Rounding, take 1
Aug. 29th, 2013 03:49 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
pharming_in_koreaAs mentioned earlier, we are not allowed to make interventions or be alone in the wards. In fact, we are technically not supposed to be in the wards, but the hospital is making a special exception for us to go up. That being said, we cannot all be up there at once; there can only be one student up per service so we end up taking turns. Our time up in the wards is usually spent tagging along on rounds or watching the pharmacist counsel.
Rounds in Korea, in theory, is fairly similar to how it is run in the US, at least at UCSF or SFGH. At the assigned time, everyone shows up, including the attending, the residents and the medical students. On the heme/onc service, there is also the pharmacist. The residents present their patients and their assessment/plans, and the attending makes any comment, if necessary. I've experienced both sitting and walking rounds, and I think the difference is not which country you're in but whatever the preference of the attending. In Korea, my experience has been so far more partial to sitting rounds, where we talk about all the patients at once, and then make visits to the patients' beds. I've noticed that teachings are not very big in Korea. At SFGH, we would usually have teaching rounds after official rounds, usually sometime after rounds, after people have had time to work out the more urgent patient matters. These were basically discussions involving interesting cases the attending has seen or a brief overview with pearls of wisdom on topics pertaining to a current patient's present illness. Attendings here usually do not spend too much time teaching; it is mostly business.
I did have rounds with one attending who was very nice. He had done a month working at UCSF actually, and he seemed focused on teaching me a one-liner on the disease state and why we were using these specific drugs on the patients, which was a very nice experience. He also focused a little on diagnosis for the med students. So I suppose it is mostly attending-specific? I'm not sure, more time spent rounding with different attendings will tell.
-Lena
Rounds in Korea, in theory, is fairly similar to how it is run in the US, at least at UCSF or SFGH. At the assigned time, everyone shows up, including the attending, the residents and the medical students. On the heme/onc service, there is also the pharmacist. The residents present their patients and their assessment/plans, and the attending makes any comment, if necessary. I've experienced both sitting and walking rounds, and I think the difference is not which country you're in but whatever the preference of the attending. In Korea, my experience has been so far more partial to sitting rounds, where we talk about all the patients at once, and then make visits to the patients' beds. I've noticed that teachings are not very big in Korea. At SFGH, we would usually have teaching rounds after official rounds, usually sometime after rounds, after people have had time to work out the more urgent patient matters. These were basically discussions involving interesting cases the attending has seen or a brief overview with pearls of wisdom on topics pertaining to a current patient's present illness. Attendings here usually do not spend too much time teaching; it is mostly business.
I did have rounds with one attending who was very nice. He had done a month working at UCSF actually, and he seemed focused on teaching me a one-liner on the disease state and why we were using these specific drugs on the patients, which was a very nice experience. He also focused a little on diagnosis for the med students. So I suppose it is mostly attending-specific? I'm not sure, more time spent rounding with different attendings will tell.
-Lena
