Let’s talk about not matching at your number 1, why it is so devastating to some people who fall down their list, but what you can learn from programs who do this year in and year out. Shall we… I think because the vast majority of students do the match one time, they overly focus on it being perfect. Its like a wedding vs a birthday party. If you only get married once, you agonize about perfection in a way you wouldn’t if you threw a party every year.

Lots of fighting and I do not want this to devolve but as I thought more about this, one aspect of this argument I havent seen discussed is that proper informed consent may not be ethically happening and we should probably reflect on that. Part of informed consent is discussing alternatives. If Plastics will readily come in for cosmetics, that is an alternative and not telling a patient that is not informed consent.

At this stage of the pandemic, its absolutely absurd that we could have developed a vaccine for COVID19, but still can’t produce enough tests. Lack of rapid testing has so many downstream effects. In order to give monoclonal antibodies, you need a positive test. If it takes a day to get your test back, that means you have to then have some sort of call back system which is obviously unreliable.

If we could design a better ERAs/Interview system my top 5 things to make students lives better would be: 1. Each program enters the # of spots they plan to interview at the beginning. Programs then cant approve and invite any more than that # to limit programs to sending only enough invites per # of spots

Id imagine that by next week, most programs have sent out a good chunk of their invites. There will be some left, plus some will decline/cancel, but the “first wave” which is the majority will be done. So I think end of Nov 1 is a good time to reevaluate your chances and plan accordingly for EM.

1 / Ok here is my thread to demystify the “SLOE” for med students who are interested in EM. Settle in, this is going to be a long one (24 tweets) as we define the SLOE, its importance, and what all goes into it. 2/ First, let me define it. A “SLOE” stands for a Standardized Letter of Evaluation. It’s the LORs you will get when applying to EM.

#Medstudenttwitter: Here's a case for you. 42 yo M presents with palpitations, BP is 125/84, HR is 250 on the monitor. Anxious but otherwise stable. The next post has his old ECG for comparison followed by a poll for what you should do next? Old ECG

#MedStudentTwitter : Anyone want to take a stab at this case? 24 yo history of seizures on multiple antiepileptic drugs and psych drugs found after a questionable OD in status epilepticus. Intermittent sz with postictal periods but never returning to baseline before sz again Patient is given 50 mg of valium in titratable doses over 1-2 hours but intermitant seizures persists. She also has mild hypotension.

Hey #MedStudentTwitter, want to learn how to quickly master reading rapid rhythm ECGs ahead of your EM elective? Here is how to look like an all-star. All the images in the tweets below were taken from a google image search, credit goes to whoever posted them originally. The easiest way is to categorize any tachycardic ECG into regular or irregular and narrow or wide. This leads to four categories and each one has a small ddx. By knowing the 3 things in each, it is easy to make a quick DDx and quickly narrow it into the right diagnosis.

Every year I get asked by students for tips on how to look good on their EM sub-I's. So, here you go, here are my tips on little things you can do or not do to make a good impression. Go earn those good SLOEs... 1. Show up 10 min early to every shift. If you are late, even once, and someone writes about that on your SLOE (I see this several times a year reading applications), it looks AWFUL!