Many of you know that I collect hundreds (maybe thousands, now) of pieces of advice for medical students, interns, residents, and really, anyone in healthcare. Most often, the best source of advice is the patient and/or a caregiver of a patient… a family member or a loved one.

Short, but quite needed post today:

I received this piece today from a resident who happened to also be the loved one of a patient. I would like to share this piece of advice with you since (a) it is so true, (b) it needs to be elevated from being “a tip” to being ingrained in every human being entering healthcare, and (c) if you heed this advice you will stand out in a big, big way.

Here is what he/she submitted for you today:

1. Try to approach your patients as if they are, in fact, people…as opposed to “a case”. Far too often people are treated as interesting cases rather than a individuals who need help.

2. Don’t forget to educate your patients. Some physicians get caught up in rounds and teaching residents that they forget to teach their patients! Helping them medically involves educating them as well (Why do you think show’s like Dr. Oz and the Doctors are popular?…people want to know!!!)

Are you a patient, a caregiver, a nurse? Give some advice to young doctors here.

Where you can find more information about Last Wish and Dr. Van Scoy:

• Last Wish: Stories to Inspire a Peaceful Passing – get the book here (& get it now )
• KnowYourWishes.com
• About Dr. Van Scoy
• Follow Dr. Van Scoy on Twitter

Lauren Van Scoy, MD currently serves as the Chief Fellow for Pulmonary and Critical Care in Philadelphia. She wrote Last Wish: Stories to Inspire a Peaceful Passing independent of her work at Drexel University College of Medicine and Hahnemann University Hospital. The opinions expressed in her book are her own and not the opinions of her employer or her training institutions.

If you’re a 3rd or 4th year medical student or a new intern, you must see this video. It takes you inside what could be the single most important resource for the clinical years of your training (outside of the rotations themselves). This membership is like having a Super Attending in your pocket.

Here’s a glimpse of an email from a RookieDoc graduate:

On my first rotation of my third week my attending told me she had never had an MS3 like me. She said that I was performing at the level of a PGY2. The last day of my third week of my third year I diagnosed a patient with a rare disease that all the attendings & residents missed. The patient is still alive he would have died within about 24 hours without intervention. I had the courage to state my opinion. Thanks Dr Tori!
- Trish – Miami, FL

Of course, I’m not saying this is what your results will be like when you join, but it does mean that it, at least deserves a sneak peek inside. So go ahead… Check it out:

If you’re a medical student, an intern, a resident or a fellow, then you can skyrocket your learning and your Boards preparation without adding time to what you do already.

You already go on rounds with your attending. You already attend conferences, classes, and morning report. You already go to Grand Rounds. And you might already go to Boards prep courses.

Well, check this out… with one tweak, your learning experience can go from okay to phenomenal.

If you want to get this amazing pen, you can order it from Amazon.

If you are an institution (a medical school, a residency program, etc) and you would like to learn more about how this concept can help your organization go from good to completely awesome, then go to NapkinRounds.com.

By the way, if you haven’t seen the changes yet:

Several times a month, I receive emails from patients and nurses thanking me for some of the videos I post with tips for medical students, interns, and residents. Well, recently, I received a moving message from a patient via my YouTube inbox. And she gave me a direct call-to-action to create a means for patients to offer advice from their perspective.

Well, this is the first step in that process. If you are a nurse, a patient, a caregiver, or really anyone who comes in contact with physicians, this is your opportunity to offer some advice. Over time, depending on the response, I will make this into a more robust, far-reaching project. I will select the best of them and redistribute them.

A word of caution… This is for sincere advice only. This is not a mouthpiece for attacking specific individuals, the healthcare industry or for lumping people into groups and labeling them. (There’s plenty of that in the news media) This is for sincere advice from one human to another.

OK… this is a shameless plug for one of the RookieDoctor.com products now made available. If you don’t like the fact that I’m going to promote something, then don’t watch this short video. I discuss the importance of your notes and documentation – from the clinical years of medical school on through internship and residency.

If you want to know how your progress notes, your H-and-Ps, your discharge summaries, etc can impact your evaluations, your future job offers, your letters for fellowship, the likelihood you will be sued, and more importantly, your patients’ lives, then check this out. It’s short, but it’s not sweet:

If you’re in medical school, internship or residency, it can be pretty stressful to give a presentation. Public speaking is tough as it is, but you’re presenting to a bunch of people who often know more than you… and worse, one or two of them (actually think they) benefit from having someone like you not do so well.

Well, one way to really set a poor tone for the talk is to get there and have the thing not load.

Here’s a look at some ways of backing up your presentations so you don’t find yourself in that situation.

