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atstep2: 诊所见习体会小结--兼谈个人理解
作者:USMedEdu
发表时间:2010-01-14
更新时间:2010-01-14
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发信人: atstep2 (olivetree), 信区: MedicalCareer
标 题: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Thu Jan 14 01:18:14 2010, 美东)

看了drrockville的帖子,有点不好意思我的初级问题,还在baby step。不过呢,我就
阿q一点想象着不仅是为了进去,也是为了进去以后做准备。另外,以前提过一些问题
,从大家的回答我的收获很大,也要感谢一下有个交待。还有一些新的体会,和大家共
享一下。我想肯定有acne那样充分准备以至于一去observer就可以shine的大牛,我离
那个标准差距巨大无比。 不过我相信我还属于正态分布的1-2个standard deviation之
内(注意,没敢写一个Sd啊),我的这个体会就写给1-2个standard deviation之内
的同学。

见习快结束了,也有了可见的进步,比如病人会当着attending的面给我正面的评价,
虽然我知道不是我的知识有了进步(因为毕竟不是来自attending的正面评价),但是
communication skill的提高也是很让我欣慰的事情。

暴露出来的让我惭愧的问题还很多很多,比如专业词汇的发音,病历书写经常提笔忘字
,但是这是很好的激励和动力。虽然我平时对自己的口语还是有点信心的,考试复习的
时候好多专业词汇也注意学习,可是到了这里我觉得自己又成了那个刚来时候的蹩脚的
老外,这滋味很不好受。好在这一关迟早是要过的。

起步总是艰难的,不要理睬风凉话,珍惜你的机会,端正态度。记得有个印度毕业生告
诉我,她打了200个电话才找到一个私人诊所见习的机会。所以我想任何机会都要珍惜。

总结一下,我的体会是:

不是所有的人都愿意教你,但是尽量make yourself useful to the team,同时自己主
动去学习。对我们这样零USCE背景的人来说,就是干涸很久的海绵,大到诊断治疗,小
到一个test的俗称,每一点一滴都值得我们去汲取。

不是所有的人都愿意对你nice,但是this universe doesn't owe you a hope,你的
HOPE要自己争取来---记得老刀前辈说了很多类似的故事来激励我们。我的对策是
ignore,告诉自己don't take it personal,现在还没有什么过不去的事情。大那但我
觉得其实这并不是最好的对策,记得有人说过在residency program里,如果你一味忍
让,不speak up,也会被人误解甚至故意欺负---不知道前辈们有什么经验可以分享?

不知道对不对啊---临床的听说和写,(读大概问题不大除非病历是手写的,因为都考
完试了)虽然不具体涉及到临床诊疗,但是它的重要性在第一年,几乎是第一位的。因
为这是你的survival skills, 这些做不到做不好,即使临床知识在扎实也显示不出来
?---请前辈指教。 

如果还有在OB的同学,欢迎交流。有的时候回到家里很累很累,从体力到心理,感谢
我的一个朋友同时也在见习,和我分享他的经历,也给我很多鼓励,收获很大。很感谢
。 

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.250.]

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共有5条评论
1   [DrNewbie 于 2010-11-04 01:32:16 提到] [FROM: 98.]
力刀评注:

这是个很有趣的案例,在住院医生面试时时有发生和遇到或类似的场景。这种情况
的应对常常是面试者有意无意地从你反应回答、面部和BODY语言来考察你的反应能
力和个性特点及成熟的素质。表现得好和应答从容合适到位可以让面试者大为开心
或对你留下深刻良好印象,你就得了高分;而相反,应答错误或不当,轻的引起对
方不快或疑虑,严重的,可以说立即被面试者在心里判了死刑--你出局了!

