How to Crush Your SLOE (Tips 21-25)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 7 April 2019
⏱️ 15 minutes
🧾️ Download transcript
Summary
Tip #21
Review and note if the patient has any IMPORTANT old records.
* Any ED visit within the last month for a similar complaint (aka “Bouncebacks” and frequent fliers)* Any echocardiogram or catheterization reports for a patient with cardiac symptoms* H&P and discharge summary for recent hospitalizations* Any large imaging studies (CT, MRI, etc) that have been obtained in last few months
Tip #22
Give a “Snowy Blizzard” presentation
* Step by step by step MARCH through your presentation in a clear, concise, confident manner (please refer to presentation episode for typical presentation format)
Tip #23
Do not forget to give at least a basic treatment plan. Some basic options include…
* Pain Medicine* Nausea Medicine* Fluids
Tip #24
Introduce your attending to the patient (demonstrates massive ownership)
Tip #25
Get something set up for your attending
* Laceration kits* I&D kits* Consent forms* Ultrasound machine* Language line
Additional Reading
* How to give a basic patient presentation in EM (EM Clerkship)
Transcript
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| 0:00.0 | Hello, med students. |
| 0:03.5 | My name is Zach Olson, and thank you for downloading this week's episode of the EM |
| 0:08.9 | Clerkship Podcast. |
| 0:12.0 | If you've been listening to this series so far, you are well, well on your way to developing |
| 0:18.1 | a comprehensive strategy to crushing your slow. Beyond be smart, |
| 0:23.5 | be nice, yada, yada, no, specific tips. And we're up to tips 21 through 25 this week. |
| 0:30.5 | And the general theme this week is probably the most, or at least tied for the most important |
| 0:37.2 | set of tips that you're going |
| 0:38.7 | to need to know for your clerkship. Probably tied with the stuff we'll cover next week. |
| 0:43.3 | This week, it's all about that all-important patient presentation. And you know this. The reason |
| 0:51.2 | this is so, so important is because your attendings or residents or |
| 0:55.3 | whoever you're paired with the train under, their primary impression of you, the bulk of the time |
| 1:00.5 | that they spend with you, will be built around your patient presentations. You have tremendous |
| 1:06.2 | opportunity to improve patient care by giving a clear, concise, thorough patient presentation |
| 1:12.9 | up front once on each case. Because attendings need to keep things moving and knowing what |
| 1:19.2 | the deal is before heading into a room, what red flags they anticipate that they're going to need |
| 1:24.5 | to ask about too. What issues are at play? It keeps things |
| 1:28.3 | moving. It organizes the case in their mind in a way that I think it just drastically improves |
| 1:34.7 | patient care. And it just makes you sound like you know your shit when you give a good presentation. |
| 1:39.8 | And the flip side of that is that presentations that are disorganized or boring and talking about stuff like, oh, you know, they're toenails or whatever. |
| 1:51.1 | Or heaven forbid, you didn't ask any of the important red flags or do any of the important exam stuff. |
| 1:56.9 | And you're just like scratching your ass in there for a half hour chatting about sports. |
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