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cybermd: 我是怎样度过内科住院第一年的?
作者:USMedEdu
发表时间:2007-12-29
更新时间:2007-12-29
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发信人: cybermd (yo), 信区: MedicalCareer
标 题: internship survival
发信站: BBS 未名空间站 (Sat Dec 29 16:06:39 2007)

Reading about the post of CMG being fired, I can;t help thinking about how I
survived my internship (IM). I'd like to share my thoughts with XDJM here
into IM.

If I can make through the internship, I think everybody else can too. I
still remeber my first call as an intern- I did not even know the dose of
tylenol when the nurse called me ,hoho. Now as PGY3, I am very confident
with managing even the sickest patient in ICU, independently. Like pretty
much every intern, I went through the "intern blue"- For the first few
months, I got all kinds of BS from attending and nurses, and sadly, senior
residents too all the time. But like most of interns, I survived.

Now as a PGY3, I know what I want for a good intern. Generally speaking,
hard-working and team work spirit are most improtant. In a very busy service
, everybody wants to get the job done first. Interns should know their
patients, make all the phone calls to consults, PMD, labs, radiology, ect.
Details makes the difference between a BMW and a toyota-same applies to an
intern. Good interns are expected to know every details about the patient (
Hx, exam, labs, social, PMD, family member, code status, contact number, etc
). If you need extra time to learn all of these, come early. I disagree
about "smart" being an important factor to be a good intern, esp in IM,
because the role of intern is not to make a lot of decisions or to make
ground-breaking discoveries. Intern's role is to help attending and senior
residents to get the job done easier. Talking about team spirit, always be
polite and smile to every one. Most of people are stressed out, if you smile
and have some fun, people will like you. On the contrary, do not dwell in
minor issues to show off your knowledge. As a matter of fact, I hate to work
with so called "smart" interns, because usually they tend to argue a lot on
minor issues (because they do not know what is the big picture and what is
important) and delay the work. Always respect your attending's decision if
you do not agree because remeber he/she is the one legally responsible for
the patient. Always touchbase with your senior resident whenever in doubt.

Medical knowledge wise, as an intern, you are supposed to know only the
basics very well (common medication's dose. sideeffects, common calls (fever
, chest pain, short of breath, desat, falls) . Usually each hospital has an
intern survivor book. Here is one from Penn that can be downloaded. It is
very useful for common calls.

http://www.uphs.upenn.edu/medicine/education/residents/Survival.pdf

Just thought about this much. When match is over, I will post more on
internship such as how to handle common calls ect.
--

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