substitute for clinical experience.

替代臨床經驗。

Here’s how to crush your medical school clinical rotations.

這裡是如何粉碎你的醫學院臨床輪換。

Dr. Jubbal, MedSchoolInsiders.com.

Jubbal博士，MedSchoolInsiders.com。

The third year of medical school is an exciting time.

醫學院的第三年是一個令人興奮的時刻。

You finally get to move out of the classroom and into the clinic to do what you went to

你終於可以走出教室，進入診所，做你去做的事。

medical school to do: take care of patients.

醫學院要做的是：照顧病人。

That being said, it can also be one of the most challenging times for that same reason.

話雖如此，由於同樣的原因，它也可能是最具挑戰性的時期之一。

Here are 5 tips to help you crush third-year clerkships.

這裡有5個提示，幫助你粉碎第三年的文員實習。

If you’re looking for advice regarding a specific clinical rotation such as internal

如果你正在尋找有關特定臨床輪換的建議，如內科、外科、婦產科等。

medicine, psychiatry, neurology, and more, be sure to check out our Clerkship Review

醫學、精神病學、神經病學等，請務必查看我們的實習回顧。

Series on the Med School Insiders blog  - link in the description.

醫學院內部人士博客上的系列--描述中的鏈接。

If you’d like to see us make a detailed video series covering tips for specific rotations,

如果你想看到我們製作一個詳細的視頻系列，涵蓋特定輪換的技巧。

consider becoming a member to participate in members-only polls to help us decide future

考慮成為會員，參與會員專用的投票，幫助我們決定未來的發展。

content.

內容。

Click the JOIN button below for more information.

點擊下面的加入按鈕，瞭解更多資訊。

The first step to doing well in your clerkships is to know how you’ll be evaluated.

做好實習工作的第一步是瞭解如何評估你的工作。

Although many medical schools have moved to pass/fail curriculums for the preclinical

儘管許多醫學院已將臨床前課程改為合格/不合格課程

years, third-year clerkships are always graded.

年，第三年的書記員實習總是要評分的。

The four grades that you can achieve are honors, high pass, pass, and fail, or some similar

你可以達到的四個等級是榮譽、高分、及格和不及格，或一些類似的等級。

combination.

組合。

There are generally two main components to your clerkship grade: your shelf exam score

你的實習成績一般有兩個主要部分：你的書架考試成績

and your evaluations from preceptors.

和你從導師那裡得到的評價。

Shelf exams are subject-based tests designed to assess a medical student's mastery and

書架考試是基於科目的測試，旨在評估醫學生的掌握程度和

practical application of medical knowledge within the clinical setting.

醫學知識在臨床環境中的實際應用。

They are generally taken after core rotations in various specialties such as internal medicine,

他們一般是在各種專業的核心輪換之後參加，如內科。

surgery, OB/GYN, neurology, psychiatry, family medicine, and pediatrics.

外科、婦產科、神經病學、精神病學、家庭醫學和兒科。

These exams are licensed by the National Board of Medical Examiners – the same organization

這些考試是由國家醫學考試委員會授權的--也就是同一個組織

responsible for the USMLE Step exams.

負責USMLE步驟考試。

They are called shelf exams because they are composed of expired USMLE Step 1 and Step

它們被稱為架子考試，因為它們是由過期的USMLE步驟1和步驟2組成。

2 CK questions that have been “shelved” by the NBME.

2個已被NBME "擱置 "的CK問題。

Although shelf exams aren’t necessarily a requirement for medical licensure, most

雖然架子考試不一定是醫療執照的要求，但大多數

schools factor these scores into your clerkship grades.

學校將這些分數計入你的實習成績。

The evaluations you receive from your supervising resident and attending physicians are the

你從你的主管住院醫生和主治醫生那裡得到的評價是

other component of your clerkship grades.

你的實習成績的其他組成部分。

You will be assessed on qualities such as professionalism, communication, work ethic,

你將在專業性、溝通、職業道德等素質方面接受評估。

knowledge, and competency.

知識，和能力。

Depending on the school and the rotation, how these components are weighted with respect

根據學校和輪換的情況，這些部分的權重如何？

to each other will vary.

彼此之間的關係會有所不同。

For some schools, 80% of your grade may be based on your shelf score and only 20% on

對於一些學校，你的成績的80%可能是基於你的書架分數，只有20%是基於

your evaluations.

