Rotation question for P4s

[mustang sally]

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So I am starting my rotations soon and I was wondering if you guys review pertinent guidelines and the like before starting the rotation. Or is that overkill? I have some pretty challenging rotations lined up, and I'm afraid I won't remember stuff and look like an idiot.

 

[VeraShield]

You should usually contact your preceptor 2 weeks in advance to see what they expect of you.

 

[All4MyDaughter]

I think it really depends on the rotation. Things I've used a lot this year include the ADA Standards of Care 2011 Update, the AHA/ACC Heart Failure Guidelines and UpToDate (all the time!). I think the most important thing is being able to find what you need quickly, rather than trying to learn it all in advance.

 

[tashka]

It is OK to make mistakes during your rotation. Most preceptors understand that you are learning. If you don't know the answer, they expect you to find it. Show interest, do everything your preceptor assigns, ask questions if you don't understand. Review guidelines and other sources as you go and read on your patients. You will be OK.

 

[psychoandy]

So I am starting my rotations soon and I was wondering if you guys review pertinent guidelines and the like before starting the rotation. Or is that overkill? I have some pretty challenging rotations lined up, and I'm afraid I won't remember stuff and look like an idiot.

Like All4MyDaughter said, much more important to know where to look (i.e. uptodate, pubmed, etc) than what to know. Obviously baseline stuff like HTN, DM, etc should be done. However, there was a lot of crap i didn't know during my first internal med, ranging from hepatorenal syndrome to mucormycosis to even nausea/vomiting, and no amount of preparation would've helped.

For critical care, my school barely touched on concepts like sedation, analgesia, delirium, mechanical ventilation, paralysis, etc...so you weren't expected to know anything, but you were expected to read guidelines/trials and then figure it out yourself so you could ask better questions on what you don't know.

 

[mustang sally]

Thanks for the advice! I just can't wait to be done with classes and get out there. 😀