Pre Rounding in the Hospital | Doctor Tips

It's the most stressful part of the day for some students and residents..pre rounding in the morning! I know this was the worst part of the day when I started my medical school clerkships and something that still is a challenge during residency. In this video I talk about my personal tips and style for prerounding on patients during my medicine rotations.
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[@wholeNwon]

Pretty good advice. Your resident will help you to stay organized, too. Always ask yourself, "What could I be missing?" Were all the lab data ordered actually returned to the chart? If not, get them. Make sure all the i's are dotted and the t's crossed each day. Check the med boxes. Is the pt. actually getting what's prescribed. Be sure the pt. is getting his rest and not being awakened in the middle of the night to take some unnecessary med. or to have unnecessary V.S. measured. It's surprising how often this abuse occurs.

[@BrianSuttererMD]

As the year went on I found myself ordering fewer labs. Once you realize you aren't going to actually use it for anything if you check. Good advice and thanks for the comments!

[@wholeNwon]

You are correct. Each laboratory test should be ordered for a very specific purpose. As you know, that is usually not the case now that huge panels can be obtained for the cost of a single bench test. Some good has come of that since most cases of hyperparathyroidism are so discovered, as are several other conditions. I must admit that, though I'm something of a purist certified by 3 boards and have taught for many years, there is a role for "screening tests". I hope that your medical career is progressing well.

[@jt3965]

Excellent video! Very helpful advice!

[@syednajmulhassanshah6186]

Great effort!

[@shayaanp9207]

Thank you so much for the wonderful video that's I am gonna start my intern year and I was wondering more about the pre round and rounds and throughout the days patient care . Please upload the video regarding little more details for pre-rounds and how to take notes or follow with during rounds and after rounds. Any tips and suggestion would be greatly appreciated

[@adrianadinatacandra2274]

Nice Tips.... Thank you

[@fahass2]

One of the reasons I went into anesthesia.

[@ShowTheOreo]

Lmao

[@plutobaby9996]

And because you get a chair

[@divinegon4671]

You push a syringe full of fentanyl then go take a 2 hour nap. EASY

[@akshayheggond429]

Thank you so much 🙏🙏

[@imasuperkoala]

Great!!! One question, if you have many patients and one of them wants to talk and talk and talk, how do you approach that scenario? Because of your limited time you are not able to stay so much time

[@CJay091]

You can use non-verbal cues and verbal cues to do this. I find that alcohol wiping my hands and making a move towards the exit or towards the curtain to pull it back (so as to indicate that the consultation is over) helps. I also summarise the consultation in a few words - sentences and use words like "alright then, I'll keep you posted" helps letting the patients know that you're about to leave. 9/10 times it works and in the 1/10 that it doesn't then I let them finish their sentence and say "alright then, I'll keep you posted". Basically anything you can do to end the conversation short without using phrases that allow the conversation to continue. Some patients love talking about their recent projects at home, pets and children and you won't have time to sit down and have that conversation with them so non-verbal cues like moving towards the door, alco wiping hands, summarising what you've spoken about and telling them "that's nice. Alright then, I'll keep you posted" works alot of times. I hope that helps

[@rockycycle2682]

Thanks!

[@BrianSuttererMD]

You bet!