Brave New World: Managing the Culture of Medicine UCR Clinical FoundationJune 30, 2015Joyce M. FriedAssistant Dean David Geffen School of Medicine at UCLA

The best way to prepare is to figure out the answers to the following questions:What is the culture of medicine?How can you fit in?What are common pitfalls for medical students?How do you distinguish yourself?What is student mistreatment?What should you do when you encounter a difficult situation?

Understand the landscapeYou are leaing the cocoon of !" #ierside to $oin the real world of healthcareYour role as a cler% is limited with unclear e&pectations' grading system that is su($ectieYou are no longer the center of the unierse

How can you prepare for each rotation?)pea% with students who hae recently completed the rotation#ead the cler%ship orientation information that is sent to you or is aaila(le online*on+t miss any of the critical information during the cler%ship orientation

When you start a new clerkship'rrie with the necessary electronic resources'rrie with the necessary (oo%s,earn the medical chart,earn the electronic chart-now where to go and where to find things.eet with the resident and intern.eet with your attending physician

Questions to ask your resident and intern at your initial meeting"an you go oer a typical day with me?What time should / arrie in the morning?What time do wor% rounds (egin?Where do we meet for wor% rounds?What time are attending rounds? Where do they ta%e place?*o we hae afternoon rounds? When and where do we meet?How does this schedule differ on a wee%end day?What is our call schedule?What are my responsi(ilities on call?What procedures do you e&pect me to perform?

Questions to ask your resident and intern at your initial meeting"an you go oer your preferences regarding the writing of the daily progress note?/s there a particular time of the day the progress note needs to (e written (y?"an you show me the paperwor% / need to (e familiar with?"an you proide me with a list of important phone num(ers?Where can / safely %eep my (ag and other personal items?Where do you recommend that / wor%?

Focus on all of the important elements of the job, not just the obvious onesYou will (e $udged on your0'(ility to wor% effectiely with other team mem(ers'(ility to learn new su($ect material"ommunication s%ills with patients and the medical team1erall wor% ethic

What are common pitfalls for students?

Frequent problems according to residents and attendings2right with poor interpersonal s%ills3&cessiely shy, non4assertie5oor integration s%ills1er4eager"annot focus on what is important*isorgani6ed*isinterested' poor fund of %nowledge

How these are described in evaluations 7ery nerous, timid initially*isplayed little curiosityHad difficulty applying %nowledge clinicallyHe came across as confrontational.ay(e somewhat oerconfident for his leel of training,ac% of enthusiasm5ro(lems in organi6ation8eeds to read more on her own,ots of effort, uneen outcome

How do you distinguish yourself?

Ways to stand out9irst impressions matter)mile :(ut appropriately;Your attire is a reflection of your professionalism