t******a 发帖数: 408 | 1 非常感谢Peter, Jenny, Coffee, 和 Pathodream 大牛前辈
给我们分享发自肺腑的宝贵经验和精彩的演讲指导!
感谢版主Newman迅速组织这么精彩的演讲!
下面是笔记(对不起有些地方没有记下来,不全),仅抛砖引玉
期望其他同学能够补充,指正!造福大家。
********************************************
Forget your USMLE score; ask and learn from your co-intern
Form a Tx plan by yourself and then, compare and learn from other people’s
critique, and why the new plan is better.
头三个月决定别人对整个residency的评价。
重要的实验室结果,不要等, 自己去查
Fever --- pan culture, CBC, C/S, Electrolyte ---
凡事多和resident商量。
Must follow THROUGH your order (Tx/lab/procedure),
esp. the UNSTABLE patients !!! Mare sure you GET the results, not just
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 from
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 severe
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. unstable,
Receive what treatment?
Think common problem first
Note: 前三个DDx作为billing
Sepsis ---
Length of stay --- why/should this patient continue to stay in hospital?
Think D/C plan early.
HIPAA ----
Check box ---
intern准备体检和写病历。
看病人要亲历亲为。
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 resident’
s int’x with patients… … What is your expectation? …..
Half-way on the road ---- ask what area you think I need to improve? | c*******y 发帖数: 329 | 2 感谢tangpusa细致的笔记!
赞有心人!
s
【在 t******a 的大作中提到】 : 非常感谢Peter, Jenny, Coffee, 和 Pathodream 大牛前辈 : 给我们分享发自肺腑的宝贵经验和精彩的演讲指导! : 感谢版主Newman迅速组织这么精彩的演讲! : 下面是笔记(对不起有些地方没有记下来,不全),仅抛砖引玉 : 期望其他同学能够补充,指正!造福大家。 : ******************************************** : Forget your USMLE score; ask and learn from your co-intern : Form a Tx plan by yourself and then, compare and learn from other people’s : critique, and why the new plan is better. : 头三个月决定别人对整个residency的评价。
| t******e 发帖数: 195 | 3 谢谢分享
s
【在 t******a 的大作中提到】 : 非常感谢Peter, Jenny, Coffee, 和 Pathodream 大牛前辈 : 给我们分享发自肺腑的宝贵经验和精彩的演讲指导! : 感谢版主Newman迅速组织这么精彩的演讲! : 下面是笔记(对不起有些地方没有记下来,不全),仅抛砖引玉 : 期望其他同学能够补充,指正!造福大家。 : ******************************************** : Forget your USMLE score; ask and learn from your co-intern : Form a Tx plan by yourself and then, compare and learn from other people’s : critique, and why the new plan is better. : 头三个月决定别人对整个residency的评价。
| d******d 发帖数: 121 | 4 感谢tangpusa细致的笔记!这个周末非常荣幸地参加了两个webinar, 由前辈
attending们和一年级,二年级包括三年级的优秀住院医通过自己的亲身体会和许多生
动的故事,举重若轻、深入简出地指导我们这些intern-to-be如何有个良好的开端,如
何生存,如何处理矛盾还有毕业后如何打算,真是受益匪浅!真是难得一听的精彩讲座
!新版主的第一把火烧的很旺! | f*********4 发帖数: 60 | | J*********4 发帖数: 1274 | 6 还要感谢新版主和两位美女志愿者Summer and Zumba的幕后辛勤组织。
忘了提一句,EKG是内科Intern必须掌握的,下面的两个免费学习EKG的网站对我帮助巨大
https://www.youtube.com/user/umemergencymed/videos
讲课的是急诊EKG专家,把我这个刚开始对EKG一窍不通的看了以后居然好像有点Sense了
http://ecg.utah.edu/outline
犹他大学的这个既有教程,又有相应的多选题来考核,打基础必备 | r***e 发帖数: 101 | | t******a 发帖数: 408 | 8 感谢老版主的无私奉献和热情指导!!
巨大
【在 J*********4 的大作中提到】 : 还要感谢新版主和两位美女志愿者Summer and Zumba的幕后辛勤组织。 : 忘了提一句,EKG是内科Intern必须掌握的,下面的两个免费学习EKG的网站对我帮助巨大 : https://www.youtube.com/user/umemergencymed/videos : 讲课的是急诊EKG专家,把我这个刚开始对EKG一窍不通的看了以后居然好像有点Sense了 : http://ecg.utah.edu/outline : 犹他大学的这个既有教程,又有相应的多选题来考核,打基础必备
| T****g 发帖数: 705 | 9 谢谢各位先行者无私的奉献!心电图网站收藏了!
多谢楼主的笔记,好像对CK的医院management的问题有所提示,那个charge nurse...
借楼请教,似乎CK多了医院管理/医疗事故处理方面的问题,有好的材料长知识吗?
这些可能对美国孩子是白菜给分的。 | v******2 发帖数: 41 | 10 做了一个residency program ob回来,看这些notes后感觉句句在理啊! 感谢楼主的无
私分享! |
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