To new MSIII's.... from your intern

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Hi soon-to be MSIII's. I'm your intern, or at least I will be as of next month. I thought I might take this opportunity to tell you a few things about how this next year is going to work. These little gems are in no particular order.


1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

2) We should be friendly however. If I'm not civil, it may be because I am tired. It also may be because you are stupid, lazy, or a d!ckhead. I'll try not to be tired. What are you gonna do?

3) Don't adopt the attitude that you are paying tuition therefore you call the shots. I am "paying" in the form of opportunity cost by accepting this pittance of a salary, and I already paid my tuition, so spare me the drama. We are both in the midst of necessary training, so salary vs. tuition is just a technicality. Accept your role, play it well.

4) My first priority is patient care. PATIENT......CARE...... not teaching, not sleep or eating, not letting you do procedures. AFTER the patients come all of these other interests.

5) At worst, be on time. Ideally, be five minutes early, and don't act annoyed that eveyone else is five minutes late. Don't EVER be late yourself.

6) You will get what you deserve, good or bad. If you aren't getting what you deserve, I will try to intervene to make it so (see #8,9). Good OR bad. I'm no cheerleader, and no saboteur, but I will expend energy for the sake of fairness.

7) I should teach you stuff. And I will. But don't ask me a hundred questions during rounds. And if you do anything that remotely sounds like YOU are pimping ME, you will regret it forever. I promise.

8) Don't lie. Don't be a dick. Don't feud with anyone. The residents and attendings will discuss you behind your back, and their allegiance is to each other more than to you. Yes, even the *****hole residents/attendings, because we have to work with each other longer than we have to work with you.

9) Work hard, be enthusiatic, volunteer to do things that make my life easier. I will care more about this than about the text book or journal you read last night. And if/when I'm happy, I'll create opportunities for you to show off what you've been reading about, opportunities to look like a star.

10) If I give you advice about how the chief or attending likes presentations, or how you should be writing your progress notes, just trust me and try it that way. If I haven't worked with them long enough to know their preferences, I wouldn't be telling you. And if I have, then you should listen. Bad presentations and crappy progress notes make everyones' lives more painful, and that pain will trickle down onto you.

11) We will notice if you look out for your fellow students, and if you don't. We like it when you do. I want my co-residents to have my back, and I want to protect theirs. If you aren't doing this now, how can I expect that you will be doing it a couple years from now?

12) Don't lie, it bears repeating. If you don't know a lab or vital or the PCA data, it's okay, don't make it up. If you want a day off, say so. Don't claim illness or the like. I will do whatever is reasonable to help you get what you want out of this clerkship, but I will BURY YOU if you lie to me about ANYTHING, no matter how inconsequential it seems to you.


I'm sure there's more, but that's what's off the top of my head right now. Any questions? Additions from other current or near-future interns?

Another soon to be intern...

We're not all total a-holes.

Another soon to be intern here who is not a dick.
why are you trying to demoralize the Med IIIs already?
Don't you recall how very recently you were a Med III?
Medical teams are TEAMS.
Be nice to each other.
It's very simple. Good team morale translates to better patient care.
No one, not even your fellow residents will like you if you treat med students like crap.

This piece of **** has obviously been waiting two years to get to dispense the same abuse on others that must have been dispensed on him/her. If you were NOT abused third year, then you really have no excuse for threatening to abuse others - not that there's an excuse for anybody at any time.

Well, I'm pretty sure you're not going to be my intern so with that you can kiss it.

This is interesting.....coming from someone who's place on the totem pole still isn't even above the ground yet.

If that's how you play....students can f*** a resident over just as easily as residents can f*** students.

Originally Posted by babylonsister

Don't you recall how very recently you were a Med III?

That's why I posted this. Someone in the evaluation-comment thread said somethng like "if only I'd known...." Perhaps my comments seem antagonistic to some, but this is not their intended tone -- I'm just trying to be brutally honest so they don't have any surprises.

On a semi-regular basis I'd see classmates go down in flames because they were lazy, careless, acting entitled, selfish, dishonest, tardy, unaccepting of advice, or oblivious to social graces. In fact, each of my comments was based on a real-life incident(s) that I witnessed. It's all preventable for most people, if you know what the expectations are.

