Popular Discussions RSSThu, 07 Mar 2024 11:11:19 GMTIf you not aware of what's going on recently, USMLE scores got invalidated to more than 832 doctors (from Nepal mainly) including doctors who already matched! due to irregular behaviors of answering questions plus a cheating ring discovered in a private Telegram group of Nepalese doctors. A lawsuit happened as a consequence and it revealed that the NBME also didn't stop there they currently investigate irregular behaviors in countries like India, Pakistan and Jordan.I don't know what to make from all of this, for someone like me as an IMG currently preparing for these exams and for so many doctors doing the same thing carrying the label of an "IMG" you can receive these news as a good thing! because the cheaters inflate their score artificially and take spots from honest doctors that made so many sacrifices for the opportunity to develop their careers in US or you can receive this as a bad thing for all IMGs because this will implant doubt in the mind of program directors about ranking and selecting IMGs because you don't know what you get a legit candidates or cheaters that in any time their scores will get invalidated and lose their ECFMG certificate! so from the point of program directors the safest move is to not take any IMGs!.This is open to debate and platforms like Scrubdin made for these types of discussions so I posted this so you maybe share what your thoughts about it (only if you wanted to engage).#Opinions #US_residency

]]>Thu, 07 Mar 2024 11:11:19 GMTI would like to share with you this case I saw in Nashville a couple of days ago..A 47-year-old Hispanic lady, presented to the Emergency department (ED) with chest pain while climbing the stairs. The pain lasted for 45 min before arrival to ED. Her presenting EKG is shown here.What is the interpretation of the EKG, and what we do next?

]]>Thu, 06 Jul 2023 12:53:56 GMTAslam AlikumI am writing to express my keen interest in applying for a provisional medical license under Tennessee state law, as I understand the deadline for application is December 31, 2024. Due to my current commitments and limited time, I would greatly appreciate any guidance or assistance in securing a job offer from an accredited program in Tennessee, which is a prerequisite for my application.I am a physician currently in my first year of General Practice (GP) training in the United Kingdom. I am highly interested in pursuing Family Medicine as my primary specialization and would also consider Emergency Medicine, having worked in the field for two years in the UK.I kindly request your assistance in identifying potential job opportunities that meet the licensure requirements.Thank youZiad Elarbi

]]>Thu, 28 Nov 2024 19:17:34 GMTpul.vasculitis

]]>Sat, 20 May 2023 22:29:06 GMTالسلام عليكم سؤال موجه للاطباء الاسنان في أمريكا نبي تفاصيل أكثر عن نظام التدريبي AEGD و CDCA ؟

]]>Thu, 03 Aug 2023 19:22:09 GMTI want to share this "routine" case we see everyday, but it has a little twist that we don't see very often. No tricks here!!This is a 41-y-o Hispanic male, presented with lingering CP x 12 hrs. Exam negative.Presenting EKG below:Troponins below:Did well overnight. No recurrent CP.What's next: Stress or Cath?

]]>Thu, 01 Jun 2023 22:26:53 GMTA 29-year-old female G1P1 who is currently contemplating pregnancy but had history of permpartum cardiomyopathy/HF with improved (LVEF 30% in early 2019 >> improved to 50% @ the end of 2019 ).3 months postpartum in early 2019, reported dyspnea with leg swelling with echo showed LVEF 30%. Improved with medical management and currently NYHA class I with recent echo showed LVEF 50%. On losartan, spironolactone and carvedilol.She is willing to take risk even if she ended up in cariogenic shock requiring mechanical circulatory support.I want to hear other members opinion how to approach the case during pregnancy and postpartum as well.Would you support frequent echos? No lactation?

]]>Thu, 12 Jan 2023 14:44:53 GMTWould like to share this case from last week. It is an acute MI but with a couple of twists in presentation that I thought worth sharing. A 61 year-old-male with family h/o CAD. Presented to ED with 30 min of left sided chest pain radiates to the left shoulder. EKG on arrival shown.Initial hs-cTnT: 7 and 1-hr later was 11 (normal < 6).  NTG lowered CP from 10/10 to 4/10, morphine helped as well.Repeat hs-cTnT at 3-hr is: 41. EKG 2 hours later shown:The patient was taken to the Cath lab and found to have a coronary lesion.  Where is that lesion?

]]>Mon, 09 Jan 2023 02:39:43 GMTYou are seeing this 50-year-old male with new-onset diabetes. You confirmed the diagnosis based on his symptoms and blood work he brought with him. You gave him a prescription for diabetic medications and a self-test glucometer, and also gave him instructions about healthy diet and lifestyle. He paid you and left your office. He didn’t show up at his next appointment to see you a couple of weeks later.In your opinion, how much is the contribution of this clinical care you provided to his overall outcome (morbidity and mortality)? 80% 50% 20% 5%If you are curious about the answer but not sure, then I ask you to explore the concept of “Social determinants of health, or SDOH”, and then you will know the answer. I invite you to look at this very nice and short PDF document to further clarify the concept of health equity and SDOH.Also, I invite you to take the poll at the end (answers anonymous). Also, I am curious about your comments about the topics and hearting input from colleagues practicing in different parts of the globe.  ‍  ‍

]]>Mon, 26 Dec 2022 22:27:16 GMT#Opinions

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