1st rotation, cardio...prep

[markglt]

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what is a good prep for a cardio rotation (other than reading dubin over)...it will be my 1st rotation as a family medicine intern, and i want to shine.
what level of knowledge might be expected of me?
any input is appreciated.
thanks.🙂

 

[MedicineDoc]

what is a good prep for a cardio rotation (other than reading dubin over)...it will be my 1st rotation as a family medicine intern, and i want to shine.
what level of knowledge might be expected of me?
any input is appreciated.
thanks.🙂

If you're just looking for a good general review, I liked the cards section from NMS internal medicine review. In fact the whole book is a really good review of internal medicine should know useful information type stuff with practical you should do these labs and be thinking this type of thing.

 

[microscp2]

what is a good prep for a cardio rotation (other than reading dubin over)...it will be my 1st rotation as a family medicine intern, and i want to shine.
what level of knowledge might be expected of me?
any input is appreciated.
thanks.🙂

Our Cardio rotation was basically EKG heavy, and Murmurs. Review an EKG book. We used the harvey lab to review, just like in med school.

 

[lowbudget]

EKG's, EKG's, EKG's. Interpretation is the skill you want to have walking out of the rotation. You'll pick up pathology (and of course read up about them) along the way.

If it's an inpatient rotation, use the echo reports to practice your auscultation skills, which you will use when you go outpatient.

 

[markglt]

Ty guys🙂

 

[JustPlainBill]

what is a good prep for a cardio rotation (other than reading dubin over)...it will be my 1st rotation as a family medicine intern, and i want to shine.
what level of knowledge might be expected of me?
any input is appreciated.
thanks.🙂

Know everything....no, I am not kidding...every freakin' thing...I'm about to be a PGY2 and just got gnawed on this morning (it was my turn, the other intern got the same spiel yesterday) that we should know the times that a medication was administered, what the next set of vitals were after the medication administration to determine response to treatment and each individual time serum glucose was measured, when the basal insulin was given, what the CBGs were before the TID dose or any sliding scale, what the next CBG was after insulin administration, etc. Track daily weights and I/Os looking for any change in a patient when administering LASIX while checking Cr function Q8 ---oh, don't forget to determine baseline on a patient in AKI who presented for the first time to your hospital and your service with this admission (in other words, no old records to check) and the patient mentioned having an echo done in 2006 at another hospital he can't remember but was 'across town' so you should call all the hospitals with this patient's name and determine WTF the echo report said and get a faxed copy....and oh, yeah, have that all in your note before rounds, complete with electrolytes repleted, medication changes made and mind-read the attending so you'll know if they agree with the plan but make the changes to show confidence but if it's not what they want, you're too cocky and dangerous.......

No, I am not kidding.....that's the spiel we both got in two consecutive days....

Get ready....

 

[MedicineDoc]

Seriously, you should know what's going on with the patient but if you're actually the one mostly managing the patient not too difficult. Knowing ekgs is good but if it's a difficult read in a suspicious situation a cardiologist should be looking at it anyway not matter what year you are. Should always compare with old EKG. Know the basics. More than that knowing what is appropriate and when based on good general knowledge will bring trust and exponentially decrease "ass chewings" as sighted above. NMS medicine by Wolfsthal 6th edition usmle IM review gives good short organ system reviews that's worth a read.

 

[JustPlainBill]

Seriously, you should know what's going on with the patient but if you're actually the one mostly managing the patient not too difficult. Knowing ekgs is good but if it's a difficult read in a suspicious situation a cardiologist should be looking at it anyway not matter what year you are. Should always compare with old EKG. Know the basics. More than that knowing what is appropriate and when based on good general knowledge will bring trust and exponentially decrease "ass chewings" as sighted above. NMS medicine by Wolfsthal 6th edition usmle IM review gives good short organ system reviews that's worth a read.

Very true -- situation this AM was with an attending that works inpatient rarely and with good reason. There are two in our program that we've caught looking stuff up and then 5 minutes later pimping the crap out of interns and acting as if the information should be common knowledge...these are also the two that consult for everything, including contrast induced nephropathy (obvious case) and have to watch NEJM videos to know how to do a tap.....

Other attendings who are used to inpatient have already looked up the info and are more interested in hearing your thought process based on what information you provide in your presentation...they already know the information and are just waiting to see where your thinking is at so they can lead you into a more advanced thought process and develop you as a physician....these others are small minded pissmires who send us patients for hypertensive emergency with 160/100 and asymptomatic ...who didn't take their meds that day....no I am not kidding....

but I digress...

Get 'The Only EKG Book You'll Ever Need'...it's a much more high speed review than Dubin's and a whole lot more fun to read...

 

[Doctor4Life1769]

NMS Medicine > Step Up to Med (or even Wash Manual)??

 

[MedicineDoc]

NMS Medicine > Step Up to Med (or even Wash Manual)??

As far as step 3 Crush is great. I have never heard of step up to medicine as being all that great but I don't how good it is. I do have the nms above book and it is good and very readable.

 

[Fredsgotslacks]

As far as step 3 Crush is great. I have never heard of step up to medicine as being all that great but I don't how good it is. I do have the nms above book and it is good and very readable.

I used Step Up to Med at the end of 3rd year on my Med rotation and then again 4th year during my family sub-I and loved it! It sounds like it may be similar to NMS in that it is broken down by organ system and has just the right amount of detail for learning about workup and management. After admitting a patient I would then read through the relevant section, about 2 pages for most things and really beef up and understand my plan. It does not have much detail on meds however, just listing a drug class usualy so definitly needed to use up to date or whatever else for actual therapeutics.

 

[Doctor4Life1769]

As far as step 3 Crush is great. I have never heard of step up to medicine as being all that great but I don't how good it is. I do have the nms above book and it is good and very readable.

Maybe I'm the only one on the "I don't like Crush" boat.
Not enough detail

I liked Step Up to Med for my IM rotations. I did really well on the shelf thanks to it. Also, gave presentations from it, and received stellar reviews.

Amazon has reviews on NMS and they weren't impressive. However, all of SDN seems to give mad props to the book, so I don't know what to do with that info. I already have Wash Manual of Med Therapeutics and Step Up to Med.

 

[PMPMD]

Crush Step 3 is a board review book and not a primary source - I don't think it's enough for this setting.