Sunday, June 11, 2006

Evil Mollusk Has 2 Pimps

One of the mainstays of medical education is a process colloquially known as pimping.

There is good pimping and bad pimping. In my unscientific, unrandomized, and noncontrolled trials thus far, the bad pimps seem to outnumber the good pimps by 3 to 1.

Good pimping: Your pimp asks you questions with the intention to teach, helps you hone your critical thinking skills, broadens your understanding, helps you realize you know more than you suspect. You learn to approach relevant medical questions systematically with purpose and focus.
Example: Right after the baby has been delivered, umbilical cord clamped & cut
Question: What are some signs that the placenta is ready to come out? Answer: There's a gush of blood...the umbilical cord becomes easier to pull...
Question: Why would the uterus feel globular at this time? Answer: It's contracting in order to dislodge the placenta.
Question: Why is it important to apply suprapubic pressure while pulling on the umbilical cord? Answer: To prevent the uterus from inverting as the placenta comes out.

Bad pimping: Your pimp asks you questions to humiliate or fluster you, or to show off how much they know. They rattle off a barrage of random and obscure questions that are not helpful.
Example: a neurologist who favors flagrantly esoteric questions about rabbit experiments that are in no way related to the patient you are discussing.
Question: In the seminal [insert name of famous neuroscientist] experiment of 1974 in which EEGs of rabbits were recorded, what was the most common waveform? Answer:Uh...with all due respect, sir, most of my patients are humans.

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