The Perfect Clerk

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THE PERFECT SURGERY STUDENT

Never whines
Never pimps his residents or fellow students (or attendings)
Never complains
Is never hungry, thirsty, or tired
Is always enthusiastic
Loves to do scut work and can never get enough
Never makes a fellow student look bad
Is always clean (a patient sees only you and the wound dressing)
Is never late
Smiles a lot and has a good sense of humor
Makes things happen
Is not a “know-it-all”
Never corrects anyone during rounds unless it will affect patient care
Makes the intern/resident/chief look good at all times, if at all possible
Knows more about her patients than anyone else
Loves the O.R.
Never wants to leave the hospital
Takes correction, direction, and instruction very well
Says “Sir” and “Ma’am” to the scrub nurses (and to the attending, unless
corrected)
Never asks questions he can look up for himself
Knows the patient’s disease, surgery, indication for surgery, and the anatomy
before going to the O.R.
Is the first one to arrive at clinic and the last one to leave
Always places x-rays up in the O.R.
Reads from a surgery text every day
Is a team player
Asks for feedback
Never has a chip on her shoulder
Loves to suture
Is honest and always admits fault and errors
Knows when his patient is going to the O.R. (e.g., by calling)
Is confident but not cocky
Has a “Can-Do” attitude and can figure out things on her own
Is not afraid to get help when needed
Never says “No” or “Maybe” to involvement in patient care
Treats everyone (e.g., nurses, fellow students) with respect
Always respects patients’ modesty (e.g., covers groin with a sheet as soon as
possible in the trauma bay)
Follows the chain of command
Praises others when appropriate
Checks with the intern beforehand for information for rounds (test results/
surprises)
RUNS for materials, lab values, test results, etc., during rounds before any
house officer
Gives credit where credit is due
Dresses and undresses wounds on rounds
Has a steel bladder, a cast-iron stomach, and a heart of gold
Always writes the OP note without question
Always checks with the intern after rounds for chores
Always makes sure there is a medical student in every case
Always follows the patient to the recovery room
In the O.R., always asks permission to ask a question
Always reviews anatomy prior to going to the O.R.
Does what the intern asks (i.e., the chief will get feedback from the
intern)
Is a high-speed, low-drag, hardcore HAMMERHEAD
Define HAMMERHEAD. A hammerhead is an individual who places
his head to the ground and hammers
through any and all obstacles to get a job
done and then asks for more work. One
who gives 110% and never complains.
One who desires work.

June 5
ASSIGNMENT:
POST-IT DL IC > Piolo MNEMONIC >
USMLE
JUNE 5 1. Skin Lesions 1. Med 1. Allen’s Test Ecchymosis or
2. Ostomy, dictionary 2. Boas’ sign discoloration of
ectomy, app - Right subscapular pain
otomy
the flank
resulting from in patients with
3. Seen in Cholelithiasis
patients retroperitoneal
with 3. Courvoisier’s hemorrhage as
cardiac law a result of
tamponade: 4. Cullen’s sign dissecting
1. JVD 5. Dance’s sign blood from the
2. Decreased or 6. Fothergill’s retroperitoneum
muffled heart sounds sign (Think:
3. Decreased blood 7. Fox’s sign TURNer’s _
pressure TURN side-to-
side _ flank)

Seen with
carcinoid
syndrome
(Think:
“FDR”):
1. Flushing
2. Diarrhea
3. Right-sided
heart failure

Seen with
cholangitis:
1. Fever (chills)
2. Jaundice
3. Right upper
quadrant pain
(Pronounced
“char-cohs”)

Twitching of
facial muscles
upon tapping
the
facial nerve in
patients with
hypocalcemia
(Think:
CHvostek’s _
CHeek)

BERGMANS’s
Seen with fat
emboli
syndrome:
1. Mental status
changes
2. Petechiae
(often in the
axilla/thorax)
3. Dyspnea

Cushing’s
triad

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