- Joined
- Dec 28, 2010
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So I got my midyear feedback back for my intern year and I have good evaluations because I am a hard worker, follow up on things, and am knowledgeable but something that sticks out that most attendings say is that I am 2/5 (novice) for "coming up with a comprehensive plan". I really struggled with this in medical school possibly because I relied too much on pre-made notes and I feel like it's a struggle for me to do complete work ups on patients and think because of all the data tracking, orders, etc. that I do in the morning to really think about the nuances of why a hemoglobin may be low...yesterday everyone thought it was his chronic disease...now they're second guessing it...I know this is a really vague area but any responses specific or vague would be appreciated. One attending said that I find that when asked a question, you nearly always have the correct answer but don't always put things together when coming up with a differential diagnosis or plan.
Would really appreciate advice as I want to genuinely be an extremely strong resident and this has been a bit of a setback, albeit a slightly expected one because I know this would eventually come out.
Often when I'm asked about a differential for let's say back pain, I'll rattle of some things and they're like good, good...and I seem to have correctly answered their questions. In notes, I'll rank possibilities (differentials) based on labs, history, etc. but it does seem like I'm not doing something right and perhaps there's a bit of anchoring. When seniors and I compare plans on admitting notes, they do a more thorough job I suppose, but like we both come up with the major things I suppose.
Would really appreciate advice as I want to genuinely be an extremely strong resident and this has been a bit of a setback, albeit a slightly expected one because I know this would eventually come out.
Often when I'm asked about a differential for let's say back pain, I'll rattle of some things and they're like good, good...and I seem to have correctly answered their questions. In notes, I'll rank possibilities (differentials) based on labs, history, etc. but it does seem like I'm not doing something right and perhaps there's a bit of anchoring. When seniors and I compare plans on admitting notes, they do a more thorough job I suppose, but like we both come up with the major things I suppose.