care guidelines

Things to make your pet happy! 🐾

🐾 Pick them up and let them cling to you.
🐾 Lots and lots of cuddles.
🐾 Use nick names when talking to them.
🐾 Saying good boy/girl/pet and always giving praise.
🐾 Good morning messages.
🐾 Let them curl up on you and nuzzle into you.
🐾 Tell them you love them.
🐾 Encourage their ideas.
🐾 Head petting.
🐾 Collars/ears/tail

testanxiety  asked:

Any advice for an m3 starting family medicine clerkship?

Here’s a brief little post I wrote about what to read and what to study for the shelf. 

But wait, there’s more!

Family medicine is a hard rotation, especially to have at the beginning of the year, because it covers SO much material.

  • Hi Yield stuff to know
  • Think systematically. Use mnemonics to help you expand your differential diagnosis. Keep patient demographics and co-morbid conditions in mind as you make your differential.
  • Even if you have no interest in family medicine, you will learn something relevant to your specialty of choice on your family med rotation. Depending on your attendings, you may be able to tailor your rotation a bit toward what you are interested in (more kids! Pregnant ladies! women’s health! sports medicine for you ortho folks! office procedures for the surgeonly types! more psych for you little Freuds!).
  • Embrace the variety. Don’t let it overwhelm you. You will see something new every day. Write it down and read about it when you go home. Write down the medications or diagnoses that are unfamiliar to you and read on them too.
  • The AAFP is your friend. They have tips for doing well on your rotation too. You can make a student account and access lots of practice questions for your shelf exam. Use the online board exam prep questions.
  • If you have the opportunity to do your family medicine rotation in a community or rural practice rather than an academic medical center, take it. Family medicine was designed to be a community based practice, not academic, so you will find the specialty looks very different in those two settings.

hey uh. if y'all neopagans could stop dismissing orthodoxy/religious guidelines/careful intent as being useless or unimportant that would be gr8. not everyone’s religion is solely about connecting with the spirit of the universe. not everyone feels that their deities will be chill even if they mess stuff up or disregard all tradition. for some of us, orthodoxy and ritual are comforting, reassuring, and important to feel that we’re doing the right thing by our Gods. sometimes it’s important to worship in certain ways because the Gods demand the best we can give Them, and that doesn’t always mean something nebulous with a lot of crystals.

anonymous asked:

What forms of asset protection are there to protect your personal assets in the case of a malpractice lawsuit? What ways are there to prevent a malpractice lawsuit? How do you deal with the stress of knowing that there is a high likelihood of facing a malpractice suit, even if no malpractice was committed?

Asset protection is something you should discuss with a malpractice insurance carrier or a financial advisor or accountant, not me, because I have no assets and I know nothing of such things. 

Ways for preventing malpractice lawsuits:

  • Don’t be a doctor. Seriously. 75% of physicians in low risk specialties will be sued at least once in their careers, and it goes up to 99% for those in high risk specialties. If you don’t want to ever be sued, don’t practice medicine. 
  • Be nice. Patients are less likely to sue doctors that they like, even if something goes wrong.
  • Be a good doctor. Stay up to date on standards of care and current guidelines. 
  • Be a good communicator. Many perceived wrongs or errors could be avoided with good communication between doctor and staff or doctor and patient. Make sure your patients understand your instructions, their conditions, their procedures, and their drugs. 
  • Document, document, document. All documentation should be thorough. It may save your butt or a patient’s life one day. If you talked about risks and benefits of XYZ, document it. If a patient refuses a screening test or medication, talk to them about the consequences and document it. Your documentation will remember things that you won’t be able to remember a year from now.
  • Don’t drop the ball. Don’t forget to follow up on that abnormal lab or get the report on that stat chest x-ray. In a busy practice, it’s easy to forget. Make sure your practice has a system in place for making sure things don’t slip through the cracks. 
  • Know your patient. Review their med lists and charts to make sure you’re not causing their problems with the meds you prescribe. Know their allergies before starting something new. Know major interactions and side effects they’ve had. Know their conditions and how they will interact with each other. 
  • Be compassionate. Show your patient that you care about what happens to them. Often they will forgive adverse outcomes if they know you had their best interests in mind.
  • Acknowledge your mistakes and don’t repeat them. Most states have laws that allow doctors to apologize for adverse outcomes and not let their statements be held against them in malpractice suits. But in many cases, all a patient wants to hear is “I’m sorry. I made a mistake. We didn’t mean for XYZ to happen.”

How to deal with worrying about being sued:

I never worried about being sued until I got sued. Then I worried about it all the time for a while. Now I’m back to not worrying about it much, but it has definitely changed the way I practice.

Avoid the temptation to practice defensive medicine. Doctors get sued whether they did the useless CT scan or not. So don’t waste resources doing unnecessary tests.

Work on documenting well. I can’t stress this enough. My documentation and that of the nurses who worked with me is what proved that we followed standard of care and national guidelines to a T in my case. It gave me peace of mind because I was able to look back and know that I did exactly what I was supposed to do in the situation and that there was nothing I could have done to anticipate or prevent the outcome that happened.

Constantly push yourself to be a better doctor. Read more. Learn from past mistakes and don’t repeat them. Strive to deliver high quality care to your patients. 

Accept it when it comes. This is why we have malpractice insurance. I’m not going to lie: being sued SUCKS. Big time. It’s miserable. It makes you feel like total garbage, even if you did absolutely nothing wrong. You kick yourself for not being able to prevent a bad outcome, or you feel guilty for actually screwing something up if you did mess up. But there’s really no avoiding it sometimes. You hope for the best and move on when it’s over.