3 Ways You Can Reinvent TOP QUALITY RESIDENCES Without Looking Like An Amateur

Every medical student is really a bit apprehensive when he/she knows they will 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 all of his/her progress notes? And maybe most importantly, will they let me leave early to review for boards or enjoy the occasional night out? After a year . 5 of clinical rotations in a variety of hospitals throughout NYC, I’ve learned that every resident can fit in to one of three general categories.

The Amazing Resident
The first type of resident is my favorite. He/she is the one that 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 get out of the hospital to review. This resident is almost always cognizant to the fact that the medical student will not want to sort out lunch to finish a progress note that ought to be done by the resident in the first place.

I have also noticed that this kind of resident is usually more efficient 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 rely on him for help. Ki Residences Sunset Way Since this resident is normally 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 cheapest of scutwork to help him/her out because of their teaching and understanding of the medical student’s role.

The Horrible Resident
On another extreme of the spectrum may be the resident which 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 the types of residents will even taunt the medical student’s worst fears by threatening the notion of giving you a bad evaluation if you are not breaking your back to make their life easier. Because of this if you eat lunch before finishing scutwork for him/her even though you’re about to distribute from hypoglycemia, you are unworthy. This sort of resident will berate you if anything goes wrong during their shift. This may include yelling at you for misplacing the central line in the carotid as opposed to the external jugular, even though you were only an observer through the procedure. And for the information, it will always be your fault, thus it is easier never to argue and merely accept the blame and state that you will never do it again.

This kind 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 get medical records, or calling the principal care doctor regarding an individual that they know nothing about, falls beneath the category 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 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 perform. He would ask me to get an ABG on his patient with respiratory distress, and 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 other than a nurse to put an NG tube. Thus, I have to thank that resident for being a bad teacher and leaving me to understand things on my own.

The Okay Resident
The last kind of resident is markedly different than the 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 have a tendency to forget that the student actually exists and is more than just a fly following them around. This resident isn’t directly vicious (like the ‘horrible resident’), it’s they are usually too overwhelmed throughout the day and just don’t know how to make use of 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 want to generalize this group of residents to be not smart, but they do not get it like a lot of their colleagues. The truth that they are overwhelmed by work is basically because they don’t learn how to manage their time appropriately so when needed, ask for help from the medical student. I have met quite a few of the residents which are very smart, it’s just that they tend to be thorough with their patients, which doesn’t allow any moment for them to think about how exactly to have the student interact. From my experience, it appears that their strict attention to details stems from their paranoia of making a mistake and somehow killing an individual. This leads me to believe they need to read Samuel Shem’s books and grasp the idea that less is normally better in the healthcare world and their meticulousness is hindering instead of helping.

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