Sunday, October 17, 2021

Updated October 2021 weekly log and outcomes of regular patient centered learning sessions

This is a regular academic session log for the post graduate residency training program comprising currently of residents of 2019 and 2020 batch. 

The training program comprises of a regular hands on learning of clinical decision making during the bedside rounds from 10 AM to 1:00 PM as well as 2-4 sessions officially divided daily into:

Theory on Monday, 

Seminar on Tuesday, 

Journal club on Wednesday, 

Tutorial on Thursday 

Group discussion on Friday 

Log Book audit on Saturday 

These are blended learning sessions with both online and offline components and while the offline learning timings are as mentioned above, the online component of the learning continues 24x7.

1st October 
Friday 
Group Discussion 

Topic : Pancytopenia 


2nd October 
Saturday 

Gandhi Jayanti holiday 

3rd October 
Sunday 

4th October 
Monday 

Theory 

Fever and Altered sensorium 

Presenter Dr Rashmita 
Attendees Other PGs 

5th October 2021

Tuesday 

clinical seminar 2-4 PM 

Presenter Dr Rashmita 

Cerebral osmotic demyelination syndrome

Context : ICU bed 1

Attended by 

Dr Vamsi 
UGs 2018, 2017 batches

6th October 2021

Wednesday 

Journal club 2-4 PM 

Presenter Dr KV




Attended and signed by :

Dr Vamsi 
Dr Rashmita 
Other PGs 
UGs 2018 batch


7th October 2021

Thursday 

Tutorial 2-4 PM 

CNS diagnosis and treatment 

Presenter Dr AV

Link:

Context : A young man with visual blurring, band like sensation and motor paralytic bladder 


Attended and signed by :

Dr DK
Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Other PGs 
UGs 2018 batch



8th October 2021

Friday 

Group discussion 2-4 PM 

Bone marrow failure sepsis 

Presenter: Dr DK, Dr Sushmita, Dr Rashmita 

Link:

Context : A middle aged woman with bicytopenia and sudden severe leucopenia and terminal sepsis 


Attended and signed by :

Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Dr AV 
Dr Usha 
Dr Vamsi 
Other PGs 
UGs 2018 batch

9th October 2021

Saturday 
Log Book evaluation :

Review of Dr Zain's revised log book after the inputs provided on September :

Dr Zain has prepared a fresh log book documenting his non verbal and verbal workflow better than previously here : (link) 

10th October 2021 Sunday 


11th October 2021

Monday Theory 

Chronic hemolytic anemias and 

Diagnosis and Management of chronic biliary stricture 


12th October 2021

Tuesday 

Clinical seminar 

Cardiac arrhythmias particularly Multifocal atrial tachycardia 

Link to context : 

13th October 2021

Wednesday 

Journal club : Efficacy of steroids in Covid 19

Presenter Dr Zain 

Link to presentation :

14th October 2021

Thursday 

Tutorial : CNS examination findings and neuroanatomical localization of stroke 


15th October 2021

Friday 

Academic holiday due to Dussehra

16th October 2021

Saturday 

Log Book evaluation :

Dr Raveen's, Dr Vamsi's  and Dr Karnati Vaishnavi's log book answers to May 2021 online assignment compared and critically appraised. 

Learning points from the appraisal : To be shared by Dr Nikita and Dr Vamsi. 

18th October 2021
Monday 
Theory of CNS localization with particular reference to hemiparesis 
Links to context :


Clinical seminar : Approach to diagnosis and management of heart failure 

Context :



20th October 2021

Wednesday 

Journal club : 
 

Context 


As per the journal club "The gold standard test for the serologic diagnosis of scrub typhus is the indirect immunofluorescence assay (IFA)" and the ICT test done here in this patient's context from Nalgonda is barely comparable.

21st October 2021

Thursday :

Tutorial : Diagnosis of brain death 


Context :


22nd October 2021

Friday:

Group discussion : Approach to pleural effusion management 

Context :



23rd October 2021

Saturday :

Log Book Dr Raveen's May 2021 online assignment along with answers by other present PGs such as Dr Karnati , Dr Zain and Dr Vamsi  

24th October 2021 

Sunday

25th October 2021

Monday 

Theory: PUO 


26th October 2021

Tuesday 

Clinical seminar : 


27th October 2021

Wednesday 

Journal club : 
  • Reis G 
  • dos Santos Moreira-Silva EA 
  • Medeiros-Silva DC 
  • et al.
Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial.
Lancet Glob Health. 2021; (published online Oct 27.)

main study limitations are related to the lack of event adjudication and to the inconclusive effects on patient-important outcomes such as hospitalisation and mortality. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00501-5/fulltext

Our take : 

 PICO 

"P" outpatients with laboratory-documented SARS-CoV-2

"I" Fluvoxamine (n=741) 

"C" placebo (n=756)

"O" the fluvoxamine group 79 (11%) participants had a primary outcome event compared with 119 (16%) in the placebo group (table 2). Most events (87%) were hospitalisations.

the minor differences between hospitalization could be the anxiolytic effect of fluvoxamine. 

28th October 2021

Thursday 

Tutorial: Hypokalemic periodic paralysis 

Context: 



30th October 2021

Saturday :

Log Book : Online assignment and monthly reflective experiences for 

August 2021--Chandana 

May 2021--Vamsi 



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