Come on, we have an MS3 and a PGY2 thread. How about some tips for us soon-to-be PGY1's!
How to have a great PGY1 year
- Thread starter Rendar5
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D
deleted109597
My advice to you....is to start drinking heavily
You should listen to him, he's pre-med
You should listen to him, he's pre-med
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See patients as fast as you feel comfortable for the first half of the year and then turns things up the second half.
If you arent sure of something ask!
Only look up stuff during shifts that you need a quick answer to. Do not read multiple pages of a text book before presenting.
Recognize the sick patient, do a BRIEF h&p and grab your senior or attending.
Pick one topic you felt uncomfortable with during your shift and read up on it (even if only for 20-30min) when you get home. You will retain info better if you read on something you actually saw that day! In the beginning make this basic topics like chest pain, back pain, headache, etc. This is what you will see the most!
Think about your differential while looking at the triage sheet. If you go in the room of the chest pain patient thinking about dissecton, PE, pneumonia, etc... you will then be asking the right questions. And when you present, it will show that you thought of the differential even while you are presenting the history.
If your attending is busy, ask for advice/help from the upper year resident. They can be a great resource too.
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1. NEVER Lie...If you don't know how, ask for help.
2. Learn to tell SICK and NOT SICK.
3. Have an idea of what you want to do when you present your patients. Don't stop at the H&P and don't ask me (the attending) what I want to do. I will help guide your plan and make you think about what you do and don't need, but it is your patient and I want you to show ownership.
4. Devise a system to organize your data on your patients...ask your seniors what they do to keep it all straight. It will help you keep your cool and also improve your presentations as well as efficiency.
5. Be a team player on the off service rotations. The other residents on your service will be the ones you're calling to consult your patients in the ED for the rest of your residency.
6. Have fun and find time to take care of yourself too.
2. Learn to tell SICK and NOT SICK.
3. Have an idea of what you want to do when you present your patients. Don't stop at the H&P and don't ask me (the attending) what I want to do. I will help guide your plan and make you think about what you do and don't need, but it is your patient and I want you to show ownership.
4. Devise a system to organize your data on your patients...ask your seniors what they do to keep it all straight. It will help you keep your cool and also improve your presentations as well as efficiency.
5. Be a team player on the off service rotations. The other residents on your service will be the ones you're calling to consult your patients in the ED for the rest of your residency.
6. Have fun and find time to take care of yourself too.
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don't.
whine.
whine.
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1. Hold onto a 2-3 things that help define you as you...whether it be family, friends, exercise, etc. Hold these with an unrelenting grip as letting them go will cause you to lose your way and lead to profound unhappiness.
2. Forgive yourself when you screw up. Return to #1.
3. When you find yourself wondering "what the hell have I done? I should have gone into X field instead," return to #1.
iride
2. Forgive yourself when you screw up. Return to #1.
3. When you find yourself wondering "what the hell have I done? I should have gone into X field instead," return to #1.
iride
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Practice saying: "I don't know".
It doesn't come easy for any of us to say those words. We don't want to feel stupid, inferior or uncaring.
None of us knows everything. Don't assume something to be basic knowledge and feel too embarrassed ask for help.
That being said, you know more than you think you do! Enjoy the ride!
There are things about residency that are awful and will beat you down, but watching yourself turn into a doctor is pretty cool.
It doesn't come easy for any of us to say those words. We don't want to feel stupid, inferior or uncaring.
None of us knows everything. Don't assume something to be basic knowledge and feel too embarrassed ask for help.
That being said, you know more than you think you do! Enjoy the ride!
There are things about residency that are awful and will beat you down, but watching yourself turn into a doctor is pretty cool.
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Couldn't agree more with this one.
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for the residents and attendings responding, thank you so very much 🙂
i start my residency program this week, and i've been wondering if there is any way that i can prepare myself, even if it's just a broad, generalized knowing of what to do/not to do..
i start my residency program this week, and i've been wondering if there is any way that i can prepare myself, even if it's just a broad, generalized knowing of what to do/not to do..
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Pick up charts and don't play on the internet during your shift.
Realize that you are not the nurse's boss and pay them respect.
That's it.
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Realize residency blows sometimes. Its okay to feel like you want to quite occasionally. when you start to feel this way, make sure to take time for yourself and decompress.
Show up on time, treat others the way you want to be treated.
follow the above advice.
When you are presenting, tie your plan to your differential. Think about each thing you are ordering and how it is goign to help you.
Ask for feedback after every shift. Be prepared to answer the questions "What do you think you did well? what do you think you could work on?" even if its not asked.
Ask your attendings/seniors why they are managing things a particular way. This is not challenging. You are in residency to LEARN and 'experts' (your seniors and attendings) are notorious for not immediately explaining why they are doing things the way they are, its natural to them and sometimes what seems apparant to them, is not apparant to you. its okay to ask.
Seek out other ways of doing things. Alot of medicine is culture. Again, your job in residency is to learn. If everyone does scapular maniuplation to reduce a shoulder, then seek out attendings who do it other ways as well.
Seek out things that you aren't comfortable with. If you always do IJ's, start looking to do SCV lines. You are an adult learner now. Take responsibility for your own education. Don't wait to be passively fed.
Recognize that this job is difficult. Give yourself a break and value your free time. If that means vegitating with a beer and watching bad tv sometimes, its okay.
Show up on time, treat others the way you want to be treated.
follow the above advice.
When you are presenting, tie your plan to your differential. Think about each thing you are ordering and how it is goign to help you.
Ask for feedback after every shift. Be prepared to answer the questions "What do you think you did well? what do you think you could work on?" even if its not asked.
Ask your attendings/seniors why they are managing things a particular way. This is not challenging. You are in residency to LEARN and 'experts' (your seniors and attendings) are notorious for not immediately explaining why they are doing things the way they are, its natural to them and sometimes what seems apparant to them, is not apparant to you. its okay to ask.
Seek out other ways of doing things. Alot of medicine is culture. Again, your job in residency is to learn. If everyone does scapular maniuplation to reduce a shoulder, then seek out attendings who do it other ways as well.
Seek out things that you aren't comfortable with. If you always do IJ's, start looking to do SCV lines. You are an adult learner now. Take responsibility for your own education. Don't wait to be passively fed.
Recognize that this job is difficult. Give yourself a break and value your free time. If that means vegitating with a beer and watching bad tv sometimes, its okay.
