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Ensures that a website is free of malware attacks. Highest customer reviews on one of the most highly-trusted product review platforms. Here's how you actually present a case, with tips and pointers along the way. How to present a patient in the hospital on daily rounds. You have a Data Tracker, a To-Do list, you've seen the patient, and made decisions.
Daily rounds should be concise, to the point, and relevant. Speed up your presentations, speed up rounds, sound more intelligent, get more out of rounds. Know exactly what to say in each situation. This has been the most difficult thing for Dustyn to teach residents as an attending. What he does is give different examples, playing off the iSOAP model from Spoken Daily Rounds, showing you how to expedite the presentation while still being appropriate.
Know what to say, when to say it, and how to show the difference between what you think and did and what someone else thought and did. Faculty Development for an Intern. This is material that we coach exceptional attendings how to do. When a presenter is bad at giving a presentation, "be better" isn't very useful.
Most attendings won't have this skillset; they may not even be able to identify what's wrong with your presentation. This allows the learner to show introspection, to identify where there own deficiencies are, and offers solutions to improve upon your oral presentation skills.
Old school trumps new school. With the advent of EMR, putting in an order is really easy. But the computer now dictates care. How much lasix? Must be 20, because that's at the top. This teaches you how to write paper orders, prescriptions, to place orders into a paper chart. This throw-back teaches you what you never learned - WHY the orders look the way they do in the computer. Learning how to write paper orders helps you understand what you're doing, and lets you write orders when the system goes down.
Old school trumps new school, again. Admit order sets are great for quality measures and attendings done in training. Admit order sets are just another box to check, and another way to practice poorly.
Knowing how to do an admit order set will enhance your ability to admit a patient correctly. When you need help, sound smart. Calling consults is probably something you never did. Oral communication between a doctor and another doctor will facilitate the desired outcome. But there are some things you can do to prepare for the call, some etiquette you should follow, and some must dos to make the consult as effective as possible.
Controlling yourself despite the most obnoxious, intrusive device ever created by humans. The pager is the ultimate interruption. You are busy. They are busy. You are heated. They are heated. Learn to calm down, learn the proper etiquette, and what to expect and usually not receive when you return a page. Screwing this up is a massive withdrawal without you even knowing it. Make your life easier, use shorthand. Learning to annotate on paper makes your life infinitely easier.
Copying from and learning from an EMR system on how things should look and how they should be displayed, will make your life a living hell. Learn shorthand to speed up your day, make your time management tools more effective, and your life a whole lot easier.
IDR is not for you. It is a time to make deposits into everyone else's accounts, to make ancillary staff feel appreciated and included, to let them vent. What is IDR? And how should you handle it? What should you do? What shouldn't you do? You Maintain and balance stress, emotions, and residency Understand and invest in yourself, so it doesn't impact your patients or peers. The bad stuff you will go through that no one else will tell you about, or admit that they went through it too.
Residency is the hardest thing you have done to date. It will be the hardest thing you've done in your life. Learn what to expect at different points in your training, know that it is ok, and that there are people who can help, if you ask. Introspection, energy, emotional bandwidth. Your soul, your mental fortitude, your ability to process society and remain polite.
Codified to your cell phone, this explores and identifies what drains you, the dangers of being drained, and finding how to recharge yourself. Stress makes you grow, anything else doesn't.
Too little stress and you get bored. No growth. Too much stress and you panic, survival mode only. No Growth. Learn to push yourself to the limit, to bend the border of your ability and grow, but also how to spot and then change periods where you are not growing.
At no other time will you have the supervision and ability to try, to fail, and to grow as in residency. Don't squander it. What you can change, what you can't change, and what you shouldn't bother with. Residency is hard. You will have little emotional and intellectual bandwidth after work, notes, personal care, and whatever other responsibilities you have in your life after all that.
There will be things you can control yourself , things you can't famine, war , and those aren't hard to spot. But be careful of the things you could influence if you invested enough energy. Leaving completely drained Learn "what's in your box" and what's not worth dumping whatever remaining charge you had left.
Internal vs External Motivation. Motivate yourself. Motivate others. Carrots and Sticks vs Mastery, Autonomy, and Purpose. Others Improve outcomes by raising the level of the team This can be a high stress job. Change the way you see the world, people, and become more effective. A cerebral look at your perspective on others.
Establishing relationships with people becomes the key to growing your sphere of influence, or impacting change, and becoming more effective. The entire life of a medical student has emphasized "get ahead at all costs. Codification of your relationship with every person in your life, including patients, staff, colleagues, and supervisors. Learn how to make deposits, flush the accounts, and be rewarded for the efforts you make over time.
Also see the potential catastrophe of withdrawals, what they are, and what happens when you overdraw. Remaining effective for your patients and your team even if there is a disagreement. When there is an argument, both of you are wrong. Learn how to effectively manage a disagreement without draining your own emotional battery or withdrawing from the emotional bank account.
Documentation Meticulous detail in a fraction of the time These tips and tricks will save you hours daily.
The most hated document by residents and the most important document you'll ever write. Copy and Paste. If you are doing the work well - caring for your patient, presenting on rounds, getting feedback, Dustyn shows you how you can cheat the system to make note-writing a breeze.
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