Procedures as an MS4 prior to residency

[blahblah56]

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Just wondering what types of procedures I should be relatively comfortable doing, or at least have attempted a few times, after 4th year. Intubations and peripheral IV's are a given, but what about double lumens, art lines, central lines, ABGs, nerve blocks, epidurals, etc. I have a few electives coming up and I just want to make sure I'm getting adequate exposure and practice prior to residency.

 

[GaseousClay]

You don't need adequate practice before residency. The point of residency is to train and practice those things. Maybe if you have a big ego and the thought of someone seeing you struggle at procedures eats at your soul or something. Otherwise just focus on learning medicine and enjoying 4th year. You will be fine.

 

[GassmanMD]

Just wondering what types of procedures I should be relatively comfortable doing, or at least have attempted a few times, after 4th year. Intubations and peripheral IV's are a given, but what about double lumens, art lines, central lines, ABGs, nerve blocks, epidurals, etc. I have a few electives coming up and I just want to make sure I'm getting adequate exposure and practice prior to residency.

You should be relatively comfortable with working well in a team, getting along with staff, faculty and co residents from all departments, showing up on time, respecting those with more experience than you, having a solid work ethic, not being a d*ck and showing an eagerness and enthusiasm to learn. But most importantly, you will have serious problems if you can not DL and successfully intubate on the first try a BMI 60 patient with a C-spine fracture, and 1cm mouth opening.

 

[Jimmy Chitwood]

Just watch the residents do those things and enjoy. If someone throws you a bone and lets you do one, great. If not, you'll get plenty as a resident, so don't worry about it.

You will not be expected to know how to do anything as an intern.

 

[Docuronium]

Just wondering what types of procedures I should be relatively comfortable doing, or at least have attempted a few times, after 4th year. Intubations and peripheral IV's are a given, but what about double lumens, art lines, central lines, ABGs, nerve blocks, epidurals, etc. I have a few electives coming up and I just want to make sure I'm getting adequate exposure and practice prior to residency.

Attempt intubations/IVs? Sure. It'd be more worrisome to me if an intern came in thinking they were already comfortable with them.

Can't imagine many scenarios in which I'd let a med student do a block or an epidural.

 

[Nivens]

Organizational skills are huge intern year. Make sure you get plenty of checkbox exposure as a med student.

 

[Ronin786]

5 double lumens or you can't start CA-1 year.

 

[mikey014]

I'd say relax. I think the tendency to over worry is natural. But expectations those starting residency are low. I would focus on understanding how to work as an efficient but safe future physician is more important. Procedures come with time. But organization and clear communication is difficult to teach. So focus on that

 

[pgg]

Just wondering what types of procedures I should be relatively comfortable doing, or at least have attempted a few times, after 4th year. Intubations and peripheral IV's are a given,

It's a sure bet that new interns who feel "comfortable" with airway management are on the bad side of the Dunning-Kruger effect.

but what about double lumens, art lines, central lines, ABGs, nerve blocks, epidurals, etc. I have a few electives coming up and I just want to make sure I'm getting adequate exposure and practice prior to residency.

I would not expect a new intern to have any experience with any of these procedures, except maybe a couple of a-lines or central lines. Maybe. I certainly wouldn't expect proficiency.

 

[urge]

Just wondering what types of procedures I should be relatively comfortable doing, or at least have attempted a few times, after 4th year. Intubations and peripheral IV's are a given, but what about double lumens, art lines, central lines, ABGs, nerve blocks, epidurals, etc. I have a few electives coming up and I just want to make sure I'm getting adequate exposure and practice prior to residency.

Don't forget cerebral aneurysms clippings and knee replacements.

 

[projectpat]

digital rectal examinations

 

[deleted162650]

Don't forget cerebral aneurysms clippings and knee replacements.

Knee Replacement may actually be an MS4 level case.

 

[RK.md]

Just watch the residents do those things and enjoy. If someone throws you a bone and lets you do one, great. If not, you'll get plenty as a resident, so don't worry about it.

Completely agree. Just relax and enjoy the training process. 🙂