Optimizing Clerkships: How To Make The Most Of Osmosis During Clinicals

Welcome to today's webinar optimizing clerkships how to make the most of Osmosis during clinicals feel free to ask any questions in the chat just keep in mind it can take some time to answer and we'll do our best to address them before the end of the webinar just thank you for your patience I'll try to speak to them if I can also one my colleague Stephanie will be on and she'll be able to kind of moderate the chat there as well a little bit just a quick background I'm Corinne Tarantino I'm a commercial manager here at Elsevier I have been working with osmosis for the last several years even getting to be one of the script writers originally I work really closely with a lot of our partner institutions with the faculty with students and so I'm really excited to share with you a little bit about the new clinical Sciences series and how that works really well in your clinical Journey so just a quick introduction to what we're going to be doing we're going to do a quick intro the what is the osmosis clinical Sciences a quick platform tour and then we'll go into a couple tips of how to use it and then go into the questions and answers but feel free as I mentioned drop your questions into the chat I'll try to see if I can answer them as we're going along even so osmosis if you haven't seen it before it's really designed by students originally for students to make the learning more learning more difficult Concepts that are in medicine more effective and efficient through engaging whiteboard style animated videos all paired with low stakes assessment items built behind with evidence-based learning principles and the main thing that we're going to be focusing on here is how with osmosis you can really retain more while you're and study more while you're staying a step ahead for clinicals and if you see on the screen here you see this approach chest pain clinical sciences videos this is the osmosis platform that we'll be diving into even more and it really was built on these whiteboard Style videos in order to be able to see the medical Concepts kind of come to life in this cartoon style that's all medically accurate we actually have medical illustrators that make all the design drawings behind the screen that are amazing when we talk about osmosis traditionally it's been seen for the basic Sciences because we have very robust Content Library across all the foundational sciences that you need in order to pass step one and to go through those foundational Sciences before you're going into your clerkships and this would include the anatomy and also your organ system blocks the immune system the respiratory system and as you can see in the osmosis Content Library you can kind of walk through multiple systems here when we switch now to the clinical Sciences is what we're going to be focusing on mostly today we have a breath of content and across now the clerkships so we identify kind of the core clerkships that most programs have across the United States and looked at their National clerkship guidelines and then matched what videos would really help a student and like you understand how to learn that concept so you can really under be able to sound impressive and understand what you're talking about while you're on rounds and hopefully it'll give you a little bit of background into kind of approaching a patient and feel confident there so what are these osmosis clinical Sciences as I mentioned it's aligned to the Natural National clerkship curricula so it really is what you need to know for those shelf exams and getting off of your rotations what are the key Concepts and the diagnoses that you really need to be able to treat it's a good option too if you haven't maybe gotten a chance to see a patient with one of these conditions then you have a chance to kind of review a patient approach and learn more they're all based on the evidence-based clinical guidelines and we have made sure to check them with Society recommendations we have multiple levels of content reviewers that are clerkship directors and active clinicians who are making sure that this content is how you would approach a patient so we made sure to do this in order to really boost your confidence in clinical decision- making when we look at it there are these decision-making trees and every video will walk through the decision-making trees connecting back some of those basic Sciences Concepts and some of the pathology review physiology review that's appropriate not a very in-depth but enough to be able to help give you the concept for why this decision making would be taking place a little background on asthma before walking through what are the conditions that you need to consider for acute management something that's going to be more urgent and then going into when you are looking at follow-up appointments and what are the x-rays what types of tests are you going to be giving all the way down into the treatment based off of that so it's a nice decision-making algorithm for you to think through and start to wrap your head around what are the decisions I'm making after each treatment or after each diagnostic test comes back and they really are extra scoped for a first-time clinical learner as I me mentioned following that National clerkship curricula thinking about what does a student know that's what our clerkship directors when they're coming up with these they're looking at the requirements to graduate medical school and thinking in your shoes when you are a third year student how much information are you expected to already have learned you're not an expert in the field yet how do we keep leveling you up one step at a time with these whiteboard Style videos to make it a little more fun and you can reinforce this learning with these linked assessment items they are all going to be in a USM Step 2 style complex style and then there are some pants items as well if you are a PA student and these are really there for you to reinforce anything that you've learned throughout the videos or you can put multiple videos together and go through multiple quiz questions and check in on your learning and understanding it could also be a great way if you're pretty confident in