professionalism and presenting yourself in social media carisa champion-lippmann danielle maholtz

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Professionalism and Presenting Yourself in Social Media Carisa Champion-Lippmann Danielle Maholtz Slide 2 AUB Nml cycle bleeding every 28 days lasting 3-5 days 30-50 mL of blood loss AUB is any departure from norm (too much, too little, inappropriate schedule) DUB idiopathic heavy and/or irregular bleeding that cannot be attributed to another cause (anovulation or oligoovulation) Slide 3 Patterns of AUB PALM-COEIN classification system of AUB PALM-COEIN classification system of AUB PALM (structural causes) Polyps, Adenomyosis, Leiomyomas, Malignancy/hyperplasia PALM (structural causes) Polyps, Adenomyosis, Leiomyomas, Malignancy/hyperplasia COEIN (nonstructural causes) Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not Yet Classified COEIN (nonstructural causes) Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not Yet Classified Slide 4 MENORRHAGIA Excessive flw in duration (>7 days) or volume (>80 mL) Caused by uterine fidrobids, adenomyosis, endometrial polyps; less endometrial hyperplasia or cancer or cervical polyyps Teans should be tested for primary bleeding d/o (von Willebrand dz, ITP, platelet disfunction, thrombocytopenia from malignancy) Test for CBC, platelet count, PT/PTT, factor VIII, von Willebrand factor antigen and activity Slide 5 Cryptorchidism 1% 1 y/o boys Complete or incomplete failure of the intra-abdominal testes to descend into the scrotal sac U/l in most cases Characterized by an arrest in development of germ cells associated with marked hyalinization and thickening of the BM of the spermatic tubules In most patients the undescended testis is palpable in the inguinal canal Condition is completely asymptomatic, found by patient or the examining physiian only when scrotal sac is discovered not to contain the testis Slide 6 * Regularly timed menses with light flow * Caused by hypogonadotropic hypogonadism (anorexic pts and athletes); Ashermans syndrome (intrauterine adhesions), congenital malformations, infection, intrauterine trauma, OCPs/depo/progestin IUDs, endometrial ablation all have atrophic endometrium; outlet obstruction secondary to cervical stenosis or congenital abn Slide 7 Metrrrorrrrhagia bleeding between regular periods (less than normal) Caused by cervical lesions, endometrial polyps, carcinoma Menometrrrorrrrhagia excessive (>80 mL) or prolonged bleeding at irregular intervals Caused by uterine fibroids, adenomyosis, endometrial polyps, hypereplasia, cancer Metrorrhagia and Menometrorrhagia Slide 8 Oligomenorrhea Periods > 35 days apart Caused by disruption of hypothalamic- pituitary-gonadal axis or systemic dz (hyperprolactinemia and thyroid d/o); PCOS, chronic anovulation, pregnancy, thyroid dz Slide 9 Polymenorrhea Periods Evaluation History timing of bleeding, quantity, menstrual hx/menarche, associated symptoms, family hx Physical rectal, urethral, vaginal and cervical causes r/o; PCOS symptoms (hirsutisum, acne, truncal obesity, acanthosis nigricans); thyroid dz (thromegaly, skin changes, diaphoresis, increased pulse); bleeding d/o (bruising, petechiae); PAP smear for cervical dysplasia and cancer; cervical cultures for infection Lab eval (tailored) Light skipped cycles preg test, TSH, PRL, FSH (menopaus/POI) Heavy/frequent/prolonged preg test, TSH, CBC F >45 with AUB needs endometrial biopsy to r/o endometrial hyperplasia and cancer (or obese if DUB No pathologic cause of AUB identified Most pts with are anovulatory (ovary produces estrogen but no corpus luteum is formed and no progesterone is produced); continuous estrogenic stimulation of the endometrium without the usual progesterone-induced bleeding endometrium continues to proliferate until it outgrows its blood supply, breaks down, sloughs of in irregular fashion Occurs in hypothyroidism, hyperprolactinemia, hyperandrogenism, POI/PMOF, adolescence, perimenopause, lactation, pregnancy Determine if pt is ovulating by basal body temp OR 21-23 serum progesterone Tx NSAIDs for chronic, hormonal therapy (OCPs, OrthoEvra Patch, Nuva Ring) If estrogen CI (HTN, thrombophilias, hx DVT/PE, >35 y/o and smoke) can use progestin only options (depo, Mirena, Implanon) D&C, hysterectomy Slide 13 Most Common Power Point Mistakes Slide 14 Objectives Learn how to structure and give a strong presentation Learn some techniques that will allow you to communicate effectively Learn some personal etiquette rules to follow Slide 15 Power Point Structure IntroductionContentConclusion Slide 16 Introduction ObjectivesMotivation Prerequisite knowledge Agenda Slide 17 Content Overview/Advanced Organizer Content matches stated learning objectives Skills/tasks to be learned were demonstrated effectively Current guidelines, recommendations, or studies incorporated Slide 18 Conclusion SummaryReferences