• RookieDoctor.com/dropbox

Now that everyone has switched over… 2nd year med students have started their clinical rotations, 3rd year medical students have become 4th years and are beginning the countdown to graduation, and new interns have started their stress-year…

I thought it appropriate to cover something you will never be taught about your pager… at least not formally, anyway. So here it is:

It’s really quite simple. When wearing scrubs, you only have this semi-thin drawstring that doesn’t really hold a pager too well.

SCRUBS: If you wear your pager on your scrubs, it will flop around and sometimes unclip itself depending on your position.

WHITE COAT (side pocket): If you put it in your white coat side pocket, you will leave it on during conferences or you will not feel it vibrate. You also run the risk of it slamming into a door or wall as you walk.

WHITE COAT (top pocket): If you put your pager in your top pocket of your white coat or of your scrubs, well, that’s just inexcusable… it will fall out when you bend over & it will be impossible to reach if you wear a gown.

So here’s what you do (see the video at http://youtube.com/RookieDoc):

1. Tuck in your shirt – all the way – even in your underwear
2. Face your pager in towards you (not outward like you would if you were using a belt)
3. Clip the pager around your scrub bottoms drawstring AND your underwear

That’s it. I hope it helps

(In the interest of full disclosure: some of the links in RookieDoc posts are affiliate links, meaning that I might get a small commission if you purchase them through my link.)

One of the RookieDoc members shot me an email asking me about the pharmacology references I recommend to carry around in your white coat as an intern or a resident.

Here was a portion of our exchange:

Question:
I noticed you recommended Tarrascon Pocket Pharm – which edition is better, shirt pocket or lab coat pocket? I know the shirt pocket is a lot smaller, but will that be enough? It would be nice not to have to tote around a bigger book…if you could let me know what you think that would be great! Thanks again! I appreciate you getting back to me so quickly.

Answer:
You’re right, it’s better to carry around the smaller book.

Whatever you buy, save the receipt… and submit it for reimbursement if you have an education stipend.

I hope that helps

Dr. Tori
RookieDoctor.com

Congratulations… Doctors.

Wow, what a roller coaster of emotions at this time of year, huh? Finally finishing medical school – a little nostalgia, and lots of relief. For a few weeks being called “Doctor” is going to be pretty awesome. And a few weeks after that, well, it’s going to be pretty scary (and awesome at the same time).

Well, if any of you are looking for gifts medical students (or for yourself), here are some gift ideas for medical students and new interns:

(In the interest of full disclosure: these are affiliate links, meaning that I might get a small commission if you purchase them through my link. It will not affect your cost at all. Alternatively, you can search Amazon, or something and order them directly. I still highly recommend these gifts.)

You go through all of this training to get where you are and then you find yourself in a situation where you are 100%, completely, and utterly dependent on technology to make a diagnosis… Well, Sapira’s Art and Science of Bedside Diagnosis can change all of that. And not only that… it can make you stand out as being light years ahead of your peers.

It’s not essential for “surviving” internship, but who is only interested in “surviving” anyway?

Too many people tell you which books to get… and too often (you know how it goes)… those books just end up on the shelf and you use them more like reference books. Well, this is the only textbook-sized book I actually carried with me while I was on-call. The ICU Book. It’s that good.

Seriously… this book is the real deal. It’s easy to read… not because it is dumbing-down the material, because it isn’t. It’s easy to read because it has just the right amount of information. Not too much and not too little.

This is the line of stethoscope I use (and hey, I work primarily on cardiac floors): Littmann Master Cardiology. There’s a pretty good review of this stethoscope at HolterMonitor.org.

Some people prefer the amplifying stethoscopes. I do not. At this point they’re a little too bulky. Maybe as technology improves, so will the size and weight. But who needs more heavy stuff to carry around with them? Plus, you better learn on the standard stuff and only use the souped up technology to supplement. Too many people are already losing diagnostic skills and relying too much on technology (… but I digress).

You can get funny medical humor gifts like mugs, shirts, hats, bags, etc at the GiggleMed.com Store. There’s even a funny infection control humor book, Bugs on Scrubs, that pits a doctor and a nurse against each other -arguing over who is spreading infection – hilarious, evidence-based advice in rhyming Dr Seuss-style text.

Funny stuff. A great stress reliever… even if you don’t buy something… there are things to forward along, especially at high-stress times. You can really make someone’s day with appropriate humor.

OK… shameless plug time… Of course, there are some awesome gifts from this very site. If you want to “Wow” your graduating medical student friend or family member, give them a RookieDoctor.com Membership or an Internship Survival Skills Audio CD. The timing couldn’t be better in light of that emotional roller coaster I mentioned above. These RookieDoc products are designed for the medical student from 3rd-to-4th year transitioning into internship.

If you have other ideas for gifts for medical students, post them in the comments below.