How to be successful in third year: Be on time o Arrival time depends on the specific clerkship, and the rotation you are on within that clerkship. o Arrive several minutes before rounds begin if you need to “pre-round” on medicine/pediatrics, do “the list” on surgery, etc. Dress Appropriately o Each rotation has appropriate attire. Learn what that is. o Always wear your white coat! o Note: scrubs are always okay on weekends, regardless of the rotation o Sometimes you’ll need to bring clothes to change into – be prepared! Be a team player o Be willing to help complete tasks that will benefit the team: Call pharmacy to check doses of medicines Fill out forms for transferring patients to rehab centers, etc. Go back and check on the patient in the afternoon and tell you resident about any CHANGES. o Help out your fellow medical students, because this will help you learn how to teach and reinforce the information Never steal the spotlight or make another student look bad. o Have a good attitude about working on your team This has a bigger impact than you know! Be aware of the hierarchy o Attending Upper level resident Intern (1st year resident) MS-3 o In general, approach the next lowest on the hierarchy to ask for instructions about what to do, where to be, etc. o If you do not understand a plan or disagree with something that is said, or catch the resident making a mistake on something, do not “challenge” the plan or correct the resident in front of the attending. You can mention the mistake quietly at an appropriate time Be honest o If you don’t know something or didn’t do something, be honest. Never say or document false information Keep patient information handy and well-organized o This takes time, but find and stick with a system that works for you. o Suggestions: students often use clipboards, note cards, or print an H&P and make daily notes on the back of those pages. Be empathetic toward patients o Your team will notice if you take time to get to know the details of your patients you can only learn from spending time with them. o Spend the time with the patients – because you have it. o Keep your team informed of anything you find about your patients. o Always be respectful of and polite towards your patients Seek out opportunities to participate and learn o Be self-motivated and volunteer to help with tasks, do procedures, etc. o The more you see, the more you will learn! o Offer to perform procedures that you have done in the past; watch those that you have not seen before; teach your fellow students if they haven’t done a particular procedure. The mantra in medicine is often “see, do, teach” Your grade o Grades in third year are a combination of your evaluations and tests. Evaluations are from attendings and residents (not interns) Tests are typically the NBME “Shelf” Exams. A few rotations may have an oral exam also.