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Empathy to Expertise: Building Strong Doctor-Patient Relationships
April 11, 2025Summary (TL;DR)
To excel, focus on delivering strong patient presentations, mastering pharmacology, and tailoring your approach to each specialty, such as navigating sensitive topics in OBGYN or improving communication in Psychiatry. During clerkships, stand out by being a team player, offering educational presentations, and seeking regular feedback.
Study daily for shelf exams and learn from upperclassmen for site-specific insights. Outside the hospital, maintain professionalism by avoiding informal diagnoses, encouraging others to seek medical advice, and taking breaks to prevent burnout. Clean up your social media to reflect professionalism.
Medical school is an intense and transformative journey, blending theoretical knowledge with hands-on clinical experience. For many students, the transition from lectures to clinical rotations marks a pivotal moment filled with excitement and anxiety. To help you navigate this demanding yet rewarding phase, we’ve compiled insights and strategies from multiple perspectives. Whether you’re preparing for your first clinical rotation, striving for outstanding evaluations during your clerkship, or refining your professional etiquette, this guide has you covered.
Section 1: Excelling in Clinical Rotations
Understanding the Importance of Clinical Rotations
Clinical rotations are where theory meets practice. As Richard Zhang notes in How You Can Make the Most of Your Clinical Rotations, these experiences allow students to apply their biomedical knowledge in real-world settings. However, it’s normal to feel overwhelmed as you step into unfamiliar territory. The key is to approach each rotation with enthusiasm and a willingness to learn.
Fatima Khan echoes this sentiment in her article on excelling during the Internal Medicine clerkship. She emphasizes that clinical rotations, particularly in fields like Internal Medicine, can be mentally and physically taxing. Yet, with the right mindset and preparation, you can not only survive but thrive.
Strategies for Success Across Specialties
Obstetrics & Gynecology (OBGYN)
- Overcome Awkwardness: Discussing sensitive topics like vaginal discharge or menstrual blood can feel uncomfortable at first. As Richard Zhang advises, stay professional and avoid over-apologizing. Practice having personal conversations with friends to build confidence.
- Master Female Anatomy: Knowledge of female anatomy is foundational in OBGYN. Review textbooks beforehand to ensure you’re well-prepared. Supervisors will appreciate your initiative and commitment to learning.
Family Medicine
- Understand Clinic Dynamics: Learn how your assigned clinic operates. Observe interactions between nurses, receptionists, and physicians to gain insight into teamwork in medicine.
- Personalize Patient Care: Build relationships with patients by recognizing them as individuals. This approach helps consolidate your theoretical knowledge while honing communication skills.

Internal Medicine
- Take Thorough Histories: Perform detailed patient histories, asking open-ended questions to gather comprehensive information. Recognize red herrings—incidental findings that may distract from the core issue.
- Learn Basic Diagnostics: Skills like reading ECGs can impress residents and attendings, who often have low expectations of medical students.
Psychiatry
- Embrace Mental Health Discussions: Don’t shy away from conversations about mental illness. Educate yourself, correct misconceptions, and adopt an open mindset to destigmatize these topics.
- Hone Communication Skills: Effective communication extends beyond words; pay attention to body language, eye contact, and facial expressions.
Surgery
- Be Punctual and Present: Arrive early and stay engaged during surgical rotations. Hospitals run on tight schedules, so timeliness is crucial.
- Ask Questions: Confusion is inevitable, but asking thoughtful questions demonstrates curiosity and eagerness to learn.
Section 2: Standing Out During Clerkships
Clerkships are a critical component of third-year medical school, providing invaluable exposure to various specialties. Fatima Khan’s How to Get an Outstanding Evaluation on Your Third Year Medicine Clerkship offers practical advice for excelling in this rigorous environment.

Key Strategies for Clerkship Success
- Prepare Quality Patient Presentations
Patient presentations leave a lasting impression. Take time to craft succinct presentations that demonstrate your analytical skills. Interpret labs, imaging results, and create logical treatment plans. Seek feedback from residents and attendings to refine your technique.
- Be a Team Player
Collaborate effectively with interns and residents. Offer assistance with tasks like scheduling follow-up appointments or calling labs for results. If possible, take on additional responsibilities to show dependability.
- Know Pharmacology Inside-Out
Retain pharmacological knowledge from Step 1, focusing on indications and major side effects of common medications. Utilize resources like Physeo’s Pharmacology series and flashcards to reinforce learning.
- Offer Educational Presentations
After settling into the rotation, propose giving a brief presentation on a relevant topic. This showcases initiative and benefits patient care. Use PubMed’s “clinical queries” tool to research supporting data.
- Seek Feedback Humbly
When unsure, admit it gracefully and commit to finding answers later. Regularly request feedback using your clerkship grading rubric as a guide. Early feedback allows time to implement improvements.
- Study Daily for Shelf Exams
Consistent study habits prevent last-minute cramming. Divide resources across days and complete an NBME self-assessment before the exam to identify weak areas.
- Consult Upperclassmen
Leverage their experiences for site-specific tips, such as attending preferences, parking locations, and effective study resources.
Section 3: Mastering Medical Student Etiquette
Professionalism extends beyond clinical settings. In Medical Student Etiquette: Outside the Lecture Halls, Richard Zhang highlights behaviors that foster positive relationships with peers, professors, and patients.
Dos and Don’ts of Medical Student Etiquette
- Don’t Give Diagnoses: Diagnosis is a doctor’s responsibility. Instead, encourage friends and family to consult qualified professionals.
- Encourage Seeking Professional Help: Listen empathetically to concerns, validate feelings, and gently direct individuals toward appropriate care.
- Avoid Constant Complaints: While venting about medical school stress is natural, excessive complaints alienate non-medical acquaintances. Save detailed grievances for fellow med students.
- Stay Connected with Old Friends: Maintain ties with pre-med life connections to preserve perspective and motivation.
- Pursue Non-Medical Interests: Prevent burnout by engaging in hobbies outside medicine. Tutoring, exercising, or pursuing part-time jobs provides refreshing breaks.
- Support Younger Peers: Share wisdom gained from senior mentors. Answering questions reinforces your understanding and fosters camaraderie.
- Clean Up Social Media: Ensure your online presence reflects professionalism. Remove inappropriate posts to safeguard your reputation.
Final Thoughts
Medical school is a marathon, not a sprint. By combining strategic preparation with consistent effort, you can excel in clinical rotations, clerkships, and interpersonal interactions. Remember, every challenge is an opportunity to grow. Stay curious, remain humble, and embrace lifelong learning—the hallmarks of a successful medical career.
As emphasized throughout these articles, tools like Physeo’s video resources and image mnemonics can enhance your understanding of complex concepts. Visit physeo.com/plans to explore subscription options tailored to your needs.

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Fatima Khan and Richard Zhang
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