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THE NERD’S GUIDE TO PRE-ROUNDING: A MEDICAL STUDENT’S
MANUAL FOR THE WARDS
This is a how-to guide for third-year medical students moving from the
classroom to the clinical/hospital setting – a particularly stressful tran-
sition in a student-physician’s career. This handbook is made up of
short, easily digestible passages that advise students on everything
from reading an ECG or chest x-ray to tips on dealing with ornery resi-
dents and what to wear on the wards. Passages are peppered with light-
hearted anecdotes to bolster the spirits of students who may feel intim-
idated and overwhelmed by their responsibilities as fledgling doctors.
This handbook has been developed by Dr. Richard Loftus, who
wrote the first version of this guide after his third year at UCSF School
of Medicine. It began as a letter of advice to a junior student who was
embarking on his own first year on the wards. As the author says of
the first guide, “This covers everything I wish someone had warned
me about before I stumbled onto the wards.” This book contains
appendixes of useful information, including links to full-size forms
and data card templates that can be accessed at the Cambridge Uni-
versity Press website: www.cambridge.org/0521676754.
Richard A. Loftus, M.D., is an internist in private practice and a clinical
instructor at the University of California, San Francisco (UCSF). A
cum laude graduate of Yale College, he was editor-in-chief of the
Yale Herald
. After college, his work as an AIDS activist (noted in Jon
Cohen’s
Shot in the Dark
) and researcher led him to medical school.
Upon graduation from UCSF School of Medicine in 2001, he was elected
to Alpha Omega Alpha (medical honor society) and won the Gold-
Headed Cane, the school’s highest honor. That year he also won the
UCSF Chancellor’s Award for GLBT Leadership. He completed his resi-
dency in primary care medicine at UCSF, where he won both the Intern
(2002) and Resident of the Year (2003) awards. In 2004 the students
of UCSF School of Medicine recognized his devotion to medical edu-
cation with a TEACH award, and UCSF Medical Center acknowledged
his dedication to patient care with its Exceptional Physician award.
He continues to teach students and residents at his private practice at
Davies Medical Center, San Francisco, CA.
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The Nerd’s Guide to
Pre-Rounding
A Medical Student’s Manual for the Wards
RICHARD A. LOFTUS, M.D.
University of California, San Francisco
EDITORIAL BOARD 2004–05
EDWARD W. HOLT
Medical University of South Carolina
PRASANNA JAGANNATHAN
Harvard Medical School
ALAN TEO
University of California, San Francisco
DELPHINE TUOT
McGill University
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo
Cambridge University Press
The Edinburgh Building, Cambridge
,UK
Published in the United States of America by Cambridge University Press, New York
www.cambridge.org
Information on this title:
www.cambridge.org/9780521676755
© Richard A. Loftus, M.D. 2006
This publication is in copyright. Subject to statutory exception and to the provision of
relevant collective licensing agreements, no reproduction of any part may take place
without the written permission of Cambridge University Press.
First published in print format
2006
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Cambridge University Press has no responsibility for the persistence or accuracy of
s
for external or third-party internet websites referred to in this publication, and does not
guarantee that any content on such websites is, or will remain, accurate or appropriate.
Every effort has been made in preparing this publication to provide accurate and
up-to-date information that is in accord with accepted standards and practice at the time
of publication. Nevertheless, the authors, editors, and publisher can make no warranties
that the information contained herein is totally free from error, not least because clinical
standards are constantly changing through research and regulation. The authors, editors,
and publisher therefore disclaim all liability for direct or consequential damages
resulting from the use of material contained in this publication. Readers are strongly
advised to pay careful attention to information provided by the manufacturer of any
drugs or equipment that they plan to use.
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