MEDICAL RESIDENCY, THE ANTIDOTE TO ITS CHALLENGES

How this residency eBook Works
This entry is part 1 of 1 in the series How to Surpass Residency in 5 Steps
  • MEDICAL RESIDENCY, THE ANTIDOTE TO ITS CHALLENGES

MEDICAL RESIDENCY, THE ANTIDOTE TO ITS CHALLENGES

Announcing the new survival guide “How to Surpass Residency in 5 Steps". Discover the Secrets of Success in Residency with this valued eGuidebook.

 

How to succeed in your medical postgraduate training and become even stronger than a Rock-Star? How about visioning your dreams of being a Doc-Star instead? Maybe you just want to do well in residency training, but don’t know how to do it? These are common questions with few accessible answers nowadays. There are many blogs and dispersed information out there but without specific antidote to offset the challenges we will face during medical residency. Together, let's transform uncertainties and overcome anxiety-provoking new M.D responsibilities to a shield of confidence and healing-driven physician's network.

If THEY did it, I can do it! That was my first optimistic thought before entering one of the most challenging but rewarding moment in my life: a Family Medicine Residency Training. And I am telling you now If I did it you can do it too! Would you like to learn what was my Antidote to Challenges in Medical Residency? My humble hope with this post-series about "How to Surpass Residency in 5 Steps" eGuidebook is to show and share with you how a utopia became a genuine achievement.

I will walk you through all the steps in this process. My final goal is to inspire and empower you with my testimony of how I've gone from an uneven struggling track to a triumphal path. From being a non-English speaking immigrant to a successful resident and co-chief in one of the most robust academic institution in the nation. And to engage you even further in reaching your triumph, I'm privileged of having medical students and residents under my tutelage as a faculty physician now. What more could you wish? This is far beyond what I ever imagine being and do. Feeling overwhelmingly grateful, I'd like to share and serve others to thrive as a successful physician through this eGuidebook.

Don't you are proud of matching in a residency program? Don't you feel eager to practice medicine? We should be proud of what we accomplished by this time. Isn't cool having an M.D after your last name? Being a physician is the most gratifying profession ever in existence. We will not simply need a vast knowledge and proper skills to do our job but still be devoted to a set of attitude and behavior rules accepted in the medical field and foremost to earn the trust of our patients.

Have you heard about the 'July Effect'? If you haven't and want to learn more click previous link. In summary, is the result and explanation of the July spike in fatal medical errors. Usually, newly graduated interns begin medical residency by July 1st eager to learn and take more responsibility for patient care. The evidence shows a correlation between July mortality spike in academic hospitals and new starting medical trainees. Isn't this terrifying? It's petrifying but what about if I tell you is simple to overcome it. Even simpler than you think!

The pathway to your dreams isn’t ever simple to pass over, often sprinkled with ridges to scale, difficulties to survive—and painful, paralyzing moments that will induce you to give up. During doubtful times, just follow this quote: "Never give up. There are always tough times, regardless of what you do in anything in life. Be able to push through those times and maintain your ultimate goal."

As you work to reach your most visionary targets, force yourself to move forward. One of the personalized benefits you will find in this "Survival Guide" is how I committed to what I considered the optimal equation to successfulness: Success = Talent + Perseverance + Good Luck. Be humble but confident to do well in life. Always believe in yourself!!

Don't be consumed and frightened of making your contributions to the "July Effect". Instead, start by being proactive and involved. Stay tuned with this eGuidebook and hold it with you as an all-time must have survival blueprint. This path is full of obstacles, skeptics, reasonable mistakes but passing the extra mile there will be no limits. We couldn't achieve any goal without the challenges taken in life and well-proven by those who went beyond the bars. Do you have any experience or ideas to ease the transition from resident to attending life? Do you know the “magic bullet” to surpass medical residency? If you do or if you are excited in finding and/or developing an ascending path, just SUBSCRIBE and SHARE your thoughts and opinions.

"How to Surpass Residency in 5 Steps” eGuidebook scheme and infograph:

#Step 1: Before start your medical training. Instantly learn more with this outline to acclimatize you while having your “ready-to-go” tools.

#Step 2: What do I need to outshine in residency? This is all about how to write succinct notes and give eloquent but concise case discussions during ward rounds.