these conditions try out the questions first and then go watch the video and then come back and see if you learned any new areas in the video and this is just a quick moment to talk about our Radiology we do have radiological images in here for you and so you can take a look at those as you are in the videos You'll see some of them have stat DX radiological images to help explain it with real charts and graphs that you're going to be seeing in the clinics as of August we've released 450 videos associated with the content across Internal Medicine surgery obgyn Pediatrics Family Medicine emergency medicine and Psychiatry neurology are two of the more recent ones that we're developing and we'll be continuing to develop the content across the remaining content areas as I mentioned we have a very wide team of medical Educators and experts that are making this content so that way you can know that you can trust what is being said here it is it includes multiple clerkship directors that review this and we have an NP clinical Sciences team reviewing and a PA clinical science team reviewing as well as multiple clinical content writers and editors question writers and editors and then Radiology specific content reviewers in order to ensure that we have multiple checkpoints so now I'm going to stop this presentation for a moment here and switch over to the actual osmosis platform so you can take a look here when we're navigating to osmosis we see that it has this welcome back home screen underneath you have the daily practice and recommended videos and this is great if you've been watching videos in a particular clerkship and you might have missed another video in inside that grouping it'll be showing you because you watched this one recently here's some next ones that you might want to watch things that you might want to consider if you need to pick up where you left off this saves you a little bit of time if you know you're going to be in the same area when we look at this we can go into view all topics and look at the entire Content Library you could also specifically look for a specific content topic and in here we have the foundational sciences and organ systems as we mentioned for basic Sciences the step one review and then here we have the clinical Sciences clerkships so I'm just going to go into a clerkship so you can see what this looks like when they are listed throughout so every single one of these has it organized by the national clerkship curricula and overall presentations so we have the core acute presentation here and then we have core chronic conditions health promotion and preventive care so the back to the same Basics and then we're slowly adding in a few more topics here this is one of the areas for Family Medicine obviously prevention is a major part of family medicine and so that's one of the more unique ones in this section each of these is going to be laid out a little differently but what you'll see here is that there's two types of approach to videos there are the approach to presentation and approach to disease so if you have a anyone who is thinking about a presentation would be I have a patient as it mentions here with acute abdominal pain I have someone presenting with these symptoms on the other hand approach to disease is going to start with I already know what the diagnosis is what is going to go after that and so when we're here in the clinical Sciences we can take a look here for a second at the approach to acute abdominal pain this is a Pediatrics one this notes is if I've taken any notes what you'll also see on the video here is that you can add to a playlist you can put multiple videos together this is really helpful if maybe there's a couple of Concepts that were hard for you throughout your clerkships and then you're studying for shelf exams and you want to make sure to review those key Concepts you can make a video playlist that's called my shelf exams very quickly here by just typing in a new amount New Concept so if you would like to do that you can also add it to your watch later if there's something throughout your day you're on a rotation and you have your phone with osmosis downloaded to it you can add it to your watch later list so you can go and review it at the end of the night or before the next morning before you see your next set of patients if you want to review part of it all these videos are going to be made to be around 10 minutes as you can see this one's about 14 minutes you can always review them at double time speed or just go to the areas that you find most helpful you'll be able to see at the bottom here once it starts it's a little easier to see but you can see each of the sections so you can kind of switch throughout your video when you're looking at the chapter sections what you'll also find is decision-making trees now these are really helpful for review you can print these out you could also save them to your iPads if you're in clinics you can move this around and take a look the video itself is going to walk through this but if you just have a second to kind of view a decision-making tree you're thinking about going in to talk to one of your attendings about a patient you can kind of review this as a quick reminder of this is the things that I need to look for in my history here's the areas where I'm going to be looking at if they have had increased tooling frequency now what do I consider are there more history sections that I'm looking for that might change my lab outcome you might not even need labs for some of these other ones you might need Imaging so thinking if you are in your first time kind of reviewing this content it's helpful to look at these decision making trees and go through them which is why we made these videos underneath you'll see the transcript which is another way to see what this video covers and to be able to quickly review them if we can play just a minute here of this video so you can get a sense of what it talks about acute abdominal pain is a common presenting concern in pediatric patients while severe abdominal pain combined with abdominal rigidity rebound or guarding suggests a condition requiring urgent surgical intervention most underlying causes of acute abdominal pain in children are transient