{"id":2726,"date":"2025-01-31T09:17:06","date_gmt":"2025-01-31T09:17:06","guid":{"rendered":"https:\/\/phrasefire.com\/medical\/blog\/?p=2726"},"modified":"2025-04-02T11:57:06","modified_gmt":"2025-04-02T11:57:06","slug":"do-this-to-end-pimping-in-your-residency-program","status":"publish","type":"post","link":"https:\/\/phrasefire.com\/medical\/blog\/do-this-to-end-pimping-in-your-residency-program\/","title":{"rendered":"Do this to end pimping in your residency program"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2726\" class=\"elementor elementor-2726\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-83bf7cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"83bf7cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f988cbc\" data-id=\"f988cbc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5486b12 elementor-widget elementor-widget-text-editor\" data-id=\"5486b12\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.4 - 31-08-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><em>\u2022 Attending Physicians Prioritize Efficiency Over Pimping: Attendings generally do not \u201cpimp\u201d residents unnecessarily; if a resident demonstrates strong clinical reasoning in discussions, rounds are more efficient and educational questioning is minimal.<\/em><\/p><p><em>\u2022 Educational Gaps Trigger Questioning: When an attending notices a resident who appears unprepared or disengaged, they may ask assertive questions to ensure patient safety and verify the resident\u2019s clinical knowledge.<\/em><\/p><p dir=\"auto\"><em>\u2022 Knowledge Deficiencies Can Have Serious Consequences: Lack of understanding in critical areas\u2014such as empiric antibiotic selection, renal and cardio-protective medications, and contraindications in pregnancy\u2014can lead to serious patient harm.<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e5ec114 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e5ec114\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a42904a\" data-id=\"a42904a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41e1f20 elementor-widget elementor-widget-text-editor\" data-id=\"41e1f20\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Residents :your attendings don\u2019t want to aggressively pimp you. A questioning here and there is part of residency. Pimping is when you get a sit down or extended public discussion about a specific topic. This wastes time\u2014 if the appropriate topics relevant to the patient\u2019s care are demonstrated in rounds there is no need for the attending to pause and ask a ton of questions.<\/p><p>I\u2019m sure you\u2019ve seen a group of your program\u2019s best residents rounding, the knowledge is obviously there with those residents, studies and mechanisms are discussed appropriately. Rounding may be much abbreviated as the attending is happy with the appropriate treatment of patients.<\/p><p>It\u2019s when your attending notices an ill prepared resident: one who is just trying to get by and go home when one of these dreaded \u201cpimping\u201d session may arise. The attending may ask assertive questions In order to ascertain that the patient is in good hands.<\/p><p>Some examples of this seen over the years (program redacted and not necessarily my own) are the following:<\/p><ol><li>Renal protective blood pressure meds that diabetics should be on to inhibit diabetic nephropathy.<\/li><li>Cardio protective meds post NSTEMI.<\/li><li>Empiric antibiotic treatment for diabetic foot infection with and without purulent discharge.<\/li><li>Community acquired pneumonia empiric antibiotics with and without aspiration: taking into account recent hospital stay, pseudomonas risk.<\/li><li>Meningitis empiric antibiotics.<\/li><li>Class D and X medication list to avoid in pregnant patients\u2014major lawsuit if birth defect occurs.<\/li><\/ol><p>These are omissions that can have significant morbidity and mortality.<\/p><p>Our platform allows for storage and rapid recollection of assessment plans, medication choices, key notes on medication side effects, studies, all easily shareable within program and beyond. Early users have access to review attending level assessment+plans for top IM admission diagnoses used during testing.<\/p><p>**This post and information contained in the platform is not a recommendation to treat specific patients. The information is useful to attendings, residents and students under supervision for educational reference.<!-- notionvc: 9ca67435-caaf-4cf9-90c8-45505d882b06 --><\/p><p><a href=\"http:\/\/www.phrasefire.com\">www.phrasefire.com<\/a><\/p><p>short video tour<\/p><p><!-- notionvc: d9c62a9b-cb3d-40d9-b7c3-03b480ea842b --><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-132ee21 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"132ee21\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;vimeo&quot;,&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.4 - 31-08-2022 *\/\n.elementor-widget-video .elementor-widget-container{overflow:hidden;-webkit-transform:translateZ(0);transform:translateZ(0)}.elementor-widget-video .elementor-open-inline .elementor-custom-embed-image-overlay{position:absolute;top:0;left:0;width:100%;height:100%;background-size:cover;background-position:50%}.elementor-widget-video .elementor-custom-embed-image-overlay{cursor:pointer;text-align:center}.elementor-widget-video .elementor-custom-embed-image-overlay:hover .elementor-custom-embed-play i{opacity:1}.elementor-widget-video .elementor-custom-embed-image-overlay img{display:block;width:100%}.elementor-widget-video .e-hosted-video .elementor-video{-o-object-fit:cover;object-fit:cover}.e-container>.elementor-widget-video{width:var(--container-widget-width,100%)}<\/style>\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"vimeo Video Player\" src=\"https:\/\/player.vimeo.com\/video\/1071417376?color&amp;autopause=0&amp;loop=0&amp;muted=0&amp;title=1&amp;portrait=1&amp;byline=1&amp;h=2a589545dc#t=\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c136940 elementor-widget elementor-widget-text-editor\" data-id=\"c136940\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Check us out at <a href=\"http:\/\/www.phrasefire.com\">www.phrasefire.com<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u2022 Attending Physicians Prioritize Efficiency Over Pimping: Attendings generally do not \u201cpimp\u201d residents unnecessarily; if a resident demonstrates strong clinical reasoning in discussions, rounds are more efficient and educational questioning is minimal. \u2022 Educational Gaps Trigger Questioning: When an attending notices a resident who appears unprepared or disengaged, they may ask assertive questions to ensure [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2727,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2726","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.6.1 - 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