这个CMG提出了个很好得问题,在我所印的下列讨论里,ChiUSMD和Dojo的发言非常
出色,值得大家认真思考和进一步充分讨论,学习提高自己的面试及对这样问题得
脑筋急转弯能力,以及自己的为人处事成熟能力培养。

值得指出的是:那个在麦地喋喋不休到处卖弄她的所谓“英语”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,所以不惜大开杀戒痛砍此ID,得罪了麦地
版规和版主。

说来是坏事,但这也成就了俱乐部的诞生,这里不会再有这种苍蝇和垃圾的泛滥横
行而不受制止。

我希望这里的各位能从这个案例学到更多,大家积极讨论相互收益提高。

力刀 于加拿大
美国医学教育博客(USMedEdu):
http://www.mitbbs.com/pc/index.php?id=USMedEdu (面对全球网站)
http://www.mitbbs.cn/pc/index.php?id=USMedEdu (大陆镜像网站)
MITBBS美加临床医学考版俱乐部(Pre_Resident_Club):
http://www.mitbbs.com/club_bbsdoc/Pre_Resident_Club.html
力刀_新浪博客:
http://blog.sina.com.cn/u/1247007007
文学城_温柔一刀_力刀博客:
http://blog.wenxuecity.com/myindex.php?blogID=2828
北美中国医生网站
http://physician.cmgforum.net/dok/viewforum.php?f=16&start=0

*****************************************************************************

发信人: kaye ([email protected][email protected]~埋底海豚~热爱游泳), 信区: MedicalCareer
标 题: [合集] 面试碰到的尴尬事
发信站: BBS 未名空间站 (Tue Nov 2 02:42:11 2010, 美东)


☆─────────────────────────────────────☆

ZXCVBNMWUJI (无极) 于 (Sun Oct 31 22:38:21 2010, 美东) 提到:

面试碰到的尴尬事:

我的第一个面试的一个面试官是一个看上去很和蔼的老先生,进去后他一上来就笑眯眯
的问,你是怎么认识Dr.XXX的?Dr.XXX是我到美国后的第一个老板。我说,您认识他?
他微笑地点头,说Dr.XXX跟他一起在XXX做的resident。我于是精神为之一振,把我当初
出国如何联系Dr.XXX到他那儿做POSTDOC给绘声绘色了一遍,末了还加了一句类似“He
is the nicest person I've ever met.”之类的评论。面试官耐心听我说完,然后仍
然笑眯眯地说:“Well, I was not getting along with him very well at that
time.”然后就是blah blah blah blah.我当场差点晕倒。

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Sun Oct 31 23:33:50 2010, 美东) 提到:

You could have said back, Ohh, he must have changed quite a bit.
Or he only gets along well with suck-ups. I jam him up real good.

【 在 ZXCVBNMWUJI (无极) 的大作中提到: 】

☆─────────────────────────────────────☆

fionaww (加州无鱼) 于 (Mon Nov 1 00:00:52 2010, 美东) 提到:

第一句还好,第二句就不行啦。万一人家说,感情你是suck-up阿,不然人家怎么看上
你,把你从国内招来呢?不更晕倒了?


【 在 DrNewbie (NN) 的大作中提到: 】
: You could have said, Ohh, he must have changed quite a bit.
: Or he only gets along well with suck-ups.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 00:03:49 2010, 美东) 提到:

hehehehe.

Third one: Am I such a charming person that I get along so well with him? Or Am I personable that we get along so well.

Fourth one: You should be happy with my people skills now right? Since I can get along with this snob.

If you love my answers and you get my sick humor, please join my club:

Pre_resident_english_corner.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 01:25:54 2010, 美东) 提到:

The rest are for professionals only. No imitation by amateurs.
The 1st is witty. The 2nd is humor.


☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 20:34:37 2010, 美东) 提到:

楼上大哥,你是来搞笑的还是来做广告的?你的这些自以为幽默的答案不是too judgemental ("he must"...lol) 就是自我吹捧。

这个情况下,面试官故意不在开始的时候就说合不来,而是在等楼主说了一大堆以后才
说,其实就是想看楼主遇到尴尬时的反应。象楼上大哥这种回答,把球踢回去,反让面
试官尴尬,我以为不好。我的建议是回答"oh, sorry to hear about that" 就行了,
最多再加一句"I don't know why he treats you and me differently",把这话题带
过就得了。Dr.XXX或者任何一个普通人都不可能跟所有人都合得来,这本是正常现象,
何须画蛇添足

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 20:56:20 2010, 美东) 提到:

I agree. I assume you are a cute girl, and probably got a high remark from
him, otherwise he won't say this political incorrect thing. Go back ask your
boss whatever he said is true or not, then Send him a nice followup email
and make up something 拍一下马屁.

if your boss can send him a short email, 100% you are in or prematched.
My personal experience you will be ranked very high by that program. 美国人的尊师是骨子里的

