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Starting my rotations this summer. What are the unwritten rules for clinical rotations? What are some major faux pas to avoid? Any good stories of egregious etiquette breaches?
Starting my rotations this summer. What are the unwritten rules for clinical rotations? What are some major faux pas to avoid? Any good stories of egregious etiquette breaches?
thank you cards for attendings? wtf? might as well just offer to perform oral.
2. If an attending asks you a Q & you get it right because a resident told you/pimped you about it earlier, let the attending know.
thank you cards for attendings? wtf? might as well just offer to perform oral.
thank you cards for attendings? wtf? might as well just offer to perform oral.
1. Don't make other students look bad in front of superiors.
During the first day of each new rotation, get the cell phone #s/pager #s of your classmates who will be on your team. That way, if you find out that rounds were unexpectedly moved up to 8:30 AM, instead of 9 AM like all your other classmates think, CALL THEM ASAP and let them know. That way, they don't stroll in half an hour late.
You'll look bad, too, if your resident figures out that you knew, but didn't clue in your fellow team members.
. And it's a big plus if you are aware enough to spin the surgeons (on anesthesia or if not scrubbed yourself) if the circulator is too busy/too lazy to do so.
As in helping them tie the front of their gown.I dont know what this means, please explain?
Thank you
thank you cards for attendings? wtf? might as well just offer to perform oral.
FYI, it's their JOB to teach! If they've done a great job, I tell them at the end of the rotation that I really appreciated their teaching and I learned alot. If they were crappy, I just keep on walking.
Yeah, I definitely disagree with this one. No need to justify getting a pimp question right. If you answer it right, just let it be. You can let the attending know that your residents are taking an active role in your education at a different time.
Some advice for the gunners (aka things that should be obvious but apparently aren't):
-Don't jump in when another student is being asked pimp questions
-Don't ever read up on other students' patients (unless specifically asked by a resident or attending to check on something - like a new lab value)
-Don't hog the new patients - if you get two admissions, that's one for you and one for your fellow student
-If a presentation is assigned to another student, don't read up on their topic beforehand.
-Don't come in on your day off.
-Don't ever read up on other students' patients (unless specifically asked by a resident or attending to check on something - like a new lab value)
-If a presentation is assigned to another student, don't read up on their topic beforehand.
To clarify these points, you should absolutely read up on any topic or pathology you encounter on wards. That's how you learn, the rounding and conferences and didactics are just window dressing. But don't study up on a teammate's patient (like their specific history, lab values, procedure results, etc.) or specifically assigned topic in order to 'outshine' that person and earn a better grade.
To clarify these points, you should absolutely read up on any topic or pathology you encounter on wards. That's how you learn, the rounding and conferences and didactics are just window dressing. But don't study up on a teammate's patient (like their specific history, lab values, procedure results, etc.) or specifically assigned topic in order to 'outshine' that person and earn a better grade.
And... maybe you should take some midol before heading out the door to greet the world.
1. Don't lie.......EVER. If you missed, forgot or just decided not to do something...fess up. Because eventually you will get caught & your reputation in the hospital is kaput.
Agree with your disagreeance. Usually, when residents tell you the answers to potential pimp questions, it's because they are trying to be nice and help you shine.
thank you cards for attendings? wtf? might as well just offer to perform oral.
Maybe some of the current residents could comment on whether residents are also reviewed based in part on their teaching activities. If so, it would be good for students to know that they could write a similar letter to the PD for an awesome resident's teaching.
FYI, it's their JOB to teach! If they've done a great job, I tell them at the end of the rotation that I really appreciated their teaching and I learned alot. If they were crappy, I just keep on walking.
You can never go wrong with being thoughtful; I think thank you cards to attendings just weird some of us out a little. Maybe it's the power differential, I don't know. Anyway, I deleted the extra posts for you.
My initial point, although obviously not well communicated, was that IF someone decides to give their attending a card (& I do), it should be done AFTER the evaluations are in......I wasn't saying everyone should do it.
And about what QoQ said......no reason you can't do both.
From a resident's perspective...
-Don't lie.
-Ask questions. Bonus points if you have read up on what you're asking about (obviously not necessary for something that has just come up). Use common sense about certain times when questions shouldn't be asked.
-Remember that you are here to learn, not just to get a good evaluation. If you are serious about learning (and unforunately many of your peers are not), good evaluations will follow.
At some point in the afternoon, go back and see your patients.
Don't randomly tell your IM resident that, "OK, if there's not really anything going on, I'm going to leave and go to the gym now!" at 2:30p.m. (NOT on a post-call day). A med student did this to me and that was the ONE time I ever said anything bad about a med student and called the clerkship director...not to hate on him but just to let them know that hey, this person doesn't seem to understand the rules of a normal job/work, that you don't always get to determine your own work hours, and don't get to order around your supervisor(s).
You will find that as time goes on, having a small prep book for whatever rotation you're on will help immensely. Today on FM I had to do a number of antepartum and well-kid checks. I just looked up what's required at each check (what needs to be assessed at 28 weeks, etc.) before the seeing the patients. I looked like a star to my resident because I caught all the high points.If there is down time, is it (in)appropriate to pull out a study book and read up for the shelf or even go online to Harrison's or something? Or is that viewed as a lazy thing and you should look busy at all times and read at home?
I always have something to read. I'm not sure I'd go online though, just because it might look like you're fooling around checking your email or something. But you can't go wrong having a pocketbook or a few articles with you at all times. You're best off reading about your patients' diseases and/or their treatments during your downtime when you're with your team. Most attendings aren't going to care about prepping you for the shelf, so you may want to study for that when they're not around.If there is down time, is it (in)appropriate to pull out a study book and read up for the shelf or even go online to Harrison's or something? Or is that viewed as a lazy thing and you should look busy at all times and read at home?
During the first day of each new rotation, get the cell phone #s/pager #s of your classmates who will be on your team. That way, if you find out that rounds were unexpectedly moved up to 8:30 AM, instead of 9 AM like all your other classmates think, CALL THEM ASAP and let them know. That way, they don't stroll in half an hour late.
You'll look bad, too, if your resident figures out that you knew, but didn't clue in your fellow team members.
Don't randomly tell your IM resident that, "OK, if there's not really anything going on, I'm going to leave and go to the gym now!" at 2:30p.m. (NOT on a post-call day).