and non-life-threatening acute abdominal pain can be caused by gastrointestinal urinary pelvic and neurologic or musculoskeletal conditions when a pediatric patient presents with acute abdominal pain you should first perform an ABCDE assessment to determine if they are stable or unstable if unstable stabilize the airway breathing and circulation next obtain IV access begin fluid resuscitation and continuously monitor Vital Signs provide supplemental oxygen if needed ensure that the patient does not take anything by mouth and consider placing a nasogastric tube finally obtain an emergency surgical consultation and AD Min broad-spectrum IV antibiotics once you've initiated acute management perform a focused history and physical examination the history will reveal a sudden onset of severe abdominal pain and the physical exam will often demonstrate abdominal tenderness rebound and guarding possibly with abdominal distension and rigidity these personal signs indicate an acute surgical abdomen which requires immediate surgical intervention now it's going to go back and start thinking through the rest of the decision making tree that is not urgent and requires immediate intervention now this one doesn't yet have the questions on it but we can go to another one that does as we are continually expanding this content and adding more what I'm going to show you here is actually how you look through the search topics you can filter results by all of them basic Sciences or clinical Sciences so I mentioned chest pain there's no video called chest pain in the basic Sciences section it's only in the clinical sciences and so when I apply this different filter you can see that now there is an approach to chest pain video that pops up and this video does also go through the approach to chest pain if a patient has chest pain what to do and there are four assessment items here so I'll take a look my apologies so we have a quick quiz summary and from this you can see that there are four questions and the estimated time is about three minutes to finish them when we go in here you can see that the question is worded in a clinical vignette with the patient information here as well as kind of the patient Vital Signs other things that you might need to know you can use an elimination tool you can use any of these tools at the top to look at lab values highlight mode to kind of replicate tools that you'll have when you are in your testing scenarios as well when you go to answer a question you will need to rate your confidence so either low medium or high this will help you track what you are doing overall so I was medium confident I really should been low confident because I was just guessing I can now look at the explanation and take a look at the major takeaways and Main explanation as well as why this was an incorrect answer and this will help me kind of learn a little bit more see if there's other topic areas that I need to cover maybe I didn't need to just review the chest pain video but I needed to review a basic Sciences video to understand this a bit more in detail so this is a really helpful tool there I will stop sharing this section now and go back for a second if you have other questions that you want about the platform I can feel free to answer those at the end and I will take a look there are we will be going through a couple more things before we go into a full Q?A section so I'm going to present from this slide again and play this video for you I mean my first experience with osmosis was back in Ohio when it was rolled out to the first and second years and when they came into their clerkship after it was rolled out the amount of Baseline information that I could see where that shifted was so high it was just so impressive so why I'm so excited about this is I find that especially in the field of obstetrics we speak a different language and I think that it's very helpful to just have the information streamlined in one place where you can find the information and if you choose to then go beyond that you can but all of the basic information that you will need to be successful in your clerkship I believe is there with the supporting documentation so you don't have to look that far so that's one of the reasons I'm really excited about it and quite frankly I wish it existed when I was in med school so a few things I I've been really excited about this whole product line one is that it gives like we talked about it scope to the medical student so they have this roughly 10minute video that they can look at quickly to get the framework for what they are either working on going to be reading about so it really gives them that scaffolding so they can start putting in those details later it also gives them a great Foundation to have intelligent conversations on rounds so it's not you know the tending having to start with zero and working every time this comes up with a new rotation coming through they're starting saying the same things over again they get to start higher and then explain okay here's the basic rules this is why this patient is an exception to the rule here's my clinical decision making that says yes this is where we're going and we're deviating this way because we're seeing this right now so I think it's really giving the opportunity for that Hands-On learning and the moment to get the most out of the clinical experience rather than trying to take it all in all at the same time the second thing that I'm selfishly very excited about we all know that on the clinical side faculty is under immense pressure for production and they do not have a lot of time for teaching they teach but there's a lot of pressure coming from the production side so it's this really this balance of what am I going to give now so this helps offload that sum because they're not having to sit and make PowerPoints to run didactics they're not having to you know look up all the foundational science of like I think I remember some electron transport chain here you know things like that so all of these videos have a link of here's the clinical science but here's the background foundational science that also applies to this so the students can and the faculty I've done it will review some of that foundational science that's not