#Step 3: Beating down to the real work. Gaining access to personalized success-proven 'Medical Templates Database' is just Invaluable.

#Step 4: Which guidelines and protocols should I adhere to? Enjoy these compelling evidence-based pragmatic recommendations to achieve sounded medical knowledge.

#Step 5: Concerned about nailing your Board Exam? Practice makes Perfect! Learn how to outscore the boards.

#Appendix 1. Prepare and Conquer USMLE Step-3 implementing this step-by-step wizard guide.

 

There Has Never Been a Time Like Right Now! Let's Discover the Secrets of Success in residency by gaining more valuable and robust resources...

 

#Step 1: Before start your medical training. Instantly learn more about this outline to acclimatize you while having your “ready-to-go” tools.

Wise suggestion, above any means, work very hard. Show up very early to pre-round on your patients and tie all loose points before heading home and don’t leave a lot of things for night float resident/crossover. Be amiable, flexible and on acceptable terms with everybody. With these essential skills... you will be well appreciated by senior residents and attendings. In internship the most vital attribute is being a very hard worker not the smartest.

CORE RESIDENT ATTRIBUTES

You will open many doors by earning the trust of your attendings and program director, these attributes may help:

  1. Benevolence: be a good trainee - avoid making demeaning opinions about anybody (teammates, RN's and patients)
  2. Reliability: do ALL the tasks they hand over to you. Write then in your to do list. Check marks will help to not forget
  3. Competence: competent to handle with the problems expected for your level of training - don't have to be the brainiest, but reading helps (both medicine in general and about your patient), extend your differential diagnosis, try to come up with your own plan. Know your limits and don't be a cowboy/girl. Don't be afraid and hesitant to ask for help
  4. Honesty: don't throw curve balls when mistakes happen
  5. Openness: listen and look to the eyes when someone is speaking to you, seek and be willing to accept feedback
  6. Punctuality: Show up on time
  7. Be efficient: which means getting your resident tasks completed on time while providing the finest care and being a competent team member. You don't want to be the person identified as being slow or “thorough”. Drink coffee is a plus
  8. Friendship: Don't make enemies. Residency is a social network. Period.

I knew a few people who attended renowned medical schools. Afterward they got snapped out of residency because of issues with one or more of the above.

 

Instantly polish yourself by following this checklist of recommendations:

  • Compare to yourself! Don’t compete and measure with anybody else in your team and life. Every day when you wake up just look at the mirror and think how did you behave the previous day. You are your own opponent. Compare yourself with the person you were yesterday, and the preceding day, and continue as your prosperity goes on. Everyday aim to be a better version of yourself!
  • Grow to resemble the desires of your attendings/residents, even if you consider whatever they're presenting is the strongest nor best evidence based recommendation. Express your perceiving and advocate for what you think is right, but concede if you're not having a sympathetic reply. The only time you prefer to raise a controversy is if you're being asked to do something that will put a patient into risk.
  • If you're admitting and dealing with admission issues, always try to prepare a preliminary plan first. Later, bounce it off with attendings and residents. This is the best way you learn what to do. Likewise, by the end of the year you should respond your pages about serious concerns. Try to stabilize the case as much as possible and then call your senior resident to know if anything else was imperative. You must do this so you're not still fresh meat when you're heading the team as a PGY-2.
  • Don't be the dude who placed weird orders or meds and ever makes strange things that doesn't comply to local work protocols.
  • Document ALL IMPORTANT THINGS you do. When cross-covering, you must write a note every time you intervene that will change patient management. It covers your "back". Plus, there's nothing more disturbing than taking over the care next day and seeing that the night float ordered a bunch of random stuff with no explanation of what was happening. These notes need not be long - do a two liner unless you want to add a physical exam, etc.
  • Timing is necessary, but after all it is perhaps better being slow but thorough or careful than being 'efficient' but poor or bad.
  • Give concise sign-outs but detail-oriented. Integrate them so that the resident you're signing out to (who is likely cross covering and admitting and so has several things working on) knows the crucial issues/tasks to follow-up. Nothing absorbs more than dealing with the people who want to give you a complete H&P on every single patient they're signing out to while you have two pagers going off at once and your senior resident is bothering you to do the next admission. On the other hand, you must make sure you sign out Everything that is relevant - skipping fundamental information is a good way to get in trouble when situations go amiss.
  • Keep your notes and discharge summaries concise (I had trouble with this for a while too - it takes time to excel on this). Document everything that is really required, but no more. This isn't like medical school where the person who tells the longest, most verbose notes filled with the most trivial details gets the reward. Those copies take way too long to write, and nobody wants to read them either.
  • Tie up loose ends and stay around to guarantee your patients receive proper care. Don't be like those "smartest fellows" who hurry through rounds, crash out their notes and leave the cross-cover resident holding a laundry list of tasks to follow-up with all their pending consults, labs, imaging they couldn't bother to stick around for. It's an inadequate behavior.
  • Stay calm, nice and professional. Earning a reputation for being a high maintenance, high drama will not give you many friends.
  • Don't be the resident who is always seeking to make their schedule switched around and/or is demanding to get privilege made for themselves, etc. This is an attractive form to annoy the wrong folk.
  • Adopt a range of strategies: Chemical (Coffee consumption), Dietary, Sleep Management, Behavioral, and Cognitive to educate yourself  on self-care strategies during residency training.

