Advice on how to be a good PGY2

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Hard24Get

The black sleepymed
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Well, like a flash, intern year is almost gone, and it has been a fun, educational and humbling experience. My program has a big gradient between 1st and second year. You go from 2mos of adult ED in the 1st year to 7, lose the buffer of presenting to senior residents, and have to teach and run traumas, etc. I'm kind of excited about cutting out the middle man resident, but nervous that I'll make a mistake or end up not being fast enough or not teaching well. We get a 2 wee training session prior to starting, but anyone want to offer extra pearls of wisdom to help new R2s avoid killing people/becoming great ER docs? 🙂
 
The PG 2 in most programs is the workhorse. They pick up the most patients, and they take the sickest patients.

In VERY broad terms:
Intern year is about learning to be a doctor.
PG 2 is about learning to be a ER doc, a clinical monster who can juggle several patients at once.
PG 3 is about learning how to supervise, manage the ER, and teach.

(This is slightly different in every program, and obviously in 4 year programs.)

My advice: grab as many charts as you can (within reason) and challenge yourself.
 
Always bite off a little more than you think you can chew. If you have the option of performing a procedure yourself or deferring it, do it. Take in as much volume as you possibly can - the cases and scenarios you involve yourself in now are what you'll look back on when you are out on your own. The more you've experienced, the better.
 
Anybody else? There's gotta be things you wish you did (or hadn't did)...
 
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