medicine rotation approach

[HiddenTruth]

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Hi all,

I have Medicine rotation strating as a M2 mext month. I was wondering what is the best way to approach IM rotation? We don't take the shelf exam this rotation (because we have 2 more months in third year). But, how can I make the ost out of it in terms of learning. It is really easy to slack out on this rotation this year for us because not a whole lot is expected, but how can i make the most out of it. I'd like to learn and perhaps even read on my own so I can tear up the shelf next year and learn as much as i can. Please advise. Thanks.

HT

 

[the citizen]

Do what you can to have interns, residents, attendings, or whoever observe you taking a history and performing a physical as often as possible.

My favorite medicine attending does physical findings rounds where she takes us to patients with interesting findings; she then tells us to perform one aspect of the exam and to report our ddx. These rounds are tough on the ego, but are extremely helpful.

 

[Kosmo]

To be frank, there probably isn't a whole lot you can learn in an M2 medicine rotation that will be helpful for the shelf. You've just gotta read shelf/step 2 prep stuff, that's it. I'm sure your school will have 'recommended/required' reading lists during your 3rd year clerkship.
I gather the course for the M2 students is really about getting over the awkwardness of interviewing real patients, as well as learning to perform a basic physical exam.

 

[Mike59]

My favorite medicine attending does physical findings rounds where she takes us to patients with interesting findings; she then tells us to perform one aspect of the exam and to report our ddx.

Ah yes...reminds me of the time 6 of us in a row lined up so a resident could show us how to elicit guarding (on a drunkard). One by one..Pressure- 10/10 pain...pressure- 10/10 pain...next! ...those at the back of line watching in disbelief, knowing their turn would soon come! how inhumane yet fascinating this learning process can be!

 

[the citizen]

Ah yes...reminds me of the time 6 of us in a row lined up so a resident could show us how to elicit guarding (on a drunkard). One by one..Pressure- 10/10 pain...pressure- 10/10 pain...next! ...those at the back of line watching in disbelief, knowing their turn would soon come! how inhumane yet fascinating this learning process can be!

I suppose those rounds do require a bit of common sense on the part of the upper level.

 

[HiddenTruth]

I gather the course for the M2 students is really about getting over the awkwardness of interviewing real patients, as well as learning to perform a basic physical exam.

actually, not really--our school is structured really differently. We started seeing patients in medicine clinic once a week starting our second semester of the med school--and as long as we are in town (no out of town clerkships) you go to medicine clinic once/wk for all3.5 yrs--lots of primary care exposure, and likewise medicine rotation starting 2nd year, and 2 months each for the alst 3 years. Thanks on the book info though--ill def. pick up step 2 fa and mayb blueprints (I still haven't taken step 1 and im pikin up step 2--how lame--lol).

HT

 

[HiddenTruth]

i was recommeded to read Cecil's by a collegue--too in depth you think?