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- May 28, 2011
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Just wondering...
I've been having trouble during my neuro AI.....
Take this Monday for instance, I have 2 hrs to do a consult on a delirious female patient who had been in the hospital for 20s.
I mean, it literally took me 30-40 min just to do the MSE alone because she kept falling asleep and being confused half the time.
By the time I got back to the work room, it was already time for evening rounds (5pm) and I had literally no time to look up all 20 days worth of notes and labs in 10min.
I sounded unprepared and stupid half the time during the round and I literally couldn't think of a clear ddx except to rule out something obvious to me at the time.
How do you interns and residents handle these situations? I'm not used to doing consults on the spot. Any advice?
I feel really bad because I want to rock the AI and get good letters out of this.......
I've been having trouble during my neuro AI.....
Take this Monday for instance, I have 2 hrs to do a consult on a delirious female patient who had been in the hospital for 20s.
I mean, it literally took me 30-40 min just to do the MSE alone because she kept falling asleep and being confused half the time.
By the time I got back to the work room, it was already time for evening rounds (5pm) and I had literally no time to look up all 20 days worth of notes and labs in 10min.
I sounded unprepared and stupid half the time during the round and I literally couldn't think of a clear ddx except to rule out something obvious to me at the time.
How do you interns and residents handle these situations? I'm not used to doing consults on the spot. Any advice?
I feel really bad because I want to rock the AI and get good letters out of this.......