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Archive for July, 2008

Skills New Doctors Must Master Early in Training

Saturday, July 26th, 2008

Just posted a very short article/top-ten-list about things you should focus on early in your training. They’re not necessarily in order.

Read this document on Scribd: Skills New Doctors Must Master Early
tor.com’s RookieDoc Skills New Docs Must Master Early in Their Training © Wisdom Booth Publishing, LLC.. All rights reserved. RookieDoctor.com Skills New Docs Must Master Early in Their Training During the time you have in your 4th year of medical school, internship, and residency you have an opportunity. Now most people will tell you how horrible this time can be and will offer tips on how to “survive.” Not so with RookieDoctor.com… it’s about success and mastery. And your training from 4th year through residency is an important time for developing good habits and practices. If done right, you can have patients singing your praises, awesome evaluations from attendings, more efficiency, more time with friends and family, fewer lawsuits, less workload, and improved patient safety. Good habits form now… but so do bad ones. Learn to master these things below, and you’ll be off to a great start. 1. Reading chest x-rays 2. Reading ECGs 3. Reading ABGs 4. Recognizing trends 5. Consider all eyes when documenting 6. Bedside manner 7. Communication (with other doctors, nurses, patients, patients’ families, administration, etc.) 8. Different presentation types (to attendings, to consultants, to patients, to families, for morning report, for M&M, etc) 9. How to optimize a consult 10.How to prioritize patients and work Learn more at RookieDoctor.com and Internship-Tips.com RookieD © Wisdom Booth Publishing, LLC. All Rights Reserved. sK oc Other RookieDoctor Resources Articles • 21 Ways to Improve Your Documentation • Frustrations Every Intern & Resident Will Face On-Call – and what to do about them • Time Management Myths & Tips for Interns & Residents • 10 Alternatives to Placing a Central Line • Book reviews • ….and much more Core Training Videos • Intern Survival Skills • On-Call Tips • Getting Fewer Calls • Dictation Tips • Board Preparation • Documentation Skills • Prescription Writing • Public Speaking & Presentations Handheld Resources MindMaps Image Libraries Clinical Case Studies Templates, Checklists, Lists, and Spreadsheets • Getting Out of Debt for Interns & Residents • Income & Balance Sheets • Alternative Careers for Docs • CV templates • Personal statement templates Non-Clinical Case Studies • Resident evaluations • Job search • Moonlighting • Jokes Gone Bad • Risk management & lawsuits • Documentation Ways for You to Stand Out • Physical Exam Findings Your Attendings Are Clueless About • Progress note templates The fact is, you don’t need this stuff. Medical & surgical training has done just fine for a long time without RookieDoctor.com. But for under a dollar a day, why not skip learning the hard way? © Wisdom Booth Publishing, LLC.. All rights reserved.

Important Life Lessons for RookieDocs

Friday, July 25th, 2008

Ultra-important lesson from a dying patient. Watch this farewell lecture from Randy Pausch…

Farewell from a Dying Professor

Actually, he died today… here’s an article about it… his mission and his message.

Get Reimbursed for your Education Expenses

Wednesday, July 23rd, 2008

Most residency programs offer an education stipend or allowance. If you’ve purchased anything related to your training lately, make sure you submit your receipts. I posted Reimbursement Request Templates in the RookieDoc Members Area. Just plug in your information, print, and hand it in to your program.

By the way, for those of you in the RookieDoc Mastery Orientation Program, make sure you submit your receipts for reimbursement. RookieDoctor.com services should count under your education stipend. If your program does not reimburse you, send me the program address and a contact person and I’ll see what I can do. So far, every program that receipts have been submitted to have accepted them.

Awesome Site for Heart Sounds Review

Friday, July 18th, 2008

==> Heart Sounds Tutorials by Blaufuss.org <==

Found this great site for heart sounds review. Check it out.

Light Medical Humor Goes Wrong

Thursday, July 17th, 2008

Be very careful… Jokes and things done to make people feel better are not always about the intentions behind them. Even intending good, you may offend someone or make them feel violated. In this case, a surgeon was sued for giving a temporary tattoo. Kind of cute to some… deeply violated to others.

And the point is not to be careful just because you will get sued. No. Be careful, because you may leave someone feeling violated and you might get sued. Both.

Personally, I’d have trouble sleeping in either case.

Bonus “Survival Skills” Module Posted

Tuesday, July 15th, 2008

Just an FYI for students of the RookieDoc Mastery Orientation. There’s a bonus module posted on going beyond “surviving” internship and residency. There’s a spectrum with “failure” on one end and “mastery” on the other. And, frankly, “survival” is too close to failure. Find out what’s next notch over closer to “mastery”.

Here’s the login link:

By the way, it’s not too late to join the RookieDoc Mastery Orientation 2.0 program. But the remaining Fast-Action Bonuses go away on Thursday, July 24th at 6pm Eastern.

America’s Best Hospitals – Learn From Them

Friday, July 11th, 2008

OK. Normally, I probably wouldn’t highlight a hospital ranking article for new interns and residents, but this one is very well done. It is a great article to learn from. US News and World Report’s America’s Best Hospitals covers ventilator associated pneumonia (VAP) protocols, bedside manner, handoffs and signout, turf battles between specialties, getting feedback from patients, and more. Although it is written as if you know very little about medicine and surgery, there are some great lessons and perspective changers for med students, interns, and residents.

Mind Mush Module Posted

Monday, July 7th, 2008

The Mind Mush Module is Live!

There’s so much stuff in this Module, that you should stop reading this blog post right now and go get started with the “Start Here” video. Then, move on to the MP3 downloads, the videos, and the handouts. More on the way too.

Here are some important links:

Horrible Feedback From Your Attending

Saturday, July 5th, 2008

A huge part of your training is getting feedback – constructive feedback. Too often you will come across upper level residents, attendings, and supervisors who give useless feedback. And you should not settle for feedback that is useless.

Here’s what I mean…

Let’s say you go and ask your attending, “Dr. BossMan, I was just wondering how I’m doing. Am I doing okay?”

You will see, the problem lies in how you asked the question. Invariably, the answer will be “Fine. You’re doing fine.” Or, “You’re doing great. You have nothing to worry about.”

Useless. Completely and utterly useless.

This kind of “feedback” will not help you improve. It will not help you to form good habits, nor will it alert you to bad ones.

Here’s a better question for your attending… “Dr. Advisor, can you take a moment to look over this H&P and tell me how I can make it better?

You can do this with any particular area you want to improve in. Note writing, history taking, presenting patients, introducing yourself, signing out patients, running codes, etc. Whatever it is.

I just added more to the feedback portion to the RookieDoc Orientation Mastery Program to help you optimize your feedback – templates and scripts – exact phrases to try for yourself. You really need to form good habits now.