Preparing for Medicine Internship

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PHHM

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Hello guys,
I know it is not possible to fully prepare for internship and i also know that it will be a "shock" no matter what i do now to prepare, but Im done with med school and I have some time to read- is there anything you recommend in order to best prepare for internship?
Thank you!
 
Hello guys,
I know it is not possible to fully prepare for internship and i also know that it will be a "shock" no matter what i do now to prepare, but Im done with med school and I have some time to read- is there anything you recommend in order to best prepare for internship?
Thank you!
I recommend a vacation somewhere with copious amounts of alcohol and preferably a nice beach.
 
Take a nice vacation. Move to your new home city early and her settled. I move a month early. I was able to get everything set up and get to know my new home before residency started.
 
yup, im moving may 1 to get all set up. I also just came back form my vacation!
 
Aside from "take a vacation" is there any academic advice on what to do to prepare for internship?
 
its like trying to prepare for your clinical clerkship after 2nd year…was there anything that, looking back, you think REALLY prepared you form being a 3rd year? Not really…it the same for going from 4th year to your intern year…its a trial by fire so to speak…

ENJOY the free time you have, get as many ducks in a row so you don't have to take care of them AND start intern year…(auto bill paying everything you can is the best advice i can give) and RELAX…because this time next year you are going to be tired, grumpy, and questioning why you ever even thought about going into medicine (it passes…).
 
Aside from "take a vacation" is there any academic advice on what to do to prepare for internship?

Main advice would be to set up your life so that as much of it is on autopilot as possible. Set every bill to autopay, sort your finances, set up your apartment (which should be very close to the hospital), etc. Make sure you've set up your room so that you can make it pitch black in the middle of the day for when you're trying to sleep on night float. Get into better shape so that when you gain 15 pounds in Internship you aren't too disgusted with yourself. That's all you really should do. However if you insist on studying I would consider one or two (but not all) of the following:

1) Download the podcast 'ICU rounds' and listen to one a day. it covers pertinent topics in ICU medicine at the level of a resident

2) If you're not comfortable with EKGs read through Dubin, then go to the website wavemaven and work through 5-10 a day.

3) If you're not comfortable with plain films go to www.learningradiology.com, or alternatively buy the learning radiology textbook, and start working through cases and lectures.

4) If you still have access to uptodate read through their articles on sepsis, anaphylaxis, hyperkalemia, hypokalemia, hypernatremia, hyponatremia, hyperglycemia, and hypoglycemia and make flash cards on all of them. Try and develop a basic algorithm in you head for what to do when the nurse calls you with an abnormal routine lab value (CBC, coag, or chem10) or vital sign.

5) If you're moving to the south, seriously consider taking a course in basic medical Spanish.

What you should absolutely not do:

1) Devote more than an hour or two a day to this.

2) Try to memorize some portion of the tens of thousands of zebras that you will learn in residency.

3) Buy and read a Medicine textbook.

4) Do multiple choice questions in any kind of Qbank

5) Do anything that would negatively impact your ability to arrive to residency rested, happy, and healthy.
 
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Main advice would be to set up your life so that as much of it is on autopilot as possible. Set every bill to autopay, sort your finances, set up your apartment (which should be very close to the hospital), etc. Make sure you've set up your room so that you can make it pitch black in the middle of the day for when you're trying to sleep on night float. Get into better shape so that when you gain 15 pounds in Internship you aren't too disgusted with yourself. That's all you really should do. However if you insist on studying I would consider one or two (but not all) of the following:

1) Download the podcast 'ICU rounds' and listen to one a day. it covers pertinent topics in ICU medicine at the level of a resident

2) If you're not comfortable with EKGs read through Dubin, then go to the website wavemaven and work through 5-10 a day.

3) If you're not comfortable with plain films go to www.learningradiology.com, or alternatively buy the learning radiology textbook, and start working through cases and lectures.

4) If you still have access to uptodate read through their articles on sepsis, anaphylaxis, hyperkalemia, hypokalemia, hypernatremia, hyponatremia, hyperglycemia, and hypoglycemia and make flash cards on all of them. Try and develop a basic algorithm in you head for what to do when the nurse calls you with an abnormal routine lab value (CBC, coag, or chem10) or vital sign.

5) If you're moving to the south, seriously consider taking a course in basic medical Spanish.

What you should absolutely not do:

1) Devote more than an hour or two a day to this.

2) Try to memorize some portion of the tens of thousands of zebras that you will learn in residency.

3) Buy and read a Medicine textbook.

4) Do multiple choice questions in any kind of Qbank

5) Do anything that would negatively impact your ability to arrive to residency rested, happy, and healthy.
For #4 of things you SHOULD do, will "Pocket Medicine" suffice for the algorithm?
 
