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Yes USMLE scores are important - but not everything for a Medical Residency in USA! To be Pre-Informed is to be In Form :-) Sharing Wisdom learned through application experience and mistakes - especially for IMGs / FMGs!

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Tuesday, September 11, 2007

TIPS FOR IMGs: MANNERISMS DURING OBSERVERSHIPS


If everyone does an observership and everyone gets the 'letter' - how are you gonna give yourself the edge ? Which means the 'letter' should make the difference :-) And which means, you got to keep your doc enthusiastic enough about you to write some good stuff at the end of your term.

Let's hang on to some simple rules and tips:

1. Be professionally dressed at all times with a doctor's coat , steth, pen and a notepad.

2. Make sureyou are fully aware of what you are allowed and not allowed to do in the hospital under the contract.

3. Be dot on time daily.

4. Don't just observe like you were watching a movie - ask questions now and then to show you are trying to understand too.

5. Dont ever show that you had enough and wanna rush home, even if you feel like :-)

6. If you cant make it someday, it's alright, but call and inform promptly, don't wait till the next day.

7. Be active in attempting to answer when the doc shoots questions to their own medical students / residents - but don't try to be a smart alec either.

8. Often the attending will let you and medical students in advance what he will be talking about that morning - be smart and read about it - which means, you gotta keep a reliable pocket book in your doctor's coat pockets ;-) The one I used for my medicine observership was Treatment Guidelines pocket book by Paul Chan, since the residents had the same. I loved the book ! Concise, perfect and tells you exaclty what residents should be doing for various cases in a US hospital setting. The book itself is not expensive, less than 12-13 $,for a new one. To look for a used / new copy of this book, Click Here.

8. Keep bugging the residents to tell you about any patients with good physical signs and check them out - residents feedback to the doc matters a lot :-)

9. If you go alone to see the patient at times, always introduce yourself politely to the patient (like in Step 2 CS) before you ask history-questions - "Good Morning Mr. Roland, I am Dr. ______ and am observing with Dr. ______ for a short time as a student. Would you mind if I asked you about your illness ? It's perfectly fine if you are tired and don't feel like."

10. Ask you doc about upcoming teaching seminars and attend them during your term.

11. And be smiling, warm and confident - show lotsa interest

12. In the middle of ur term - ask your doc about his advise on how to overcome some weaknesses like communication skills (or whatever you can think of) and then follow his lead - its a way of showing progressiveness and proactiveness.

13. If possible , present a case !

14. Suppress all sexual urges please :-)

15. Avoid the common social mistake that IMGs make = don't huddle up with residents or people from your home-country only ...be open and friendly to all residents and AMGs...ALSO SPEAK ENGLISH ONLY - avoid talking in native languages when others who don't understand the language are present - it's downright rude...

16. At the end of your term - A simple "Thank you" card to ur doc and residents is acceptable and gracious :-)





Disciplined Professionalism at all ages is a must - even if you become a megastar in your field - otherwise the results ain't good ;-) Like the Hollywood Star Lindsay Lohan received this Bad Letter from her Movie Boss

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Comments on "TIPS FOR IMGs: MANNERISMS DURING OBSERVERSHIPS"

 

Blogger Digitaldoc, MD said ... (September 11, 2007 7:51 PM) : 

Anonymous said ... (April 13, 2006 11:32 AM) :

hi digital doc your site is simply great!keep doing the good work.I am going for observership in 10days I would need some tips from you 1.what kind of whitecoat should i wear 2.I would like to know some more tips..as i want to join the same hospital where im observing for my residency..waiting for your reply thank you.


Anonymous said ... (April 17, 2006 8:12 AM) :

Hi thank you so much for your great advice,it was wonderful for me and very helpful,wish you best in all your linfe.


Anonymous said ... (July 06, 2006 7:37 PM) :

HI! is observership necessary to get residency or will it help me.how can i get it?


Digitaldoc, MD said ... (July 06, 2006 7:43 PM) :

Reply 1 : Thanks for the kind comments. White coat - a students coat is good enuf - but its best to ask the observership guys about the expected dress-code. When you are offered observership at a program, you are already in the potential list of candidates for the program. Write an email to the program director after ur observership, saying u were really impressed by the program and would love to be trained in the program. Secondly - the attending under whom you do your observership , ask him to drop a line to the PD about u :-)

Reply 2 : Thanks..and g/l to u too !


