how to excel in the hospital

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dcalabria24

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hi everyone, i just finished with my boards (step 1) a week and 1/2 ago and start off with internal medicine in my medical school's hospital next week. Any pointers about stuff to read before and during and more importantly things to do in order for me to look competant and knowledgable on the floors. thanks everyone
 
dcalabria24 said:
hi everyone, i just finished with my boards (step 1) a week and 1/2 ago and start off with internal medicine in my medical school's hospital next week. Any pointers about stuff to read before and during and more importantly things to do in order for me to look competant and knowledgable on the floors. thanks everyone

There is a book I just got, 101 mistakes 3rd years make. Its got a lot of common sense (at least to me) in it, it might have some pearls for you.

BTW, first aid for the wards, by all means.


And, "show up, shut up, and know where you're going" are always good rules to follow.

:laugh:
 
dcalabria24 said:
hi everyone, i just finished with my boards (step 1) a week and 1/2 ago and start off with internal medicine in my medical school's hospital next week. Any pointers about stuff to read before and during and more importantly things to do in order for me to look competant and knowledgable on the floors. thanks everyone

Competence comes with experience. Very few people will hit the wards at a running start. In the mean time, be thorough. Do good H&Ps. Be the one on the team that knows the most about your patients. It looks bad if you're presenting to the attending and your resident has to interject because you don't have all the information. Read up on your patients and be prepared.
 
Hi

I think the best you can do is:
- know everything about your patient. Make sure you know details. Know the plan of care.
- Be professional. Use polite language and do not interrupt rounds.
- Be on time.

As a MS the best you can do is to make sure you learn the most AND people notice that you are learning AND that you are actively trying to study and learn about your patient.

Good luck
lf
 
To add a few things to what the others have said:

- Talk! This is one of the things I wish I had done more on my rotations. Talk to make your attending know that you are interested. I didn't talk as much as other students on some of my rotations, and I feel like my attendings may not have known me well as a result. Even if it is something like, "I read about so and so last night, and was wondering, what does this mean?" it shows your attending you are interested in learning.
- Don't try to make fellow students look bad. Your residents and attending will see through it. You don't want to be the jackass of the team.
- If there have been labs or any other tests ordered on your patients in the morning, check the results later on in the day and report the results to your resident.
- know everything about your patients! As one of my attendings told me, "You are presenting the patient, the resident isn't." Keep good eye contact with your attending during rounds and don't look at the residents for help.
- read about your patient's conditions, if you are not sure of the disease process. The best way to learn is to read about what you see.
- Don't complain.
- have fun because third year goes by in a second!

Good luck and have fun on rotations! 🙂
 
I really appreciate the good info....this year should be interesting and exciting...best of luck to everyone. thanks again -dc
 
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