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>> No.10571481 [View]
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10571481

>>10571462
When asked if you want to see a patient or something, it's a rhetorical question, just say "yes, I'd be glad to."

When presenting a patient, if you are asked a question you don't have the information for, just say you don't know. Don't make shit up. If you break trust you will be branded a liar, and that makes you look terrible.

Understand the basic expectation is that a typical MS3s will be able to gather information for the Subjective/Objective parts of an H&P. That's the expectation to PASS

So to HONOR, you are judged based on your ability to A/P. So, always try to come up with some sort of Plan, even if it's wrong.

"Continue the antibiotics" is not a plan
"Pneumonia, Improving today, on Ceftriaxone Day #4/7" is a plan.

If you are expected to present to the ATTENDING, then ask your intern if you can run your assessment and plan by them. Assuming you're on good terms, the intern will likely correct all your mistakes and give you an actual assessment and plan. Copy it down word for word and present it to the attending.

If the attending says you're plan is fantastic, then you talk up the intern: "Thank you, the intern has taught me so much today, I appreciate all of the time she spent teaching me".

But if the plan is completely wrong, you DON'T say "oh but this is what Dr. xxx told me". your residents will murder you for doing this. you accept the responsiblity all on yourself (YOU presented it after all) and say "Oh ok, thank you Dr. Atteding, appreciate you teaching me".

Obviously this is general advice and differs between rotations and hospitals. Nobody can give you a foolproof guide, but you either get the idea at this point or you don't.

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