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The MS3 Survival Blueprint: How to Crush Your Rotations With Confidence

MS3 is the turning point of medical school—high pressure, high stakes, and full of opportunity. Students who thrive don’t have superhuman intelligence. They have systems.

1. Build a Pre-Rotation Framework

Before day one, learn:

  • Top diagnoses
  • Most common presentations
  • Basic workups
  • Rotation workflow

A 60-minute orientation prep puts you ahead of most students.

2. Know the “3 Questions” Attendings Expect You to Answer

For every patient, be ready to state:

  1. What is the main problem?
  2. What is the plan?
  3. What has changed since yesterday?

This shows clinical growth instantly.

3. Keep a Daily Learning Log

After each shift, write:

  • 2 things you learned
  • 1 question you want to explore
  • 1 skill you improved

Reflection accelerates clinical reasoning.

4. Treat Residents Like Coaches, Not Critics

Residents evaluate you—but they also teach you.
Ask:
“What can I do better tomorrow?”
This question alone raises your evaluations.

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