Internal Medicine

  1. Resources for Rotation and Studying
  2. How to Prepare (Weekend Before Starting Rotation)
    • Review performing a full physical exam (Stanford 25 is helpful for reviewing)
    • Get used to the short hands for CBC, CMP, and LFTs
    • Review common inpatient problems (pimpable stuff):
    • Start to familiarize yourself with what murmurs and abnormal lung sounds sound like
    • Have RED and black pens in your coat pocket
      • red is for your To Do list for the day (e.g., MRI results, repeat Hgb, etc)
  3. Getting the Most Out of Your Rotation
    • Be inquisitive
    • Volunteer for everything
    • Look things up as you go
    • Take time with your patients. It isn’t a race. Some of my most memorable and meaningful moments have been from slowing down and listening to my patients.
    • Make daily A/Ps for your patients. This will help you evolve from a reporter to an interpreter to manager (RIME learning model). Also helpful for studying for boards as step 2 is more management heavy.
    • Go to all lectures (morning report, noon conference, grand rounds, etc) and stay engaged for the entirety.
    • Give yourself more time than you think you need in the morning to synthesize your patient’s subjective/objective data before rounds. I would say start with 30 minutes per patient. Then work on whittling that down.
    • Ask if you can perform or assist in any procedures being done by doctors, nurses, residents, respiratory therapists, etc. You’ll be surprised what you’ll learn or do if you just ask.
    • Offer to do as many admissions as you can. They are exhausting, but that is where you will learn a lot about disease presentation and how to formulate pertinent questions to get the information you are seeking.
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