☆─────────────────────────────────────☆

sfkitty (meow) 于 (Mon Nov 1 21:12:16 2010, 美东) 提到:

这真的是个需要脑筋急转弯的问题,我觉得理想的答案是结合NN和豆角的智慧。“sorry to hear that" ,加上适当的表情(让面试官觉得你的确 feel sorry about it, 而不是随口说说),再加上 “well, I guess he must have changed a lot“, 然后以一个beautiful smile to wrap it up。



☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 21:28:20 2010, 美东) 提到:

对的,表情要搭上。但这个must就免了,我对NN第一个答案不满意的就是这个must,显
得好象你多知道Dr.XXX的过去似的。你用"I guess"就对了。

说到底,我觉得这个回马枪问题固然尴尬,但老实应对,或者就是尴尬在那儿傻笑没有
答案,也比表现出自大和judgmental要好,这些性格可是要命的。尤其在正式面试问答
的时候,玩幽默是玩火。

☆─────────────────────────────────────☆

kaye ([email protected][email protected]~埋底海豚~热爱游泳) 于 (Mon Nov 1 23:09:01 2010, 美东) 提到:


dojo(豆角)和chiusmd的分析都很有道理,谢谢!
个人认为是这个问题的正解吧。

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 23:45:44 2010, 美东) 提到:

The old people always have some 童心,he tried to say "got you", just be his
way and do something satisfy his joke. Now matter how smart you are, just
pretend "he got you".

"oops" then smile, or slightly 夸张一下,any other words might turn the
table completely opposite.
American would anwer: "you are good" or "you got me".

在中国,就自罚杯酒。
中美情况差不多,就是不能充大拿。
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共有1条评论
1 [DrNewbie 于 2010-11-04 00:40:19 提到][删除][修改] [FROM: 98.119.]
1 [DrNewbie 于 2010-11-03 23:04:34 提到][删除][修改] [FROM: 98.119.]
Reply to the attached comment.

"Must" is perfect here. "May" is NOT.

Would anyone use suck-ups, jam-up in a formal interview as in Joke #2? Would this be a clue that it is a joke? Would anyone use snob in Joke #4?

The 'Sorry' line could be interpreted in the wrong way. It is Not like you say sorry when some1 is sick.

Read my reply please before you comment. MadDoc initially made the club private. Only under the protests from the righteous people who think he has gone too far, he made it public a few days later.

Because I use 'real world' examples for English writing practice, private club is best suited for this purpose. A couple of thugs on medi routinely harass me for correcting their English. Btw, your English is superb. Thats why I thought you would want to help us. But you refused. I am truly sorry for this.

Some people get dark humors. Some dont. It is just a matter of personal tastes. Yes, many did think it was funny.

Clearly, you have got the bad influence from MadDoc. You had very lousy attitude with your LOLs towards my posts. You are smart enough to have got into a medical school. But your lack of manners will hurt your personal and professional life. Doc is a prime example. Hope you dont follow his path.
-------------------------------------------------------------------
2 [dojo 于 2010-11-03 22:31:32 提到][删除] [FROM: 71.163.]
Okay, now you say #2-4 are for laughs only, why didn't you say that in your originial post? You could see that fionaww challenged your #2 answer, but you did not tell her you were kidding. Instead you gave two more answers "for laughs", but did any one actually laugh in that thread, before I responded? Your humor is really sick.

I made it clear that your #1 answer is fine except that you shall not say "must". "Maybe he has changed a lot" is an okay answer, but how could you use "must"?

Your comment on my "sorry to hear that" shows that you don't even understand what "sorry" means here. It is a very common, sympathetic response to any kind of misfortune. If you ever tried to describe something unfortunate in your life to an American, you should have heard this sentence before. The sympathetic American saying this would never ever think that he is sorry because you are an ass. Your thinking is ridiculous.

Finally, your conspiracy theory "To exclude me ... you tried to drag everyone into ur private club" really makes me sick, even though I was never a fan of Lao Dao. Lao Dao's club is PUBLIC, everyone in the world can read it, and I joined it on my own without Lao Dao's any email. YOUR club is PRIVATE, and YOU sent me email twice to try to drag me into ur club.