你的評價。

For others, 60% of your grade may come from your evaluations and only 40% from your shelf

對於其他人，你的成績的60%可能來自於你的評價，只有40%來自於你的書架。

score.

分。

Understanding how you will be graded is key to knowing how you should prioritize your

瞭解你將如何被打分，是知道你應該如何確定你的優先次序的關鍵。

time.

時間。

The best place to start is by reading the syllabus.

最好的開始是閱讀教學大綱。

Although it sounds obvious, many students fail to do this.

雖然這聽起來很明顯，但許多學生沒有做到這一點。

The syllabus will often break down exactly how you are graded, what is expected of you,

教學大綱通常會準確地分解出如何打分，對你的期望是什麼。

who to contact in certain situations, and other details specific to that rotation.

在某些情況下應與誰聯繫，以及該輪換的其他具體細節。

Although it’s helpful to get advice from upperclassmen and other students who have

儘管從高年級學生和其他有經驗的學生那裡獲得建議是很有幫助的。

completed that rotation before you, you shouldn’t rely on that advice alone.

完成你面前的輪換，你不應該僅僅依靠這個建議。

It should be taken into account only after you have read through the syllabus and understand

只有在你通讀了教學大綱並理解了以下內容之後，才應考慮到這一點

the grading rubric.

評分標準。

Next, be kind to everyone.

接下來，要善待每個人。

During your clerkship, you’ll meet all sorts of people, from doctors to nurses to techs,

在實習期間，你會遇到各種各樣的人，從醫生、護士到技術人員。

plus patients and their families.

加上病人和他們的家人。

One of the best ways to build a good rapport with those around you is to be kind to everyone

與你周圍的人建立良好關係的最好方法之一是善待每一個人

you meet.

你遇到了。

This includes those who do not offer the same courtesy back.

這包括那些不提供相同禮遇的人。

Medicine is a team sport, and the moment you step into your first clinical rotation, you

醫學是一項團隊運動，當你踏入你的第一個臨床輪換的那一刻，你

become a part of that team.

成為該團隊的一部分。

As such, it is in your benefit to start honing your ability to work with others early in

是以，儘早開始磨練你與他人合作的能力對你有好處。

your training.

你的訓練。

Something that has helped me be more kind to others is to remember that there is something

幫助我更加善待他人的東西是記住，有一些東西

to learn from everyone.

向所有人學習。

During my clerkships, I was inspired by physicians with great bedside manner who were able to

在我的實習期間，我受到了具有良好床邊態度的醫生的啟發，他們能夠

put patients at ease while remaining professional.

在保持專業性的同時，讓病人感到安心。

Even when patients were less than respectful, seeing the attending or resident act with

即使是在病人不太尊重的情況下，看到主治醫生或住院醫生的行為也是如此。

grace set a positive example and inspired me to incorporate these into my own clinical

恩典樹立了一個積極的榜樣，並激勵我將這些納入我自己的臨床工作中。

repertoire.

劇目。

One of the great things about clinical rotations is that you get to see how many different

臨床輪換的一個好處是，你可以看到有多少不同的人和事在等待著你。

physicians practice and interact with patients.

醫師執業並與病人互動。

From these experiences, you can decide for yourself how you want to practice and what

從這些經驗中，你可以自己決定你想如何實踐，以及什麼是

kind of doctor you want to be.

你想成為什麼樣的醫生。

But if that isn’t reason enough, medicine is also an incredibly tight-knit community.

但如果這還不夠，醫學也是一個令人難以置信的緊密社區。

You never know who’s watching or who that person might know.

你永遠不知道誰在看，或者那個人可能認識誰。

Being rude to a tech, receptionist, or janitor can easily make it into your evaluation and

對技術員、接待員或看門人無禮，很容易使其成為你的評價和

negatively impact your grade.

對你的成績產生負面影響。

Never make enemies while on your clinical rotations.

在臨床輪換時，千萬不要樹敵。

This may sound obvious to many of you, but you’d be surprised at how many people forget

這對你們中的許多人來說可能聽起來很明顯，但你會驚訝於有多少人忘記了

the “golden rule” from Kindergarten: treat others the way you want to be treated.

幼兒園的 "黃金法則"：以你希望的方式對待他人。

Next, most students don’t take advantage of asking for feedback from their preceptors.

其次，大多數學生沒有利用好向他們的指導老師徵求反饋意見的機會。

By asking how you’re doing and how you can improve during your rotation, you have time

通過詢問你做得如何以及你在輪換期間如何改進，你有時間

to make adjustments and improve on your weaknesses before grades are set in stone.

