- Joined
- Aug 6, 2009
- Messages
- 14
- Reaction score
- 0
OK..new intern obviously..call has been tough, I knew it wouldn't be easy, but I don't have a lot of back up support and I'm in dire need of help from anyone willing to offer advice.
Here are my issues:
1-When I get called or paged to see a pt or called about a pt, I freak out, lose all grip on what I am supposed to do and what I know and just kind of stand there for a long time, then eventually I ask someone for help. I know I'm not stupid, but I can't seem to get that whole autonomy thing going. Anyone had this happen and know what to do about it?
2-I feel like I did better with H&Ps in medical school. Kinda sad. I know "you will never know as much as you did 3rd yr of medical school" and all of that, but wow I can't seem to string up a good H&P to save my life. I keep leaving major things out. Also, I feel like my physical exam skills went to ****. I can't seem to correlate anything anymore--is that a murmur? umm crackles mean...?
3-I don't really know how to formulate a good assessment and plan..any help is appreciated--I especially am not sure of how to address things, like do I say, I think that the dx is most likely ___; less likely dx but considered in the differential are__ and they are ruled out b/c ___? then where should I put my plan? Help help help
..and the biggest of all...**4**--when I don't know something, like if a CT read comes back and I don't know what the interpretation means, I don't know where to look for help on how to figure it out. Or for instance, if a lab result is abnormal, I have a hard time finding how to look it up. And the worst of all, if I'm having trouble formulating a diff dx/assessment/plan, I have absolutely no idea how to find help and look things up.
As you can see, I'm a mess and I'm getting crushed right now b/c of it. I really thought I was smart coming out of med school, but I've realized that I don't know which pts shouldn't get heparin prophylaxis and I don't know what to do with pneumonia. Someone help!!
Here are my issues:
1-When I get called or paged to see a pt or called about a pt, I freak out, lose all grip on what I am supposed to do and what I know and just kind of stand there for a long time, then eventually I ask someone for help. I know I'm not stupid, but I can't seem to get that whole autonomy thing going. Anyone had this happen and know what to do about it?
2-I feel like I did better with H&Ps in medical school. Kinda sad. I know "you will never know as much as you did 3rd yr of medical school" and all of that, but wow I can't seem to string up a good H&P to save my life. I keep leaving major things out. Also, I feel like my physical exam skills went to ****. I can't seem to correlate anything anymore--is that a murmur? umm crackles mean...?
3-I don't really know how to formulate a good assessment and plan..any help is appreciated--I especially am not sure of how to address things, like do I say, I think that the dx is most likely ___; less likely dx but considered in the differential are__ and they are ruled out b/c ___? then where should I put my plan? Help help help
..and the biggest of all...**4**--when I don't know something, like if a CT read comes back and I don't know what the interpretation means, I don't know where to look for help on how to figure it out. Or for instance, if a lab result is abnormal, I have a hard time finding how to look it up. And the worst of all, if I'm having trouble formulating a diff dx/assessment/plan, I have absolutely no idea how to find help and look things up.
As you can see, I'm a mess and I'm getting crushed right now b/c of it. I really thought I was smart coming out of med school, but I've realized that I don't know which pts shouldn't get heparin prophylaxis and I don't know what to do with pneumonia. Someone help!!