I just like how the post is directed to a specific audience, as if you know who is who on this board, and vice versa.

I wish I could also see into the future and know exactly how things are going to be when I'm an intern.

Where'd you get your crystal ball? Did it come with all that attitude?

Please tell the incoming 3rd years exactly where you will be an intern so they can all avoid you like the plague. Otherwise, your preemptive advice falls on deaf ears.

Originally Posted by VFTW

This piece of **** has obviously been waiting two years to get to dispense the same abuse on others that must have been dispensed on him/her. If you were NOT abused third year, then you really have no excuse for threatening to abuse others - not that there's an excuse for anybody at any time.

Perhaps you are reading into it something that isn't there, or projecting your own issues onto it. The only "threat" of "abuse" I made was in #12 in regards to honesty, which is an absolute requirement, in my mind, in the environment we work in, something I have no reservation being ruthless about......

If perhaps, you refer to #7 or #10, those are predictions, not threats. They both stem from the same unfortunate co-student who repeatedly ran afoul with a chief surgical resident regarding a) an inappropriate presentation style that was never remedied despite much advice and direction, and b) arguing with a PGY3 during rounds about some minor points. That chief treated him inappropriately, but it was avoidable, and therein lies the tragedy. Perhaps not much of a tragedy since it was a surgery rotation and the student went into psych, but unecessary discomfort for the rest of the team nonetheless.

I think your post might have been better received if you had written it from the perspective of an outgoing 4th year rather than assuming you know how your team is going to work and how you are going to work with students. You are little more than a student now, so it seems extremely presumptive to assume you know how things will work in your intern year vis a vis students on your team.

Originally Posted by sophiejane

I think your post might have been better received if you had written it from the perspective of an outgoing 4th year rather than assuming you know how your team is going to work and how you are going to work with students. You are little more than a student now, so it seems extremely presumptive to assume you know how things will work in your intern year vis a vis students on your team.

Ahhh.... are people here so literal as to assume that I was trying to make institution-specific advice? It was meant to be more general case, how to approach dealing with interns and residents.

And though I think the idea of me being an intern is as laughable as the next person, the only thing that separates me from that, thus keeping me "little more than a student" is a couple of hours in the hot sun, wearing a black robe and funny hat, and waiting for someone to hand me a fancy-looking piece of paper with my name on it. Hardly the stuff that makes a physician a physician.

Originally Posted by toofache32

If that's how you play....students can f*** a resident over just as easily as residents can f*** students.

Great analysis. Unfortunately I make multiple references to fairness and mutual beneficial behavior. Only a fool would choose two parties screwing each other over to two parties helping each other.

Originally Posted by Telemachus

Hi soon-to be MSIII's. I'm your intern, or at least I will be as of next month. I thought I might take this opportunity to tell you a few things about how this next year is going to work. These little gems are in no particular order.


1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

This is just sad. Plenty of students and interns/residents at my school have hung out together outside of the hospital if for no other reason than a fun team dinner/let's celebrate the end of the month and have a drink. Dare I say that some peope have actually continued hanging out months after the rotation was finished

Plenty of new interns have just moved to new cities by themselves and quite frankly see no problem with making friends at work--even if those people are just lowly M3s.

As a future PGY-1 Prelim Medicine Intern myself, allow me to offer a bit of alternative advice.

1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

Honestly, I wouldn't mind being your friend. The fact is my intern workload will be high and my quality of life will likely suck. If I can pass the time w/ you with a pleasant conversation or a beer after hours, that would be sweet.

2) We should be friendly however. If I'm not civil, it may be because I am tired. It also may be because you are stupid, lazy, or a d!ckhead. I'll try not to be tired. What are you gonna do?

Unless you are a total lazy a-hole or an arrogrant prick, there is no reason for me not to treat you with the utmost respect. If you feel you are being brutalized by me or the other housestaff feel free to tell me and I will do what is in my power to help.

3) Don't adopt the attitude that you are paying tuition therefore you call the shots. I am "paying" in the form of opportunity cost by accepting this pittance of a salary, and I already paid my tuition, so spare me the drama. We are both in the midst of necessary training, so salary vs. tuition is just a technicality. Accept your role, play it well.

