Family Medicine: Winding Down

Last week of family medicine! It's been an interesting eight weeks, and I have to admit I've gotten accustomed to the 8-4:30 hours and weekends "off" (when I wasn't reading for those quizzes). I get along pretty well with everyone in the clinic, and it'll be sad to say goodbye at the end of the week. I've learned a lot on this rotation, mainly how to think like a doctor (thanks to Dr. RR saying, "Tell me what you want to do" with every patient we come across), and hopefully that'll prepare me for IM. I'm going to Dallas first and then JPS, so if anyone has any useful survival tips, please email them to me! =D

Although Dr. RR said that my observation skills have improved greatly these last two months (he told me to pat myself on the back for IDing cobblestoning, even though it wasn't the first time I saw it), my diagnosing skills still leave much to be desired in some aspects. One girl came in today with all the findings of a potential pyelonephritis except she had no fever. No fever pretty much rules out a pyelo, and with careful questioning Dr. RR managed to learn that she hurt her back from doing flips on a trampoline on a regular basis. *sigh* Got to remember the musculoskeletal (and OMM) No more nightly assignments; this week is strictly for board review. Not too sure what to review though. Ran into Ben today and he said MKSAP was too easy. Maybe I should do more Kaplan questions =P