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给马上开始intern的xdjm的几点建议 (zbbh et al)
作者:USMedEdu
发表时间:2010-07-12
更新时间:2010-07-12
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发信人: zbbh (麦地哲别), 信区: MedicalCareer
标 题: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Fri Jul 2 17:00:08 2010, 美东)

下周一开始floor,也是intern的头一天,又赶上是放假,其它team早上查完房就走了
,估计这一天够难熬的。wish myself good luck。

给自己的intern几条建议,也跟这里今年开始intern的xdjm分享一下。欢迎大家补充。
GL!

1. Patient care is priority. There may be dates when we are not able to
leave on time, particularly when you are not familiar with the system yet.
Please do not get annoyed.
2. The top two most important abilities for PGY-1 are: (1) know your
patients (as much as possible) (2) get things done.
3. Don’t assume your orders will be carried out. It sucks, I know. But
it is the reality. The most common ones include labs are not done and TEDS
and Venodynes boots for DVT ppx are not in place. So you have to double or
even triple check for important orders and speak to RN in person or DIY for
critical things. When patients are not improving on right medications, check
if patients are actually taking the medications you ordered before thinking
about other differentials.
4. Keep the signouts updated, particularly medications and important
tests related to management plans (blood cultures, Echo, CT ect).
5. For financial reasons, we will under a lot of pressure for early
patient discharge. Bear this question in mind: what is holding the patients
now.
6. Maybe more than half the patients will need rehab or home physical
therapy. So if you think patients may need home PT or rehab, order PT
evaluation and follow PT recommendations. Update this info in signout too.
7. We need to work with social workers and case managers for most of
discharges. Case managers are in charge of patients going home with any home
PT, visiting nurse, home aid ect, and social workers take care of rehab and
nursing home placement.
8. Call consult early, better in am after rounding.
9. For private patients, check with attending before we call all
consults except ICU. It is about “business”.
10. When you call consults, give a short, concise story: name of the patient
, location, age, gender, reason for this admission, consult related PMH and
what the question is for the consultant (this is the most important!).
11. We need ID approval for all IV antibiotics. They will ask you patient’s
age, gender, Cr., what the antibiotic is for, if you have sensitivity
results (if not, do you have sensitivity result from previous admissions).
So have the info available when calling.
12. Call your residents for anything that you are not sure.

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.199.]


发信人: rainingcats (ice), 信区: MedicalCareer
标 题: Re: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Sat Jul 3 00:56:58 2010, 美东)

Nice! Very very helpful~

我只做过Sub-I,没有intern的经验,不过医学都大同小异吧,也和大家分享一下。

每天给药的时间是固定的,我们这里BID是900和1500,Q12h是900和2100,TID是600,
1200,1800,Q8h是600,1400,2200。如果上午十点写一个抗生素Q12h的医嘱,护士要
到晚上9点才会给药,所以要在后面写一个first dose now,病人才会得到及时治疗。
不写的话主治医生下午一看,病人高烧半天了,什么抗生素都没上,肯定要皱眉头。

每个人都会犯错误,客气的指出别人的错误,避免医疗过失,别人会非常感谢你。我曾
经指出过一个chief忘记给术后的heparin,另一个chief医嘱写错写到别人的chart上。
还有高烧病人送了血培养实验室却返回尿培养,intern只打了个电话说实验室没收到就
放弃了,我反正也闲的没事直接到实验室去翻一张张送检单,结果发现是和另一个病人
标签贴反了。所以那些高年都对我特别好,因为他们知道我会仔细的检查每一个医嘱,
让他们很放心。

胸片CTMRI,绝大多数我都似懂非懂,有空的时候就跑放射科找人问,感觉放射科医生
天天关在一间小黑屋也挺郁闷的,见到人都特热心的解释,然后我拿了放射科的解释再
回去讲给住院们听,看上去很专业。

一般intern都有个任务表,画个小方框,做完一条就叉掉。我跟急诊室的医生学了一个
小trick。比如说开了医嘱或送了检查,这时候只划一条对角线,要等到确认护士已经
给药,检查结果已经回来,才划掉另一条对角线,彻底结束这件事。这样能提醒自己盯
得紧一点。因为像我前面说的,你下的医嘱不一定马上执行的。我看到好几次病人少尿
,主治说给速尿吧,结果到下午还是少尿,一看还没到给药时间。对于新intern,不知
道这些挺正常的,如果做了一年还犯这些错误,我都有点看不下去。

