Didactics is the process of making me learn without material that is specifically targeted to help me learn. This sometimes takes the form of 'noon conferences' that are geared toward residents. Two assumptions come into play here:
1) These cases are for interns. The presenter is usually seeking verisimilitude, looking for things that we would do to manage a patient in real life, i.e. - correct answers.
2) JMS students, by virtue of being there, are also allowed to talk. Sometimes, when one of us ventures an answer (or is called on to do so, at the peril of the presenter) we all feel as though we need to say something so as to not look like 'the stupider JMS'.
So naturally, we have the conditions for a perfect storm of derailing a conversation about giving aspirin to a guy with an infarction into a conversation about, "maybe we could freeze the guy because my old attending told me on a different patient that one of the criteria for brain death is that they have to be normal temperature so if they're cold maybe that means they won't die."
Beware run-on ideas when they bubble to the surface.
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