Escolar Documentos
Profissional Documentos
Cultura Documentos
What Students Said... Textbooks - Rudolphs Textbook - Dr. Fridays Packet Very detailed but a good reference for important topics like Cardio, Renal, Pulmonary. You can borrow it from Dr. Fridays office. It is a MUST to know everything in this packet! She outlines many of the important topics to review. Attend the sessions when she is going over this. A little wordy, most students do NOT recommend this! Good outlined review source EXCELLENT review of major topics. Try to read twice with rapid read through second time 2 days before test.
Review Books - Blueprints - First Aid for Pediatrics Case Books - Case Files for Pediatrics
Question Books/Resources - Pretest for Pediatrics - USMLE World for Step 2 CK Fill Your Pockets - Maxwells - Tarascon Pharmacopeia - Tarascon Pediatric Emergency Pocketbook Ophthalmoscope/Otoscope
Excellent questions. Emphasized the major points of each topic. Probably the best of the pretest series.
- Stickers
Very useful to have your own so that you do not have to search for it when needed. Many residents carry their own because theyre not easy to find on the floors. Look like a star and carry yours so your residents can borrow it! A little treat for your patient . You have to be creative when you work with kids to get them to relax for you and become comfortable with you examining them. Jot down notes from the day to jog your memory. You can also write down assignments/tasks and stay organized. Usually quite obvious, but make sure you have a good one with a diaphragm/bell that can be used for kids! You can often hear some awesome pathology in these
little guys! Other helpful resources - Rainbow CD Dr. Friday may give you one during orientation or during one of the study guide sessions. Useful for reviewing milestones to assess for before seeing a patient, and for the OSCE. Used to be in a book format, you may have to ask Ms. Scott for this CD specifically if you want it.
round through noon, so make sure you get a chance to eat (especially if youre feeling hypoglycemic!) Some students were able to get out early in the day if they started rounding earlier, and if the attending didnt take a long time to round. However, in general, inpatient can be MUCH busier than outpatient. There are labs to check on, imaging studies to read, tests to schedule, consults to order, the list goes on! Take every opportunity to ask questions, jot them down as they come up and ask the attending when you get a chance more than likely they will welcome your eagerness and questions!
LECTURES: Lectures are required if you are on-site (at Childrens for In-patient or out-patient), but are usually exempt if you are off-site for in- or out-patient. However, most of the answers to the study guides (which are great reviews for the OSCE and the shelf), are given during these lectures/review sessions, so they are very important to attend! Also, Dr. Friday takes attendance and this is part of your professionalism grade that makes up part of your clinical grade. INPATIENT vs. OUTPATIENT: Most students try to get their inpatient month first so that they can have more study time the second month, but dont despair if you have outpatient first. Just schedule your time accordingly and stay on top of your studying! You will probably see the most general peds on one of the general peds inpatient teams, but the most specialized teams (Heme/Onc, ID, etc) are still a good way to see general peds conditions (think sickle cell, anemia, ITP, asthma, etc), and are also a good way to get some awesome teaching by specialists that are dedicated to their fields. Even if youre not interested in peds, its a good way to see some conditions that also present in adult populations.
HFHS Outpatient
Beaumont Oupatient
Useful Formulas
See Orange Section of Maxwells: -Anion gap: Na-(Cl+HCO3) -Fractional Na Excretion: (urine Na x serum Cr)/(serum Na x urine Cr) -Maintenance Fluids: 4mL for each kg 1-10 + 2 mL for each kg 11-30 + 1mL for each kg>30 -Corrected Na: Na +[ (glucose-100) x .016] -Aa Gradient: [713xFIO2)-(PaCO2/0.8)]-PaO2 -ABG Rule: change in 10mmHg PaCO2 = change of 0.08pH -Osmolality: 2 x Na +glucose/18 +BUN/2.8 -Body Water Deficit (liters): [0.6 x wt (kg) x (patient Na-normal Na)]/ (normal Na) -Creatinine Clearance (GRS estimation): [urine Cr x urine volume (mL)]/[serum Cr x time (min)] [(140-age) x wt (kg)(x0.85 for females)]/[72 x serum Cr (mg/dL)] -Corrected total calcium: [0.8x (normal albumin-patient albumin)] + Ca -Mean Arterial Pressure: diastolic BP + [(systolic BP-diastolic bp)/3]