how to get stellar evals as an intern?

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heathermed

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hello everyone...

I'm nearing the end of my first month, and I think I'm doing well or at least not making any big mistakes.

My question is to those that are further along in the game, how does an intern get stellar evaluations for each rotation?

I finish all my work on time and present my patients thoroughly. There are many times I dont know the answers to the pimping questions but I go home and read.

what differentiates an average intern from a great one?

thanks for your help!
 
i think teaching attendings get some kind of orientation on how to evaluate and give feedback for the residents. generally they're just looking for the things in the ACGME competency outline. and attendings are all different. your eval can be affected by your team dynamics and how well you get along with your attending. don't forget that your senior evals are also important. the PDs know that the seniors spend more time with you each day than the attendings. i'm not exactly sure what a "stellar" intern is, but the competency outline is kind of vague in terms of day-to-day work. these examples on what i tried to do:

1) general stuff, being on top of things (orders, returning results, consult recs, procedure schedules, etc) and handling the case as if you're taking responsibility for the patient, basically attending isn't having to remind you to do things and you're being independent enough to take care of decisions you're expected to handle, but also notifying attending when you need them to help you with a problem (i.e. patient looks like they're developing an MI), remember that the ideal teaching team is resident run so go through your senior first and talk about what plans you're going to discuss with the attending
2) having concise and appropriate presentations, this is really going to help during rounds if your team list is close to 20 (2 interns with 10 each), everyone hates 3-hour rounds, each attending's going to be different, in the ideal teaching team, you are addressing the senior and the attending is there just to interject ideas and teaching points, new patients will be longer but remember to only give pertinent details and findings, attending will ask you for more info if they want it, old patients just give one liners and a mini soap note focusing on major plans for the day

3) knowledge, looking like you have a knowledge base and using it or increasing it, include differentials in your assessment, explain what you'll do in case of this or that to show that you're thinking ahead, look things up and mention what you've found the next day especially if the attending asked you to4) good documentation, looks bad if you say patient is still on a med when it was stopped 2 days ago, don't forget to do notes i've seen people forget to do progress notes and it's not good

5) professionalism, working with others, don't lie, don't cover up mistakes, don't guess, tell people you need help if you need it, you're supposed to need help you're an intern, accept constructive criticism, try not to get at odds with people because you have to work with them everyday, seen people come in late or leave early all the time and senior or attending notices it, dont' forget to run your plan with senior (on teaching service you'll have regular rounds but for me on private service it was more haphazard so ideally you'll informally sit with your senior after pre-rounding and talk about your plans for the day before you call each individual attending)

not sure if that answered your question. you can also not wait for mid/end rotation feedback and ask your attending if they have any suggestions for improvement.
 
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