Actually, there's a lot of sitting in IM. In clinic, sure you're going from room to room all day, but in every clinic room you sit down to talk with the patients. As far as "non-stop running" around the wards -- I've only ever seen interns do this, and even interns sit down to write notes and...
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    ? Bariatric Medicine....

    You would definitely have a client base -- Obesity clinics are starting to pop up all over, and more and more Americans are becoming obese. PCPs are increasingly referring patients to obesity clinics for evaluation. Even if people might not know what bariatric medicine is, they know what an...
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    ? Bariatric Medicine....

    You can do bariatric medicine through either surgery or internal medicine. The surgery route is as gagolden described. As far as internists doing bariatric medicine, they usually run obesity clinics that are multidisciplinary clinics set up with nutritionists, social workers, physical...
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    Any idea how much it costs to move cross-country?

    Oh wait - I just found out there's one in Stoughton, MA! I'm going to have to go check it out! :)
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    Any idea how much it costs to move cross-country?

    Except the only Ikea in New England is in New Haven, CT. :( I moved from Cali to Boston a couple of years ago -- didn't have much time to do it since I finished work in Cali at 5pm June 30th, and had to be at work in Boston at 8am July 1st. :eek: So I hired a moving company and had my...
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    best way to prep for acls, reading ekg's?

    Unfortunately, I have to use the ACLS protocols just about on a daily basis, so I pretty much know them cold. Makes recertification really easy -- my last recertification course involved a bunch of us pulm/cc folks just discussing the reasons for various interventions listed in the protocol...
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    best way to prep for acls, reading ekg's?

    Don't bother reading the book. Just learn the algorithms and the meds you give for the different arrhythmias. The algorithms in particular you should become familiar with are: Tachycardia - wide complex vs narrow complex and irregular vs regular Pulseless VT/VF PEA Bradycardia Asystole...
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    Concerned

    I don't know what the numbers are, but there are a lot of things you can do to prevent burnout. One is to make sure that you join a group that has other people doing a significant amount of critical care time so that you don't have to do too much of it per year. (too much of a good thing can...
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    call?

    I always had the impression that taking in-house call for fellows was an exception -- at most places that I know of they're home call. When I interviewed for PCCM no program that I looked at had in-house call during the ICU blocks. There was only one program I interviewed at that came close to...
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    inverted t-wave

    Wow - way to bump up a 2.5 year-old thread! But since the purpose of this forum is not for soliciting medical advice, this thread is being closed.
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