Master (Your) TOP QUALITY RESIDENCES in 5 Minutes A Day
Every medical student is a bit apprehensive when he/she knows they’ll be assigned a new resident. Exactly the same questions always appear…will the resident be nice? Will they understand my busy schedule? Will they make me do 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 enjoy the occasional night out? After a year . 5 of clinical rotations in various hospitals throughout NYC, I’ve learned that every resident can fit in to one of three general categories.
Ki Residences Sunset Way The Amazing Resident
The first type of resident is the best. He/she is the one which still remembers what it’s like to have freedom 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 study. This resident is nearly always cognizant of the fact that the medical student will not want to sort out lunch to complete a progress note that should be done by the resident to begin with.
I have also noticed that this kind of resident is usually better and smarter than his/her colleagues. He/she has the ability to get their work done with out a medical student, therefore does not have to depend on him for help. Since this resident is usually smarter than the average bear, they often times times impart unique clinical knowledge to the student. The funny thing about this resident is that I’m MUCH more ready to do the lowest of scutwork to help him/her out because of the teaching and knowledge of the medical student’s role.
The Horrible Resident
On the other extreme of the spectrum may be the resident that makes the student think that unless you work longer and harder compared to the resident, you then will ultimately be considered a horrible doctor and unworthy of the ‘MD’ degree. The darkest of these types of residents will taunt the medical student’s worst fears by threatening the notion of giving you a bad evaluation if you are not breaking your back again to make their life easier. Therefore if you eat lunch before finishing scutwork for him/her even though you’re about to distribute from hypoglycemia, you’re unworthy. This sort 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 rather than the external jugular, despite the fact that you’re only an observer through the procedure. And for your information, it will always be your fault, thus it is easier not to argue and merely accept the blame and declare that you will never do it again.
This type of resident can either be smart or not bright, but one thing is always true, their notion of ‘teaching’ is very misconstrued. They believe making the medical student call another hospital to obtain medical records, or calling the principal care doctor regarding a patient they know nothing about, falls under the group of teaching, Therefore, this fulfills their role as a ‘teacher,’ resolving them of having to waste their time explaining the reasoning for ordering potassium levels Q4H on the DKA patient.
On the other hand, I must admit that this kind of resident isn’t entirely bad. I once had a resident that often left the building before me leaving a few of his work for me to perform. He would ask me to obtain an ABG on his patient with respiratory distress, and go back home while I was in the patient’s room. Although this was incredibly annoying, I did become extraordinarily competent on many procedures. I could now do an ABG blindfolded and I don’t need any assistance apart from a nurse to put an NG tube. Thus, I have to thank that resident to be a negative teacher and leaving me to understand things on my own.
The Okay Resident
The last kind of resident is markedly unique of the others, but sometimes has traits of both extremes. I believe the primary problem that undermines this resident is that they aren’t aware of the truth that the student has needs such as for example going to the toilet and eating. They have a tendency to forget that the student actually exists and is a lot more than only a fly following them around. This resident isn’t directly vicious (just like the ‘horrible resident’), it’s they are usually too overwhelmed throughout the day and just don’t know how to utilize the student effectively. This results in 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 group of residents to be not smart, but they do not get it like many of their colleagues. The truth that they’re overwhelmed by work is because they don’t know how to manage their time appropriately so when needed, require help from the medical student. I have met quite a few of the residents that are very smart, it’s that they are usually thorough making use of their patients, which doesn’t allow any time for them to consider how exactly to have the student interact. From my experience, it seems that their strict focus on details is due to their paranoia of making a mistake and somehow killing an individual. This leads me to trust they need to read Samuel Shem’s books and grasp the theory that less is usually better in the healthcare world and their meticulousness is hindering rather than helping.