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EM Clerkship

How to Crush Your SLOE (Tips 21-25)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 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 […]

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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