INTERNSHIP ASSESSMENT

INTERNSHIP ASSESSMENT:

NAME: DR. MRIDUL TAK

ROLL.NO:103

HALL TICKET NO:1701006116

WHAT MY GENERAL MEDICINE POSTINGS WERE LIKE?

I STARTED MY JOURNEY OF INTERNSHIP IN GENERAL MEDICINE FROM 12/4/23 to 12/6/23.

AND IT WAS A ROLLERCOASTER RIDE FOR ME COMPRISING OF-

*LEARNINGS

*EMOTIONS

*TIRING DAYS

*NIGHT DUTIES

*LONG SHIFTS(57 HOURS)

*BREAKDOWNS

*SENSE OF ACCOMPLISHMENT

*SOCIALISING

MY INTERNSHIP WAS DIVIDED INTO FOLLOWING SEGMENTS-

1) UNIT DUTIES

2) ICU DUTIES

3) WARD DUTIES

4) NEPHRO DUTIES

5) PSYCHIATRY POSTINGS

6) OP DAYS

7) CASUALTY 

BELOW I WOULD LIKE TO GIVE A GIST ABOUT ALL OF THESE.

WHAT DID I LEARN IN OP ?

I LEARNT-

*HOW TO TAKE HISTORY OF PATIENTS.

*WHY IS IT SO IMPORTANT TO TAKE A DETAILED HISTORY. 

*HOW TO APPROACH TO A DIAGNOSIS WITH MINIMAL INVESTIGATIONS.

*HOW TO GIVE THE BASIC TREATMENT WITH DOSAGES IN VARIOUS CASES.

WHAT CASUALTY TAUGHT ME ?

CASUALTY GAVE ME ADRENALINE RUSH, SUDDEN INCOMING OF PATIENTS, WHO ARE MOSTLY PANICKING, THEN SEEING DEPARTMENTS FIGHT AMONGST THEMSELVES ASKING EACH OTHER TO ADMIT IT UNDER THEM, THEN FINALLY AFTER ADMISSION TREATING AND EITHER SHIFTING OR DISCHARGING OR REFERRING THE PATIENTS TO HIGHER CENTRE, WAS A JOURNEY IN ITSELF.

MOST OF THE CASES THAT CAME TO CASUALTY WERE OF APD, SOB, CKD.

I LEARNT HOW TO APPROACH THESE CASES AND MOST IMPORTANTLY HOW TO MANAGE THE PATIENTS AND THEIR ATTENDERS WHEN THEY ARE PANICKING.

GOT EXPOSED TO A DIFFERENT REALM IN PSYCHIATRY POSTINGS!!-

PSYCHIATRY FOR MOST PART WAS ALL ABOUT PATIENT INTERACTION.

IN PSYCHIATRY, PATIENT IS THE STORYTELLER AND WE ARE THE LISTENERS, MO

I HAVE SEEN A QUITE A FEW CASES OF DEPRESSION,SCHIZOPHENIA,INSOMNIA,OCD,BIPOLAR,ALCOHOL WITHDRAWAL SYNDROME.

I HAVE LEARNED HOW TO APPROACH THIS PATIENTS, HOW TO COUNCIL THE PATIENT AND THE FOLLOW UP OF THE PATIENT. 

I WENT TO DEADDICTION CENTRE, LOCATION OF WHICH APPEARS LIKE IT'S A SECRET SCIENTIFIC RESEARCH LAB, AND OBSERVED WHAT ALL PROCEDURES, PROTOCOLS AND TREATMEMT THEY FOLLOW IN DRUG DEPENDANCE(MOSTLY ALCOHOL DEPENDENCE) PATIENTS.

HOW ICU SHAPED MY CLINICAL PROCEDURE SKILLS:

ICU WAS ALSO QUITE EVENTFUL FOR ME, WAKING UP ALL NIGHT, MONITORING THE PATIENTS AND THEIR VITALS WITHOUT MONITOR SOUNDS BEEPING CONTINUOUSLY.

IN ICU I LEARNED A LOT OF PROCEDURES LIKE-

1)PUTTING RYLES TUBE, INDICATIONS, CONTRAINDICATIONS.

2) TAKING ABG AND INTERPRETATION OF ABG

3) PUTTING FOLEYS, COMPLICATIONS OF FOLEYS

4) VENEPUNCTURE.

5) I ASSISTED IN INTUBATION AND LEARNT THE INDICATIONS OF INTUBATING A PATIENT. 

6) CONDOM CATHETER APPLICATION, INDICATIONS, ETC..

IN ICU I OBSERVED WITH MY OWN EYES SOME PATIENTS RECOVERING FROM VERY BAD CONDITION, AND UNFORTUNATELY SOME NOT ABLE TO SURVIVE!

LEARNINGS IN MY NEPHRO POSTINGS:

MONITORING THE PATIENTS IN NEPHRO POSTINGS, BLOOD PRESSURES SHOOTING OR FALLING SUDDENLY, WORRIED ATTENDERS, AND SEEING HOW DIALYSIS ACTUALLY TAKES PLACE, WHICH ALL PREVIOUSLY WE READ ONLY IN THE BOOKS, IN SHORT CONCLUDED MY NEPHRO POSTINGS.

I LEARNT THE POSSIBLE EFFECTS OF HEMODIALYSIS, COMPLICATIONS, AND THEIR MANAGEMENT.

I ALSO ASSISTED IN PUTTING CENTRAL LINE TO THE HEMODIALYSIS PATIENTS.

LEARNINGS IN MY WARD POSTINGS:

I LEARNT ABOUT SOAP NOTES, HOW THEY MATTERS FOR THE PATIENTS, IMPORTANCE OF PAJR GROUPS AND HOW ARE THEY VITAL FOR THE FOLLOW UP OF THE PATIENT.

HERE ARE MY BLOGS THAT I HAVE DONE IN MY INTERNSHIP DURING GENERAL MEDICINE POSTINGS-

http://mridultak.blogspot.com/2023/06/82-year-old-female-with-bl-lower-limb.html

http://mridultak.blogspot.com/2023/05/42-year-old-male-with-altered-sensorium.html

http://mridultak.blogspot.com/2023/05/35-year-old-male.html

http://mridultak.blogspot.com/2023/04/giddiness-secondary-to-bppv.html

http://mridultak.blogspot.com/2023/04/65-year-old-female-with-heart-failure.html

http://mridultak.blogspot.com/2022/03/a-28-year-old-male-with-acute.html