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“Long Nights and Short Years”Nathan Fitton OMS IV
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Background Who I am
Where I came from
Where I hope to go
Disclaimer
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Case 75 y/o WM Chest pain 10/10 Fist clenched over chest Nausea Diaphoresis Numbness into Jaw, Left arm/wrist (not
hand!)
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Differential Diagnosis
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Differential Diagnosis Acute Myocardial Infarction Pulmonary Embolus Pneumonia Aortic Dissection Anxiety
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What’s a DO? Andrew Taylor Still 8/6/1828-12/12/1917
Lost 3 children to meningitis and thought there must be more
Osteopathy is “A system of health care founded by Andrew Taylor Still and based on the theory that the body is capable of making its own remedies against disease and other toxic conditions when in normal structural relationship and has favorable environmental conditions and adequate nutrition. It utilizes generally accepted physical, pharmacological, and surgical methods of diagnosis and therapy, while placing strong emphasis on the importance of body mechanics and manipulative methods to detect and correct faulty structure and function”
Treat the disease not the symptom
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Osteopathy Currently 70,000
100,000 by 2020
26 colleges and 34 locations around the country
Widely Accepted
SOMA is awesome Check it out
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Roadmap Getting here to there
Start now MD or DO
Stay focused on school Get involved
Write everything down Research your school
Websites are huge help (avg GPA 3.5/3.6 and MCAT 27) MSUCOM has advising appointments
Be different Shadow, learn a language, travel, work.......
Become a whole person
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Case 2 22 y/o AAF Abdominal pain 10/10, Sharp Began around belly button now RLQ N/V, Fever, Anorexia
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Differential
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Differential Appendicitis Ectopic Pregnancy Gastroenteritis PID UTI
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Med School It sucks
It’s awesome
It’s scary
It’s rewarding beyond belief
It’s expensive
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Med School Schools are different but this is similar for the
most part Years 1-2 Pre-Clerkship: eat, sleep(sometimes),
study (all the time), relax
Years 3-4 Clerkship: eat, sleep, study (sometimes), learn (all the time)
DO schools typically go all year round with minimal summer break but lighter class load
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Med School Important dates
Acceptance letter White Coat ceremony-summer before Step 1- summer before year 2-3 Step 2 PE- anytime year 3 Step 2 CE- end of year 3 Apply to residencies- fall year 4 Interview- winter year 4 Match/Scramble- February year 4 Doctor- July 1
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Med School Year 1 Pre-Clerkship
Basic sciences Anatomy, biochemistry, genetics, physiology
Be flexible with study habits Course packs, scribes
Spoon fed information
Test: 1-2/week
OMM, DPR, Clinical skills
Group involvement Just as important
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Med School Year 2 Pre-Clerkship
Systems based GI, Cardio, Pulmonary
Test: 1-2 week
OMM, DPR, Clinical Skills
Base Hospital
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Med School Year 3 Clerkship
Catch your breath July 1st of 3rd year Just took STEP 1 Core Rotations
COMAT/SHELF exams Pediatrics, Family Practice, Surgery, Ob/GYN,
Psych. Institutional exams as well
Rotations of interest (schedule early!!!)
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Med School Year 4 Clerkship
Taken STEP 2 CE/PE Audition Rotations Interview Schedule is open The Match Finishing
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Life Happens Good, Bad and Ugly
Support Systems
Stress Relief
Eye on the big picture
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Stories from the Wards Not a student
HIPPA
Abdominal Pain Trust your physical exam skills Don’t pigeon-hole yourself
COPD Never rely on others, well almost never Always trust your gut
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Stories from the Ward
Googly eyes Don’t short cut Attention to detail
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Stories from the Wards Incredible highs and lows
Completely wide open professional choices Able to design practice to what ever you
want
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Pearls Listen to nurses
Be Humble
Never Correct an Attending
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Questions