我们这里的常规是拔导尿管之后6个小时无尿的话要扫PVR,超过200cc重新插导尿管。
所以不要在晚上拔导尿管,否则晚上8点拔了,护士要半夜两点去把病人喊起来上厕所
,说不定还要重新插,搞得病人一晚上不能睡觉,任谁都不会高兴。

凡是对药物剂量搞不清楚的,都可以找药剂师问。她们通常有些小手册,可以查常规用
药。像药剂师,营养师,social worker, case coordinator往往是固定在一个病房的
,很了解每个主治不同的偏好,和她们多聊聊非常有帮助。

没事的时候(听上去我好像一直闲得很哪)花五到十分钟去看看病人聊聊天,问病史也
可以,纯八卦也可以。直接面对一个人,和面对电脑上一堆数据,感觉完全不一样,几
个病史读下来,脑子里一团浆糊,但是面对面一谈,马上就非常清楚,印象深刻。对我
来说,认识不同的人,听他们的故事,本身就是医学带给我的乐趣。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.104.]



发信人: feelfeel (ff), 信区: MedicalCareer
标 题: Re: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Sat Jul 3 12:21:33 2010, 美东)

If you never practice medicine before (like me), it may take a few months,
or even half a year, to finally "touch" the clinical medicine. What 哲别 and
cat said are small but very important things in daily intern's life.

Two small oncall tips

For chest pain pt, go to see pt, check vitals, EKG and cardiac enzymes, r/o
life-threatening problems (PE, MI,pneumothorax etc), goal is pain-free: NTG,
ASA, oxygen, beta bloker and morphine; consider non-cardiac therapies GERD-
maalox; musculoskeletal- NSAIDs;

For SOB pt, go to see pt, check vitals, stat CXR, ABG, EKG and stop meds
that can suppress resp; context CHF, PE, COPD MI, narcotics, aspiration,
give O2 (can be in the order of) increase O2 via nasal canula to 6L, facemask, non-rebreather, BPAP,and intubation if indicated; for CHF, stop all IVF, lasix (need higher dose in the setting of elevated creatin level), always check the UOP to see the response (foley if necessary).

Just as cat said, you will never be bored in clinical medicine. Have fun and
good luck to new interns:)))



--

※ 修改:·feelfeel 於 Jul 3 13:01:12 2010 修改本文·[FROM: 75.69.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 75.69.]


发信人: zhzhaa (麦地), 信区: MedicalCareer
标 题: Re: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Sun Jul 4 17:51:56 2010, 美东)

这个真是好贴!字字珠玑真是恰当。

我也有一些雪泪教训想要提醒新intern。
1
对所有的人态度一定要好。医院里面各个层次的人都有,对同事和上级,相对容易做到
谦虚低调,对辅助科室的人员,就不那么容易。他们在医院里面工作很久,知道各种门
道,只要你态度还不错,一般不会刁难你;如果你态度很好,有咱们麦地那谁谁和谁谁
的EQ,他们会主动帮忙,或者告知你一些情况,省去你几个小时的麻烦。
有的时候,会有人很难合作,比如护士不但不去抽血还责怪你开了化验不告知他。这样
的事情人人都会遇到,不要跟他争论,弄得不欢而散对谁都不好;咱们就肚量大一点,
嘻嘻哈哈开个玩笑过去,或者就跟他说“对不起是我不好”,把事情做了 是最重要的
。人人都不傻,心里都知道谁照顾过自己的面子。

我们这里有一个美国毕业生,业务很强,很幽默,大家都狠喜欢;就是有几次和一个护
士较真,互相翻脸,结果每次值夜班那个护士就每半个小时page他一次… 其实,那个
护士确实比别的护士懒一点,而且喜欢占口头上的便宜,大家都知道的。

2.
干活第一,写病历是最后的。其实前辈们已经指明这一点了,我结合自己的经历换一个
角度提醒同道们。
我刚开始intern的时候以为最重要的是首先把progress note完成,所以每次resident
跟我update的时候总是什么事情都没做,到最后不但自己疲于奔命,效率很低,
resident也被拖累。

都说住院医的申请是“小马过河”,这个internship其实也是如此。我们这里大多数的
人都做得很轻松,但是如果缺乏一些背景训练或者知识,又不懂得如何去问,就会过得
很累。

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.183.]