as fresh anymore and be able to finally integrate that back in instead of having first two years of pre-clinical all foundational science then we forget it and do clinical so this really pulls that together yeah what something I that really stands out to me with regards to the videos are kind of the way it's organized and structured so it's like you said earlier that the videos are basically walking them through the DMT and the DMT you know it's basically algorithm based and so it really gears them well for the clinical setting because it's very relevant to what it's very relevant to two things number one what they're seeing in the clinical realm and how to kind of organize their thought process and the second thing is it gears them towards the their shelf exams too because once again they're on their shelf exam they're getting presented a patient and they need to kind of figure out well where does this patient belong in kind of the algorithm and you know where I am in terms of am I still making a diagnosis am I implementing treatment and all this so I think that the decision-making tree is going to and the way that it's structured in the teaching the way it's organized in the videos is really going to be helpful for the students both in the clinical decision making as well as prepare them for their shelf exams and that that's really so as you got to hear from some of the Educators this is similar to what we ended up hearing from some of the students so those are clerkship directors who are actively seeing students grading students helping them guide them through their clerkships at different faculty institutions and they really saw the value of Osmosis clinical Sciences to Prep students for their rotations when we see the students quotes we've heard from them that it really helped them study faster than they ever because they could go through a lot quicker different videos seen in a couple different formats and you can dive a little deeper it's the best guide to helping navigate the fourth year rounds of medical school and helping think through anything that might be a more difficult subject in those fourth years and then the other one mentioned giving confidence because getting to practice multiple questions there also getting see a decision-making tree maybe you already kind of know about how to approach that patient and you just need the confidence to build that information and know that you could present it and teach it to someone else these are a great way to kind of build out that confidence as you do more questions as you practice so here's a couple key ways and to use osmosis while you're in your clerkships one is you can be at home you can review before you take your shelf exams I think that's a really helpful way as I mentioned you could add a couple videos over time throughout your clerkship to a playlist and prepare to take your shelf exam you can also kind of do a self-study schedule of reviewing for yourself ahead of time and then you can clarify Concepts before a new clerkship day if you are struggling with a patient scenario you know that you're going to be seeing a patient with myocardial or who's had a history of myocardial inunction or has had a history of diabetes or another disease you could kind of review the osmosis clinical Sciences video and see the approach to that patient and think through then what do I consider here with a new my day tomorrow visiting with this patient how do I consider any follow-up treatments workups that need to be continued and included or maybe I struggled I was pimped on rounds however I messed up one of my questions I didn't know I asked the attending they helped clarify that information for me and now I want to go and review the topic on my own so I can be prepared for tomorrow and not feel like I missed that day of learning you could watch a quick video even listen to it on your drive home or while you are getting ready for your day or for the next morning the other thing to do is you could do it with classmates so you can share kind of a playlist maybe there's two or three other students on the same clerk ship with you could discuss what you learned before rounds you could share a playlist or share links to videos share decision-making trees you can even talk through a decision- making tree before you're going to go to your rounds where you're going to be watching walking through with patience and you can help prep each other on your patient scenarios the other thing is on the go we've kind of mentioned that you can download videos you could download the decision-making trees and review them and also download videos onto your phone but you could also review few flashcards or questions pretty easily so maybe you have a little bit of downtime between patients at a clinic or you're on your lunch break you can review a couple flashcards or questions just brush up on your knowledge and you can do that right from your mobile app so I'd really recommend kind of the mobile app and your iPads while you are in clerkships because that's more accessible it's what you're going to be able to see throughout your day do we have any other questions coming into the chat I know there was a question a bit more about the how to use a video to learn I think we've covered a little bit of that but I know happy if going to explain anything else in here about how to use these videos in your learning experience we can take a look at a couple more if I was going to go back to this video I did mention kind of that playlist and setting up your learning ahead of time the video area really does cover a lot of topic areas and subjects so we can easily look at this is one's under emergency medicine here you can take a look at what this emergency medicine clerkship looks like when we are under this emergency medicine you can see here is acutely ill patients versus a focus Chief complaint versus systems and then traumatic and Orthopedic injuries we can take a look if I was going to look at the trauma right here in emergency medicine you can see that they're also kind of linked together so they're Associated if I have a patient who came in with shock but they have shock due to trauma maybe I want to watch both of these next to each other what you can also take a