Slide 19 Slides Easily digestible portions of information Directed attention at important information Font size/style made easily readable Color scheme/background appealing and not distracting Images/charts large enough to read easily Slide 20 Delivery Room and materials set up according to needs of lesson Speak and enunciate well Body language should convey meaning and should not be distracting Slide 21 Personal Presentation SpeechAppearanceTone Slide 22 Tone Monotone vs. Emotion Should match your speech and body language Slide 23 Speech Filler Words SpeedPronunciationEnunciation Slide 24 Appearance Body language Stance Eye Contact Gestures Slide 25 Etiquette Fun Facts At social events, keep right hand free for shaking hands Always say your full name Always stand when being introduced Handshake (practice) 10 second Elevator Speech about yourself and why you are at an event If you are at the dinner table you drop anything, dont pick it up Business Cards Slide 26 Dinner Etiquette B and D Fingers Turn cup over if you dont want coffee or tea Fork and knife at end of meal Bread and Butter Passing around the table Fold napkin on chair when leaving table Place hand bags on the floor Cut food as you eat it Dont drink while your mouth is full of food Dont hand your plate to the waiter Slide 27 Summary Keep your presentation simple and well organized Start practicing how you present yourself NOW, however often you want! Keep in mind there are some rules of etiquette for different situations and try to follow them. We gave you some but there are plenty of resources to continue learning from! Slide 28 Professionalism Professional competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and community being served. Representing ones profession by encouraging trust from patients in their physicians. Slide 29 Inter-professionalism The first priority of inter- professional education is to create an inter-professional team approach to healthcare and overall health care delivery. This is theorized to help increase communication, bring a better understanding of individual professional roles, decrease duplication, and improve patient care and outcomes. Slide 30 Social Media/Electronic Information Slide 31 Emails and Texts Professional Communication Err on the side of formality. Read/Edit/Spell-check Avoid excessive formatting. Forward with caution. Responding to sensitive or emotionally charged emails Rotations! Slide 32 Social Media Who is your audience? Slide 33 Legal Precedent/Guidelines Slow but evolving Based on jurisdiction Free speech? Slide 34 School Policies 10% of LCME medical schools have policies in their student handbooks. Cyber bullying/stalking Slide 35 Hospitals/Health Networks Many large hospitals and networks have media policies that tend to be more strict then schools. Slide 36 Organizations/Profession COSGP I do hereby affirm that I will represent and serve my fellow students in good judgment and diligence, always striving to uphold the principles of the osteopathic oath, so entrusted to me as a future physician. Profession You represent yourself AND the organizations/groups/communities that you are affiliated with. Your professional status is reaffirmed daily. You are responsible for protecting that professional reputation. Slide 37 What is concrete? Slide 38 Tough Call A patient friend requests a medical student. o This is almost always inappropriate unless the Dr./medical student- pt relationship has ended. Even after the Dr. pt relationship has ended it would be inappropriate to discuss health related info. A medical student tweets that he just finished rounds with the residents on a pt and describes the clinical findings of that patient. - Its difficult to be certain that info disclosed on twitter is not identifiable to that particular patent. The best types of posting would include very general information. Other posts by the same student could have indicated their medical school and current rotations leading to circumstances that indirectly indentify the pt. such as by naming a distinct disease or symptom. Slide 39 Tough Call A med student writes in her blog naming an attending who did minimal teaching on rounds and recommending that other students not take clinical electives with that physician OR Med student posts to wall that half the class slept during student doctor Lius lecture. Legitimate critique of an education activity is appropriate so long as professionalism is maintained. There are ore effective and less public mechanisms for relaying this type of info and the student may be counseled accordingly. Med student posts photo of patient with good intentions and receiving the patients verbal ok. Without written consent this is a clear violation of patient confidentiality even if the pt is not named and no other identifiable info is used. Slide 40 Tough Call Med student posts about how the hospitals equipme