发信人: jimtaipei (jim from taipei), 信区: MedicalCareer
标 题: Re: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Mon Jul 5 01:14:13 2010, 美东)

态度好是一般原则
但是大家要记得坚守底线
不该是你的duty,千万别做乱作好人照单全收。
要跟chief讨论,看怎么办,怎么compensate.

美国的医院program多半认为华人tolerance高,常常排班不合理,jeopardy都找华人,即
使班表根本不是华人。这不合理,但是是可以讨论的。如果不敢讨论,更多不好的事都
会落到你头上....

另外就是documentation清楚,做事清楚,责任厘清(尤其责任是在别人更要厘清),不是
自己管的病人别动手put order(除非duty);你对人家态度好,平时大家也是跟你说说
笑,一旦有状况,人家可是一板一眼的清算,根本不会考虑你平时多么谦恭有礼。

一开始的时候program里面自我感觉良好,盛气凌人的外国人同事比比皆是。对他们客
气但不要胆怯。你对他们客气,他们为未必对你友善。根据我的经验,外国人很会虚张
声势,懂一分说成五分,懂两分说成满分。只要在各种conference理面勇敢发言(前提
是我们真的懂),三个月内他们就会对你很恭敬了。此时开始,他们才会appreciate你
的 EQ..
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 98.116.]


发信人: yf (麦地fanfan), 信区: MedicalCareer
标 题: Re: 给马上开始intern的xdjm的几点建议
发信站: BBS 未名空间站 (Mon Jul 5 20:43:02 2010, 美东)

想到几件事,提醒一下第一年的night float :
1。 护士通知你病人血糖高,不要随便就给多少units的lispro. 如果病人肾功能不好
,GFR很低,胰岛素会在体内很长时间,而且晚上病人不吃东西,胰岛素给了多了,早
上4-5点就会低血糖。病人因为低血糖昏迷,甚至脑死亡,在我们医院发生过,这样的
事情一出,intern一定会被开除。
2。Ambien 和Ativan之类的药不要随便给COPD或者Sleep Apnea或者肺部有病的人。这
些药抑制呼吸,等到病人retain CO2,你就要给他们插管了。
3。给病人Haldol之前,看看QTc是不是过长。
4。护士会push你给有些病人上restraint,因为病人aggitated,climb out of bed. 一
定要三思而行,想想为什么病人会aggitated.说不定PO2比较低。我们有个病人上了
restraint,半小时就死了。事情被通报到州里。所有病人死的时候有restraint的,州
里都会来查。所以你们看着快不行了的病人,赶紧D/C restraint.护士那一头一定要顶
住。你出了事,他们是不会管的。
night float写了什么医嘱,最好在progress note上写一笔,交班的时候也最好跟日班
的人说一下。我们一个intern晚上写了cardiazem的order,白天attending大怒,直接反
映给program director.
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 68.198.]

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1   [DrNewbie 于 2010-11-22 00:13:31 提到] [FROM: 98.]
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1 [DrNewbie 于 2010-11-21 16:10:39 提到][删除][修改] [FROM: 98.119.]


Medi is back to its glory days in the absence of the obnoxious barking from the MadDog!!! Does anyone think there are some indispensable tips he actually learned from his private club? His club is such a joke.

I cant believe this kind of idiot exists in this world. Two words to describe this piece of human trash: shameless and stupid. USMedEdu, aka, MadDog, put the following thread in his blog and bold it in the front page. Yet, clearly, the answers he endorsed are the worst answers. The answer I provided got a nod from an English forum. Does he understand the concept of shame or logic? Not only he speaks/writes shitty English, he cant think straight either. And now he wants to drag everyone down with him. PITY! What kind of dumb ass slaps his own face in public? What a joke!
无极: 住院医生面试碰到的尴尬事( 力刀评注推荐及麦地网友讨论)

Doc has successfully sabotaged a good learning club. At the peak, the pre_resident_english_corner had over 95 members and hundreds of posts. Congratulations! I will jot down a few expressions and new words here and there for myself mostly. Sorry friends. I let you down. You guys are the only losers as the bystanders caught in the cross-fire between the two warring parties. Ironically, both of the two people at war came out as the only two 'winners'. Doc can claim his star power. I can focus on my study.