look at if there is an approach to disease video or one of these other approach to Patient videos presentation videos we can take a look at the notes the transcripts and also try to see if we can think about any other videos that would be similar that would look at the same topic area we could use for example this one talks a little bit about the transfusion a need for the blood products what it's from it could be from C trauma here I have any other questions you can feel free to ask in the chat we can when you're here and you're looking at the trauma you can take a look and look at the systematic approach but maybe when I'm reviewing this I realize I don't really remember a lot about playlets and fiber and how those play a role in primary hemostasis so I could go back and take a look at primary hemostasis and look in the search when I look into the search I can now see from the basic Sciences video that's where I would look for kind of how do I look at primary homo hemostasis what does that mean it's that completely plug formation timeline and you can see a little bit of the quote here of where it's found but you can nearly use this video then to study and go off of because it does have a lot of that in-depth material of what primary hemostasis looks like if you need to remember that by basic Sciences video and you can play this I'll play just a basic science video here for a second platelet plug formation also called primary hemostasis is the first of two steps needed for hemostasis is how the body prevents blood loss when a blood Vel is injured or broken without hemostasis even a minor injury would be life-threatening imagine dying from a nose bed during primary hemostasis platelets Clump up together and form a plug around the side of injury then in the second stage called secondary hemostasis the platelet plug is reinforced by a protein mesh made of fibrin you can think of it like a BRI as you can see this is going to be a lot more in depth into the details exactly what that looks like see the animations appearing when I'm thinking about how I would use this video to actually study I there's a few different ways that you can use this depending on what your preference is for studying a lot of students go through and watch the video without taking any notes and then you can after you've watched the video write down as many notes as you can think of on a piece of paper and see if you can then map out how platelet plug formation happens or are there the different steps do you know the major factors can you write it out or at least speak to it then you can go back and re-watch the video or you could go and take the assessment items now this one is going to look a little bit more into the step one question Banks here because this is that first stage of learning that is the basic Sciences learning so you can go straight into your quiz and from here you can check your learning and it's going to look very similar to the step two question Bank the step one is going to focus a little more details on those basic science Concepts another way I might take notes on the video I might do the overall outline I wouldn't recommend writing everything that's said in the video down it is in a transcript you can find it you can also as this one mentions here look at high yield notes so this one has high yield notes it Associated similar to decision-making trees you can find high yield notes there will also be suggested related videos here the high yield notes are also helpful to download these and then you could take notes on the high yield notes themselves and see how much more information you can add in before you're watching the video it's a good way it's a really good idea to always test and kind of retest your knowledge base that you're not just passively watching a video and have no idea what happened after it this is only a 6-minute video it's pretty easy to watch just a six-minute video once or twice to see where you're at and then another area we can look at here are the questions if we go over here you can actually study the questions in bulk across multiple areas we can look at the step two question since we talking a little bit more about clinical prep for your shelf exams what you'll see is that they're ordered by the foundational sciences that you will still need into this step two time frame and your shelf exams and then it's organized by your specialty so if you're going into your obgyn shelf exam it might be a good idea to review most of them if not all of them you can try to separate down any others and you can do a Max size of 25 questions maybe that's what it says about 30 minutes is what you're going to be at and this would be a good test or exam you have 30 minutes right now to practice a few more questions you can take a look at this shelf exam you're looking at your quiz summary here of 25 questions estimated time 21 minutes here and you can look at more options you can also save this to your queue which means that you'll be able to see this later so if I save this to my queue what I'll see now is here has shown up where there's 25 questions now saved to my queue I can then use this quiz and go back later so maybe I'm I know that I'm going to be studying for my shelf exam tomorrow I don't have time to do these questions today but I wanted to take a look at them and so I started making it but I just saved it to my question Q instead it's a really helpful way of kind of looking at these exams these are all going to be telling you what the answer is right after it's meant to be able to immediately learn more information not for you to take this as a sit-down practice exam studying in the same way this is really for building your confidence throughout and hopefully you'll go from low to high as you continue on there is also over here this daily repetition quiz I have 30 in my daily space repetition these space repetition areas are actually the flash cards which most of them will go across those basic science Concepts so you can actually do a FL card quiz Builder or you could have added the flash card quizzes as you were going along and you were doing your basic sciences videos you can take a look at those flash cards it's going to be a very quick easy review this is a very helpful way