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Created by Dr. Karishma Patel, MD

Systems-Based Playbooks
for Medical Residency

SysteMD teaches systems-based playbooks for maximizing personal efficiency during medical residency.

Built from the curricula Dr. Patel developed and taught as a UCSF Chief Resident — now available to medical students, interns, and residents nationwide.

Course 1: A Systems-Based Playbook for Intern Year

Most of what makes intern year hard isn’t the medicine — it’s the operational chaos. Eight patients, fifty pages, three consults to call, two admissions in the queue, and a note you haven’t started. Medical school doesn’t teach you how to run that day. This course does.

Taught by Dr. Karishma Patel — former UCSF Chief Resident, now an academic hospitalist at Stanford — this course distills the workflow systems she developed across residency and chief year, and that became one of the most requested sessions for incoming UCSF interns.

By the end of the course, you’ll have:

    • A repeatable admissions framework you can use on day one of intern year

    • A daily list system that reduces cognitive load and prevents missed tasks

    • A clear mental model for how to prioritize when everything feels urgent

    • The vocabulary and structure to run the list confidently with your senior and attending

    • A foundation you can tweak and adapt to your own style over time

Who this is for: Incoming internal medicine interns who want a system in place before day one. The frameworks are medicine-focused but applicable across specialties and hospital systems.

Module 1

In this lesson, Dr. Karishma Patel walks you through a repeatable, three-phase framework for efficiently and effectively admitting patients on internal medicine.

You’ll learn how to:

  • Frame and triage patients before you even call the ED back for sign-out
  • Chart review in the right order to avoid anchoring bias
  • Build a working problem list in real time as you gather data
  • Separate urgent orders and consults from non-urgent wrap-up tasks
  • Do focused, time-limited chart digging without falling down a rabbit hole
  • Prep a clean handoff and set yourself up to hit the ground running post-call

The framework is demonstrated step-by-step on a simulated patient in EPIC, so you can see exactly how the workflow plays out in practice — from the moment a new admission hits your list to the moment you sign out for the night.

Module 2

In this lesson, Dr. Karishma Patel shares the paper-based list system and daily workflow she used as an intern and chief resident at UCSF to manage 8+ patients without dropping tasks.

You’ll learn how to:

  • Set up a paper list system that scales from 8 patients as an intern to 16 as a senior
  • Use a color-coded notation system to capture everything at a glance
  • Build a daily checkbox system for the recurring tasks every patient needs
  • Structure your day around pre-rounding, rounding, PM rounding, sign-out, and post-sign-out wrap-up
  • Set yourself up the night before so you can hit the ground running the next morning

The lesson walks through real examples of how the list works in practice — including how to handle pages throughout the day, how to run the list with your senior, and how to use the system to make handoffs faster and reduce cognitive load.

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One of the most requested and highly rated electives for UCSF interns
UCSF staff
Very useful session with practical advice on efficiency.
UCSF Intern

About the Creator

Karishma grew up in the Pacific Northwest and trained at UC Berkeley and Oregon Health & Science University before coming to UCSF for her internal medicine residency. During residency, she focused on medical education and mentorship, quality improvement, and physician wellness, and went on to serve as a chief resident. In recognition of her teaching and mentorship of medical students and residents throughout her residency, she received the Teaching Excellence Award for Cherished Housestaff. She is now an academic hospitalist at Stanford. Outside of medicine, Karishma enjoys Pilates and hiking, and spending time with friends and family — including her husband, Anish, and their daughter, Aaliya.

Course 1

$124.99
$ 99 Early-access pricing
  • A Systems-Based Playbook for Intern Year
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