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Organization: the key to efficiency Practical advice for the busy life of an intern Organization: the key to efficiency Practical advice for the busy life of an intern Dana Angelini 7/2/12

Topics Ø Organize yourself at work Ø Organize yourself at home Ø Pearls from Topics Ø Organize yourself at work Ø Organize yourself at home Ø Pearls from “mama mollicone”

Being an Efficient Intern Ø Can be a frustrating struggle early in year Ø Being an Efficient Intern Ø Can be a frustrating struggle early in year Ø Takes time to develop your style Ø Trial and error (and error) Ø You will get there!

Being an Efficient Intern Ø Start your day with the motto: l “I am Being an Efficient Intern Ø Start your day with the motto: l “I am in control of my day” Ø Deep breath prior to entering hospital Ø Let go of issues/struggles of yesterday; learn from your mistakes Ø Build your knowledge base l l Both medical knowledge Systematic knowledge

Being an Efficient Intern Ø Pre-round with insight l l l Know what you Being an Efficient Intern Ø Pre-round with insight l l l Know what you are looking for Anticipate what your attending will ask Always know current vitals, peaks, trends Thorough focused exam is better than sloppy overview Have current med list • Helpful to have H&P on hand l Be able to get out of there (politely)

Being an Efficient Intern Have a packet for each patient Ø Keep track of Being an Efficient Intern Have a packet for each patient Ø Keep track of all “to-do’s” during rounds Ø Write down everything!! Ø Pay attention to your co-interns patients Ø l l Will help with those pages later in the day! Learn from those patients as well! Make note of topics you want to read about later Ø Make sure to “run the list” with your senior soon after rounds Ø

Being an Efficient Intern Ø After Rounds l l GO GO GO!!!!! Never forget Being an Efficient Intern Ø After Rounds l l GO GO GO!!!!! Never forget the COLD Acronym • • l Consults Orders Labs Discharges Learn to multitask • Put in orders while waiting for someone to call you back

Being an Efficient Intern Ø Anticipate and plan for discharges l l Gold forms Being an Efficient Intern Ø Anticipate and plan for discharges l l Gold forms can be time consuming Touch base with social work/care coordinators early l l l Social work helps set up SNF Care Coordinators handle home care Start Gold Forms early

Being an Efficient Intern Ø Don’t re-do the same task twice l l Call Being an Efficient Intern Ø Don’t re-do the same task twice l l Call the operator ONCE after rounds and get all the pager numbers you need for your patients Write down consultant pager numbers or put in HOT tool; use throughout your rotation Ø Try not to waste time logging in and out of computers all the time

Being an Efficient Intern Ø Note Writing l l l Remember Dr. Augustine’s tips Being an Efficient Intern Ø Note Writing l l l Remember Dr. Augustine’s tips Can hold you down if you let it! Be succinct, pertinent: will save you time and help you see the big picture. Ø HOT l Complete as you write your note

Organizing Yourself at Home Ø Will help ease anxiety and stress over every day Organizing Yourself at Home Ø Will help ease anxiety and stress over every day matters Ø 10 tips to help organize you life Ø Tips for intern year and beyond

Tip #1: Write Things Down Ø Know the details of your patients Ø Keep Tip #1: Write Things Down Ø Know the details of your patients Ø Keep lists! l Keep notepads around your house • Keep personal To-Do lists • Keep lists of items you need to purchase as you discover you need them. Ø Does your phone have an app for that?

Tip #2: If something can be done right away- DO IT Ø Paying bills Tip #2: If something can be done right away- DO IT Ø Paying bills Ø Going through mail Ø Answering emails Ø Returning phone calls Ø DICTATIONS!!

Tip #3: CVS is one stop shopping Ø Toiletries/personal items Ø Greeting cards Ø Tip #3: CVS is one stop shopping Ø Toiletries/personal items Ø Greeting cards Ø Pharmacy Ø Basic food items/snacks/even Ø Pet needs Ø Etc…. beer&wine

Tip #4: Beating the “ 9 to 5” dilemma Have your list available for Tip #4: Beating the “ 9 to 5” dilemma Have your list available for reference Ø Maximize your days off Ø Most banks have Saturday hours Ø Most businesses have some late hours Ø Dentist open on Sat? Ø Schedule late doc appointment on happy day Ø Out early? Get one task done before heading home Ø

Tip #5: Know your routine Ø Try to put things in the same place Tip #5: Know your routine Ø Try to put things in the same place every time l l Keys Cell phone/ IPAD!! White coat/pager/ID badge Work shoes Helps decrease time you spend looking for these items and helps MAXIMIZE sleep in the morning Ø Make a habit and stick to it Ø

Tip #6: The File Box Ø Ø CVS might not have one, but Office Tip #6: The File Box Ø Ø CVS might not have one, but Office Max does Get supplies: l Ø General categories l l l l l Ø Ø Folders, tabs, sharpies Bills Residency info Finances/credit cards My health/insurance Loans/taxes Car Warranties Computer Important documents File as you go: don’t let this build up! Get a Shredder!

Tip #7: The Binder Ø Do you have a stack of articles you plan Tip #7: The Binder Ø Do you have a stack of articles you plan on reading? Ø Do you have a pile of articles/references from med school you would like to keep? Ø Do you have a 3” black binder organized by organ system?

Tip #8: Keep your personal life organized Ø Know your work schedule before committing Tip #8: Keep your personal life organized Ø Know your work schedule before committing Ø Take opportunities for fun when you can Ø Know your funds l l l Balance your check book Don’t be late with payments Will likely decrease your 9 -5 dilemmas Ø Use a calendar

Tip #9: Have an organized house Ø Ø Ø Ø Get rid of JUNK!!! Tip #9: Have an organized house Ø Ø Ø Ø Get rid of JUNK!!! You just moved; good time to reassess your stuff Go through closet for items to toss or donate 1 -2 x/year If you haven’t used it in a year-TOSS You may be attached to med school notes/binders-but… Don’t feel guilty about tossing old gifts you don’t like or use Use boxes, labels, everything should have a “place” l Helps you get things back together when they get out of hand

Tip #10: Keep a Clean House Ø Start with making your bed Ø Daily Tip #10: Keep a Clean House Ø Start with making your bed Ø Daily 5 -10 minute cleaning Ø Quick Clorox wipe downs of surfaces Ø Every few weeks clean areas that don’t normally get attention Ø Start high and work your way down

Pearls from Mamma Mollicone Ø Being efficient and organized is a residents means of Pearls from Mamma Mollicone Ø Being efficient and organized is a residents means of survival Ø Applying these tips in everyday life will help ease stress Ø Overall, try to stay on top of your tasks Ø Remember to take time for yourself