internship assessment medicine(11-06-23 to 11-08-23)

INTERNSHIP ASSESSMENT

- July27th, 2023

 Hello there! This is Dr. Jayanth reddy, an undergraduate posted in the department of medicine and welcome to my blog.  

This blog highlights my learning experience and the skills that I’ve acquired during my time in the department of medicine which was from 28/06/23  to  11/08/23. 

NOTE: This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centred online learning portfolio and your valuable comments on comment box is welcome

PSYCHIATRY (11/06/23 to 26/06/23): 

During the initial 15 days, I was posted in the department of Psychiatry.

Here I learned about the importance of  taking a history of a patients especially in psychiatry department as the causes for diseases in psychiatry are mostly idiopathic and diagnosis really depends a lot on taking patients history

A few cases that I’ve come across my time in psychiatry

•  Psychosis in alcohol withdrawal
• Alcohol dependence syndrome 
• Adjustment disorders
• panic attacks
• Depression(after love failure)

 

We learnt in detail about classifications of different psychiatric conditions, and the treatment of choice in each case.  

We also got a chance to observe cases in the de-Addiction centre, and counsel the  patients undergoing therapy.

UNIT DUTY (26/06/23 to 28/07/23)

The following 4 weeks I was posted in the general medicine unit 5. Here we would have OP days and casualty duties with an occasional Sunday duty which made me realise that a good clinician has no days off. 

On my first day of Unit duty, we had started a new trend of auditing the OP cases and Dr. Rakesh Biswas sir had given me the instructions as to how to begin with it and I had taught all of my co-interns how to do it. 

We were given an opportunity by Dr. Rakesh Biswas sir to make blogs on the cases which we would personally find fascinating. Hence this assessment includes links to multiple blogs of cases which I found interesting. 

I had come across several patients during this period. Some critical coming from casualty and some not as much. We would take the critical ones to the ICU after stabilising them in the casualty and monitor them closely. 

I had one such patient that had come to the casualty during one of our OP days which I found particularly interesting so I took the responsibility of making her PaJR. 

Given below is the patient’s blog:

https://jayanthreddy077.blogspot.com/2023/07/53-year-old-male-with-co-abdominal.html?m=1

https://jayanthreddy077.blogspot.com/2023/08/28-year-old-with-diabetic-ketoacidosis.html?m=1

https://jayanthreddy077.blogspot.com/2023/08/27-year-old-with-decompensated-liver.html?m=1

https://jayanthreddy077.blogspot.com/2023/08/28-year-old-with-diabetic-ketoacidosis.html?m=1

https://jayanthreddy077.blogspot.com/2023/08/60-year-old-patient-with-alcohol.html?m=1

Peripheral duties (28/07/23 to11/08/23)

Ward duty(28/07/23 to 2/08/23)

• Improved my history taking abilities 
• Helped my colleagues in updating  SOAP notes.
• Monitored patients in the ward. 
•  IM/IV Injections
• collected blood samples
• Learned how to read chest X-rays

ICU duties(2/08/23 - 6/08/23)

• Inserted Foley’s catheters, condom catheter, Inserted Ryle’s tubes
• Observed insertion of central line 
• Monitored vitals of all patients
• Did bed sores management( dressings) 
• Attended rounds for ICU and AMC cases.
•  to  read an ABG
• Learned how to resuscitate a cardiac arrest  performing CPR
• learnt various modes of ventilation
• Secured multiple cannulas

Nephrology duties(07/08/23- 11/08/23)

• Seen the complications of dialysis 
• Took ABG samples.  
• Monitored the patients undergoing dialysis
• Observed insertion of central line 
• Observed multiple CKD cases requiring dialysis.
• Learnt about dialysis
• Learned about how to secure a central line

• Learned about how NSAIDS damage kidney both functionally and structurally
• Give IV injections
• Put cannula