My advice for intern year (part 1)

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  • Опубліковано 26 жов 2024

КОМЕНТАРІ • 54

  • @swandizzle_
    @swandizzle_ 7 місяців тому +99

    Am a pharmacist. YES PLEASE USE ME 🙋🏻‍♂️ It’s very validating to help when the docs specifically ask for it.

  • @ghilliedealer
    @ghilliedealer 7 місяців тому +60

    Cannot stress the pharmacy part enough and the 24 hours of worry is definitely real. THANK YOU PHARMACY

    • @kas7145
      @kas7145 7 місяців тому +3

      I came here to applaud the pharmacy part. The number of times I had to call doctors like "Are you sure you wanted this?".
      Sometimes I hate how compartmentalized medicine is, but pharmacy really pulls their weight at being good at the science of medications and how they interact.

  • @yurineri2227
    @yurineri2227 7 місяців тому +129

    let's all be honest, Pharmacists totally deserve the glaze, no cap

    • @j.adamwegs2882
      @j.adamwegs2882 7 місяців тому +8

      My pharmacist friend convinced me to pursue medicine instead of nursing. One thing she taught me is that she would much rather be asked for advice, than to have to chase down a doctor that inadvertently tried to kill their patient with an incorrect med order.

  • @Lumpycheeses
    @Lumpycheeses 7 місяців тому +33

    I’ll glaze pharmacy every day. Pharmacy catches so many mistakes. They got a degree in drugs, ask them questions about drugs.

  • @5omethingsBetterThanNothing
    @5omethingsBetterThanNothing 7 місяців тому +8

    big up on the pharmacy part.. idk why where i practice the attending/chiefs always have this weird thing where they try to uncover DDI using google??? not even an authenticated app or software.. i jsut took it as my responsibility to be that intern who says 'i can call pharmacy to get that checked'

  • @thebeatles9
    @thebeatles9 7 місяців тому +34

    I really love the teamwork aspect of psych. It's just a shame there is usually such a huge disconnect from the medical staff and nursing and the psych/soc folk. Like, why on earth would the doctor NOT want to talk to the tech who has been playing cards with one patient for 5 hours every day for the last 3 days?

    • @itspresro
      @itspresro  7 місяців тому +19

      I try my best to get the techs opinions for this very reason

    • @thebeatles9
      @thebeatles9 7 місяців тому

      don't let the charge find out@@itspresro

  • @skittless25
    @skittless25 7 місяців тому +39

    pharmacist here! when you were talking about your struggles with the EPR and putting in orders under stress, I was literally shouting “ask the ward pharmacist!” 😂 Agree with one of the comments - Use us! That’s what we’re here for!

    • @swandizzle_
      @swandizzle_ 7 місяців тому +2

      Delivering a clean med rec list of orders from Emerg for the attending MD to sign gives me life 🙌 and saves the dispensary pharmacists the stress from verifying bad med rec 😆

  • @juangordilloandreu3603
    @juangordilloandreu3603 7 місяців тому +11

    Dude! Just when you had won over this practicing pharmacist and dad of a future Psychiatrist, you go and outdo yourself. I had recently commented on my son matching in psychiatry in NYC. Thanks for your confidence and respect for us often neglected pharmacists. We mean well and are there to help whenever possible. Use us please.

  • @andrewjiang3761
    @andrewjiang3761 7 місяців тому +21

    This channel is such a goldmine as an incoming med student hoping to specialize in psych

    • @AA-yk1vq
      @AA-yk1vq 7 місяців тому

      Yesss

    • @peterqazify
      @peterqazify 7 місяців тому

      Yes same this channel is HUGE

  • @Smittyxc
    @Smittyxc 7 місяців тому +14

    As an RN, #1 brought a tear to my eye🥲🧡

    • @fionajames9960
      @fionajames9960 7 місяців тому

      This made me a little sad. Are Drs instinctively not inclined to be respectful to nurses or treat them as human?

    • @Smittyxc
      @Smittyxc 7 місяців тому +2

      @@fionajames9960 it’s just a stressful environment where everyone is burnt out and tired, doesn’t bring out the best in any profession

    • @fionajames9960
      @fionajames9960 7 місяців тому +1

      @mattsmith7772 thanks for explaining. I got a touch defensive, but thinking about it since, Drs are rude to each other too at times and nurses can treat other nurses disdainfully. Makes me appreciate all the pointedly kind and polite interactions

  • @siddharthadas6076
    @siddharthadas6076 7 місяців тому +5

    Been out in practice for about four years and all of this is great advice. Your first point is the most important. Being kind to the people we work with in healthcare is important and it doesn’t and shouldn’t be transactional. Easy to forget when the pressures of the day get to you and I’ve been guilty of it myself many times.

  • @BoscoDubstep
    @BoscoDubstep 7 місяців тому +8

    Would love to hear more of your thoughts about getting out of that "competitive speciality is my identity" mindset during med school as that's something I'm currently struggling with. Great video as always!

