Two thing I picked up towards the end of my training: 1. Prioritize how patients are seen and if you are in a senior position, help those under you prioritize. For example, see patients with overnight issues, then lay eyes on the newly admitted, next patients planning to be discharged/ major tests & procedures that day, and finally everyone else. This may mean you run around more but it can be more time-efficient than letting geographic layout determine how you round and discovering later in the day, gaping issues that need to be addressed. 2. Always be thinking about discharge. When a patient is admitted, get them seen early by social workers, dietician, OT, PT, etc. if these are not automatically ordered on a unit. Don't wait until later as social issues, need for rehab, etc. can delay/ complicated discharge. Keep an eye out for such issues. Include these issues when presenting.
As an intern I hate how doctors are so robotic and cannot tolerate a slight variation in presenting style It makes the job a job Not a passion, and thereby contribites to burnout rates
Hello Dr. Strong, thank you so much for educating us. When you say intern do you mean 1st year of Residency? At PAHS intern year is after you are done with MBBS finals. That is after 5 years of training. In some wards, particularly IM we get to be involved in direct patient care. We write the patient notes, come up with the plan and even perform many of the procedures. We independently check patients in the OPD and ask help from the consultant when in confusion. What you describe sounds like the internship we have.
Yes. In the US, internship is the first year of residency. The path to a doctor in the US most conventionally involves 4 years of an undergrad degree, followed by 4 years of med school (at which point you are a "doctor" - either MD or DO - but cannot practice independently), and then 3-6+ years of residency - the first year of which is your "internship". (There are many variations on this: Some students take longer than 4 years in med school to get additional supplementary degrees or do research, the US also has a relatively small number of schools that combine an undergraduate degree and medical degree in 6 years instead of the 8 it would typically take, etc...)
I wouldn't say that all attending doctors are specifically trained in how to teach during walk rounds - in fact, most aren't. But all academic doctors (i.e. doctors who train residents and/or medical students) are expected to do this with some degree of minimal competency.
Two thing I picked up towards the end of my training:
1. Prioritize how patients are seen and if you are in a senior position, help those under you prioritize. For example, see patients with overnight issues, then lay eyes on the newly admitted, next patients planning to be discharged/ major tests & procedures that day, and finally everyone else. This may mean you run around more but it can be more time-efficient than letting geographic layout determine how you round and discovering later in the day, gaping issues that need to be addressed.
2. Always be thinking about discharge. When a patient is admitted, get them seen early by social workers, dietician, OT, PT, etc. if these are not automatically ordered on a unit. Don't wait until later as social issues, need for rehab, etc. can delay/ complicated discharge. Keep an eye out for such issues. Include these issues when presenting.
As an intern I hate how doctors are so robotic and cannot tolerate a slight variation in presenting style
It makes the job a job
Not a passion, and thereby contribites to burnout rates
Dear Sir, thanks for producing such a great series. Could you kindly make such series for senior residents?
Thank you for all your effort! Can I request that you make videos for oncall/bleep scenarios that are a bit more detailed. Many thanks!
I'm not sure what you mean by "oncall/bleep scenarios". Can you give an example of one?
Hello Dr. Strong, thank you so much for educating us.
When you say intern do you mean 1st year of Residency?
At PAHS intern year is after you are done with MBBS finals. That is after 5 years of training. In some wards, particularly IM we get to be involved in direct patient care. We write the patient notes, come up with the plan and even perform many of the procedures. We independently check patients in the OPD and ask help from the consultant when in confusion. What you describe sounds like the internship we have.
Yes. In the US, internship is the first year of residency.
The path to a doctor in the US most conventionally involves 4 years of an undergrad degree, followed by 4 years of med school (at which point you are a "doctor" - either MD or DO - but cannot practice independently), and then 3-6+ years of residency - the first year of which is your "internship".
(There are many variations on this: Some students take longer than 4 years in med school to get additional supplementary degrees or do research, the US also has a relatively small number of schools that combine an undergraduate degree and medical degree in 6 years instead of the 8 it would typically take, etc...)
Thank you very much
So all doctors are trained to teach in rounds and when possible? Excellent
I wouldn't say that all attending doctors are specifically trained in how to teach during walk rounds - in fact, most aren't. But all academic doctors (i.e. doctors who train residents and/or medical students) are expected to do this with some degree of minimal competency.
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