rounds and articles

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gatorAKM

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I'm starting my 3rd year in a month or so, and I have a question about rounds, and bringing research articles about your patient's case/dx/etc

How often do students do this? How often should they do this? What is the deal in terms of presenting an article?

anyone's thoughts are appreciated.
 
At my institution, it's standard practice to hit the literature if you have an interesting case. If you happen to find a good review article, make copies for the rest of your team and distribute them on rounds. Be discriminating though; there's a lot of garbage that manages to get published. If you do this on rounds, be brief... all too often, rounds get dragged on for far too long.

My hospital has a tradition of short resident/med student lectures prior to rounds on many inpatient services; there's an understanding that the presenter will hand out a review article or a good outline for the topic being discussed. This would be a perfect opportunity for you to talk about any interesting patients you've met.

Cheers,
doepug (a new MS IV)
 
Originally posted by doepug
At my institution, it's standard practice to hit the literature if you have an interesting case. If you happen to find a good review article, make copies for the rest of your team and distribute them on rounds. Be discriminating though; there's a lot of garbage that manages to get published. If you do this on rounds, be brief... all too often, rounds get dragged on for far too long.

My hospital has a tradition of short resident/med student lectures prior to rounds on many inpatient services; there's an understanding that the presenter will hand out a review article or a good outline for the topic being discussed. This would be a perfect opportunity for you to talk about any interesting patients you've met.

Cheers,
doepug (a new MS IV)

doepug:

do students ever get to present at grand rounds or write up case reports for the journals? I'd be very interested in doing this at my institution and am wondering about the likelihood of this.

thanks.
 
Originally posted by doc05
do students ever get to present at grand rounds or write up case reports for the journals? I'd be very interested in doing this at my institution and am wondering about the likelihood of this.

As for grand rounds... students aren't likely to present for the larger departments (e.g. medicine, surgery), where an invitation to present is a great honor afforded to few people. However, if your patient was on a different service (say, neurosurgery), you just might have a chance to present.

Students frequently write case reports. As you'll find out though, case reports pale in comparison to research projects for buffing your CV. They're a nice way of telling everyone that you had a cool patient, but ultimately what will get you ahead will be peer-reviewed research with a mentor who has a track record.

Cheers,
doepug
 
I'd like to add to the great comments made by doepug about bringing in articles. To further your team's knowledge, consider bringing in an article about your patient's illness.

A recent review article on the condition can supplement what you and the team have already learned from your reading of the traditional textbooks. Keep in mind that textbooks quickly become outdated and, in many areas of medicine, advances occur at a remarkable pace.

If questions come up during rounds which remain unanswered, take the initiative and perform a literature search. Share what you have found with the rest of the team at the appropriate time. Your attending physician, resident, and intern will be impressed with your initiative and appreciate your efforts to further their education.

This will certainly help your clerkship evaluation - in fact, on some clerkship evaluation forms, evaluators are asked to comment on whether their students have turned to the literature. So you need to show them that you really have done so and, of course, one way to do this is by bringing in articles.

At a recent talk I gave on the mistakes students make during their 3rd year of med school, one of the students came up to me after the talk to ask me a question about bringing in articles. She was concerned that doing so might show up the other student(s)on the team. Of course, showing up other students on your team is a big no-no and you certainly don't want to do this. For example, you wouldn't want to bring in articles on your fellow student's patients. But it's great to bring in articles on your own patients - once again, it shows initiative, interest in furthering everyone's education, and can certainly enhance patient care.

Hope that helps,

Samir Desai, MD
Assistant Professor of Medicine
Baylor College of Medicine
 
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