在成績確定下來之前，對自己的弱點進行調整和改進。

If you wait until the rotation is over to find out how you’re doing, it’s already

如果你等到輪換結束後再去了解自己的情況，那已經是

too late.

太晚了。

It is important to note that this is not the time to become defensive or argue for a better

重要的是要注意，現在不是辯護的時候，也不是爭辯的時候。

grade.

等級。

Doing so is a sure-fire way to hurt your final grade.

這樣做肯定會損害你的最終成績。

Instead, listen attentively to what your preceptors are saying and be receptive to their feedback.

相反，要認真傾聽你的導師所說的話，並樂於接受他們的反饋。

Look at their criticisms as a chance to grow and improve as an individual.

把他們的責備看成是個人成長和改進的機會。

Remember, you don’t go to medical school to be a doctor.

記住，你去醫學院不是為了當醫生。

You go to medical school to become a doctor.

你去醫學院是為了成為一名醫生。

During your clinical rotations, it’s also important to take advantage of your downtime.

在你的臨床輪換期間，利用你的停機時間也很重要。

Step 2 CK is generally taken at the end of your third year, and since Step 1 has transitioned

第2步CK一般在第三年年底進行，由於第1步已經過渡到了第2步。

to pass/fail, Step 2 CK is now going to be more heavily weighted on your residency application.

通過/不通過，第二步CK現在在你的住院申請中會有更大的權重。

As such, you need to make sure you’re taking the time to prepare adequately.

是以，你需要確保你花時間做充分的準備。

That being said, it can be difficult to find dedicated time to study between clinic, research,

也就是說，在診所、研究之間找到專門的時間來學習可能很困難。

and all of your other responsibilities.

和你所有的其他責任。

To be successful on Step 2 CK you need to be creative with your studying.

為了在第二步CK考試中獲得成功，你需要創造性地進行學習。

Two things that worked well for me when I was preparing for Step 2 during medical school

當我在醫學院期間準備參加第二步考試時，有兩件事對我很有效

were to study in the morning and to do flashcards whenever I had downtime.

我在早上學習，一有空閒時間就做閃卡。

Although I’m not naturally a morning person, I convinced myself that I was during my third-year

雖然我不是天生的晨練者，但在我三年級的時候，我說服自己我是晨練者。

clerkships.

書記員實習。

I would get to the hospital early, get everything prepared for the day, and then study with

我會早早地到醫院，準備好當天的一切，然後與人學習。

whatever time I had left before rounds started.

無論我在回合開始前還有多少時間。

It’s easy to tell yourself that you’ll study when you get home, but after a long

告訴自己回家後再學習是很容易的，但在經過漫長的

and challenging day, studying is often the last thing you want to do.

和具有挑戰性的一天，學習往往是你最不想做的事情。

By getting the bulk of my studying done before my shift, I ensured that it wouldn’t get

通過在換班前完成大部分的學習，我確保了它不會得到

missed and cut down the work that I needed to do at the end of the day.

錯過了，減少了我在一天結束時需要做的工作。

I also strived to make the most of whatever downtime I had throughout the day.

我還努力充分利用我一天中的任何休息時間。

My strategy for preparing for Step 2 CK relied heavily on the use of flashcards and spaced

我準備第2步CK的策略主要依靠使用抽認卡和間隔時間。

repetition.

重複的。

I even created my own deck covering every single topic that would be tested on the exam.

我甚至創建了自己的卡組，涵蓋了考試中要測試的每一個主題。

To learn more about how I prepared for Step 2CK be sure to check out my video covering

要了解更多關於我如何準備第2CK步的資訊，請務必查看我的視頻，包括

how I scored in the high 260s on the exam - link in the description.

我是如何在考試中取得260分以上的成績的--描述中的鏈接。

I would spend every bit of downtime I had throughout the day going through flashcards.

我將利用一天中的每一點閒暇時間來翻閱閃卡。

Whether it was a couple of minutes here or there while waiting for the resident or attending

不管是在這裡或那裡的幾分鐘，在等待居民或主治醫生時，都是如此。

physician, or downtime between cases, I would pull up Anki and start going through flashcards.

醫師，或者案件之間的休息時間，我都會調出Anki，開始翻閱閃卡。

It may sound excessive, but a few minutes here and there can add up quickly.