Main advice would be to set up your life so that as much of it is on autopilot as possible. Set every bill to autopay, sort your finances, set up your apartment (which should be very close to the hospital), etc. Make sure you've set up your room so that you can make it pitch black in the middle of the day for when you're trying to sleep on night float. Get into better shape so that when you gain 15 pounds in Internship you aren't too disgusted with yourself. That's all you really should do. However if you insist on studying I would consider one or two (but not all) of the following:

1) Download the podcast 'ICU rounds' and listen to one a day. it covers pertinent topics in ICU medicine at the level of a resident

2) If you're not comfortable with EKGs read through Dubin, then go to the website wavemaven and work through 5-10 a day.

3) If you're not comfortable with plain films go to www.learningradiology.com, or alternatively buy the learning radiology textbook, and start working through cases and lectures.

4) If you still have access to uptodate read through their articles on sepsis, anaphylaxis, hyperkalemia, hypokalemia, hypernatremia, hyponatremia, hyperglycemia, and hypoglycemia and make flash cards on all of them. Try and develop a basic algorithm in you head for what to do when the nurse calls you with an abnormal routine lab value (CBC, coag, or chem10) or vital sign.

5) If you're moving to the south, seriously consider taking a course in basic medical Spanish.

What you should absolutely not do:

1) Devote more than an hour or two a day to this.

2) Try to memorize some portion of the tens of thousands of zebras that you will learn in residency.

3) Buy and read a Medicine textbook.

4) Do multiple choice questions in any kind of Qbank

5) Do anything that would negatively impact your ability to arrive to residency rested, happy, and healthy.

Best advice ever!!! I absolutely love ICU rounds podcasts!
 
I took a five week camping trip before starting internship--one of the best decisions of my life. The only reason it wasn't 6 or 7 weeks was I was required to be at graduation. I'm married and figured we might never have the chance to do that again--who knows if my attending position will start within a week or two of wrapping up residency, or if we'll have kids at that point? Carpe diem right?

I also set up my 4th year schedule so I did one of my two required medicine/surgery sub-I's as my last rotation--that way I would end 4th year on a "real" rotation, working longer hours, working harder, acting (almost) like an intern, and be as ready as possible for July as I could be. I think too many people try to make 4th year too easy--I don't have anything against easy rotations (I did a few), but sprinkle in some demanding electives as well and make your last rotations a sub-I or other very serious rotation with a lot of responsibility so you'll feel about as ready for intern year as you can.

We also had a "preparation for medicine internship" rotations, which I found really helpful--it was lecture-based and went over things like "top 20 calls when you're on call," ICU stuff, etc. If you have an elective like that, definitely take it.

Obviously my advice other than taking a vacation don't help the OP out much, but hopefully upcoming 4th years might find it useful.

Other than that, I'd agree with everything Perrotfish said.
 
I read/annotated mksap, did 2months of ICU, nephrology, plum sub-i, cards, ID, a gen med AI, in my 4th yr. Still have 4wks on another sub-i. I feel pretty comfortable, relatively speaking, but I'm just anticipating running through a cornfield, naked, backwards for a few months at least. Have 6wks at the beach planned, can't wait.
 
Main advice would be to set up yer life so that as much of it be on autopilot as possible. Set every bill to autopay, sort yer finances, set up yer apartment (which should be very close to the hospital), etc. Make sure you've set up yer room so that you can make it pitch black in the middle of the day for when yar be tryin' to sleep on night float. Get into better shape so that when you gain 15 pounds in Internship you aren't too disgusted wit yourself. That's all you really should do. However if you insist on studyin' me would consider one or two (but not all) of the followin':

1) Download the podcast 'ICU rounds' and listen to one a day. it covers pertinent topics in ICU medicine at the level of a resident

2) If yar be not comfortable wit EKGs read through Dubin, then go to the website wavemaven and work through 5-10 a day.

3) If yar be not comfortable wit plain films go to www.learningradiology.com, or alternatively buy the learnin' radiology textbook, and start workin' through cases and lectures.

4) If you still have access to uptodate read through their articles on sepsis, anaphylaxis, hyperkalemia, hypokalemia, hypernatremia, hyponatremia, hyperglycemia, and hypoglycemia and make flash cards on all of them. Try and develop a basic algorithm in you head for what to do when the nurse calls you wit an abnormal routine lab value (CBC, coag, or chem10) or vital sign.

5) If yar be movin' to the south, seriously consider takin' a course in basic medical Spanish.

What you should absolutely not do:

1) Devote more than an hour or two a day to this.

2) Try to memorize some portion of the tens of thousands of zebras that you will learn in residency.

3) Buy and read a Medicine textbook.

4) Do multiple choice questions in any kind of Qbank

5) Do anythin' that would negatively impact yer ability to arrive to residency rested, happy, and healthy.

Thank you for your reply!
 
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