Clearly, this USMedEd cant think straight anymore at his age. To give his credit where credit is due, he is still good at copying/pasting of the posts written by others. Follow his rubbish advice at your peril. We can write a laundry list of his shitty advice. This is a guy who cant keep his job for long. I am still wondering why he had to side with the losing party in a political struggle at work as he put it in one of his posts. Most people would not get involved. Only confrontational and aggressive douche bags would go for it. They can be burned again and again and are still clueless as it is just bad luck and not their faults whatsoever.

It is not just me saying this. Read this:
[snowfox01 于 2010-11-02 17:25:32 提到] [FROM: 134.74.]
Dr.Newbie:Please be nice to this old man。
难道你没看见你把他生命中唯一的支柱----收集各种贴子,然后大言不惭的copy&post 到自己的网页。给打碎了。同时,他在麦地的“一手遮天” 用那二十年前的狗屁经验来误导新人,也让你给揭穿了。我能理解他的恼羞成怒。他也没几天了,就让他乐呵乐呵吧。

There is no doubt that my English is better than anyone else including Eric and that lumcsomething. I was actually touched by the applications to my club every day during this short time. While I am still trying to figuring out the best way to get people energized and the best way to help, it went kaboom. It is such a pity. Just imagine how much more I can help once I get into residency and finish it.

I am sorry it has gone this far. This dokknife has been attacking me relentlessly on anything I write for no good reason. I have to stand up for myself. He said it himself: He does not care whether I am right or wrong. So he makes it personal. Now, he got it. It is personal between him and me.

Feel free to say hello to me at your leisure. I dont have time to play with this piece of human trash and a sadist who excels in copying/pasting and who cant keep his jobs for long. Let him have his schadenfreude from how the ex-boss who canned him got divorced. Let him brag how successful he is in dismantling a learning place.

Lets watch which comes first: I get into residency or he got fired.

并爱好给人改错的蠢人的发言更充分地反映出其愚蠢和无知,她的所谓良好英语在她的愚蠢脑袋支配下成了砸她自己脚的石头。此人在麦地已经贩卖了无数的垃圾和错误得东西。我实在无法忍受这种蠢人无休无止地误导CMG.
-----Doc.
乌龟总是对眼王八,狼和狈总是为奸。
你和这个混球对上眼很正常。装糊涂装黄花大姑娘真有坐台小姐得姿态嘛。
-----Doc
你这WSN还真是咸吃萝卜蛋操心.
-----Doc
耗子乌龟王八苍蝇和垃圾.
-----Doc
狗屁不懂的蠢货,愚蠢跳粱BSO牛Xer还真是第一次出现。各位可以饱眼福了.
-----Doc
换王八壳子来口水的蠢货的蠢言蠢语愚不可及的暴露,她懂个狗P.
-----Doc
我当我的医生,真也是撑了的,给你这号250上课来了还指望你懂人话呢。俺还真不如去打兔子大雁打网球去了。你这号真是纯粹的生物WSN德性。
-----Doc
向你这号又哭穷和没地方找饭碗,还不愿去换个活法,才真让人烦的WSN德性呢!真该去CT或MRI了!
-----Doc
你丫的又该酸掉几个牙?尔等难怪人家说生物萎缩,真TMD不亏!
-----Doc
说你等装B萎缩吧,你还扭扭捏捏跟坐台的要装黄花大姑娘似的。想来邪的,俺不是
不会更不是没掐过。
-----Doc



You all think this is acceptable and a good presentation of character? What I said back is half what he has said to me. Every time I make an apology to him, I got spit-at-your-face response in return.

