I am old enough to cherish Netter and have expert facility in paper charts ,but I have to admit that I abandoned index cards in favor of the Epic shared group patient list with case information and " to do " sections that can be edited quickly in real time . Sign outs to rotating hospitalist partners ( we do 24 hr shifts ) are complete and in black and white - especially since the oncoming doc may not know the patient at all . As far as " pimping" - it's ok as long as you do it right - it's a teaching tool , not an opportunity to humiliate someone. Pointing out that in today's complex medical world being able to say " I don't know the answer, but I'll find out" is a valuable lesson . None of use can memorize masses of arcane details, and I would say it clutters up your brain to do so. Knowing how to find the answer to things you don't know or remember is the real skill.
“Running the list” has been abbreviated to RTL and this abbreviation has been turned into a verb. “Where’s the Fellow? She is RTLing with the residents.”
Pimping is highly frowned on in Peds because the residents say they feel uncomfortable and anxious when they don’t know the answer, especially in front of their peers. And we can’t have that.
Residents who have been “made” to feel uncomfortable write less-than-outstanding faculty evaluations. Since resident evaluations are the core of clinical faculty performance metrics, fear of these evaluations hold faculty back from pimping.
So pimping has vanished in Peds. Done well, Socratic teaching is very effective. Oh, well. Their loss, I guess.
I cherish my Netter set! Retired General Surgeon. Stick with the pimping also! Brings back memories for me thanks! When I was in medical school at univ of New Mexico we had Pimp block in our second year. Pathology/ immunology/ pharmacology and pathology. Thinned out the class
Medical school tends to reward the students with the best memories but not everyone is an idiot savant who can recall pi out to 30 digits. Never heard of Sketchy but looking at a few images makes me believe that it would be useful.
Songs worked good for me because I have an unusual ability to remember song lyrics. I can still hear in my head, "Cat scratch fever..... Bartonella..... henselae" in Ted Nugent's voice.
I love how SM incorporates these types of real life daily but more light hearted (and sometimes historical and hysterical) views of medicine. Nice way to start a morning! The flip cards made me think of a similar tracking mechanism I used as a young pharmacist. At one of the hospitals I worked at the Clinical pharmacists used tracking sheets (8.5 x 11 in a nerdy binder of course) to monitor pharmacokinetic patients (incorporated basic pt med data/lab/Pk/notes etc) and for some reason, before my time, they were printed on blue paper in note pad format (maybe print shop had a run on cheap blue paper or McKinsey thought it was a cost savings measure - we had been hit by that consulting firm to save money a few times). I think this tradition started in the 80s a few years before I arrived there. When I was running the clinical pharmacy department and also working the service we continued to use these sheets and continued to print them on blue paper notepads - "blue sheets" as we all affectionately called them. When I left the direct patient care environment we were still using them even though the management in the newly formed "integrated health care system" wanted to put everything in a computer. The staff resisted when it came to the blue sheets. But I didn't' know for how long this resistance held out against the dark forces of administrative bureaucracy. I was surprised to hear from friends who are still connected with the operations there that the blue sheets survived another 20 years after I left and were just put to pasture recently. (not sure what happened but I can imagine - OMG you guys use PAPER??? by some new administrator) I was somewhat distraught at the demise of the blue sheets but also laughed thinking how these sheets guided therapy from the clinical pharmacists and pharmacy residents for over 40 years. ICONIC. Sometimes old habits die hard bc they actually work. The blue sheets were laid out in a way that not only tracked care but helped teach by organizing thoughts and directing data collection. Maybe someday they'll come back. In the meanwhile, my older Rx colleagues and I sit around and reminisce about our days on the service and our time with the blue sheets!
I was in med school from 2013-2017 when Sketchy was just coming out and only the micro/ID was active. I still picture some of the photos when looking at urine culture results. However, it is very geared to Step questions rather than clinical practical knowledge
I think Sketchy's real usefulness comes from its courses on Pharmacology and Microbiology. It takes obscure topics and gives them something concrete in your mind to anchor it to. It is less of making education entertaining/engage and more of using psychological techniques to remember things like a side effect from a drug or the life cycle of a microbe. It is very similar to building a memory palace. I am not 100% sure what Netter images are (before my time) but it does not seem to be the same thing. So, if you do hate sketchy, I think it still logically sound to continue to love Netter!
I’ve never heard of Sketchy, but I’m sure I’ll have my typical “get off my lawn” attitude with it. Netter for life…still have mine from med school with adipose tissue stains on it from Gross Anatomy.
Whenever I opened my Netter anatomy book, I would always first flip to the page in front of the book with the photo of Dr Netter in front of a painting he was working on with a cigar in his non brush hand. Yeah, cigars are bad for you, but that picture made him human to me in a way that said “relax kid I’m gonna help you learn this stuff.”
I wish I still had that beat up, pages falling out book.
Ah ha! Learning here about “Sketchy” is likely why our monthly mandated internet security so-called education is in cartoon format. I detest it and the fact that there is no way to blast past the artsy nonsense at 4x speed.