這聽起來可能過分，但這裡和那裡的幾分鐘可以迅速增加。

I didn’t just do this while I was in the hospital either.

我也不只是在住院時才這樣做。

If I was at the grocery store, waiting in line, I would go through flashcards.

如果我在雜貨店排隊等候，我就會翻閱閃卡。

If I was doing my morning stretches, I would go through flashcards.

如果我在做早上的拉伸運動，我就會去看閃卡。

Even if I got stuck at a red light while driving, I would go through flashcards.

即使我在開車時被紅燈堵住，我也會翻閱閃卡。

Okay, maybe not that last one.

好吧，也許不是最後那個。

Please don’t Anki and drive.

請不要安琪和開車。

The point is, you don’t always have to set aside large chunks of time to study.

關鍵是，你不一定非要留出大塊時間來學習。

Little bits of studying throughout the day add up.

整天的學習的點點滴滴加起來。

If you do this, you’ll be surprised at how much you know come exam time.

如果你這樣做，到了考試時間，你會驚訝地發現自己知道多少東西。

My last tip for crushing your clerkships is to focus on being instead of doing.

我給你的最後一個建議是，專注於做人而不是做事。

Oftentimes when we’re trying to do well at something we focus too heavily on tactics.

很多時候，當我們試圖做好一件事時，我們過於關注戰術。

We think “what can I do” or “what can I say” to look good to my preceptors, but

我們想的是 "我能做什麼 "或 "我能說什麼"，以便在我的教官面前看起來不錯，但

you don’t want to spend so much time worrying about how to come across as a good medical

你不想花那麼多時間去擔心如何表現得像一個好醫生。

student that you miss out on the opportunity to be a good medical student.

學生，你就會錯過成為一名優秀醫學生的機會。

For example, if you’re on your OB/GYN rotation and know for a fact that you don’t want

例如，如果你正在進行婦產科輪換，並知道你不想要

to go into obstetrics or gynecology, that’s okay.

如果你想進入產科或婦科，那也可以。

But instead of trying to act like you’re interested in it to look good to your preceptor,

但不要試圖表現出你對它感興趣的樣子，以便在你的戒律師面前看起來很好。

try to keep an open mind and find genuine interest in the specialty for what it is.

儘量保持開放的心態，找到對該專業的真正興趣所在。

Be curious, ask questions, and have fun learning about the specialty, even if you have no interest

要有好奇心，提出問題，並享受學習專業知識的樂趣，即使你沒有興趣。

in going into it yourself.

在自己進入它。

When I was in my third year of medical school, I tried to approach clerkships from the perspective

當我在醫學院的第三年時，我試圖從以下角度來對待實習。

that “I’m here to learn – not just get my grade and move on.”

"我是來學習的--而不僅僅是得到我的成績並繼續前進"。

By having this mentality, I was able to lean into the aspects that I found interesting

有了這種心態，我就能向我認為有趣的方面靠攏。

and show a genuine curiosity.

並表現出真正的好奇心。

For instance, while I was on my general surgery rotation during medical school, there was

例如，當我在醫學院期間進行普通外科輪換時，有一個

a patient that needed to have a Whipple procedure.

一個需要做Whipple手術的病人。

For those of you who are unfamiliar, this is a pretty major surgery.

對於那些不熟悉的人來說，這是一個相當大的手術。

It’s often done to treat pancreatic cancer and involves removing a part of the patient’s

這通常是為了治療胰腺癌而進行的，涉及到切除病人的一部分身體。

pancreas, small intestine, gallbladder, and bile duct.

胰腺、小腸、膽囊和膽管。

In short, it’s extremely complex and difficult – even for seasoned surgeons.

簡而言之，它是極其複雜和困難的--即使對經驗豐富的外科醫生來說也是如此。

Even though I knew I wasn’t going into gen surg, I had never seen one done before and

儘管我知道我不會去做生殖手術，但我以前從未見過這樣的手術，而且

wanted to take advantage of the opportunity, so I asked the surgeon if I could scrub in.

我想利用這個機會，所以我問外科醫生我是否可以去做手術。

The surgeon could tell that I was genuinely enthusiastic about the case and agreed.

外科醫生可以看出我對這個病例是真正的熱情，於是同意了。

My enthusiasm and eagerness to learn contributed to my evaluation and ultimate honors on that

我的熱情和對學習的渴望促成了我對該課程的評價和最終的榮譽。

rotation, but I also got a special experience that I’ll always remember.

