Bread Maker Directions

My recipes to choose from the MIR space

This entry is dedicated to the new MIR facing the choice of specialty. When you finish the race and endorse the MIR medicine felt indescribable relief, has spent 7 years of his life-6 and 1 college preparation to MIR- choose a major that will mark his lifetime, but although he has studied all, nobody has explained how to choose the most appropriate specialty to develop as professionals and as people. Although some universities offer courses targeting most of them are purely theoretical and informative, none of them talk the fundamental issue which is summarized in two questions : How much would you dedicate your life to the profession? "Vouchers for the specialty you've chosen? Perhaps we should add others but not of orientation but of opportunities such as: Do I get the number to do what I want and where I? If I can not choose what I want I will stay close to home? -Understand how to choose thinking about bonding and non-professional.

I have my own medical classification: "Those who punctured, which cut and those that do not puncture or cut," "To those who are dying and that patients are not dying" , "physicians who work standing or sitting," "which is uncombed and not unkempt", "games and the trenches." Everyone who applies will be defined more. If you like going out with the parting of the hair or the curls intact, blood stains, gypsum or other fluids, without a dry throat, without a heavy heart, without levarte work home: Choose a specialty room.

How are you feeling in your flesh, the choice is not an easy issue as you play you in your future career and your personal achievement much, remember that you choose a profession, which if taken seriously, requires a dedication than most and is an emotional drain of the other, are completely: do not forget that unless it is your main objective, not going to be rich, you can live well, but always marked by the guards, the study and problems of your patients.

As I am a veteran with 28 years of medical practice and at least 40 residents who have made me think I can say on the subject. If we choose the square as a study of prognostic factors related to an appropriate choice we can study the variables involved: specialty, place of work, guards, research, career, income, professional opportunities, hard work, charging adds emotionally as they deem appropriate and sort them by score. It is free in that you really appreciate the effort and dedication, be cautious in assessing emotional exhaustion related to your choice: you know yourself better than anyone in this regard. Any subject is interesting but you must choose one for which you are endowed not you want or you have opportunity to do for number. Once we have the variables with more weight acts accordingly.

If you clear the specialty is much easier to take your number compare it with other years awards and you get an idea of \u200b\u200bwhether it is viable. If it is, and want to do close to home: visit the nearest hospital to your home. Talk to residents older with no guardian with the head of service, these try to sell the bike. On all questions of compliance with program specialty rotations.

Tip: If you doubt among medical or surgical specialty medical Singles: it is more likely to guess right, you can also choose digestive, cardiology and radiology with some intervention. Another tip-I know that you disagree with someone but it is my opinion, family medicine or primary care is often the choice of doctors more "vocational" who value the closeness and treatment with patient sophistication and depersonalization of hospital medicine. So far so good but the reality is that in the health centers on imaginary patients, over and drowns the bureaucracy and lack time to do the job well, when you take a few years do not know if you're a doctor or health controller glued to a computer- and without the salary of air traffic controllers.

If your interest is to have a life close to your environment and without too much hassle, no-resident guards always will do but a deputy or may not be located, and you have a family and a more or unconventional: Choose a specialty comfortable, no guards and close to your home. Or put another way, if you want to lead a life similar to that of your friends who have a medical profession do not choose the specialties of "trenches"-those who eat more brown-general surgery, trauma, emergency medicine, intensive anesthesia , pediatrics, gynecology and oncology.

If the deal with patients, or decrepitude and disease is not for you choose a specialty of "living" laboratory, pathology, conventional radiology, epidemiology ....

If you deal well with cancer patients, terminals or complicated not going hospitals, operating rooms, emergency, crowds of people waiting to be treated at emergency rooms, family talks with disgruntled or exalted, the impositions of hospital management, the daily struggle to try to do the job despite of "organization": Dedicated to the management and end up being a "friend" of your classmates.

Effects Of Mixing Unisom And Alcohol

This new section is titled photos history, is born to give life to photos of surgery often seem harsh, bloody and depersonalized. We who know to the person behind, its history, its process to diagnosis and suffering to beat the disease, we give the human and artistic value they have, not for their photographic quality and its impact on non-surgeons, but because this image reflects the history of a person who gives life.

The case summary does not give data to recognize patients for this reason some data are approximate. All patients signed an informed consent as well as accepting the surgical procedure includes taking photographs.

Photographs can be hard to non medical which is published as links and have a comment associated with introducing the context.

S i are impressionable or just someone you are interested in the sleaze go to another page!

1 .- A hopeless case

Can You Save Pokemon On Mac

Photos with history Teaching of residents in surgery: Surgical

I dedicate this post to the PR who are thinking about choosing a specialty, that as you will read is not very encouraging, but I think it's better to know the reality before making of the most important decisions of your life.

MIR Teaching of surgery is governed by a decree which provides in detail the training program, courses, rotations, surgery and assessments. The program is perfect, but nobody is fully compliant, especially in regard to laparoscopic surgery, research and publications.

This lowering of the law is very typical our society in that he requires and he must meet that no will know fully. fraud is a law book! , especially when the resident at the end of the residence automatically becomes a specialist in general surgery and digestive system without a filter examination and practically nonexistent.

In fact I've never seen a suspension to a resident unless he decides to leave. The obvious result is that the training of residents is not guaranteed, the title itself. This alarming situation clearly does not worry health authorities more focused on solving the waiting lists and demands of citizens.

Most newly graduated specialists are able to solve common problems in surgery, but unquantified, percentage approaching 20% \u200b\u200b- is unable to solve them without help. Depending on the hospital, the service and the rest of the companions may be that patients treated by that surgeon did not receive proper care. There is a problem of degree but of discharging its functions: no guarantee your competition.

