• You earned the right to be here. You’ve proven you can do it so don’t doubt yourself.
• You’re not expected to know everything on day 1. Your job is to show up with a good attitude and ready to work hard.
• Listen to the nurses. Some of these critical care nurses, especially. Ask for their input and don’t brush them off as mere nurses.
• Write things down. Print a list and make check boxes by each patient for what needs to get done that day. There are interns who forget things and interns who write things down.
• The first thing you need to learn is to tell sick from not sick, and that can be tricky at times. Later on you refine that until you see a whole spectrum of how sick a patient is.
• Don’t waste too much time pre-rounding. Brief pertinent exam, ask patient about changes in symptoms, but the highest yield is asking the nurses.
• Call consults before noon if you can. It’s a courtesy to the consultant/their team plus they’re far more likely to be seen that day, avoiding a delay in workup for the patient.
• Your note doesn’t have to be an essay. Keep things simple and don’t get bogged down in eloquent explanations.
• However, document your reasoning well. Especially in tough cases, drop a paragraph about why you’re doing what you’re doing and the patient agrees.
• Auto text or whatever your EMR uses. Make an arsenal of these. Use them for everything. If you have a kind of case you see a lot, template out a note so you make sure you’re documenting all the important stuff in an efficient manner.
• Be cool to your co-interns. Y’all are about to spend the next few years together. Don’t leave them in a lurch or punt to others all the time.
• Call the seniofellow/attending, especially at first. Even if they give you attitude, it’s ultimately their responsibility and they should know that.
• Try to update families daily if you can, especially for your ICU folks.
• Never, ever lie. Even once will destroy your credibility.
• Have a good attitude in a way that refuses to be bullied - don’t take that shit.
• Read all your own images. Then when rads drops a report, read that and see if you can find what they’re describing for every notes finding. It’ll make you a better doctor.
• Get to your new city as early as possible. Do things like car inspection, dentist appointment, vet appointment, etc. before July kicks off.
• Our profession has a high rate of substance abuse. Do what that what you will.
• Sit down with your family and SO and let them know what to expect and try to explain how intense this job is. When there’s a difference between expectation and reality, you have problems. Either way, it’ll strain your relationships.
• Because of this, be deliberate on spending time with your SO/friends/family even if you’re dead tired.
• Wear comfortable shoes
• Scour the hospital for the best restroom. Sometimes having a proper relaxed shit can turn a day around.
• Get to know your chiefs. Go to them with problems earlier rather than later.
• Use every minute of PTO
• Step outside the hospital for a few minute a day when you can. See the sunshine.
• Make friends with the cafeteria staff and they’ll hook you up to no end.
• Make friends with the transporters and techs - they will save you.
• Appreciate the hell out of what PT/OT/SLP do.
• Know how to tell a patient no.
• Pharmacy is your friend - they know things
• If something is emergent, keep calling to follow up. If your crashing patient needs abx, it’s not like some doctor video game where you put the order in STAT and everyone goes rushing. Call down and check the status, let them know it’s needed now.
• Don’t order everything STAT
• Calling people in general gets so much more done and avoids so many headaches.
• You’re going to lose your first patient. Remember how you feel, and make sure you never forget it. You’ll need it later.
• Hang out outside of work, invite the nurses as well.
• Election ‘24 is coming up in November so work is a great place to talk candidly about politics and try to change others’ beliefs /s
• If you’re struggling, reach out to someone.
• Try to get outside on your days off
• It’s not uncommon to end up on an SSRI
• Take the stairs places as much as you can. Cardio and a nice lower body workout.
• Answer pages as they come in. Anything STAT call back the moment you see it. Aim to get back to everyone within 5 minutes if you can.
• Day to night nurse shift change. Wait 30-45 minutes, then go around and talk to the nurse for all your patients. Let them get report and see if they have questions. Explain the plan, agree on when to call you, make sure orders all look good and make sense. We even used to bring candy from the physicians lounge to pass out for this.
• Put the diet order in
• Keep your presentations short and to the point unless someone wants them longer. Know the details, but you don’t have to recite them. You don’t have to say all the exam findings that were normal and not related to the patient’s disease
• Always be prepared to dodge a punch when near a geriatric patient
• Even a 5-10 minute phone call with your loved ones on a frequent basis can do wonders
• Some people are just assholes and you can’t take things personally
• Other people are mad at something else and want to take it out on you.
• Be cool to the med students
• Get good at delivering bad news
• Celebrate delivering good news
• Fuck prior authorizations man
• When calling a consult, have a specific clinical question you need help answering. Know the patient well. Keep the call centered around what you need from them but be ready to provide details if needed. “Dr. X wants you on board” is resident code for “I know it’s bullshit but my attending made me call.”
• Delirium and sundowning are real af. The trick is to get them home.
• Benzos aren’t just “settle down” drugs. It’s like a whisky shot through the vein in the sense that it can also disinhibit people and make wildness worse
• Get to know 1 thing about each patient other than what’s in their chart. What job did they have? What’s their favorite team? Do they have pets? You’ll remember them better when the list is large and it can make the job more rewarding
• If the nurse is worried ALWAYS go to bedside
• If you feel the urge to get a tattoo, do it
• Read everyone’s note each day on your patients
• Case managers and social workers are heroes. Get to know them and work together to get patients proper dispo
• Don’t wear your damn shoes in the call room bed
• Sit down in patient rooms if you can. It shows you’re listening, it’s less intimidating for them, and they’ll tell you more.
• Talk louder to older patients
• Sternal rub like you mean it
• Sit done one day, caffeinate, and do all those stupid compliance modules in a single bolus.
• Never make the same mistake twice
• If things don’t add up, your math is wrong
• Some patients don’t care about their health and won’t look after it after all you do. That’s just the gig.
• If something adverse for residents goes into place on a “temporary” basis, it never goes back the other way. Fight for your rights.
• You’re not crazy - the patient always tells the attending something completely different or remembers some important detail. We get it.
• Have a good comfort show to stream when you come home half dead.
• Trust but verify (that’s actually a Russian proverb Reagan borrowed when speaking about the USSR)
• Remember to love it more than you hate it. Find a way to make it fun. They say it’s the best time you never want to have again. You get to save and improve human lives. There’s no greater calling in the world than that.

Platform: Club: Club ID: Nationality: Seats Open: Requirements/rules: 

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact

• Basic Administrative Skills
• Efficient Email Management
• Precise Data Entry (Spreadsheets/Google Sheets)
• Ghost Writing, whether through AI Assistant or Manual Writing
• Prompt Chat Support
• In-depth Research
• Skillful Digital Marketing
• Proficiency in Word Processing, Desktop Publishing Tools, Presentation Tools, and Communication Tools
• Accurate Recording of meeting minutes, thoughtfully compiled in a Microsoft Word-based file
• Effective Social Media Management across platforms like Facebook, Twitter, Instagram, and more!
• Eye-catching Graphic Design using Canva
• Project Management
• Shopify Product Editing, Designing, and Uploading
• Seamless Content Calendar Management
• Creative Video Editing for Reels, Shorts, and more
• Assistance with Apartment and Job Searches
• Partnership Proposals/Invitations
• Crafting Digital Downloads, Thank You Card templates, and Mockups that leave an impact