Round 10 (IT) – Altered Mental Status
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 1 April 2026
⏱️ 39 minutes
🧾️ Download transcript
Summary
The altered hypertensive elderly patient – what’s the diagnosis? Stroke? Trauma? Sepsis? Dr. Tweedt gets put to the test in this latest case, following a new format designed to mirror new 2026 ABEM Certifying Exam.
Transcript
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| 0:00.0 | Hello, med students. This is Zach Olson. It is clerkship season. If you are heading into |
| 0:06.9 | emergency medicine and need to crush your upcoming EM rotation, then I highly encourage you to check |
| 0:13.1 | out EM Clerkship's Procrastinator's Guide to Emergency Medicine. This course is not the same as what you |
| 0:19.1 | get on the podcast. It is condensed in high yield designed so that you can hit the ground running and make a great first impression in the ER. |
| 0:29.1 | You can find a link at our website, www.emclerkship.com. |
| 0:34.3 | Click Procrastinator's Guide to Emergency Medicine. |
| 0:37.2 | Now enjoy your show. |
| 0:39.8 | Hello everyone and welcome back to EM Clerkship. My name is Maddie Watts and I am joined today with one of our |
| 0:46.3 | fabulous interns, Isabel Tweet, for case number 10. Now today is going to be a little bit different |
| 0:53.0 | than our past cases and I'll tell you why. |
| 0:56.0 | As many of you may know, the American Board of Emergency Physicians, or ABIM, has changed the |
| 1:02.4 | format of their oral boards exam, now called the Certifying Exam for 2026. Now, I have not yet |
| 1:09.8 | taken my certifying exam, but ABEM has published |
| 1:12.8 | materials online to help those who are preparing for the exam to figure out what might look |
| 1:17.5 | different than in past years. To my understanding, they are going to still be, there are still |
| 1:25.0 | going to be clinical cases that you discuss with another physician evaluator. |
| 1:29.5 | However, these cases are going to be less of a role play scenario and more of a structured |
| 1:35.0 | discussion. |
| 1:36.5 | Now, they will still have some cases involving standardized patients that are geared more towards |
| 1:41.1 | demonstration of communication and conflict management skills, |
| 1:44.9 | ultrasound skills, and procedural skills. But today I'm going to try to do something new by |
| 1:50.7 | attempting to mimic the style of the new clinical cases based on the materials that ABIM has put out. |
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