Guide to Clinical Rotations
Welcome to your clinical rotations! I'll be adding my tips and tricks along with resources that I've used throughout rotations which I hope will be useful. I'll be discussing professionalism, attire, tools I used, and resources which can help you shine during rotations. Enjoy!
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Professionalism
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Always wear your short white coat with your ID
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Wear the correct attire as directed by the hospital
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Arrive early
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"Arriving on time means you're late and arriving early means you're on time!"
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Try to get to your designated department/meeting place about 15 minutes early (especially if it is orientation day or your first day of the rotation) in order to get acquainted
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No cell phone use
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Clean fingernails
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Painted nails are okay as long as they aren't chipped​ and are short
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Long acrylic nails are NOT okay
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Coffee
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Most of your rotations will require you to come in early for rounds
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I never suggest bringing coffee in your thermos but this ultimately depends on hospital policy
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some will let you bring your thermos but before rounds, you must put it away ​
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best tip is to drink coffee before or after rounds
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Always remember: you are a representation of your medical school and your school does work hard in creating networks for students and allowing to have students rotate in the hospital
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- Attire
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Males
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collared shirt, slacks/dress pants, close toed shoes (no sneakers), tie or bowtie
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Females
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collared shirt, nice blouse that doesn't show your cleavage or stomach, slacks/dress pants, close toed shoes (no sneakers)
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wearing a skirt or dress is okay as long as it is past your knees
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White Coat - down to the gluteal fold (bottom of your butt cheek)​
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Tools​
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Hover over the photo below to see links to where I bought some of the tools I used! ​
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3 cups
Blueberries
1½ cups
Butter
Trauma shears
Stethoscope
EMRA
books
Tuning fork
Reflex hammer
Penlight
MUJI
pen +
notebook
Oxford's
​​ 4. Other resources
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These include the components of a patient note along with resources for more information and practice
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How to write a full patient note ** Also good for CS practice
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CC - chief complaint: why is the patient here?
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HPI stands for history of present illness which entails the details regarding the chief complaint
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If they have pain, use the mnemonic OPQRST (onset of pain, provoking factors, quality of pain, region and radiation, symptoms associated with the pain, time)
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ROS - a full head to toe list of other systems the patient has along with the chief complaint and associated symptoms mentioned in the HPI
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Physical exam - includes vitals first followed by examinations findings under the following areas: Constitutional, HEENT, Neck, Back, CVS, Lungs, Abdomen, GU, MSK, Neuro, Psych
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Assessment and Plan - what do we think the patient has and what do we want to do for them; what medications do want to order, what imaging or labs do we want to order; do we need to consult any department?
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Links: Intro to Patient Notes, Examples of H&P, and H&P Practice
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How to write a SOAP note
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SOAP stands for Subjective, Objective, Assessment and Plan
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These aren’t full H&P notes but are progress notes
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Subjective stands for how the patient is doing today
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Objective are Labs, Imaging, Vitals and what you find on physical exam
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Assessment/Plan - the possible diagnosis and the next steps in management
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Links: SOAP Note Format and Writing a SOAP Note
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