“I have a hard time keeping up with the current literature and concepts in my field...”
“I don’t have a fast, efficient, yet inexpensive way to get my required CME...”
Ever had these thoughts, said them out loud, or discussed them with colleagues? If so, I would like to introduce you to Otolaryngology-Head and Neck Surgery E-Pimp. Much like the “Word of the Day” concept, E-Pimp is based on the idea that a few minutes per day can lead to enormous amounts of learning over the course of a week, a year, or a lifetime. From your own computer or handheld device, you can access daily questions that will not only keep you up to date on the current state of Otolaryngology, but also earn you up to 24 AMA PRA Category 1 Credit(s)™ per year!
Question: In patients with papillary microcarcinoma of the thyroid (ie PTC that is <1cm in size) who do not have surgery, what percentage of cancers will increase in size by more than 3mm within 5 years?
A. 7%
B. 28%
C. 54%
D. 72%
Answer: A. 7%
See the following - a really fascinating study from Japan, where these very small carcinomas are often seen. Their protocol is to offer patients with papillary microcarcinoma close followup as a treatment option; unless the tumor has some high risk factors - like high grade pathology, lymph node metastasis, mulitocality, etc. In this patient population, only 6.7% of tumors enlarged by 3mm or more over a 5 year period. The 'take away point' is that papillary microcarcinoma of the thyroid does not require aggressive treatment.
A therapeutic strategy for incidentally detected papillary microcarcinoma of the thyroid.
Nat Clin Pract Endocrinol Metab. 2007 Mar;3(3):240-8.
Ito Y, Miyauchi A.
E-Pimp Defined
Pimping is a term with a specific meaning in medical education, a meaning that has no demonstrable origin—and no clear counterpart in common usage. The simple definition is a follows:
Pimp - (V) - The asking of a student or resident, by an attending, of some question within the broad field of medical knowledge.
Pimping when done poorly is a scare tactic and a deterrent to learning - something to be avoided. However, when done well it is an unparalleled learning experience.
At Otolaryngology-Head and Neck Surgery E-Pimp we endeavor to provide all Otolaryngologists (both those in training and those in practice) with a daily learning experience that provides them with practical and important data that will enhance their practice of medicine.
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Question Bank
This service has many benefits for subscribers:
Only takes about 10 minutes each day
Over 250 questions per year
All topics in Otolaryngology-Head and Neck surgery are covered
Thoroughly researched questions, taken from the current literature and/or knowledge base
Answers supplied with explanations, caveats, reasoning and citations
Website access with Question Bank with hundreds of past questions
Fast, inexpensive, and fun way to get 24 AMA PRA Category 1 credit(s)™
Allows users to keep up with everything new in the field of Otolaryngology - Head and Neck Surgery, and all the while earning valuable CME credits.
“I have a hard time keeping up with the current literature and concepts in my field...” 
