Tuesday, September 4, 2007

simple words carry much weight

There are several words that I'm learning in 3rd year med school that I use everyday now. Two of them particularly stick out in my head. These two words are probably the most important words used by the attendings, residents and medical students. Aparently they are crucial to saving lives. Here are some working definitions and how you can use them in a phrase.

1) PLAN -- This is a one word phrase to sum up what "we" are going to do for the patient. It can be anything from going to the OR, to starting them on a regular diet, to consulting another service. It's used in phrases from one speciality to another like-- "whats the Plan?" or from one chief resident to a med student "whats our plan for this patient" (and by our i mean how can the chief scut the med student around the hospital so they feel like they're participating in the plan) I've heard discussions about plans between nurses, med students, doctors. I've only actually heard it once directed towards a patient and it went something like this: " We're still trying to figure out what our Plan is with you" I'm still not sure if the pt understood that it was a formal type of thing and that we weren't really saying "we have absolutely no idea what we are going to do with you"......

2) The List ---Although two words, they are always used together with a capital T and L. The List is a crappy excel sheet with all the patients in the service, when they were admitted, when they went to the OR, why they are in the hospital, what meds they are on, and what do we need to for them (see plan). Phrases used: "Go update The List" "Why isn't The List updated?!!!" "Oh shit, I lost my (the) List!"
It seems simple, but The List is one of the most important tools if you want to be a doctor. I have yet to meet one without a (the) List. Plus, after 4 years of college and 2 years of med school, you can be granted permission to "update the list" which supposedly means the residents actually consider you a person on the team. But if you ef' it up, you are screwed and everyone will hate you so its best to update in little bits and double check everything prior to clicking save.

who else knows some good ones???

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