2 [dojo 于 2010-11-03 22:31:32 提到][删除] [FROM: 71.163.]
Okay, now you say #2-4 are for laughs only, why didn't you say that in your originial post? You could see that fionaww challenged your #2 answer, but you did not tell her you were kidding. Instead you gave two more answers "for laughs", but did any one actually laugh in that thread, before I responded? Your humor is really sick.

I made it clear that your #1 answer is fine except that you shall not say "must". "Maybe he has changed a lot" is an okay answer, but how could you use "must"?

Your comment on my "sorry to hear that" shows that you don't even understand what "sorry" means here. It is a very common, sympathetic response to any kind of misfortune. If you ever tried to describe something unfortunate in your life to an American, you should have heard this sentence before. The sympathetic American saying this would never ever think that he is sorry because you are an ass. Your thinking is ridiculous.

Finally, your conspiracy theory "To exclude me ... you tried to drag everyone into ur private club" really makes me sick, even though I was never a fan of Lao Dao. Lao Dao's club is PUBLIC, everyone in the world can read it, and I joined it on my own without Lao Dao's any email. YOUR club is PRIVATE, and YOU sent me email twice to try to drag me into ur club.
 
2   [DrNewbie 于 2010-11-03 21:58:25 提到] [FROM: 71.]


力刀评注:

这是个很有趣的案例,在住院医生面试时时有发生和遇到或类似的场景。这种情况
的应对常常是面试者有意无意地从你反应回答、面部和BODY语言来考察你的反应能
力和个性特点及成熟的素质。表现得好和应答从容合适到位可以让面试者大为开心
或对你留下深刻良好印象,你就得了高分;而相反,应答错误或不当,轻的引起对
方不快或疑虑,严重的,可以说立即被面试者在心里判了死刑--你出局了!

这个CMG提出了个很好得问题,在我所印的下列讨论里,ChiUSMD和Dojo的发言非常
出色,值得大家认真思考和进一步充分讨论,学习提高自己的面试及对这样问题得
脑筋急转弯能力,以及自己的为人处事成熟能力培养。

值得指出的是:那个在麦地喋喋不休到处卖弄她的所谓“英语”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,所以不惜大开杀戒痛砍此ID,得罪了麦地
版规和版主。

说来是坏事,但这也成就了俱乐部的诞生,这里不会再有这种苍蝇和垃圾的泛滥横
行而不受制止。

我希望这里的各位能从这个案例学到更多,大家积极讨论相互收益提高。

力刀 于加拿大
美国医学教育博客(USMedEdu):
http://www.mitbbs.com/pc/index.php?id=USMedEdu (面对全球网站)
http://www.mitbbs.cn/pc/index.php?id=USMedEdu (大陆镜像网站)
MITBBS美加临床医学考版俱乐部(Pre_Resident_Club):
http://www.mitbbs.com/club_bbsdoc/Pre_Resident_Club.html
力刀_新浪博客:
http://blog.sina.com.cn/u/1247007007
文学城_温柔一刀_力刀博客:
http://blog.wenxuecity.com/myindex.php?blogID=2828
北美中国医生网站
http://physician.cmgforum.net/dok/viewforum.php?f=16&start=0

*****************************************************************************

发信人: kaye ([email protected][email protected]~埋底海豚~热爱游泳), 信区: MedicalCareer
标 题: [合集] 面试碰到的尴尬事
发信站: BBS 未名空间站 (Tue Nov 2 02:42:11 2010, 美东)


☆─────────────────────────────────────☆

ZXCVBNMWUJI (无极) 于 (Sun Oct 31 22:38:21 2010, 美东) 提到:

面试碰到的尴尬事:

我的第一个面试的一个面试官是一个看上去很和蔼的老先生,进去后他一上来就笑眯眯
的问,你是怎么认识Dr.XXX的?Dr.XXX是我到美国后的第一个老板。我说,您认识他?
他微笑地点头,说Dr.XXX跟他一起在XXX做的resident。我于是精神为之一振,把我当初
出国如何联系Dr.XXX到他那儿做POSTDOC给绘声绘色了一遍,末了还加了一句类似“He
is the nicest person I've ever met.”之类的评论。面试官耐心听我说完,然后仍
然笑眯眯地说:“Well, I was not getting along with him very well at that
time.”然后就是blah blah blah blah.我当场差点晕倒。

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Sun Oct 31 23:33:50 2010, 美东) 提到:

You could have said back, Ohh, he must have changed quite a bit.
Or he only gets along well with suck-ups. I jam him up real good.