Recommended book in Amazon:

IMGs-Guide-Mastering-USMLE-Residency: A book for those who will start the USMLE journey. Click and Get it here!


Helpful Medical Phone Apps:


ABFM Exam Prep (#1 tool to prep for ABFM Boards, and it’s fee)
Iphone: https://itunes.apple.com/us/app/exam-prep/id401650093?mt=8

Android: https://play.google.com/store/apps/details?id=org.abfm.examprep


UpToDate
(Usually included and paid by all academic institutions, gold to have)

 Iphone: https://itunes.apple.com/us/app/uptodate/id334265345?mt=8

 Android: https://www.bing.com/search?q=uptodate%20app%20for%20android&qs=n&form=QBRE&sp=-1&pq=undefined&sc=0-24&sk=&cvid=6F154BDF592747FAA567506E42530C08


Hospitalist Handbook ($19.99, worth it):
 Iphone: https://itunes.apple.com/us/app/hospitalist-handbook/id1214415358?mt=8
 Android:  https://play.google.com/store/apps/details?id=com.agilemd.android.ucsf.hospitalisthandbook&hl=en


ASCVD Estimator (Free and Practical)
 Iphone: https://itunes.apple.com/us/app/ascvd-risk-estimator/id808875968?mt=8
 Android: https://play.google.com/store/apps/details?id=org.acc.cvrisk&hl=en


Family Practice (FP) Notebook
(Free and great web-based interface)
 Iphone: https://itunes.apple.com/us/app/family-practice-notebook-app-free-medical-reference/id835973313?mt=8

 Android: https://play.google.com/store/apps/details?id=com.usbmis.troposphere.fpnb&hl=en


Epocrates (Free and Prime version)
 Iphone: https://itunes.apple.com/us/app/epocrates-reference-tools-for-healthcare-providers/id281935788?mt=8
 Android: https://play.google.com/store/apps/details?id=com.epocrates&hl=en


ASCCP Colpo & Pap Guidelines ($9.99, worth it. Easy decision-guided algorithms):
 Iphone: https://itunes.apple.com/us/app/asccp-mobile/id615585559?mt=8
 Android: https://play.google.com/store/apps/details?id=org.asccp.mobile&hl=en

Electronic Preventive Services Selector [ePSS] (Guide PCP to do screening, counseling, and preventative services)
 Iphone: https://itunes.apple.com/us/app/ahrq-epss/id311852560?mt=8
 Android: https://epss.ahrq.gov/PDA/android.jsp

 

Are you very excited, self-motivated and eager to succeed even more? Would you like to get the full collection of recommended medical Apps? Subscribe and Seek out for the “Medical App Bonus” here!

In the Second Step of this mini-post series, we will outline the most recent in-depth guidance of how to write succinct notes and give eloquent but concise case discussions during team rounds. Stay in touch. More updates to follow and watch for further developments…

Do you want the free sample full eGuidebook in PDF format before they are gone? Let our success-proven guidelines ease your transition. Treat yourself and Discover the Secrets of Success! Request this limited free handbook here.

Watch more in this YouTube video:

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