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The Single most Intriguing
Talk of your life
“Secrets to Clerkship Nirvana”
will begin in…
The Single most Intriguing
Talk of your life
“Secrets to Clerkship Nirvana”
will begin in…
Perfecting Presentations
Nailing Procedures
Secrets to EM Clerkship Nirvana
J. Scott Wieters, M.D.
Eternal Medical Student of the year....Forever
Assistant Professor Texas A&M HSC College of Medicine
Clerkship Course Director
Baylor Scott & White Memorial Hospital
Twitter: @JScottWieters
email: jswieters@sw.org
Will work
for
Conflict Of
interest
7 San Antonio, TX Circa 1997
What Should I do?
Show up Prepared
-Andrew Crumey
“The First Impression
Is the Truth,
and all that follows is merely the
excuse of memory”
I don’t always make
a good first impression…
Oh wait… Yes I do…
Polish your Presentations
Prepare for Procedures
Positioned for Success
Patient Ownership by Following up
Participate- You can Always Help
Practice Being an Active Learner
EM
Presentation
Philosophy
"If its too long we stop
paying attention… 
Keep it short and relevant,
don't present every detail
you collected…
If we want you to expand on
something, we'll ask you.”
-Dr. Mike Parsa
Clerkship Director
TX Tech, El Paso, TX
Drew Juergens MD Associate PD TX A&M Scott and White
Dr. Michael Van Meter Clerkship Director UT Houston
Reporter
or
Interpreter
Dr. Kim Leeson
Clerkship Director Christus Spohn Corpus Christie, TX
The One Liner…
The One Liner…
Dr. Jeff Van Dermark UTSW Clerkship Director
Social
plan and dispo
Dr. Kevin King
Clerkship Director UT San Antonio
DIGABCDEF
GPKEKINSRL
HIGJLMNOPQ
RSTUVWMEXY
ZUANSIPLQL
P
T
S
RQ
HPI
O
ROS
List DDX
Rule
Out
Serious
EXAM
Vital Signs areVital
Lets act it out
Exam
List DDXor
MDM
Worse Case
Scenario
Make A
Decision
Man
Commit
With Humility
“The’re fine”
“He’s a drug seeker”
“We don’t need to Admit”
“I wouldn’t scan him”
“I don’t think its anything
bad”
“I’m concerned”
“Maybe we should take him
seriously for a bit?”
“I’ve heard this can be
dangerous”
“The safest approach is to
do a work up”
Aggressive
Respectful
Careful
Clinical spectrum
Dismissive
Arrogant
Conservative
Hang ups Ticks
“um”
“like”
Posture
Speed
Attire
Russell Jones MD TX A&M Scott and White
Break for
Questions?
EM Philosophy
One liner
Rule Out Serious
EXAM-DDX
Make a Decision Man!
Summary
Take a Selfie...
Nailed
It!
Placement
Prepare
SIM“It’s ok if you
make mistakes
and Kill me….”
“A little more to the
right….”
image of youtube nejm
procedure videos
NEJM Procedures Youtube videos?
Be Aggressive But Safe!
$1,000,000 Question
What should we do next?
Reassess
Text
www.cdemcurriculum.org
• Eclipse
• Camouflage
• Meditation
• The Muffin
• Fake Repeat
• Electronic Shuffle
• The Politician
• Honorable
Surrender
Pimping Avoidance
EclipseCamouflageMuffinMeditationFake RepeatPoliticize
Break
for
Questions?
Preparation
Practice
Procure Permission
Proactive
Pursue Feedback
Summary
Twitter Email
@jscottwieters jswieters@sw.org

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