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
Context : AMC bed 1 link :https://vamsikrishna1996. blogspot.com/2020/12/supraja- medicine-elog-nephrology-case. html?m=1
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
Context link : https://elogformedicalcase. blogspot.com/2021/10/ homozygousthalassemia-e- female-with.html?m=1
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 :
Context :
19th October 2021
Tuesday
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:
2017:
2016:
29th October 2021
Friday :
Group discussion : Cirrhosis portal vein thrombosis and budd chiari syndrome
Context :
30th October 2021
Saturday :
Log Book : Online assignment and monthly reflective experiences for
August 2021--Chandana
May 2021--Vamsi
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