Rules of Medicine

Resident-to-Resident Sage advice

1. Do no harm.

2. Trust no one. (Kinder version: "Trust, but verify")

3. Medicine is an art, not a science. (Corollary: Never argue with an attending, unnecessarily)

4. Never make excuses.

5. Never carry a coffin by yourself.  (Corollary: If you are unsure, ask someone smarter.)

5. Discharge planning must begin at admission.

6. Workups that can happen as an outpatient, should.

7. Never open a can of worms unless you plan to go fishing.

8. Common diseases occur commonly.

9. Before ordering a test, decide what you will do if it is a) positive or b) negative.  If both answers are the same, don't order the test. (Corollary: if a test is unlikely to change your management, don't order it.)

10. When dealing with consultants, remember the Law of Subspecialization: If you are a hammer, the world looks like a nail.

11. The quality of care is inversely proportional to the number of consultants on a case.

12. If it cannot be read, don't write it.

13. Any order that can be misunderstood, will be misunderstood.

14. If a drug is not working, stop it.

15.  If you are not sure what a drug is doing, stop it.

16.  Never see patients on an empty stomach or a full bladder.  Both compromise patient care.