    • @itspresro
      @itspresro  7 місяців тому +5

      When you connect your self worth to your grades (serious)
      ua-cam.com/video/kb8_oAc-xtc/v-deo.html

  • @THOOODAI
    @THOOODAI 7 місяців тому +4

    I used to hate being the messenger when the pharmacist tells you the patient shouldn’t be on xyz medications together but the boss dismissed the info. Happened so much on Cardiology.

  • @moo3oo3oo3
    @moo3oo3oo3 7 місяців тому +3

    The pharmacy thing is SO true!

  • @hailmademodeG
    @hailmademodeG 7 місяців тому +4

    Dude one more upvote for clinical pharmacists. absolute bosses, and they always get back. even if they dont know the answer, theyve gone out of their way to link me to the primary sources of papers theyve read to get to an answer! The rest of your tips are great too. The other thing ill add : other residents are going through the same thing youre going through. Chat with them and vent!

  • @dmc01
    @dmc01 7 місяців тому +11

    Pharmacy is S tier.

    • @spottedstar1123
      @spottedstar1123 6 місяців тому +1

      this message is pharmacy student approved

  • @bell10877
    @bell10877 7 місяців тому +2

    This is so kind and helpful!

  • @horikita3464
    @horikita3464 7 місяців тому +2

    As a soon to be R1, i need alot of this lmao

  • @patrickwillingham8153
    @patrickwillingham8153 7 місяців тому

    another absolute banger, thank you for your insight!

  • @teresasimms7801
    @teresasimms7801 6 місяців тому

    The Pharmacists have questioned prescriptions and contacted my doctor's scripts about half dozen times for my family and I over the course of a few decades, with positive results. 🎉

  • @JohnLevine-i3f
    @JohnLevine-i3f 7 місяців тому

    Thanks for the tips, about to start in July!😅

  • @PepsiT98
    @PepsiT98 7 місяців тому +1

    Timely, thanks man!

  • @HelanaJabeen
    @HelanaJabeen 7 місяців тому

    It's difficult for me to talk to people, so I treat everyone like they don't exist and yeah it's not good. You need people to back you up. I'm gonna die.

  • @theotherredmeat
    @theotherredmeat 7 місяців тому +3

    The bar is sadly extremely low on how you engage with nurses. If you make any effort to be nice and collegial, you can make a *huge* impression. And they absolutely talk to each other about you, good or bad
    If you actually ask for their opinion and appreciate that they have expertise, and take time to discuss the plan and the rationale with them rather than simply dictating orders, they may literally fall in love with you.
    Source: married a nurse.

  • @talananiyiyaya8912
    @talananiyiyaya8912 7 місяців тому

    That's an insanely abrupt ending

  • @rhodrickelly6656
    @rhodrickelly6656 7 місяців тому

    Thanks Preston!

  • @saysHotdogs
    @saysHotdogs 6 місяців тому

    Lowkey pharmacists are the smartest terminal degrees in the hospital 😂

  • @baranpourtahmaseb-sasi1421
    @baranpourtahmaseb-sasi1421 7 місяців тому

    It's kind of bizarre to think operating in an ecosystem with access to subject matter experts one wouldn't defer to them as a resource...

  • @DoctorRhys
    @DoctorRhys 7 місяців тому

    Awesome! 😊

  • @kylekylekyle505
    @kylekylekyle505 7 місяців тому

    What is an intern? Is that 3rd yr med, 4th yr med, or 1st yr residency? We don't use that language in Canada.

    • @itspresro
      @itspresro  7 місяців тому

      First year doctor

  • @chriswho12345
    @chriswho12345 7 місяців тому

    bro 7 months late

  • @fulltimeslackerii8229
    @fulltimeslackerii8229 7 місяців тому +2

    There’s something about “be nice to the nurses” that reminds me of boomers who say “happy wife happy life”. It gives me a sort of ick that I can’t explain. Like, we’re treating nurses like nagging wives instead of coworkers and it feels weird

    • @itspresro
      @itspresro  7 місяців тому +4

      The problem is a lot of people treat nurses with less respect than their colleagues, so “being nice” is allowing them the same respect you would a peer. I would ask another team member their specialty or name before barking orders at them under normal circumstances. I’m not saying walk on eggshells around nurses and bend over backwards for them we I say “be nice to nurses”

    • @emiliezc
      @emiliezc 7 місяців тому +5

      I disagree to this a little bit (coming from a nurse haha) because I don't think that it gives an ick or like nurses are being talked about like nagging wives.. I think that the be nice to nurses catch phrase always seemed to come from the heart of seeing us as people and treating me like a person and not just barking orders. Especially because I am totally on board with doing what needs to be done for the patient (ie following "doctors orders")

    • @fulltimeslackerii8229
      @fulltimeslackerii8229 7 місяців тому

      @@emiliezcwhy would I be more obligated to treat you better than I already am for others? Why is it never “make sure pharmacy is happy” or “make sure the techs are happy”?

    • @emiliezc
      @emiliezc 7 місяців тому +3

      I think the phrase is just to be nice to nurses, no one can control another person or make them happy. The point is to have a respectful work environment