It is a pity to see a good club falling apart. At least I have the decency not to use my club as a venting joint. I am sorry that you are put between a rock and a hard place. I will understand if you have to quit the club. You are always welcome to use a majia and check us out. This club is not intended as a base for isolation or a launch pad for personal attacks. It is a place purely devoted to English skills. It is a really a shame that Doc would pull people out of a club just to make people take sides. I dont see how he sabotages an educational club would help his cause. Yes, he has succeeded in pulling 20 people out of my English club and he can claim it is a win-lose-lose situation for himself. But ultimately, it is a lose-lose-lose situation.


1 [DrNewbie 于 2010-11-08 22:03:16 提到][删除][修改] [FROM: 98.119.]
Do you have any traces of honor and integrity left in your body? What a piece of human trash. How hard is it to admit you were wrong? What a stupid, arrogant, crazy bitch. Your bark is worse than your bite. Pathetic loser. You promote a 'clean' medi. Yet, you started a club for the sole purpose of shitting in it.You are a disgrace to the human race.

Read this and you know how it started and what I said is exactly what Doc said to me in English. And he said it a dozen of times to me.

http://www.mitbbs.com/pc/pccon_7773_142905.html

1 [DrNewbie 于 2010-11-08 23:51:41 提到][删除][修改]

What I said is half of what you have said to me. What are you whining about? Be a man. Fight fair and square. Dont just shit in your own compound. You thought you will get sympathy from your followers? What you get is despise from your sympathizers.

2 [DrNewbie 于 2010-11-08 23:05:40 提到][删除][修改]
Clearly you have no comprehension of English. You have a low EQ. You are clueless here. Why dont you shut your mouth? Be a man and make an apology to me. I have apologized to you a dozen of times. What I get is spit-at-my-face every time in return. Do you have any integrity and honor left in u?

3. All said and done. You truly think you gain the upper hand by locking me outside? You truly think I will lose without getting into your club? Seriously, dont flatter yourself. I have connections to match into a good University program already. I personally know a couple of Chinese PDs and American PDs. Give me a break already.

Lexian (蒙古大夫) 于 (Thu Feb 11 12:11:31 2010, 美东) 提到:

I think you are pointing this to me. I can honestly tell you i don't have
any MaJia. never had and never will. I don't hold personal grudge against
anybody, especially this one. it's not worth my time.

However, i think you are biased by assuming people who are against tyranny
and unjust are against anyone specifically. I can only speak for myself
because i really don't know anyone else that got into similar kind of
argument with him. I have no intention of "打击正在做的人", but that doesn't
mean i won't say "WAIT A MINUTE, THIS IS NO RIGHT" when i see posts like
the one i respond to.

As i have stated long long time ago, CMG's history in this country are short
. Our mission goes far beyond getting into residency. A public forum that
attracts examiners, residents and PRACTICING PHYSICIANS is very important in
exchange information and experience. I just can't help laughing when i see
some guy who happen to got into residency wants to "harmonize" the forum. I
can honestly say the game just starts AFTER you graduate. Please refrain
from your "GOD" like euphoria of getting into the residency,

发信人: amanda12 (digest08), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Fri Oct 22 08:01:00 2010, 美东)

我想说的是,作为一名医生,应该有更高的道德标准,宽容心和同情心,医生是和人打
交道的职业,会碰到各种各样人,首先我们想到的是他是我的病人,不管他是杀人犯还
是某某人大代表,穷人和富人,都要统一对待。不会因为别人过激言语或者什么而去计
较,要这有宽容心,能站在他人的角度去理解对方,这才会得到对方的信任。不要动不
动就对别人丢WSN。。。你只会显出你心胸狭隘,既与你的医生身份不配,也会让人鄙
视!以前看过你在丁香园的帖子,貌似你没完成专科移植是因为2老美因为你手术做得
好排挤你。
别人稍与你意见不同就恶言相向,言辞激烈,这是你说服别人的办法吗?是从一名医生
口里出来的话吗?要得到别人的尊重和赞美,同时需要你在本专业的优秀和个人魅力,
一言一行感动别人,取得别人信任,医生更是如此。尊重别人的同时,别人才会尊重你
也许力刀的初衷是好的,但是从他的言语看来,更让人觉得是个暴发户。。。。

发信人: Viky (转身插口袋), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 20:03:42 2010, 美东)

