- Joined
- Mar 12, 2016
- Messages
- 106
- Reaction score
- 174
The whole learn the OSCE checklist the day before and move on approach I took, while focusing on crushing anki/uworld during my preclinicals is making me worry I'll have difficulties adjusting to clinic.
My concern is when I am interviewing patients, I am constantly trying to focus on what questions to ask next, and not giving enough attention to remembering the patient's story. My memory for stuff like this is generally poor. When I was a server years ago, I always had to write down orders cause I would forget, and sometimes I had to even ask them to clarify because my brain would zone out. When I've tried writing the highlights of a patient's story down, it creates somewhat of an awkward pause in the flow. Some of the better history takers I've seen take histories as part of a natural conversation, one that is smooth and efficient. My histories are piecemealed together already and writing just makes it more noticeable. On top of that the notes I've seen from residents are super detailed and touch on aspects of the conversation that I am unable to explain in as many words as they do. I've been trained by prior jobs to keep my written communication as succinctly as possible and naturally that often means I am inclined to not delve into finer detail.
I'm a smart student by the books, but transferring that knowledge into clinical applications has proven difficult. I usually have to stop and think about the problem rather than knowing the answer off the top of my head. This is not ideal in a fast-paced floor or clinic. My differentials are lacking because of this and it is affecting my confidence in taking on more patients. Every morning is a rush to get the progress notes written up before rounds. What should I do? I'm lacking in time to address each concern from above in full and that's stressing me out, knowing I have areas that are suboptimal.
Sincerely,
-Concerned M2 moving forward
My concern is when I am interviewing patients, I am constantly trying to focus on what questions to ask next, and not giving enough attention to remembering the patient's story. My memory for stuff like this is generally poor. When I was a server years ago, I always had to write down orders cause I would forget, and sometimes I had to even ask them to clarify because my brain would zone out. When I've tried writing the highlights of a patient's story down, it creates somewhat of an awkward pause in the flow. Some of the better history takers I've seen take histories as part of a natural conversation, one that is smooth and efficient. My histories are piecemealed together already and writing just makes it more noticeable. On top of that the notes I've seen from residents are super detailed and touch on aspects of the conversation that I am unable to explain in as many words as they do. I've been trained by prior jobs to keep my written communication as succinctly as possible and naturally that often means I am inclined to not delve into finer detail.
I'm a smart student by the books, but transferring that knowledge into clinical applications has proven difficult. I usually have to stop and think about the problem rather than knowing the answer off the top of my head. This is not ideal in a fast-paced floor or clinic. My differentials are lacking because of this and it is affecting my confidence in taking on more patients. Every morning is a rush to get the progress notes written up before rounds. What should I do? I'm lacking in time to address each concern from above in full and that's stressing me out, knowing I have areas that are suboptimal.
Sincerely,
-Concerned M2 moving forward