subinternship expectations?

[caffeine37]

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I'm starting my subinternship next weekend and want to do well. I'm not really sure of the expectations. This will be my first sub-i...any advice? Thanks!

 

[iatrosB]

I'm starting my subinternship next weekend and want to do well. I'm not really sure of the expectations. This will be my first sub-i...any advice? Thanks!

You start with all of us interns...nice...have fun with the chaos.

 

[drfunktacular]

You start with all of us interns...nice...have fun with the chaos.

LOL... +5 for truth

 

[kenshin1]

I'm starting my subinternship next weekend and want to do well. I'm not really sure of the expectations. This will be my first sub-i...any advice? Thanks!

Advice? Yes, expect absolutely nothing from your interns. Not only do we not have any idea what we are doing but also we have no idea WHERE we are supposed to be doing it as we are completely new to the hospital.

In all seriousness:
1. Know everything you can about your patients.
2. Do not leave before imaging studies/labs are returned
3. Discuss every order with your residents
4. Judicious use of primary literature during presentations is appreciated (pulling out an article every day on every patient on rounds is not)
5. If you are unsure or if your patient is crumping, get help.
6. ALWAYS REMEMBER TO SIGNOUT
7. Have fun!

AI's in july can be an absolute blast (It was by far my favorite rotation in medical school); however, be aware that you will not be the center of attention. The SARs and attendings will be far too busy trying to keep me and my co-interns from killing people.

 

[PartyPants]

The SARs and attendings will be far too busy trying to keep me and my co-interns from killing people.

True dat. I've already started, and I already miss being an MS4.

For the sub-i: take ownership of your patients, and focus on management rather than pathophys (unless your patient has an uncommon disease). Be confident, and try not to butt heads with your upper level. Good luck!

 

[DrJosephKim]

Just remember your "As": Be assertive, but not aggressive or annoying. Ask intelligent questions. Assume nothing and assist the new junior clerks. Then, you'll be a tremendous asset to the team.

 

[TexasTwoStep]

Slightly off topic, but do many programs (especially the competitive ones) require that you complete a Sub-I as a 4th year?

Not sure how it is at other schools, but at ours, the Sub-I experience isn't anything more then being a repeat of 3rd year and can easily be replaced by doing an alternative rotation.