旋轉，但我也得到了一個特別的經歷，我將永遠記住。

If you adopt this mindset, not only will you be a better, more engaged medical student,

如果你採用這種心態，你不僅會成為一個更好、更投入的醫學生。

but you’ll also learn more from the experience and become a better, more knowledgeable physician.

但你也會從經驗中學習到更多東西，成為一個更好、更有知識的醫生。

You never know when that obscure fact you learned during your clerkships will come up

你永遠不知道你在實習期間學到的那個不起眼的事實什麼時候會出現。

again and how that might help you years or even decades down the road.

再次，這可能對你幾年甚至幾十年後有幫助。

If you go on Reddit or SDN, you’ll find most students asking the “how”, the checklist

如果你上Reddit或SDN，你會發現大多數學生問的是 "如何"，檢查清單

they must do to ensure a top grade.

他們必須做的事情，以確保獲得最高等級。

These students ultimately find themselves frustrated and have mixed results.

這些學生最終發現自己受到了挫折，結果喜憂參半。

It’s no surprise, since most blogs, resources, and tutors focus on the same thing – the

這並不奇怪，因為大多數博客、資源和輔導員都集中在同一件事上------。

tactical actionable list of things to do, rather than changing the inner dialogue and

要做的事情的戰術性可操作清單，而不是改變內在對話和

perspective in becoming a top student.

在成為頂尖學生方面的觀點。

My focus with Med School Insiders has been to deliver the maximal value to our clients.

我在Med School Insiders的工作重點是為我們的客戶提供最大的價值。

That means getting beyond the parroted cliche advice and into the actual substance that

這意味著要超越鸚鵡學舌式的陳詞濫調，進入實際的實質內容。

separates top students from the rest.

將頂尖學生與其他學生區分開來。

That includes not only the nitty-gritty details, but the mindset and perspective you must adopt

這不僅包括瑣碎的細節，而且包括你必須採取的心態和觀點。

to realize your potential.

以實現你的潛力。

When you shift your way of being to align with your goals, you accomplish what you want

當你轉變你的存在方式，與你的目標保持一致時，你就會完成你想要的東西。

with far less friction and effort.

擦碰和努力要少得多。

Things almost seem to naturally fall into place.

事情幾乎看起來自然而然地落到了實處。

And as I like to say, reality is in our perception, not in events.

正如我喜歡說的，現實是在我們的感知中，而不是在事件中。

At Med School Insiders, we’ve been empowering a generation of happier, healthier, and more

在Med School Insiders，我們一直在賦予一代人更快樂、更健康和更多的權利。

effective doctors since 2016.

自2016年以來，有效的醫生。

And as a younger company led by an optimization-obsessed physician, yours truly, we do things quite

作為一家年輕的公司，由一位痴迷於優化的醫生上司，也就是你本人，我們做的事情相當

differently than the rest of the industry.

與其他行業不同。

If you want to become the best, you need to learn from the best, not those that got through

如果你想成為最好的人，你需要向最好的人學習，而不是那些通過了的人。

in the middle of the pack.

處於中間位置。

By recruiting the top talent and pioneering a systems-focused approach to our services,

通過招聘頂尖人才和開創以系統為重點的服務方式。

we’ve become the fastest growing company in the space with industry-leading customer

我們已經成為該領域發展最快的公司，擁有行業領先的客戶群。

satisfaction for one simple reason – we deliver results.

滿意的原因很簡單--我們提供結果。

If you want to honor all your clinical rotations, ace your shelf exams or USMLE, match into

如果你想完成你所有的臨床輪換，通過你的架子考試或USMLE考試，匹配到

the most desirable residency programs, and become the best doctor you can be, visit us

如果你想成為最理想的住院醫生，併成為最好的醫生，請訪問我們

on MedSchoolInsiders.com.

在MedSchoolInsiders.com上。

For a limited time, use the coupon code “Clerkships2022” for $50 off our admissions and tutoring services.

在有限的時間內，使用優惠券代碼 "Clerkships2022 "可享受我們的招生和輔導服務的50美元優惠。

Thank you all so much for watching.

非常感謝大家的觀看。

If you enjoyed this video, be sure to check out How to Crush USMLE Step 2 CK or this other

如果你喜歡這個視頻，請務必查看《如何碾壓USMLE第二步CK》或其他的視頻。

video.

視頻。

Much love, and I’ll see you guys there.

非常感謝，我們會在那裡見到你們。