Resident life blog

September 2014 – Jared’s Top 10 observations about starting intern year

by Jared Klein, M.D., M.P.H.
Pediatric resident

My name is Jared Klein and I hail from Cleveland, Ohio. I went to THE Ohio State University for undergrad and Wright State University Boonshoft School of Medicine for medical school.

This is my first time living out of state and I must say, even though it has only been two months, Richmond feels like home. Children’s Hospital of Richmond at VCU is one of the friendliest environments that I have ever worked in.

I could write a long narrative about my first few months, but I’m a bigger fan of the Top 10 List, so here we go:

  1. When your title goes from MS-IV to M.D. or D.O., suddenly you're the person that nurses go to for orders or if they need someone to evaluate the patient. When someone asks, “What do you think about this, doctor?’, that doctor is you.
  2. There is no easing into residency. I started my first day on inpatient teams by caring for six patients. Well, six patients before the two admissions I got later on that day! On day two, I carried nine patients – one patient away from the intern patient cap.
  3. Even though I’m only 27, people were calling me “sir.”
  4. During medical school, I never realized how many tasks residents have to complete on a daily basis – progress notes, consults, discharge summaries, patient logging, online modules, boards studying, creating didactic presentations, performing research, attending service-specific meetings, and, oh yeah, patient care.
  5. Your signature and orders carry clout, which also means you're accountable for them. Always make sure you read what you are signing and always check the math on your dosages.
  6. Even if you attended a medical school that did not use Cerner, you’ll learn how to use it pretty fast since you will be using it all of the time.
  7. My medical school graduation speaker stated in his graduation speech, “You can't not teach.” Certain tricks, such as using your stethoscope as a reflex hammer or using the quick method of judging long QT syndrome (the QT is less than half of the preceding RR), may not be common knowledge to new third-year medical students. There's always something new to learn and something new to teach.
  8. I know it is cliché to say this, but your co-residents really are your family. They are the ones that you’ll ask about the management of Russell-Silver syndrome or whether LeBron James will return to Cleveland (Answers: growth hormone and yes!).
  9. The match definitely knew where to place me. I love Richmond since everything feels historical such as my apartment building, The John Marshall Hotel, which was once the largest hotel in Virginia and the movie theater, which used to be a locomotive factory.
  10. After just two months at Children’s Hospital of Richmond at VCU, I am 100 percent certain that pediatrics is the right specialty for me.