Every medical student is really a bit apprehensive when he/she knows they’ll be assigned a new resident. Exactly the same questions always come up…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 maybe most importantly, will they let me leave early to review for boards or benefit from the occasional night out? Following a year . 5 of clinical rotations in various hospitals throughout NYC, I’ve learned that every resident can fit in to 1 of three general categories.
The Amazing Resident
The first kind of resident is my favorite. He/she is the one that still remembers what it’s prefer 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 work through lunch to finish a progress note that ought to 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 will be able to get their work done with out a medical student, therefore does not have to rely on him for help. Since this resident is normally 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 their teaching and knowledge of the medical student’s role.
The Horrible Resident
On another extreme of the spectrum is the resident which makes the student think that if you don’t work longer and harder compared to the resident, then you 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 negative evaluation if you’re not breaking your back again to make their life easier. Because of this if you eat lunch before finishing scutwork for him/her even though you’re about to pass out 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 as opposed to the external jugular, despite the fact that you’re only an observer through the procedure. And for the 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 repeat.
This sort of resident can either be smart or not bright, but one thing is definitely true, their notion of ‘teaching’ is quite misconstrued. They believe making the medical student call another hospital to obtain medical records, or calling the primary care doctor regarding a patient they know nothing about, falls beneath the category 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 must admit that this type of resident isn’t entirely bad. I once had a resident that often left the building before me leaving some of his work for me to perform. He would ask me to obtain an ABG on his patient with respiratory distress, and then go home while I was in the patient’s room. Although this is incredibly annoying, I did become extraordinarily competent on many procedures. I can now do an ABG blindfolded and I don’t need any assistance apart from a nurse to place an NG tube. Thus, I must thank that resident to be a bad teacher and leaving me to understand things on my own.
The Okay Resident
The last type of resident is markedly different than the others, but sometimes has traits of both extremes. I believe the primary problem that undermines this resident is they aren’t aware of the fact that the student has needs such as for example going to the bathroom and eating. They have a tendency to forget that the student actually exists and is more than only a fly following them around. This resident is not directly vicious (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. Ki Residences Singapore This leads to a medical student that is bored and zones out because he/she is not engaged and is left to stare at the paint drying on the wall.
I don’t want to generalize this group of residents as being not smart, but they don’t get it like many of their colleagues. The point that they’re overwhelmed by work is because they don’t know how to manage their time appropriately and when needed, ask for help from the medical student. I have met quite a few of these residents that are very smart, it’s that they are usually thorough making use of their patients, which doesn’t allow any moment for them to think about how exactly to have the student interact. From my experience, it seems that their strict attention to details stems from their paranoia of making a blunder and somehow killing a patient. This leads me to believe 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 instead of helping.