信人: tangpusa (4cure), 信区: MedicalCareer
标 题: 感谢麦地intern-to-be talk笔记
发信站: BBS 未名空间站 (Tue Apr 28 23:30:02 2015, 美东)
非常感谢Peter, Jenny, Coffee, 和 Pathodream 大牛前辈
Forget your USMLE score; ask and learn from your co-intern
Form a Tx plan by yourself and then, compare and learn from other
critique, and why the new plan is better.
Fever --- pan culture, CBC, C/S, Electrolyte ---
Must follow THROUGH your order (Tx/lab/procedure),
esp. the UNSTABLE patients !!! Mare sure you GET the results, not
place the orders.
夜班，on call…., 一定要亲自assesse 病人
病人transferred from other team --- ask for A/P ----- assessment/plan
your colleagues who take care of them before.
一定要在病人名字旁边写上护士的名字， charge nurse ?--- 护士长。
Unit clerk --- 管文秘工作, call counsel…
Discharge planner ---- 出院带药，设备。
Off-loading shoes --- diabetic ulcer. Rehab.
Lab ---- 病理，C/S,
每年10月，in-training exam, very important !!! ----
Ask for feedback, evaluation!
Rapid Response Team --- RRT (relatively lower level), nurse have
concern over pt’s condition (AMS)
Run Code --- Code blue/ code 3, pulseless, (ALS).
Most important part,
A/P: assessment and plan , issue by issue…
---- Reason/cause of admission (MCC)
---- potentially lethal DDx
DDx ---- most likely Dx, most dangerous Dx,
Time course – acute (new onset) vs. chronic , pt is stable vs.
Receive what treatment?
Think common problem first
Length of stay --- why/should this patient continue to stay in
Think D/C plan early.
Check box ---
How to get good evaluation!!!
Evaluation sheet: block 刚开始，give attending a 1min “tell me about
yourself”, I will start the rotation with you. My own goal of this
rotation is xxx medical knowledge, I am impressed/xxx.....you and
s int’x with patients… … What is your expectation? …..
Half-way on the road ---- ask what area you think I need to improve?