只有250才会在网上显摆自己的薪水,当年这厮也显摆自己在osu的薪水,现在总算得到
头的"亲徕"了

发信人: redasuka (EVA-02), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Fri Oct 22 03:59:15 2010, 美东)

没啥奇怪的,考版的那些人本身就花了比一般PhD多得多的时间和精力,当然希望能换
来一点优越感。何况不少大陆的MD最后在北美都是在做内科儿科什么的,每天工作也很
压抑,只好靠贬低别人获得一点心理安慰啦。

说实话,我在这边认识的混得好的中国MD还没有Bio/BME的faculty比率高,绝大多数30
-40岁的Attending还是处在天天接待黑哥们的境界,收入税前也就100k多点。真正混得
好、拿大钱的的MD,那是少数,而且基本都是白人。

不是说老中没有MD混得好的,只不过那些混得好的是人家真牛,在哪一行能牛起来。至
于只是为了混碗饭吃的,还是要多掂量几下自己折腾的起不。

发信人: Kiwixi (kiwi), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Fri Oct 22 04:05:37 2010, 美东)

这斯绝对是凭着CMG来美国弄了一个博后的位子。可想而知,实验室做的一塌糊涂,老
板天天骂,连老婆也看不起,留空就跑到楼外面捡烟屁股抽。
然后就考了版,摇身一变就成了医生。

薪水涨了,心魔却去不了,跟同行比,口音重,年龄大,还是来这里显摆,
打着普渡众生的幌子,年复一年贴几个链接,满足自己的虚荣心。本来考版当医生就是
一个职业,非要搞成一个崇拜一个图腾,入门的教众齐颂文成武德哈里路亚癫狂不已。

你那几个链接还是自己留在记事本里吧。不需要你这样自上而下的伪善。

最后送你几句话,真的是为你好,淡定一些,从容一些,都快半百的人了。

他人骑大马,我独跨驴子,回顾担柴汉,心下较些子。
发信人: snowfox01 (白面狐), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Fri Oct 22 14:16:58 2010, 美东)


我可以理解许多国人为五斗米折腰,想得到需要的信息。但是十年前的经验今天不一定
适用了。而且他像传销一样给许多老CMG False hope,一些老毕业生像打了鸡血一样跟
随他, 做了不且实际的选择, 也不知害了多少家庭。精神病人很可怕, 若他再领着
一帮人, 这帮人真是可怜。 take a look:

发信人: USMedEdu (US_CMGs), 信区: MedicalCareer
标 题: Re: 考版俱乐部(Pre_Resident_Club)成立!
发信站: BBS 未名空间站 (Fri Oct 22 10:45:26 2010, 美东)

click the link and go to club site to apply. Once you apply there, your ID
will be in waiting list for approval.

发信人: lostknife (麦地俯卧撑), 信区: MedicalCareer
标 题: Re: 考版俱乐部(Pre_Resident_Club)成立!
发信站: BBS 未名空间站 (Fri Oct 22 13:03:31 2010, 美东)

I fully support the idea and be happy to join.
But it shows:抱歉, 缺少参数, 加入俱乐部失败!
please advise what I should do to join the club.
Thanks.

发信人: lostknife (麦地俯卧撑), 信区: MedicalCareer
标 题: Re: 考版俱乐部(Pre_Resident_Club)成立!
发信站: BBS 未名空间站 (Fri Oct 22 13:05:16 2010, 美东)

By the way, I am a good-egg who hate the bad-egg!

【 在 meigui0714 (rose) 的大作中提到: 】
: 谢谢你的(USMedEdu)忠告。"听人劝,吃饱饭"。我会好自为之的。
: 但是,一个好的论坛氛围,需要大家的努力。我们做为老生,应该已实事求是的态度引: 导后生们走好,走稳自己的路。人生只有一次,尤其是毕业时间长,没有经历过美国正: 规教育的老生们,我们已经没有"试验”"尝试"的时间了。三思而后行, 一旦做出了决: 定,就不要犹豫,大刀阔fu, 勇往直前。
: 尊敬的老前辈,这里是公共论坛,不是你个人的博客。老了,不但应该"自尊,自爱",: 更要尊重他人的不同看法,意见,这样才能赢得更多的尊敬。“唯我独尊”“我是老: 大我怕谁”的心态是万万要不得的。这里不是"黑色会”,这里不需要“教父”!: 读者的眼睛是雪亮的,这个论坛的读者们都是受过高等教育的,相信他们清楚,谁更浅薄。


