5 Ways To Get Through To Your TOP QUALITY RESIDENCES

Every medical student is a bit apprehensive when he/she knows they will 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 maybe most importantly, will they let me leave early to study for boards or benefit from the occasional night out? Following a year . 5 of clinical rotations in a variety of hospitals throughout NYC, I have learned that every resident can fit in to one of three general categories.

The Amazing Resident
The first kind 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 understand 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 to the fact that the medical student does 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 type of resident is usually more efficient and smarter than his/her colleagues. He/she can get their work done with out 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 concerning 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 is the resident which makes the student think that unless you work longer and harder than 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 idea of giving you a negative evaluation if you are not breaking your back to make their life easier. This means that if you eat lunch before finishing scutwork for him/her despite the fact that you’re about to pass out from hypoglycemia, you’re unworthy. This type of resident will berate you if anything goes wrong during 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 continually be your fault, thus it is easier never to argue and merely accept the blame and declare that you will never do it again.

This sort of resident can either be smart or not so bright, but one thing is definitely true, their idea of ‘teaching’ is very misconstrued. They think that making the medical student call another hospital to get medical records, or calling the primary care doctor regarding a patient that 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 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 some 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. Ki Residences Sunset Way 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 must thank that resident to be a negative teacher and leaving me to understand things on my own.

The Okay Resident
The last type of resident is markedly unique of others, but sometimes has traits of both extremes. I really believe the principal problem that undermines this resident is they aren’t aware of the fact that the student has needs such as going to the bathroom and eating. They tend to forget that the student actually exists and is more than only a fly following them around. This resident isn’t directly vicious (like the ‘horrible resident’), it’s they are usually too overwhelmed during the day and just don’t know how exactly to utilize the student effectively. 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 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 understand how to manage their time appropriately so when needed, ask for help from the medical student. I have met quite a few of these residents that are very smart, it’s just that they are usually 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 seems that their strict attention to details is due to their paranoia of making a mistake 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 rather than helping.

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