10 Things You Have In Common With TOP QUALITY RESIDENCES

Every medical student is a bit apprehensive when he/she knows they’ll be assigned a new resident. The same questions always appear…will the resident be nice? Will they understand my busy schedule? Will they make me execute a ton of scutwork? Will they make me write most of his/her progress notes? And perhaps most importantly, will they i want to leave early to review for boards or benefit from the occasional night out? After a year and a half of clinical rotations in a variety of hospitals throughout NYC, I have learned that each resident can fit in to 1 of three general categories.

The Amazing Resident
The first type of resident is the best. He/she is the one that still remembers what it’s like to have freedom and no responsibility as a 3rd and 4th year medical student. They recognize that the medical student is strictly there to learn some cool things and see some interesting procedures, then escape the hospital to review. This resident is almost always cognizant of the fact that the medical student does NOT want to sort out lunch to complete a progress note that ought to be done by the resident to begin with.

I have also noticed that this type of resident is usually more efficient and smarter than his/her colleagues. He/she has the capacity to get their work done without a medical student, therefore doesn’t have to depend on him for help. Since this resident is usually smarter than the average bear, they often times impart unique clinical knowledge to the student. The funny thing about this resident is that I’m MUCH more willing to do the lowest of scutwork to help him/her out because of the teaching and understanding of the medical student’s role.

The Horrible Resident
On the other extreme of the spectrum is the resident that makes the student think that unless you work longer and harder compared to the resident, then you will ultimately be a horrible doctor and unworthy of the ‘MD’ degree. The darkest of the types of residents will taunt the medical student’s worst fears by threatening the idea of giving you a negative evaluation if you are not breaking your back to make their life easier. Which means that in the event that you eat lunch before finishing scutwork for him/her despite the fact that you’re about to distribute from hypoglycemia, you’re unworthy. This type of resident will berate you if anything goes wrong throughout their shift. This can include yelling at you for misplacing the central line in the carotid as opposed to the external jugular, even though you’re only an observer through the procedure. And for your information, it will always be your fault, thus it really is easier never to argue and merely accept the blame and state that you will never do it again.

This type of resident can either be smart or not so bright, but one thing is definitely true, their notion of ‘teaching’ is quite misconstrued. They believe that making the medical student call another hospital to obtain medical records, or calling the primary care doctor regarding an individual that they know nothing about, falls under the group of teaching, Therefore, this fulfills their role as a ‘teacher,’ resolving them of experiencing to waste their time explaining the reasoning for ordering potassium levels Q4H on the DKA patient.

On the other hand, I have to admit that this type of resident is not entirely bad. I once had a resident that often left the building before me leaving a few of his work for me to complete. He would ask me to obtain an ABG on his patient with respiratory distress, and go home while I was in the patient’s room. Although this was incredibly annoying, I did so become extraordinarily competent on many procedures. Ki Residences Sunset Way I could now do an ABG blindfolded and I don’t need any assistance other than a nurse to put an NG tube. Thus, I have to thank that resident to be a bad teacher and leaving me to understand things on my own.

The Okay Resident
The last kind of resident is markedly unique of others, but sometimes has traits of both extremes. I believe the principal problem that undermines this resident is that they aren’t aware of the point that the student has needs such as for example going to the toilet and eating. They tend to forget that the student actually exists and is a lot more than only a fly following them around. This resident is not directly vicious (just like the ‘horrible resident’), it’s they are usually too overwhelmed throughout the day and just don’t know how exactly to make use of the student effectively. This leads to a medical student that is bored and zones out because he/she isn’t engaged and is left to stare at the paint drying on the wall.

I don’t desire to generalize this category of residents as being not smart, but they do not get it like many of their colleagues. The point that they’re overwhelmed by work is because they don’t discover how to manage their time appropriately and when needed, require help from the medical student. I have met quite a few of the residents that are very smart, it’s just that they are usually thorough making use of their patients, which doesn’t allow any time for them to consider how to have the student interact. From my experience, it appears that their strict attention to details is due to their paranoia of making a mistake and somehow killing a patient. This leads me to trust they need to read Samuel Shem’s books and grasp the theory that less is normally better in the healthcare world and their meticulousness is hindering instead of helping.

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