发信人: Oncogene (何时问天), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Wed Oct 20 18:22:24 2010, 美东)

不要再“尔等,尔等”的了,让人看了烦。身边考版做医生的太多太多了,也没见几个
这么嚣张的。

我不相信这世界有啥救世主。试图做救世主的,脑袋真的需要MRI啦

发信人: yoyoch (yoyoch), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Wed Oct 20 23:39:59 2010, 美东)

素质,素质。
风度,风度。

发信人: KeeVan (Kevin), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Wed Oct 20 23:57:59 2010, 美东)

你说你瞎急啥。就是因为你没说赚多少钱,但是又说生物wsn泛酸,我没看明白人家为什么泛酸。讨论讨论问题不行啊,你这素质也太低贱了,我看还是别行医了

发信人: pigsun (屁哥~~大圣教候补二师兄), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 01:07:33 2010, 美东)

散了吧,老刀确实不是来劝退的,也不是故意显摆,其实,他就是专门来找抽的...
--
哈,说出来心里舒服多哩

发信人: Oncogene (何时问天), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 01:25:47 2010, 美东)

我都懒得抽她。这么大年纪了,好好说话会死啊??

发信人: Oncogene (何时问天), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 01:33:02 2010, 美东)

最后回你一贴吧:
你还是真是个幻想狂人唉。还有吧,就你这口气和心态,现实中能过得舒服还真是见了鬼了。算了,刚才说了,说你也是白说。你还是好好找工作吧,最好找个$1million/yr的,可千万别把自己的高等生活给葬送了呀,走到今天(昨天)也怪不容易的。。。

发信人: Oncogene (何时问天), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 01:48:19 2010, 美东)

^_^,你这风向转的还真快

靠骂别人或者教训别人是不可能有效传播自己的信息的。就这种性格,他下个工作也
干不久,哪个上下级能受得了这种人啊。好象别人没见过钱没见过医生没见过成功
人士一样,一副高高在上的架势,受不了。

发信人: newlily (lily), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 09:18:43 2010, 美东)

老刀,本来我是挺尊敬您的,想从您的帖子学点东西,结果谩骂满篇,没有一点有用的东西。

发信人: Viky (转身插口袋), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 11:19:53 2010, 美东)

这厮两次被fired了,还特喜欢到处指手画脚

标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 14:10:26 2010, 美东)

1.相信大家都有北美工作经验,新chair来了,就辞掉所有的人,可能吗?道是有可能
。。。。,

2.“加拿大拿的工资比美国大学薪水要高一倍可工
: 作量才是美国的1/4(其实俺每天1小时就干完了!)” 这种事情只会发生在社会主义
中国。 加拿大? 你可别弄的跟唐骏似的。
3.你是为了祖国加拿大的医学发展,毅然决然放弃了美国的高薪
工作,回到了加拿大了吧。

发信人: Viky (转身插口袋), 信区: Biology
标 题: Re: 给生物同学们: dojo: 走进美国医学院之旅
发信站: BBS 未名空间站 (Thu Oct 21 11:31:42 2010, 美东)

正常个p, 被fired了就是被fired, 没见过这么不要脸的


【 在 USMedEdu (US_CMGs) 的大作中提到: 】
: 窝草! 俺自己在网上说过,还怕你来拾俺的鞋后跟泥巴砸俺不成?
: 被新chair辞了,换朝换臣找新工作在北美不是常事吗?哪个医生老死在一个单位的?
: 俺要再显摆一把告诉你俺现在在加拿大拿的工资比美国大学薪水要高一倍可工
: 作量才是美国的1/4(其实俺每天1小时就干完了!)你丫的又该酸掉几个牙?
: 尔等难怪人家说生物萎缩,真TMD不亏!




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共有2条评论
1 [Viky 于 2010-11-12 09:42:23 提到][删除] [FROM: 152.11.]
劝 lz别跟那个老250浪费时间了。。
 
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