“Long Nights and Short Years”Nathan Fitton OMS IV

Background Who I am

Where I came from

Where I hope to go

Disclaimer

Case 75 y/o WM Chest pain 10/10 Fist clenched over chest Nausea Diaphoresis Numbness into Jaw, Left arm/wrist (not

hand!)

Differential Diagnosis

Differential Diagnosis Acute Myocardial Infarction Pulmonary Embolus Pneumonia Aortic Dissection Anxiety

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

Osteopathy Currently 70,000

100,000 by 2020

26 colleges and 34 locations around the country

Widely Accepted

SOMA is awesome Check it out

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

Case 2 22 y/o AAF Abdominal pain 10/10, Sharp Began around belly button now RLQ N/V, Fever, Anorexia

Differential

Differential Appendicitis Ectopic Pregnancy Gastroenteritis PID UTI

Med School

It sucks

It’s awesome

It’s scary

It’s rewarding beyond belief

It’s expensive

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

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

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

Med School Year 2 Pre-Clerkship

Systems based GI, Cardio, Pulmonary

Test: 1-2 week

OMM, DPR, Clinical Skills

Base Hospital

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!!!)

Med School Year 4 Clerkship

Taken STEP 2 CE/PE Audition Rotations Interview Schedule is open The Match Finishing

Life Happens Good, Bad and Ugly

Support Systems

Stress Relief

Eye on the big picture

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

Stories from the Ward

Googly eyes Don’t short cut Attention to detail

Stories from the Wards Incredible highs and lows

Completely wide open professional choices Able to design practice to what ever you

want

Pearls

Listen to nurses

Be Humble

Never Correct an Attending

Questions