I am old enough to cherish Netter and have expert facility in paper charts ,but I have to admit that I abandoned index cards in favor of the Epic shared group patient list with case information and " to do " sections that can be edited quickly in real time . Sign outs to rotating hospitalist partners ( we do 24 hr shifts ) are complete and in black and white - especially since the oncoming doc may not know the patient at all . As far as " pimping" - it's ok as long as you do it right - it's a teaching tool , not an opportunity to humiliate someone. Pointing out that in today's complex medical world being able to say " I don't know the answer, but I'll find out" is a valuable lesson . None of use can memorize masses of arcane details, and I would say it clutters up your brain to do so. Knowing how to find the answer to things you don't know or remember is the real skill.
“Running the list” has been abbreviated to RTL and this abbreviation has been turned into a verb. “Where’s the Fellow? She is RTLing with the residents.”
Pimping is highly frowned on in Peds because the residents say they feel uncomfortable and anxious when they don’t know the answer, especially in front of their peers. And we can’t have that.
Residents who have been “made” to feel uncomfortable write less-than-outstanding faculty evaluations. Since resident evaluations are the core of clinical faculty performance metrics, fear of these evaluations hold faculty back from pimping.
So pimping has vanished in Peds. Done well, Socratic teaching is very effective. Oh, well. Their loss, I guess.
I cherish my Netter set! Retired General Surgeon. Stick with the pimping also! Brings back memories for me thanks! When I was in medical school at univ of New Mexico we had Pimp block in our second year. Pathology/ immunology/ pharmacology and pathology. Thinned out the class
Medical school tends to reward the students with the best memories but not everyone is an idiot savant who can recall pi out to 30 digits. Never heard of Sketchy but looking at a few images makes me believe that it would be useful.
Songs worked good for me because I have an unusual ability to remember song lyrics. I can still hear in my head, "Cat scratch fever..... Bartonella..... henselae" in Ted Nugent's voice.
I’m a retired physician who can’t understand video games.
Ask them to recognize all the causes of afib.. 20 at a minimum…
I love how SM incorporates these types of real life daily but more light hearted (and sometimes historical and hysterical) views of medicine. Nice way to start a morning! The flip cards made me think of a similar tracking mechanism I used as a young pharmacist. At one of the hospitals I worked at the Clinical pharmacists used tracking sheets (8.5 x 11 in a nerdy binder of course) to monitor pharmacokinetic patients (incorporated basic pt med data/lab/Pk/notes etc) and for some reason, before my time, they were printed on blue paper in note pad format (maybe print shop had a run on cheap blue paper or McKinsey thought it was a cost savings measure - we had been hit by that consulting firm to save money a few times). I think this tradition started in the 80s a few years before I arrived there. When I was running the clinical pharmacy department and also working the service we continued to use these sheets and continued to print them on blue paper notepads - "blue sheets" as we all affectionately called them. When I left the direct patient care environment we were still using them even though the management in the newly formed "integrated health care system" wanted to put everything in a computer. The staff resisted when it came to the blue sheets. But I didn't' know for how long this resistance held out against the dark forces of administrative bureaucracy. I was surprised to hear from friends who are still connected with the operations there that the blue sheets survived another 20 years after I left and were just put to pasture recently. (not sure what happened but I can imagine - OMG you guys use PAPER??? by some new administrator) I was somewhat distraught at the demise of the blue sheets but also laughed thinking how these sheets guided therapy from the clinical pharmacists and pharmacy residents for over 40 years. ICONIC. Sometimes old habits die hard bc they actually work. The blue sheets were laid out in a way that not only tracked care but helped teach by organizing thoughts and directing data collection. Maybe someday they'll come back. In the meanwhile, my older Rx colleagues and I sit around and reminisce about our days on the service and our time with the blue sheets!
I was in med school from 2013-2017 when Sketchy was just coming out and only the micro/ID was active. I still picture some of the photos when looking at urine culture results. However, it is very geared to Step questions rather than clinical practical knowledge
I think Sketchy's real usefulness comes from its courses on Pharmacology and Microbiology. It takes obscure topics and gives them something concrete in your mind to anchor it to. It is less of making education entertaining/engage and more of using psychological techniques to remember things like a side effect from a drug or the life cycle of a microbe. It is very similar to building a memory palace. I am not 100% sure what Netter images are (before my time) but it does not seem to be the same thing. So, if you do hate sketchy, I think it still logically sound to continue to love Netter!
If it isn't called pimping, what is the replacement phrase?
I’ve never heard of Sketchy, but I’m sure I’ll have my typical “get off my lawn” attitude with it. Netter for life…still have mine from med school with adipose tissue stains on it from Gross Anatomy.
Add to your list of "usual apologies" the ubiquitous CIBA pharmaceuticals trademark that accompanies Dr. Netter's signature.
Whenever I opened my Netter anatomy book, I would always first flip to the page in front of the book with the photo of Dr Netter in front of a painting he was working on with a cigar in his non brush hand. Yeah, cigars are bad for you, but that picture made him human to me in a way that said “relax kid I’m gonna help you learn this stuff.”
I wish I still had that beat up, pages falling out book.
Cliff notes, paper chase, mini cassette recorder, index cards, and here we are now. At times, the future looks sketchy …
Ah ha! Learning here about “Sketchy” is likely why our monthly mandated internet security so-called education is in cartoon format. I detest it and the fact that there is no way to blast past the artsy nonsense at 4x speed.