【 在 ZXCVBNMWUJI (无极) 的大作中提到: 】

☆─────────────────────────────────────☆

fionaww (加州无鱼) 于 (Mon Nov 1 00:00:52 2010, 美东) 提到:

第一句还好,第二句就不行啦。万一人家说,感情你是suck-up阿,不然人家怎么看上
你,把你从国内招来呢?不更晕倒了?


【 在 DrNewbie (NN) 的大作中提到: 】
: You could have said, Ohh, he must have changed quite a bit.
: Or he only gets along well with suck-ups.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 00:03:49 2010, 美东) 提到:

hehehehe.

Third one: Am I such a charming person that I get along so well with him? Or Am I personable that we get along so well.

Fourth one: You should be happy with my people skills now right? Since I can get along with this snob.

If you love my answers and you get my sick humor, please join my club:

Pre_resident_english_corner.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 01:25:54 2010, 美东) 提到:

The rest are for professionals only. No imitation by amateurs.
The 1st is witty. The 2nd is humor.


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dojo (麦地里的豆角) 于 (Mon Nov 1 20:34:37 2010, 美东) 提到:

楼上大哥,你是来搞笑的还是来做广告的?你的这些自以为幽默的答案不是too judgemental ("he must"...lol) 就是自我吹捧。

这个情况下,面试官故意不在开始的时候就说合不来,而是在等楼主说了一大堆以后才
说,其实就是想看楼主遇到尴尬时的反应。象楼上大哥这种回答,把球踢回去,反让面
试官尴尬,我以为不好。我的建议是回答"oh, sorry to hear about that" 就行了,
最多再加一句"I don't know why he treats you and me differently",把这话题带
过就得了。Dr.XXX或者任何一个普通人都不可能跟所有人都合得来,这本是正常现象,
何须画蛇添足

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ChiUSMD (治病救热) 于 (Mon Nov 1 20:56:20 2010, 美东) 提到:

I agree. I assume you are a cute girl, and probably got a high remark from
him, otherwise he won't say this political incorrect thing. Go back ask your
boss whatever he said is true or not, then Send him a nice followup email
and make up something 拍一下马屁.

if your boss can send him a short email, 100% you are in or prematched.
My personal experience you will be ranked very high by that program. 美国人的尊师是骨子里的

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sfkitty (meow) 于 (Mon Nov 1 21:12:16 2010, 美东) 提到:

这真的是个需要脑筋急转弯的问题,我觉得理想的答案是结合NN和豆角的智慧。“sorry to hear that" ,加上适当的表情(让面试官觉得你的确 feel sorry about it, 而不是随口说说),再加上 “well, I guess he must have changed a lot“, 然后以一个beautiful smile to wrap it up。



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dojo (麦地里的豆角) 于 (Mon Nov 1 21:28:20 2010, 美东) 提到:

对的,表情要搭上。但这个must就免了,我对NN第一个答案不满意的就是这个must,显
得好象你多知道Dr.XXX的过去似的。你用"I guess"就对了。

说到底,我觉得这个回马枪问题固然尴尬,但老实应对,或者就是尴尬在那儿傻笑没有
答案,也比表现出自大和judgmental要好,这些性格可是要命的。尤其在正式面试问答
的时候,玩幽默是玩火。

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kaye ([email protected][email protected]~埋底海豚~热爱游泳) 于 (Mon Nov 1 23:09:01 2010, 美东) 提到:


dojo(豆角)和chiusmd的分析都很有道理,谢谢!
个人认为是这个问题的正解吧。

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 23:45:44 2010, 美东) 提到:

The old people always have some 童心,he tried to say "got you", just be his
way and do something satisfy his joke. Now matter how smart you are, just
pretend "he got you".

"oops" then smile, or slightly 夸张一下,any other words might turn the
table completely opposite.
American would anwer: "you are good" or "you got me".

