How honoring works
-you can honor a clerkship and also honor the year.
-honor a clerkship by honoring the shelf and outstanding evaluations
-To honor Year 3 either honor six of the required 11 months
-or if you add up the points from the eleven months, 35 and greater means you honored, 2 points per month of satisfactory, 3 for clinical/academic commendation, 4 per month of honoring. This allows someone to honor only a month or two and still earn comprehensive honors for the year. Eg. Clinical commendation in surgery is 3x2 months=six points.
-Your elective is not computed but is on your transcript for programs to see
The honoring rates for each rotation for 2013-2014 are in the graph below for reference.
Presenting information discrepancies
-you will find the history you get will be contradicted by information the attending or senior resident gets from the same question. You did nothing wrong, this is because patients have more time to think over the question and may remember new or different information.
Do you have to stay late?
-if you’re senior resident or attending says you can leave, you should listen, it proves nothing by staying, its because they have work to do that you cannot contribute to.
-but staying late and helping with tasks related to patient care are always appreciated, calling in social calls, picking up labs, etc.
You never have to pick up food/coffee for anyone-this is harassment.
Basics of Presenting
Different attending’s have different interpretations methods, but a general outline for presenting in the SOAP style will not fail. You should consult Maxwell’s pocketbook always, Wayne should provide a copy
Pre-round on your patients, look on uptodate for anything you don’t know
Never report a value you do not understand because you WILL be called out on it.
S-subjective, anything the patient said, how things went overnight, etc.
O-objective, always start with VITALS! Then physical exam, head to toe is preferable.
A-can be said in one sentence
P-usually safest by organ system: CV plan, Lung plan, Renal plan, etc.
The plan ALWAYS includes if they can be discharged or when on inpatient and when to be seen again for follow with outpatient visits.
It is always easier to be successful on a rotation if you pretend you want to go into the field and care about your patients, you will learn more which leads to knowing more and looking better to your team.
-The goal of third year is to learn to take an excellent history and present it well. You will learn how to manage patients on your own in residency. Try to learn as much as you can regardless of what field you choose.
-Regarding choosing a field, whether you like your rotation or not, keep in mind that a specialty may be very different at another institution or with different personnel or organization structure so please don’t write anything off too quickly!
Useful planning tips for Year 4 Scheduling
-there are “light” rotations useful during interview season when you cannot afford to take a month off. These include: independent study research with a mentor or personal doctor friend, mentor, family friend; anesthesia at harper, radiology dmc (not ford), interventional radiology.
-DO NOT do a required rotation during heavy interview season.
-Try to take any required work BEFORE match, it is much harder to work afterwards.