#MicroRounds Day 316: Like most pathogenic fungi, beautiful but this one can be deadly!
Histoplasma capsulatum (thermally dimorphic fungi). In hyphal stage, grows these characteristic "tuberculate macroconidia" i.e. large conidia with tubercles (bumps) on them! #ASMClinMicro
Teachers: Become a Brain Awareness Week partner and join thousands of educators worldwide helping kids grow a lifelong interest in brain science! Partners gain access to free resources at https://t.co/SpZLjlumVv. The celebration begins March 11, 2019! #NSTA18#NSTA#BrainWeek
‘Micro’ Snowglobes! The #Brucella Serum Tube Agglutination (STA)
35/M, from 🇸🇦, 10d fever Hx, hepatitis & dark urine
Brucella titer >=1:1280
💡STA won’t detect Abs to B. canis or the animal vaccine strain, B. abortis RB51 (https://t.co/f9DhGXpAo9)
#MayoClinMicro#ASMClinMicro
Our med student shared that this was best rotation he’s ever been on bc 1)we made him feel relevant,respected & helpful to the team 2)he loved bedside phys exam teaching 3)he was grateful that we pushed him to communicate updates to pts on rounds bc it grew his confidence! #MedEd
Resilience in #meded:
- bravely confronting & addressing gaps in knowledge
- appreciating impact of the suffering of others has on you. Bending with it, but not breaking.
- recognizing when your colleagues need support & offering it
- recognizing when you need help & seeking it
NOT resilience in #meded:
- pushing yourself to superhuman limits to accomplish ... paperwork
- being able to 'brush it off' when colleagues, attendings, patients treat you poorly
- confidence >> humility
- never showing weakness
- looking down on colleagues that suffer
T1: Team approach is important. Trust but verify. Resilience is builder by feeling you are part of a team and understanding the big picture. Faculty should help build that support net. And sleep. That is very importantly. #mededchat#MedEd
I believe one way we can foster resilience and wellness among medical students by encouraging collaborative attitudes rather than competitive attitudes T2 #mededchat#meded
What undermines true resilience in #meded:
- hospital flow >> education
- EMR >> patients
- culture that mocks empathy
- penalized for showing gaps in knowledge
- the intern is the work-around for broken systems
- always suffer alone
- tolerate abuse, it makes you better
@MedEdChat We can foster resilience and wellness among medical students by encouraging collaborative attitudes rather than competitive attitudes T2 #meded
I have seen some schools taking out grades in the first two years of the program and incorporated peer tutoring in the educational program. The results are impressive. Some of us might not agree with taking out grades, but peer tutoring can be encouraged. T2 #mededchat#meded
Not sure about 'proven', but speaking from experience, a dramatic shift in how we view mental health care for medical students. It's easy to talk yourself out of seeking care because "I'm not depressed enough" or "I don't have *real* mental health issues". #meded#mededchat
Med school is psychologically challenging at times. Messaging from administration that seeking therapy is good, valuable, not shameful, and may prevent the worsening of mental health issues could go a long way. #meded#mededchat
we often ask what PDs or residents can do but the truth is so much of what is working against wellness is at the hospital level and above. Find ways to get residents #backtobedside . prioritize education. make residency rigorous but meaningful. #mededchat#meded
Thoughtful blog. If insurers effectively engage in the practice of medicine, shouldn’t they be held to the same standards as physicians? #MedicalEthics#MedEd
#meded Lack of student support services including personal counseling or financial counseling or debt counseling , ineffective mentorship programs, or non adequate academic feedback system can be detrimental to resilience or wellness T1 #mededchat
Hey #meded, what's your favourite book on #leadership wisdom? I am building a leadership library, and wonder what your recommendations would be...Zoom in to see what I have started with...
(I know, I hear you @sherbino: "what's a book?")
Great to see a fellow DO and female physician be able to sit at the table and serve as a leader with @acgme Board of Directors #meded#womeninmedicine#sheforshe
Congrats to AOA Past President Karen J. Nichols, DO, the first osteopathic physician to serve in a leadership position on the ACGME's Board of Directors! https://t.co/8s6QWlQM9F
That's a wrap...I will post the #mededchat transcript tomorrow morning on https://t.co/mJivoK9NyX on the Resources page. Thanks everyone for participating! #meded
