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Mman

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Internitis has officially set in for me.

Ordering Tylenol at 3 AM, rounding for 5 hours post-call, being lucky to get 1 day off per week, etc.


Yep, the end is starting to get very close in sight and I can't wait.
 
I'm in the same boat. This year's interns at my hospital tell me that the first couple of weeks is pretty rough, then you become more accustomed to it.

Any suggestions for useful books to use as a resource during those 3 AM pages?
 
bigeyedfish said:
Any suggestions for useful books to use as a resource during those 3 AM pages?

If I'm lucky enough to be getting some shut eye in the middle of the night and the pager goes off, a book doesn't offer much help. I try to quickly divide it into 1 of a few categories...

1) an easy page that doesn't take much thought to answer (pt wants something to sleep, bp is 165/105,...)

2) an attention grabber that means I'm getting out bed to assess pt and order stuff (chest pain, unstable vitals, etc) and wondering if I'm going to have to get some assistance from a resident and/or fellow at some point in the near future

3) something in between that could go either way and ends up in me ordering something that I need to remember to check up on in an hour or two


Being a scutmonkey intern has taught me to be efficient and thorough and figure out which patients are sick and which aren't. It also really helps to get good at interpreting CXRs/EKGs/ABGs. I'll grab a book or pop open Up To Date later down the line when I know what is going on, but can't recall a particular treatment or want to double check I'm not missing things in my differential.

I can't wait for July when I will be primarily responsible for 1 patient at a time instead of somewhere between 10 and 50.
 
bigeyedfish said:
I'm in the same boat. This year's interns at my hospital tell me that the first couple of weeks is pretty rough, then you become more accustomed to it.

Any suggestions for useful books to use as a resource during those 3 AM pages?

I used the Washington Manual, but that was 1992-1993.

Its probably still a great reference for stuff, huh?
 
Everybody around here carries Pocket Medicine by Sabatine these days. I think Pocket Medicine and Tarascon Int Med and CC are awesome. Wash Manual is good but clunky.

jetproppilot said:
I used the Washington Manual, but that was 1992-1993.

Its probably still a great reference for stuff, huh?
 
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