The Washington Manual Internship Survival Guide
"As an intern you will encounter many new challenges. These will range from very simple to most complex. Please remember that you have acquired the tools to address this adversity. And, even when you feel most overwhelmed, you are undoubtedly surrounded by a wealth of available resources that include ancillary and nursing staff, fellow interns, senior residents and attending physicians. Although the year ahead of you may now seem long and daunting, your tasks (other than survival) are quite achievable. The following competencies/milestones were copied from the curriculum for the in-patient general medicine rotation for the internship program at Washington University School of Medicine and Barnes-Jewish Hospital. You can see that not only are the objectives quite simple, but your rigorous work in medical school has well prepared you to master many of your goals. Throughout the year, use these objectives as a checklist to remind yourself of your accomplishments and to guide your learning in potential areas of weakness. - Patient care: o Gather accurate information about patients, including performing a thorough history and physical examination. o Synthesize data into a prioritized problem list and differential diagnosis, and then formulate diagnostic and therapeutic plans. o Prioritize each day's work. o Know the indications, contraindications, and risks of some invasive procedures and competently perform some invasive procedures"--Provided by publisher.
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abdominal acidosis acute airway antibiotics anticoagulation aortic dissection artery assess atrial fibrillation atrial flutter Barnes-Jewish Hospital bleeding blood pressure bowel call a consult cardiac cardioversion catheter cause Check chest pain Clinical pearls Consider consult immediately CrCl diabetic diagnosis digoxin diltiazem discharge disease dose drug electrolytes emergency etiology evaluate examination fever Fio2 fluid Foley catheter hernia hyperkalemia hypertension hyponatremia hypotension infections ischemia ischemic Key History lung mental status metabolic metabolic acidosis mg/kg mmol/L monitor neurologic nursing obstruction obtain ocular opioid orthopedic oxygen p-waves patient Pertinent information Physical exam physician pneumothorax prior procedure pulmonary pulse require respiratory rhythm risk shock sinus skin ST elevation surgery surgical suspected symptoms syndrome tachycardia tension pneumothorax therapy tion tracheostomy trauma treatment tube ulcers ultrasound urine vancomycin vascular venous ventilation ventricular vital signs warfarin Washington University Workup