Nerd's Guide to Pre-Rounding.pdf

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

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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