I'm one week into third year and have been in an outpatient family med clinic. I feel pretty awkward, as I'm sure is normal, but was hoping for any advice you in the attending role might have for a student like me. I'm put with one physician in the practice, usually a different one each time, and I just feel like I'm in the way. They're so busy, and I don't want to interrupt their flow or talk out of turn to them or to patients. I'm usually pretty funny and outgoing, but I find myself unable to loosen up at the office. I think trying to avoid being the weird/awkward med student has turned me into being the weird/awkward med student. Any advice (other than stop being so self-conscious or worried, because I'm not having luck with that really) or things you wish your students would do? Another thing is, I find myself not really having any questions, even when the preceptor turns to me and suddenly asks for questions.
Also, I feel like one of the doctors I've been with doesn't really listen to the patient or ask the kind of questions it seems like they should. They seem to throw antibiotics at everything and just say that it's not really the correct way to do things but it's just their style. Are my instincts right that as a third-year being graded I should just go with the flow and not question them?
Last question, kind of unrelated - how can I get better at coming up with a differential in my head for a presenting problem? I'm usually told the chief complaint on the walk to the patient room, and I'd like to have a few diagnoses in mind when we get to the patient, but I don't seem to think that fast. Is that just something that will come with more reading and practice?
Also, I feel like one of the doctors I've been with doesn't really listen to the patient or ask the kind of questions it seems like they should. They seem to throw antibiotics at everything and just say that it's not really the correct way to do things but it's just their style. Are my instincts right that as a third-year being graded I should just go with the flow and not question them?
Last question, kind of unrelated - how can I get better at coming up with a differential in my head for a presenting problem? I'm usually told the chief complaint on the walk to the patient room, and I'd like to have a few diagnoses in mind when we get to the patient, but I don't seem to think that fast. Is that just something that will come with more reading and practice?