Illustration: William Hogarth, Industry and Idleness, Plate V (1747). "The idle apprentice: turn'd away and sent to sea." The British Museum. (Sad: he probably violated rule #8, below.)
Internship starts tomorrow. I'll be starting with the medical ICU, and my first day will include an overnight call night.
Amidst all the emotions associated with the anticipation of such an event, some of the graduating interns came up with tips for us while on rounds, and one of them wrote them up and sent the list out to our email list. Here's an excerpt (the first six are mostly hospital specific):
7. Send each other funny pages--it will keep your spirits up. And make you laugh in the middle of an otherwise serious conversation.
8. Get your coffee on the way to work. Otherwise you'll never get it, and nobody wants that.
9. If you're thinking about writing an order, just write it. Don't make a box on your to-do list to write an order.
10. If you don't know the answer, don't lie and make it up.
11. Don't forget to pee. They trigger patients for more urine output than some interns have. And drink a lot of water.
12. We know you're scared to death. Under no circumstances (unless you are [name of graduating intern]) should you memorize ACLS protocols.
13. And from [name], a graduating senior: "Nobody ever died of note-penia. Just take care of your patients. The note will come."