Midyear - Clinical skills competition

[Ivorymist]

I don't know if anyone here did the CSC at midyear this year, but it was kinda tough. It was on AMI/CHF exacerbation/cardiogenic shock. Maybe they did that because they knew most students are not well versed in ER medicine.

Anyone out there familiar with the competition?

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[dgroulx]

I don't know if anyone here did the CSC at midyear this year, but it was kinda tough. It was on AMI/CHF exacerbation/cardiogenic shock. Maybe they did that because they knew most students are not well versed in ER medicine.

Anyone out there familiar with the competition?

I'm familiar with it, but I've never signed up. The topics you mentioned were covered in pharmacotherapy this year. One of my profs is an anticoagulent specialist and he was big into ER medicine. These topics were covered after midyear, though

 

[ultracet]

Interestingly enough we covered these topics before midyear... to bad it was only 4th years that went in the competition..

 

[Caverject]

I don't know if anyone here did the CSC at midyear this year, but it was kinda tough. It was on AMI/CHF exacerbation/cardiogenic shock. Maybe they did that because they knew most students are not well versed in ER medicine.

Anyone out there familiar with the competition?

I was there...in fact you sat right in front of me. I would of said hi, but I didn't want to get disqualified. Nothing like a stressful event at 8am huh?

I didn't find the case as difficult as last years case, which was infectious disease. (AIDS) Don't get me wrong though, it was still hard. We finished with no time to spare. We got 8 out of 9 disease states correct. The one we missed, we included it in one of the 8 disease states. We also treated the patient mostly with the correct meds, as indicated by the key. Of course, since we were second year students, we didn't think of things like giving the patient pain medication, oxygen, and a beta blocker via IV since he couldn't take his metoprolol PO. Overall, it was a great learning experience. The topics are soon to be covered in our education within the next few months. In a way, I am glad we did not finish in the top 10 after watching the other schools present. Our vocabulary is no where near our fellow P4 students. That is something too, I expect to change as we get to the more clinical part of our education.

 

[lord999]

Don't worry if you didn't win. The judging for that competition is notoriously quirky, and the year I went, SDSU by far should have won the competition outright but were robbed by a judging bias toward UNC Chapel Hill, resulting in a tie.

 

[Ivorymist]

Somewhere along the competition I thought about looking up the guys from South since you're in this board. Were you one of the guys wearing the ties with the identical coffee cups?

The issue I had with the case (and one of the top ten teams mentioned this) was that I didn't know you can use dopamine and BBs together. Theoretically it would be counterproductive, but I guess they wanted that. Otherwise I wrote down the MONA therapy (morphine, oxygen, nitroglycerin, ASA).

I put the immunization stuff down, but I thought it was kinda silly to be thinking about that when the patient's hemodynamically unstable and in critical condition...we looked too much into it too and gave the patient pepcid for stress ulcer prophylaxis, dobutamine for additional pressor support, etc. So I guess being a P4 could be counterproductive too LOL.

I guess it all comes down to whether or not you put stuff down that they wanted.

 

[Caverject]

Somewhere along the competition I thought about looking up the guys from South since you're in this board. Were you one of the guys wearing the ties with the identical coffee cups?

The issue I had with the case (and one of the top ten teams mentioned this) was that I didn't know you can use dopamine and BBs together. Theoretically it would be counterproductive, but I guess they wanted that. Otherwise I wrote down the MONA therapy (morphine, oxygen, nitroglycerin, ASA).

I put the immunization stuff down, but I thought it was kinda silly to be thinking about that when the patient's hemodynamically unstable and in critical condition...we looked too much into it too and gave the patient pepcid for stress ulcer prophylaxis, dobutamine for additional pressor support, etc. So I guess being a P4 could be counterproductive too LOL.

I guess it all comes down to whether or not you put stuff down that they wanted.

uh...no we did not have identical coffee cups! LOL We were both wearing white shirts w/ ties, black pants and black suit jackets.

You know what was odd? Last years case winner and key was on the table as a reference. Since I knew that it delt with smoking cessation and immunization, I copied it word for word from last year's case. Guess what? It was the same answer in this year's case! LOL We didn't do the NTG cause we thought we saw a CI somewhere for using it with TPA.

 

[Ivorymist]

Yes I did remember sometime in the past someone here mentioned that they were going to be in the CSC, I just didn't know who it was. I guess it was you haha.

I did notice past year's case. I have to admit that if this year's was AIDS I'd surely be screwed! I also got to look at the case in 2002, and they had the exact same stuff on vaccinations so I figured that they really wanted to have that on every case (I guess to remind people how important Rphs are to the whole vaccination effort - same could be said with smoking cessation).

It was a great experience though...just wish I had another crack at another case. You should go dethrone those UNC kids for all of us (state of) Georgia students next year!