of kind of taking a look at a specific concept so I could take these right now and I could build it with just 10 and I'm building a quiz again this can save to que but it's now going to get saved to my flash card queue and what you can see here is now it says I have this 10 flash card queue I have 40 in my space repetition queue this is going to now be my flashcard quiz as we mentioned earlier these are great to do when you're actually on clerk ships you can review a couple flash cards especially if you're in something like surgery a lot of the pimping questions while you're in a surgery there's a lot of time for conversation at moments and they'll often be based around Anatomy do you understand what you are seeing while you are in surgery where did they even come from in embryology and you can kind of understand those Concepts more in depth I'd recommend especially in that area reviewing some of the flashcards that are related to some of those anatomies some of the building blocks and embryology knowing how to connect those basic science Concepts you have to have those in repetition in your mind in order to go into it have a question about using the app versus the website I would recommend that the website has full functionality however as I mentioned if you're on the go more often like you are in clerkships you should probably use the mobile or the iPad which is the mobile version and when you were on the main website I would use that more often probably for seeing the depth of the video with the Flash cards with the associated quiz questions those are really helpful to look at together because there is more information that you'll be able to just process when you're looking at a larger screen I think especially if you're sitting down and trying to do questions and then go back and look at other videos it's helpful if that time is on your desktop website however as I mentioned it's really easy for downloads to be on your mobile tablet View we do also have a study schedule which is available for you all when you are in your years trying to study for step one or if you're trying to step study for one or more classes this is helpful if you think about I'm in an organ system I want to study for my organ system block right now and you can set the date of your next class exam and what topic areas you're trying to cover so it's more so going to cover these broad topics you can tell them what days you're going to study highly recommend not including a couple things that would be there for studying and we also have having a couple break days is really important so that's what automatically went through it just says Monday through Fridays when you're studying but one to two break days is definitely recommended and you have other resources that you'll be using at the same time and so there's this question about other resources that you might be including and it will recommend here a couple little tips as you're going along and prepping and building your study schedule this is a great tool especially for step one and as you're going along and starting to think about the next set of information that you need so this is explaining the basics of diagnostic tests I asked about those and the odds ratio because of the area that I had set it at with biostatistics here it's going to explain the epidemiology and it's going to give me kind of a general study plan here to be able to get through my osmosis curriculum do we have any final questions otherwise I think I'll be wrapping up a little bit early here hopefully this helped there are there is as Stephanie is adding into the chat some additional information about clinical Sciences Library how to support students more efficiently you can take a look at more information there is also an amazing clerkship guide if you want to take a look at that where we have a walking through you through your clerkships what is going to be helpful to think about on day one some little tips things to consider with just knowing where you're going to be and thinking about the dress code and other tips that'll be helpful to maybe ease your anxieties on those first days the other question here the USMLE Steps step one and step two you'll be able to find kind of the reviews here and then as we mentioned kind of on the actual learn page itself it has those questions Associated on the right hand side and you can do the quiz Builder with the USM Le step one and step two questions to review there as well as just a quick reminder as put in the chat the event is being recorded and now will be available online early next week and there are also a whole host of other webinars in that area with osmosis events that are super helpful to learn other tips and tricks from some of our other amazing panelists and workers just in this last couple minutes here I am going to just thank you all for coming and feel free to take advantage of the two trial that has been put in the chat there is this link here this will allow you a free two week trial into osmosis and getting to explore all of this and hopefully be able to use it with your clerkship this is that link to the web page for visiting other webinar recordings or registering for future events and if you would like and to learn any more things about osmosis tips and tricks on using it we have some amazing osmosis bloggers that are current students faculty members other osmosis content experts who've written some amazing articles in our osmosis Blog to explain topics in medicine learning tips and tricks and lots of other areas and so there are this is really a helpful area to look at a couple other videos are linked here in the side in our chat thank you all for coming today again don't forget to take advantage of that pre- two week trial and hopefully this was helpful for understanding a little bit more about our osmosis clinical Sciences series and how to understand all of the information as you're going through clerkships it's a really exciting time when you're getting to actually experience time with the patients please feel free to reach out to support osmosis.org or use anything on any of these links to follow up with us have a great rest of your day helping current and future clinicians Focus learn retain and Thrive learn more ?Music?