在中国,就自罚杯酒。
中美情况差不多,就是不能充大拿。
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共有1条评论
1 [DrNewbie 于 2010-11-03 21:45:45 提到][删除][修改] [FROM: 71.109.]
1 [DrNewbie 于 2010-11-02 14:27:31 提到][删除][修改]
Does it matter whether he has changed or not? NO! The best way is to switch gears right away with a neutral, courteous comment. 'Sorry to hear that' is NOT nice at all. Either is 'u got me'. You really have no idea what happened between these two. Could be something nasty. Or his reply could be just a joke. Either way, it is best not to get involved. Along this line, there is no reason to be 'SINCERELY' sorry for it. The 'sorry' line can be interpreted in a bad way: 'You are sorry because I am an ass?'. Better say something neutral without offending either side. 'You got it' works only when he was really joking. What if he was serious? It would be even more awkward.

There isnt any good answer for this awkward situation. Only an immature person would give you a hard time like this. If a person reply in a courteous way, he wins votes. My answer shows integrity, honor and wit. It wins respects from others. The best dealing with this situation is a polite short answer and a quick switch to other topics.

The beauty of my reply is that it does NOT offend either party. Of course, the tone and your body language determines how the msg is delivered and how it will be received.

'"I don't know why he treats you and me differently" could be taken as very offensive. Right? 'It is because I am an ass?'


2-4 are for laughs only. Hope everyone here knows when to chuckle on a joke.

All you can brag is how other people drooling over your job. How pathetic.

------------------------------------------------------------------
4 [DrNewbie 于 2010-11-02 13:44:06 提到]
Ur foul mouth cost your job already. You just never learn. You will lose
your job again if you dont know when to hold back your filthy mouth.

You can only take pleasure in getting even by your bragging how the wife of
the boss who fired you left him. You are just plain sick.

You are nobody compared with your peers.

Even a monkey can get a score of 50 by throwing darts on a board. So you
think you are smart with scores of 70s? You just got lucky. Period.
Nothing to be proud of.

Talk to anyone who got scores of 70s and ask them whether you just got lucky
or it just doesnt matter. Dont use one case to counter me. Lets talk
about trend or stats.

Your numerous scum filled posts have been deleted by BanZhu. You were so
out of line that even BanZhu was ashamed of you and deleted your mean post
about your ex-boss right after you posted it.

There are many precedents of accomplished people turning into monsters in
their senior years When you were biting every bystander on the street, I
suddenly realized its not me, it is you.

Yes, there are plenty of very smart yet generous, decent people here.

They shoot for much higher goal than you. With your lousy 70s score, no
wonder the best advice you gave to them is to take the less satisfying
prematch. Because you could only get lucky once.

So stop misleading people by using you as an example.

To exclude me from getting info on the medi board, you tried to drag
everyone into ur private club. It just shows how childish you are. Only a
sick person would devise such an evil plan. Even your buddies think you
have gone too far and opened ur private club for public viewing.

You are just a plain sick old man.

--------------------------------------------------------------------

4 [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。

他的英语很好。中国人特别是我们河南人一听就懂。 像“welcome u join my club" 和his is a very unique 8-gua I enjoy to read”还有“I'm sure there you will get more benefits=我坚信在这里你将得到更多的好处。”多么容易的“直”译呀
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5 [DrNewbie 于 2010-11-02 23:00:52 提到]

His best English is:

Bless the God. No wonder people call him the GodFather.
 
3   [USMedEdu 于 2010-01-17 09:09:09 提到] [FROM: 24.]
发信人: fatsy (麦地飞猪 ^o^), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 19:09:38 2010, 美东)

见笑了。mm的悟性远在我之上,我做了半年才悟到的东西mm一进去就想明白了。另外补
充一点,见习一
个很重要需要学的是要认真体会美国这边的医疗系统如何操作,医生护士如何沟通,
PCP医生和专科医生
之间如何沟通,PCP医生和病人之间如何沟通,(我很幸运跟了一个很好的医生,他一
些病人搬家到外州
了,还宁愿开车几小时回来看他,我很感动,在国内从来没见过这样的医生)。大致知
道整个过程,去
面试的时候心里有底,就不会太慌张。
另外mm可以提早去clinic,护士站都会把当天这个医生要看的病人打印在纸上的,mm可
以提前看一下
病历,了解这个病人过去的情况,这样进去问诊就不会慌张。
CS的东西早点看起来,这样你每次externship都是练习CS了。对考试会有很大的帮助。
(我悟到的
晚,所以CS也考得不怎么样。)
mm有什么问题都可以站内联系我,不过我这几天准备step 3,可能回复会不大及时,见
谅。


