Zoe - The Bigelow (2020-2021)
The following is an computer-generated summary of the video transcript.
In this video, I'm going to try to talk to you a little bit about inpatient medicine and MGH. I think this is a little bit difficult of a task, but I love our system. I know that you hopefully have, um, seen our big video, which kind of describes it a little bit better. I hope to kind of tell you why I love the Bigelow system. It's basically the primary model of inpatient medicine and involves four in turns, one junior resident and typically two attendings And the whole kind of, uh, premise is that an intern is on call for 24 hours. They come in at new and they admit patients up to five a day and follow the course of that patient's disease and kind of what happens to them for 24 hours. You come in at noon, which means that every week, whenever I was on call, I got to sleep in, I gotta work out. I got Thio eat breakfast with my significant other, and then I got a coming at noon and then learn a ton for 24 hours, the other positions, or the next day I would go home and sleep, and then I would come in the following day and I would do something called the swing role. I do all the tasks while the plant person, which is the third day, is rounding with Junior and writing all of the notes. So I'm solely focused on calling consultants, doing procedures, completing tasks, making sure our patients get the medications that they need talking to pharmacy, talking to nurses, responding to buy those signed questions. I like this because it lets you really focus on one task, and you learn a ton in like, a very unique way. The next day you are Plan is like, kind of described, and you're going to spend a lot of time, just you and the junior, which I think is really nice because it's a stressful environment. You take notes, but you only take note once every four days, which I didn't again. It really takes off the note burden that I think a lot of residents feel during their first year. Working with a junior resident kind of very one on one very frequently is extremely rewarding. They knew exactly how you feel, and they could really provide you with the highest yield points, basically on a daily basis, that attendings of the Bigelow are also in cry. It's typically two attendings and medicine attending and then someone who specializes in something unique and they kind of split up the list, and they each provide their own kind of framework during rounds. The old patient rounds we do just with the junior new patient rounds we do with the whole group. There's always something incredible learning, and it's really a very informal environment where we're primarily trying to focus on kind of figuring out what's wrong with the new patients and how we can help them briefly. Because I realized that my intern year, how important these things are in terms of card and ancillary resource is we have someone called in I A C who helps us schedule appointments. Uh, it kind of helps us with anything else related to discharges, then briefly. Just because I think that this is worth noting the nurses that NGH are incredible, they are reliable. They will start treating critically ill patients before you get to the room. I'm very grateful for how incredible the nurses that MGH are. I don't think I could do residency without such great colleagues. PS and kind of just like a full system of people that you work with on a daily basis.