Many residents do not meet number of times that makes the training program or have been able to operate many patients with a type of surgery and none of another. Anyway, the minimum number of interventions, described in the decree does not guarantee competition at the end of the residence. The truth is that there are too many surgical residents and young deputy in training, this prevents residents operate the required number of patients to obtain the necessary skills.

Ambitions for laparoscopic surgery and research seem a joke in some hospitals. The teaching license has not been reviewed properly and residents services and even lying to auditors for fear of not being hired at the end of the residence. A specialist degree is given by the ministry of education but the means to ensure compliance with the training program in the hands of public health systems of autonomy. The public health care systems by recruiting every year 190 surgical residents so that the cheap labor and replacement of retirements is guaranteed. Quality does not matter if they have their title officer to exercise, no matter if they have more capabilities than others, or better training, cover a hole in the system, they can not choose and that is not for the many who are better trained.

The inclusion of core subjects in 2012 can further complicate compliance with the minimum number of interventions.

The English Association of Surgeons (ACS) has created courses for residents who can acquire the knowledge and skills in different areas of training or in other words the Super Specialty: abdominal wall, breast, esophageal, gastric, colorectal, hepato-biliop-ancreática, endocrine, multiple trauma, infections and even health management. Neck probably been easier to keep up, the problem is when you arrive at your service: the practice is different, do not let you apply your new knowledge, and practice the skills learned in the operating room.

This negative view and apocalyptic tone is not feigned but real sad end specialty residents are increasingly green -often with excellent knowledge theoretical. You need to take urgent measures to ensure the competence of the new surgeons. As in other areas this depends on many actors: public health, Ministry of Education, National Commission of the specialty, regional ministries of health, surgical services and residents.

What can a resident, or rather a group of residents is required to fulfill its training plan, if not it should be to inform the department head and the teaching committee of the center. If results can not request an audit committee of experts. If takes a passive stance, very common on the other hand, will need at least two more years of practice to acquire a real competition, expecting that you can work continuously and not only do guards. It's much better to have less well-educated residents than the usual coffee for everyone in healthcare.

For those who want more information : Training in general surgery and the digestive system: new program, same challenges. Joseph M. Bobadilla Migueleña

Dora The Explorer Free Episodes

requiem for pancreatic cancer

A new presentation slides presented in a course of cancer in 2006 on the criteria of resectability of pancreatic cancer and the surgical strategy to confront the most lethal of digestive cancers. I hope you serve for a touchdown.

Some of the criteria for resectability have been small changes that can be found in Surgical Treatment of unresectable and Borderline resectable Pancreatic Cancer: Expert Consensus Statement by Evans et al.

field image after surgical removal of the pancreatic head
(Whipple operation)

Why Would A Scorpio Ignore You

Clinical case of Crohn

cave is not a bowel Crohn's disease
and typical cobblestone mucosa

For a change and not always talk about surgery hepato-biliary-pancreatic I present a case of Crohn's disease rather complex has kindly given me a resident of my service Geraldine Murature, a Buenos Aires stuck to this in the surgical arts.

Clinical case of Crohn's disease

How Do I Apply The English Patches To Desmume

vocation as a trap for medical

Vocation is defined as: " Inclination to any state, profession or career . " Undoubtedly the vocation to help or cure this at the beginning of every doctor and she throws herself to withstand a 6-year career, a additional year of preparation of the MIR, three or five years of expertise as a medical intern and resident and a long pilgrimage tricky contracts, competitions, courses and seminars: what today is called continuing education, which means that everything you learn has a expiration date getting shorter.

When you complain that you have a schedule that will not let you have free time the rest of the life or take 15 years with contracts of 6 months, always leaving a cocoon that says : "do not complain that you do by calling!" that's when I have an lycanthropy attack and bite ... auh .... You may wonder why I get so, do not I have a calling? Am I a limp? Do you only work for money? NOOOO gentlemen, but I do not like to use the word vocation as synonymous asshole.

is very common that everyone thinks that his job is more complicated, more responsibility or that requires more commitment, and therefore legitimately believes that his company mistreated and misunderstood by the general public. Well it may be something about that or anything, but the hackneyed vocation is not an excuse to endorse issues that any other citizen would not hold or even holding him, the complaint would not have to hear: "Do not complain that you do it vocation! At that sucks eh ...!

vocation for me is an intimate affair, personal, and that all doctors have had or have some time but no one should use, read company or the general public, to justify treatment that would not hold in their work.

the vocation given yourself, when you want and where you want, but it is not required for others, not even a requirement for medical and not for many other professions. If we continue to believe that being a doctor is a special job for which you will need a cure or alleviate the diseases of people regardless of race, religion, political choice, social status, even though you fall ill or you think your life is not worth it: we respect the vocation of each and not use it as weapon.

Well it has become clear that I do not like to hear about the vocation, for those who have a less crude can read the article Casanovas Carlos Martínez

Bart Hits Homer With Chair Simpsons

feedback responses surgery ministry MIR 2010 MIR examination

I compared the responses of the ministry to review type1 with which answered in the previous post and have not found any discrepancy. The answer to the question 150 on choledochal cyst in children is empty although I think the correct answer is 4. For my part I think there is any reason to challenge the question of surgery.

can follow the news via twitter # MIR # postman @ fjaviherrera

Long Dong Silver.penis.

2010 Answers general surgery (complete) surgery

are now all the answers to the questions of surgical apparatus to facilitate reference or link to a web page I have collected in a word document that You can download by clicking this link .

I congratulate Emilenko ( http://emilienko.blogspot.com/ ) for the initiative and hope it serves to share new experiences together in the areas of Health 2.0.

A newly examined luck with the choice of the place and thanks to colleagues from other specialties who have worked on this exciting new initiative. Thank you all.