【 在 atstep2 (olivetree) 的大作中提到: 】
: 飞猪你写得太好了,比我的原贴含金量大多了。难得你能在短时间内就能把机会把握得
: 这么好!我这几天正在捉摸时间不多了,怎么再提高一步呢。能不能和你站内信箱联系
: ,请教几个具体问题?
: epocreate



--


发信人: atstep2 (olivetree), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 22:24:01 2010, 美东)

你的“补充一点”很对啊,记得我的头一贴,老刀说的就是类似的话,见习,学的主要
是美国这边的医疗系统,本学科和其他学科的关系,如何和其他科的医生沟通。

你事前,事后,当时的功夫,都很够啊,怎么会拿不到好的信呢。还有点问题求教,发
站内信箱了。

对了,你见习的是一个大学医院的门诊部吗?还有护士站。

发信人: acne (麦地米虫), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Sat Jan 16 10:35:33 2010, 美东)

起点如何并不重要,是大家对你的期望如何。真正进了临床,大事小事堆在一起,没人
关心你母语是不是英文,对大家的期望是一样的。intern大概3个月后就期望你能熟悉
系统,自己上手了。
不用你自己“显示自己的诊疗水平”,attending查房自然就会问你,"what is the
plan? what do you want to do? How do you think about this patient?"
我想不起来的词汇就形容一下,或是说个大概其,反正大家也听的懂。:


发信人: fanco ([email protected]), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Sun Jan 17 01:44:33 2010, 美东)

刚刚开始在一家teaching hospital的outpatient clinic做ob, 基本上是早上8点开始
, 带我的医生会进来打开EMR看看每天的病人list和每个病人的情况, 上午的时间会分配给看门诊病人(包括问诊,鉴别诊断,和处理, 写patient notes), patient call(需要打一些电话),忙完这些往往就一点了, 下午有时候不用工作, 有时候需要去病房看一两个病人。我现在还不是很清楚整个系统的运作。 感慨一下EMR确实很好用, 比起国内写大病例要有条理, 要方便很多。

偶尔回答带我的医生的问题, 我见缝插针问她几个问题, 除此之外, 我没有跟病人交流的机会,完完全全是个“影子”。当然还是学习到了很多, 门诊的病人有很多一人身兼好多种病, 在诊断治疗的时候会涉及到不少鉴别诊断的问题, 能够把考试学习到的东西运用到病人身上是很有趣的一件事情。 同时带我的医生是一位nice, professional的医生,
观察她如何跟病人沟通交流也是很有收获的一件事。




--

※ 修改:·fanco 於 Jan 17 03:31:03 2010 修改本文·[FROM: 76.102.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.102.]






 
4   [USMedEdu 于 2010-01-15 15:08:03 提到] [FROM: 140.]
[回复] [回信给作者] [本篇全文] [本讨论区] [修改] [删除] [转寄] [转贴] [收藏] [举报] 0 0
[ 11 ]

发信人: atstep2 (olivetree), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 13:55:18 2010, 美东)

如果能很快在第一年的前几个月就达到这个标准,当然是再好不过了。

也许是我太self-conscious---我现在的感觉是临床的听说读写如果不行,根本轮不到
显示/提高你的诊疗能力似的。这就象是在补我们和AMG之间的差距,这是他们几年的
clerkship就过关了的,而我们才刚起步。只有这一点过关了,才是在同一起跑线上。

不过可以想象,acne的起点会比一般同学高很多。

【 在 acne (麦地米虫) 的大作中提到: 】
: 看不同人的要求了。第一年是病史采集,体检,初步建立诊断鉴别诊断和处理。临床的
: 听说读写是交流的渠道。




--

※ 修改:·atstep2 於 Jan 15 14:52:35 2010 修改本文·[FROM: 71.250.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.250.]







atstep2
进入未名形象秀
我的博客
[回复] [回信给作者] [本篇全文] [本讨论区] [修改] [删除] [转寄] [转贴] [收藏] [举报] 0 0
[ 12 ]

发信人: atstep2 (olivetree), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 14:21:28 2010, 美东)

飞猪你写得太好了,比我的原贴含金量大多了。难得你能在短时间内就能把机会把握得
这么好!我这几天正在捉摸时间不多了,怎么再提高一步呢。能不能和你站内信箱联系
,请教几个具体问题?

