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1、UniversityofPennsylvaniaSchoolofMedicineSURVIVALGUIDETOTHECLINICSJanuary2014144144·¨Introduction¨·Thetransitionfromthebasicsciencestotheclinicsisnaturallyintimidating.You’llsoonbeimmersedinanunfamiliarenvironmentthatwilldemandgreaterresponsibilityandcommitmentthan
2、anythingyou’vepreviouslyencounteredinmedicalschool.Butworkingclinicallywithpatientsis(hopefully)whatyouwenttomedschoolforinthefirstplace!DespitehowawkwardyourwhitecoatmayfeelyouaremorethanreadytobeginnavigatingthecorridorsofHUP.Whileyourclerkshipyearwilloccasional
3、lybeanxiety-provokingandexhausting,itwillmoreoftenbeexhilarating,exciting,andincrediblyfun.You’llseethepracticalapplicationofthethingsyou’velearned,interactdailyandinfluentiallywithpatients,becomeavaluablememberofmedicalandsurgicalteams,andfinallysenseyourselfbeco
4、mingatrueclinician.Thisguideisintendedtohelpeaseyourtransitionintotheclinics.You’llsoonrealizethateachrotationandeachsitehasitsowndistinctflavor.Whatisexpectedofyouasastudentwillvaryfromonerotationtothenextandfromteamtoteam.Ratherthanattempttodescribetheeverydetai
5、lofeveryrotation,thisSurvivalGuidepresentsgeneralobjectives,opportunities,andresponsibilities,aswellassomehelpfuladvicefrompreviousstudents.Aboveall,yourfellowclassmatesandupperclassmenwillbeatremendousresourcethroughoutthiscoreclinicalyear.Enthusiasm,dedication,a
6、ndflexibilityarethekeystoperformingwellandlearningintheclinics.Throughoutyourclinicalexperience,you’llinteractwithanincrediblydiversegroupofattendings,residents,andstudentsinavarietyofmedicalenvironments.Ifyoucanadjusttothesedifferentsituationsandmaintainyourenthu
7、siasm,curiosity,andintegritythroughout,youwillnotonlybeasuccessfulclerkshipstudent,butyou’llalsohaveafunandfulfillingyear.144144·¨TableofContents¨·Introduction3TableofContents5Acknowledgements7HelpfulHints8TheTeam9OtherImportantPeople11Organization13·Rounds14·Pre-
8、Rounds14·WorkRounds16·AttendingRounds16·TopicPresentations18·Call19TheChart20·TheH&P20·ProgressNotes24·Pre-OpNotes25·OpNotes26·Post-OpChecks27·DeliveryN
