I would add that "professionalism" issues are not universally why people get canned.
Read my posts and you'll see.
Examples are strongly advocating what's best for patient (there are times you will *know* current management isn't working/needs change) but don't make waves. Bite your tongue. Always just do what senior/upper want and any "challenge" to authority should not seem like so and be phrased almost as a question.
Being slow. "Your job isn't spending time with patients, it's getting notes done." No joke.
Don't know how much inpt you do but here goes:
Your goal is answering all pages within 5 min or faster, some order requests you will satisfy like tylenol doesn't need nurse callback if your EHR is the kind where order to do's pop up on nurse's screen or FYI pages that don't seem important. At the start I still called all of the nurses back no matter what until they told me the kinda things they didn't want calls back on.
Your goal is doing all admits, all H&Ps done and written timely, putting in all orders (there are.always orders you can feel confident on puutting in, the rest you can.wait until you can ask someone above you) speed pre-rounding, try to take no more than 5-10 min seeing patients in AM (sounds cruel but you need all the speed you can get) 5-15 min per prog note, good quick presentations on all patients, ask attending/senior how to make presentations better, all transfer and discharge summaries, updating families. Basically everything but calling consults because other docs don't want to talk to your dumbas$.
I would time my activities if I had to.
Now you're freaking because all of the above is overwhelming. It's OK. I just wanted you to know what the ultimate perfect goal is. Try hard to get there, if you're struggling with an element, ask upper how to do it better/faster and what tasks they want you to focus on first. They will be teaching and doing some of your job for you, you just want to be sure that you are meeting expectations and of course you still don't know what that is, and growing as they would like to see.
Good problem lists, some sort of assessment. Don't worry too much on how good your plans are now, better to keep mouth shut than offer any guess that might seem dumb.
Get survival guide (meant for residents not students), PocketMedicine or other specialty specific pocket-save-my-ass on plans reference. Resident organizations online often sell useful pocket guides.
Worry about speed, learning system of getting **** done in hospital, knowledge comes with experience and speed will give you more time to think. What you don't know jot it down look it up later. During.day only read.bare minimun to get **** done. Later.in day read about patients and this other stuff. Hard to do but even 10 min on UTD is going to help.
Learning nuts and bolts of doing like eveything, is what they want first out of you as ****'s gotta get done. Once you know the how, then you can focus on the medical knowledge part of it, the what and why.
My practical advice in my other posts.