【 在 fatsy (麦地飞猪 ^o^) 的大作中提到: 】
: LZ写得真好啊,“专业词汇的发音,病历书写经常提笔忘字” 跟我当时的感觉一样,
: 不知道lz考过CS没有,如果还没有考过的话,建议先看一下CS 的patient note,这样
: 对你见习时病例书写会有很大的帮助,我当时还准备一个ipod touch,装上
epocreate
: ,医生是没有多少时间教你的,我一般是在看完病人出来之后去找医生汇报病史之前,
: 先查一下epocreate,看看鉴别诊断看看治疗,心里有个数,这样去汇报的时候就比较
: 有条理,对于专业词汇发音,我在ipod touch上面装了Anatomy Pronunciations 和
: medical terminology prounciations 是同一个公司出版的,很好用。当时我见习的诊
: 所的电脑是可以上uptodate的,如果有不会的病,我会在当天结束的时候请求带我的医
: 生给我打印一份uptodate上这个病的review回家看,然后下次再来的时候可以准备一些
: 问题问问医生,因为他们自己都没有时间看uptodate,我给他们做个小结,带我的医生
: ...................



--

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atstep2
进入未名形象秀
我的博客
[回复] [回信给作者] [本篇全文] [本讨论区] [修改] [删除] [转寄] [转贴] [收藏] [举报] 0 0
[ 13 ]

发信人: atstep2 (olivetree), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 14:50:44 2010, 美东)

谢谢老刀前辈的肯定。

我理解,communication skills==临床的听说读写+认真态度+和病人交流的技巧。

认真态度:可能有时候看到别的医生查体很潦草,有的医生在利用听诊心肺的时候和病
人开玩笑,但是我在起步阶段不敢这么做。 印象很深刻老刀博客提到他给一个臭不可
闻的病人换药。和这一点相比,内科的查体认真一些并不算太难。关键是在一天跑来跑
去基本没有停下来的时间,自己很累的时候,还保持住耐心关心认真的态度。

和病人交流的技巧:比如difficult的病人,长期服药血压血糖控制不好心理有抵触的
病人,不仅仅是be nice and nice就可以解决的。和一个朋友交流过,很有帮助。还有
风MM的博客,给了我一个窗口去看见真实的住院生活,有时她提到的一两句话,就给我
很大启发。再次特地致谢。



 
5   [USMedEdu 于 2010-01-15 12:30:06 提到] [FROM: 140.]
发信人: fatsy (麦地飞猪 ^o^), 信区: MedicalCareer
标 题: Re: 诊所见习体会小结--兼谈个人理解
发信站: BBS 未名空间站 (Fri Jan 15 12:12:58 2010, 美东)

LZ写得真好啊,“专业词汇的发音,病历书写经常提笔忘字” 跟我当时的感觉一样,
不知道lz考过CS没有,如果还没有考过的话,建议先看一下CS 的patient note,这样
对你见习时病例书写会有很大的帮助,我当时还准备一个ipod touch,装上epocreate
,医生是没有多少时间教你的,我一般是在看完病人出来之后去找医生汇报病史之前,
先查一下epocreate,看看鉴别诊断看看治疗,心里有个数,这样去汇报的时候就比较
有条理,对于专业词汇发音,我在ipod touch上面装了Anatomy Pronunciations 和
medical terminology prounciations 是同一个公司出版的,很好用。当时我见习的诊
所的电脑是可以上uptodate的,如果有不会的病,我会在当天结束的时候请求带我的医
生给我打印一份uptodate上这个病的review回家看,然后下次再来的时候可以准备一些
问题问问医生,因为他们自己都没有时间看uptodate,我给他们做个小结,带我的医生
很开心,还说也从我这里学到不少东西,他给我写了很好的推荐信。后来他常常主动把
他的一些医学书籍借给我看,还送了一些给我,很感动。因为outpatient这块
preventive medicine很重要,我还装了USPS出的Electronic Preventive Services
Selector
下载地址http://epss.ahrq.gov/PDA/index.jsp
希望对后来人有帮助。
--

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