By Dason Evans
Listed below are 101* of the simplest rules to take advantage of potent use of some time at the ward. Over 250 members, together with scholars, medical professionals, nurses, pharmacists, and therapists from 18 nations, help in making you the best health practitioner you could be!
Pocket-sized for 'dipping into' in the course of a spare second or a few hours at the ward, this brief advisor is perfect for scientific scholars on rotation or junior medical professionals who desire to strengthen studying and motivation.
*There are literally a hundred principles. Now it is your flip to improve tip one hundred and one! post your principles to www.101things.org
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Additional resources for 101 things to do with spare moments on the ward
The themes within this section include reading around patients whom you see, suggestions involving mnemonics and memory aids, a wide variety of different approaches to quizzes and testing yourself and others, and some suggestions for e-learning/useful websites. These suggestions are not exhaustive. We hope that they will be useful and, indeed, that they may act as a trigger for you to find even more approaches. We have to note that, although the references were correct at the time of going to press, by the time you read this some of the web addresses may be out of date; if so, we have no doubt that you will be able to find and evaluate similar sources.
Patient story Why restrict yourself to task-oriented patient contact? Patients have so much more to offer! A 10–30 minute visit ‘just for a chat’ to see how patients are feeling, without bombarding them with history-taking, etc. can often be far more educational than any other type of visit. I’ve found that a quick visit post ward round can make the patient feel that you’re interested in them as a whole, and you get a valuable glimpse of medicine from ‘the other side of the bed’. Often, they will confide in you during this time, telling you their true concerns – fears that perhaps they were too afraid to mention on the hurried ward round when a gaggle of medics are gawping down at them!
This section principally covers physical examination skills, and there are other sections on practical skills and clinical communication; however, this introduction is relevant to all three aspects, Imagine the skill of examining a pregnant woman close to the time of delivery. By looking at her as she walks in you can make many spot diagnoses; you can exclude joint problems (spine and pelvis, for example) that are common in later pregnancy. By looking at the woman’s skin and eyes as she walks closer, you can assess whether you think she might be significantly anaemic, and exclude jaundice and excoriations that might be related to liver problems in pregnancy.