I'm just going to put it out there. I probably wouldn't pick up a murmur in the clinical setting if it got off the bed and slapped me in the face.
Today we had a 2h clinical lab to 'go over' (read: learn for the first time, really) heart sounds and murmurs.
Yeah, the highlights included the one clinical instructor actually saying
"just learn some buzz words so that in the OCASE when you are thinking CH&*ST F*&K I can't remember ANYTHING you will be able to rattle off some key terms at least"
and another instructor saying
"well shore you'll say what it is then get an echo and find out it's somehting completely different so fock it".
Sigh. Ireland. You really do amuse me.
The lowlights included:
feeling like I don't know anything
feeling like my medical knowledge and cardiac knowledge is ZERO
feeling slightly deaf
not understanding what everyone else seemed to be grasping (awesome feeling)
being POSITIVE it was a systolic murmur when in fact it was not that at all
wishing I'd listened to heart sounds on every patient that ever stepped into the ED over the past, oh 6 years
The lowlights were punctuated by the fact that I was demonstrating my incompetent medical student persona in front of one of my favorite clinical instructors who is a totally badass ED doc. Pretty serious and intense guy and just someone you generally want to be on-the-ball around.
I was so not on the ball.
It is one of the things I love about medicine though, just when you think you understand something...you realise you have no bloody clue.