‘Fear Not, This Is Normal’: Advice for Young Doctors

Medscape asked some of our contributors and our community to offer advice to soon-to-be residents. The responses that poured in went far beyond the expected tips to help achieve success during residency. Most submissions included insights from years of professional experience, along with wisdom to help all young doctors, not just those in training. In fact, the scope of the advice is likely to trigger reflection in those of all ages.

Here are just a few highlights of what they had to say. Prime Directive One of the themes that emerged among the advice that was offered involved a need to prioritize. Dr Brad Spellberg suggested that times have changed. He told us, “We must engage our patients in decision-making and move away from the traditional, physician-centric paternalism of medicine, which is contrary to achieving high-quality, safe, efficient, and patient-centered care.” Dr Spellberg was not alone in suggesting a shift from “physician-centric” attitudes. An emphasis on listening to, and learning from, patients was repeated as a guiding dictum. As Dr J. Greensmith explained, “The patients are your best teachers, followed by the nurses, then your attendings.”

In fact, developing a fast appreciation for nurses was another common refrain. Dr Mark Morris was explicit, as he laid out his advice: “Please remember that the only thing between you and disaster is the nurses. Honor them; respect them; and, if you’re a DO, treat them. Don’t go to sleep when you first can; sit and talk with them, learn from them. And they will feed you and protect your sleep.” Much of the advice suggested considering those who surround young doctors as new family units.

These groups include nurses and fellow residents, and beyond residency, peers who will grow to be very familiar faces. Cheerfully, Dr Brent Mothner offered, “Never pass up the opportunity for a meeting, or even a quick coffee together. Great things can happen simply by chatting along the way. Oh, and good cookies make almost any day better!” A Resident State of Mind In terms of advice specific to the residency experience, Dr Lisa Gobar offered some quality reassurance: “You are starting all over again. You will feel like you know nothing. Fear not, this is normal.” Encouragement permeated the advice provided from our contributors and users, with many sharing personal stories of doubt that gave way to experience.

The overwhelming attitude was that although young doctors are sure to face personal crises, they can be overcome. While accepting that a certain amount of fear is normal, other situations in residency can be avoided with preparation. As Dr Merius Atangcho specified, “Scan the ACGME curriculum requirements.

Probably no medical student ever looks at ACGME curriculum/resident experience requirements to graduate from a residency. Especially when deciding between different fields, however, these requirements can inform you of what your entire residency will look like.” Others recommended concrete suggestions that involved surveying the medical literature thoroughly and learning to approach the resident experience as a rebirth. The full article you can read it on medscape.

Difference Between Gynecomastia and Chest fat

This question was posted on Quora by Dr Ashish Dutta,
The main difference between the Gynecomastia and Pseudogynecomastia (chest fat) is the mass that’s causing the swelling. By considering the following differences you can figure out whether you have gynecomastia or just chest fat.

Gynecomastia is:

● Due to excess breast tissue/glandular tissue growth.

● The underlying matter is tissue which is firm,irregular and sometimes even painful to touch.

● Hard lump under the nipple but can also extend outside the borders of the areola depends on how much fat there is.

● Gynecomastia can only be reduced surgically.

● Visibility depends on the grade. It may be difficult to differentiate if it is mixed gland and fat causing the swelling.

Chest Fat (Pseudogynecomastia) is:

● The increased chest mass is due to deposition of fat in the area surrounding the nipples.

● The underlying matter is accumulated fat in the chest area which is soft and always painless.

● A soft lump under the the entire breast. It primarily occurs in overweight or obese person.

● Pseudogynecomastia if not severe may be reduced by diet and exercise.



Unborn baby DANCES and WAVES in womb in unbelievable 4D ultrasound scan

This viral video shows how active unborn babies can be in the womb and it’s a lot of fun for expectant parents to watch

4D Ultrasound

A baby seen from the inside, Amazing Video!Join our group: facebook.com/groups/395390270498337Facebook.com/MeddyBear.Net <— Page

Posted by Meddy Bear on Saturday, December 19, 2015

This video of an unborn baby has had more than six million views – because the little one looks like it’s DANCING in the womb.

The amazing footage is from a 4D ultrasound scan – and it really looks like the foetus is bopping away inside its expectant mum , although no more is know about her identity.

Originally shared on medical social network Meddy Bear’s Facebook page on December 19, it came from the site in Ukraine, where doctors, nurses and medical staff can post unusual, entertaining or interesting news about their roles.

While many of us are familiar with 3D ultrasound images which show still images of unborn babies , 4D scans can show moving 3D images.

The foetus is seen in a variety of positions, moving its limbs and even kicking out against the womb, before giving what looks like a big yawn.

On the move: The foetus looks at times like it’s dancing and waving on the ultrasound scan

Was there something special about your ultrasound scan? Send us your photos using the form below

The Facebook response to the post has been colossal, with many remarking on how much the 4D scan can show expectant parents.

Connie Girlando wrote: “Wow, 4D ultrasound, that’s beyond amazing… to think that is all they know.”

Facebooker Kirsty Hartley added: “Wow!

“Freaks me out a little bit to see how much the baby moves (not had one yet) but also amazing.”

Was there something special about your scan? Send us your pictures!


source: The Mirror