Comments on: The life of a standardized patient http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html medical blog Sun, 21 Mar 2010 13:19:02 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Nanda http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77693 Nanda Sat, 14 Jul 2007 18:30:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77693 Dear Doctors,<br/>I am a Psychiatric Social Worker in a General Hospital. Though my post is not relevant here, I earnestly request you to give me some advice to the following issue.<br/>One of the patients came today and told me that he has intense sexual urge after taking some medicine for his cardiac problem. But our psychiatrist's diagnosis was that of Schizophrenia.Please let me know whether any medicine being prescribed for the management of cardiac problems can cause such sexual desires.<br/>Expecting your reply in this blog.<br/>Nanda, Trivandrum , India Dear Doctors,
I am a Psychiatric Social Worker in a General Hospital. Though my post is not relevant here, I earnestly request you to give me some advice to the following issue.
One of the patients came today and told me that he has intense sexual urge after taking some medicine for his cardiac problem. But our psychiatrist’s diagnosis was that of Schizophrenia.Please let me know whether any medicine being prescribed for the management of cardiac problems can cause such sexual desires.
Expecting your reply in this blog.
Nanda, Trivandrum , India

]]> By: Anonymous http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77662 Anonymous Fri, 13 Jul 2007 22:22:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77662 I'm not a doctor or a med student, but I can say with much certainty that most men would not want to be examined by their fellow classmates. Women either. I’m not a doctor or a med student, but I can say with much certainty that most men would not want to be examined by their fellow classmates. Women either.

]]> By: kathy g http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77338 kathy g Sun, 08 Jul 2007 18:42:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77338 Atul Gawande in his book "Complications" said that medical students had to "steal" their learning from patients. The body is taken as "eminent domain hidden behind drapes and anesthesia."<br/><br/>In my case (a fully insured private patient) I had breast surgery in a major teaching hospital in Los Angeles. Several months later I accessed the operating report from my medical records. I noticed under "patient position" written "modified lithotomy" (for breast surgery?) Also it noted that 10 minutes prior to patient prep was devoted to "teaching". <br/><br/>On a routine visit to this hospital for blood tests, I questioned a group of nurses what this "teaching" might have been. Nobody would answer me even with an "I don't know". Their silence spoke volumes. Atul Gawande in his book “Complications” said that medical students had to “steal” their learning from patients. The body is taken as “eminent domain hidden behind drapes and anesthesia.”

In my case (a fully insured private patient) I had breast surgery in a major teaching hospital in Los Angeles. Several months later I accessed the operating report from my medical records. I noticed under “patient position” written “modified lithotomy” (for breast surgery?) Also it noted that 10 minutes prior to patient prep was devoted to “teaching”.

On a routine visit to this hospital for blood tests, I questioned a group of nurses what this “teaching” might have been. Nobody would answer me even with an “I don’t know”. Their silence spoke volumes.

]]> By: Bongi http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77308 Bongi Sun, 08 Jul 2007 05:38:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77308 we uised to have dutch students that rotated in our country. the one told us they did breast exams on each other. but for pelvic exams the university hired people form the street to allow pelvic exams. sometimes these 'models' were so experienced in having pelvic exams they could tell the students what it is that they are feeling at any given time.<br/><br/>by the way, i'm male and there is and has never been any chance in hell that someone will ever practise internal examinations on me. we uised to have dutch students that rotated in our country. the one told us they did breast exams on each other. but for pelvic exams the university hired people form the street to allow pelvic exams. sometimes these ‘models’ were so experienced in having pelvic exams they could tell the students what it is that they are feeling at any given time.

by the way, i’m male and there is and has never been any chance in hell that someone will ever practise internal examinations on me.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77217 Anonymous Fri, 06 Jul 2007 21:56:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77217 Koko,<br/><br/>You are wrong about every time you post here Koko,

You are wrong about every time you post here

]]> By: KoKo http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77157 KoKo Thu, 05 Jul 2007 23:12:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77157 "Frankly for males its not really an issue".<br/><br/>Why wouldn't it be an issue. I've always thought that males tended to be more modest than females.<br/><br/>Am I wrong? “Frankly for males its not really an issue”.

Why wouldn’t it be an issue. I’ve always thought that males tended to be more modest than females.

Am I wrong?

]]> By: Anonymous http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77143 Anonymous Thu, 05 Jul 2007 19:01:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77143 I've got no problem doing rectals and pelvics on my fellow classmates.<br/><br/>Frankly for males its not really an issue.<br/><br/>The female med students on the other hand, would NEVER allow such a system and would raise a huge stink about it and start labeling the school as mysoginist or however you spell it. The liberal politically correct med school administrations would be quick to outlaw the practice. I’ve got no problem doing rectals and pelvics on my fellow classmates.

Frankly for males its not really an issue.

The female med students on the other hand, would NEVER allow such a system and would raise a huge stink about it and start labeling the school as mysoginist or however you spell it. The liberal politically correct med school administrations would be quick to outlaw the practice.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77133 Anonymous Thu, 05 Jul 2007 16:26:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77133 All of which shows the importance of med students practicing on each other. It's free, and they can practice as much as they want to. Thus, it will reduce the cost of medical education and improve training. Further, as doctors are always telling patients to get over their bashfulness, etc., the practice exams should present no problems. Physicians, examine thyselves. All of which shows the importance of med students practicing on each other. It’s free, and they can practice as much as they want to. Thus, it will reduce the cost of medical education and improve training. Further, as doctors are always telling patients to get over their bashfulness, etc., the practice exams should present no problems. Physicians, examine thyselves.

]]> By: Michael Rack, MD http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77121 Michael Rack, MD Thu, 05 Jul 2007 13:46:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77121 http://rebeldoctor.blogspot.com/2007/07/learning-pelvic-exams.html http://rebeldoctor.blogspot.com/2007/07/learning-pelvic-exams.html

]]> By: Michael Rack, MD http://www.kevinmd.com/blog/2007/07/life-of-standardized-patient.html/comment-page-1#comment-77119 Michael Rack, MD Thu, 05 Jul 2007 13:36:00 +0000 http://clients.emmense.com/kevinmd/2007/07/the-life-of-a-standardized-patient.html#comment-77119 Most medical students learn the basics of a pelvic exam from "standardized patients." <br/><br/>Below is a good link about standardized patients.<br/><br/>http://uwnews.org/uweek/uweekarticle.asp?articleID=27384<br/>____________________<br/><br/>However medical students still need to practice to get good, and many leave medical school without the ability to do a good pelvic exam. Some learn how to do it during OB/GYN rotations, but in many cases the patients on OB/GYN services don't want students to examine them. Therefore many doctors don't become proficient in pelvic exams until residency, if it all. Most medical students learn the basics of a pelvic exam from “standardized patients.”

Below is a good link about standardized patients.

http://uwnews.org/uweek/uweekarticle.asp?articleID=27384
____________________

However medical students still need to practice to get good, and many leave medical school without the ability to do a good pelvic exam. Some learn how to do it during OB/GYN rotations, but in many cases the patients on OB/GYN services don’t want students to examine them. Therefore many doctors don’t become proficient in pelvic exams until residency, if it all.

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