Reply 3 : Observerships / Externships are necessary for SOME programs ..and they will let you know when you email them about screening criteria. Ohter places, though NOT necessary , given the increasing competition, it certainly adds weight to your application. g/l


Anonymous said ... (August 06, 2006 12:52 AM) :

hi thanks for the wonderful help can u pl tellme where to find an observership, i have tried asking my contacts in the usa (3 of them r practicing docs) but its very difficult cuz of changing policies in hospitals. can i try for one on my own?


Digitaldoc, MD said ... (August 06, 2006 12:25 PM) :

Most VA hospitals in any state(Veteran Affairs) will allow observers - see if ur docs know anyone there..plus also refer to the list i am compiling on this blog ..


Anonymous said ... (August 06, 2006 10:25 PM) :

what is the duration of observership? and does it apply to all branches?that is obstetrics,paediatrics etc.?


Digitaldoc, MD said ... (August 06, 2006 10:40 PM) :

observerhip is not an official diploma or certificate program - it is an unofficial term used when you are observering a doc after permission. Thus, there is no universal duration - people do it for as long as they get it for. Like Money, More is always good ;-)

People do it for as less as two weeks to as long as 6 months or more.


Digitaldoc, MD said ... (August 06, 2006 10:42 PM) :

and yeah - u could land an observership in any specialty !


Anonymous said ... (September 02, 2006 8:09 PM) :

i love ur site...
i had a q to ask...i m doing an obsevership right now at a top hospital but in a field which is not my first choice..wud it be advisable for me to start an observership in the first week of november in a smaller hospital but in the field that i wish to take up?i wish to know is it too late in early november as i may not get that on my CV by the time the applications are thru..?


Digitaldoc, MD said ... (September 09, 2006 1:32 AM) :

If its already fixed up, u cud mention that on ur CAF as work experience with future dates !

Mention that on ur SOP and also send updates to programs when you do the observership in Nov..


Anonymous said ... (September 16, 2006 1:42 PM) :

I am a little confused about where to add the Observership experience in the CAF and was hoping you could help. It says that all unpaid extracurricular experiences should be under Volunteer experience. Is that where an Observership falls? Or can I include it under work experience? Thank you in advance for your reply.


Digitaldoc, MD said ... (September 16, 2006 3:07 PM) :

Since the same section on the CAF also says that clinical experience shud be listed under work experience, enlist observerships as work experience. As they say "Dont undersell urself in the US" ;-)


docahmer said ... (October 10, 2006 10:37 AM) :

hi do i get paid during my observership...or do i have to pay something to the hospital....


Digitaldoc, MD said ... (October 10, 2006 11:32 AM) :

Observerhships are passive activities where the observer does not contribute to the productivity or service, hence do not get paid. Now whether the observer needs to pay or not depends on the institution - places like griffin hosp. will need u to pay,,while others need you to pay for ur own malpractice insurance only and some need nothing - like VA hospitals at most places.


Anonymous said ... (November 16, 2006 12:46 PM) :

hi digitaldoc, i like ur site a lot!!! please can u help me how to apply for observership?? n can i get a residency without doing observership???


Digitaldoc, MD said ... (November 16, 2006 1:33 PM) :

Applying to observerships - email program coordinators to all the programs listed above plus the hospitals in the areas where ur friends, relative or resident friends are..or u may write to faculty in these programs - someone somewhere may reply ..its a game of chances and u until u take a chance - u often wont have a chance :-)

yeah ..good scores can get u residency, but good university programs would like to see some experience and/or solid research


Anonymous said ... (March 03, 2007 2:15 PM) :

Is it necessary to wear a tie for observership? Or only dress shirt and pants are enough?


Digitaldoc, MD said ... (March 03, 2007 5:37 PM) :

a tie isn't necessary - you will either be wearing the long-sleeve white coat or some places will provide you with their own scrubs

 

Blogger superdoc said ... (February 11, 2008 5:55 PM) : 

Hey digidoc, whats the deal with "suppress ur sexual urges" :-P ?

 

Blogger Digitaldoc, MD said ... (February 11, 2008 8:06 PM) : 

Come on - u are smarter than asking that ;-)

 

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