I kind of agree with this advice, though I have to say it is extraordinarily rare to see an MS-3 who is so conceited. See advice in #2.

4) My first priority is patient care. PATIENT......CARE...... not teaching, not sleep or eating, not letting you do procedures. AFTER the patients come all of these other interests.

While this is true, as a Medicine intern patient care is only rarely a true emergency (e.g. get out of the way MS-III, while I initiate ACLS protocol!). Most of the time, if you want to do a procedure you should ask. As long as I've done said procedure and am comfortable doing it, I certainly don't mind taking you through the paces.

5) At worst, be on time. Ideally, be five minutes early, and don't act annoyed that eveyone else is five minutes late. Don't EVER be late yourself.

Agreed. I was only late once as an MS-III (car broke down on cold day) and though my intern was totally cool with it, I felt like sh!t for letting the team down.

6) You will get what you deserve, good or bad. If you aren't getting what you deserve, I will try to intervene to make it so (see #8,9). Good OR bad. I'm no cheerleader, and no saboteur, but I will expend energy for the sake of fairness.

Though shelf exams can level the playing field, as an recent MS-III I can tell you that evaluations are often petty and arbitrary. If you are concerned about your grade I would suggest talking to me midway through the rotation and discussing your strengths/weaknesses. One of the things that impresses attendings/residents/interns the most is a student who is receptive to and responds well to constructive criticism. If you are pimped about the something the 2nd time and know the answer, then that's what we're looking for.

7) I should teach you stuff. And I will. But don't ask me a hundred questions during rounds. And if you do anything that remotely sounds like YOU are pimping ME, you will regret it forever. I promise.

Though you are a member of the team (sometimes doing a lot of scut ) your primary function is a learner. Feel free to ask me as many questions as you want. Of course, be appropriate as the OP stated. A barrage of queries in the middle of an LP or when I am falling over w/ exhaustion post-call will be likely met with silence.

8) Don't lie. Don't be a dick. Don't feud with anyone. The residents and attendings will discuss you behind your back, and their allegiance is to each other more than to you. Yes, even the *****hole residents/attendings, because we have to work with each other longer than we have to work with you.

I agree. Lying is the WORST thing you can do as an MS-III, even about little things.

9) Work hard, be enthusiatic, volunteer to do things that make my life easier. I will care more about this than about the text book or journal you read last night. And if/when I'm happy, I'll create opportunities for you to show off what you've been reading about, opportunities to look like a star.

As far as I'm concerned, I will be happy if you just stay out of my way. If you actually contribute meaningfully to the team's efficiency, I promise you it will reflect well in your evaluation. Ditto for earnest attempts to learn.

10) If I give you advice about how the chief or attending likes presentations, or how you should be writing your progress notes, just trust me and try it that way. If I haven't worked with them long enough to know their preferences, I wouldn't be telling you. And if I have, then you should listen. Bad presentations and crappy progress notes make everyones' lives more painful, and that pain will trickle down onto you.

Agree. Also remember that attendings often have little interaction w/ MS-III's directly and rely on residents/interns for evaluations.

11) We will notice if you look out for your fellow students, and if you don't. We like it when you do. I want my co-residents to have my back, and I want to protect theirs. If you aren't doing this now, how can I expect that you will be doing it a couple years from now?

Good advice -- don't dick over your fellow students.

12) Don't lie, it bears repeating. If you don't know a lab or vital or the PCA data, it's okay, don't make it up. If you want a day off, say so. Don't claim illness or the like. I will do whatever is reasonable to help you get what you want out of this clerkship, but I will BURY YOU if you lie to me about ANYTHING, no matter how inconsequential it seems to you.

I don't think I would BURY you for a little white lie, but know you are taking a risky gamble if you do.

Originally Posted by Telemachus

Great analysis. Unfortunately I make multiple references to fairness and mutual beneficial behavior. Only a fool would choose two parties screwing each other over to two parties helping each other.

Yeah, these threats sound really "mutually beneficial":

Originally Posted by Telemachus

...It also may be because you are stupid, lazy, or a d!ckhead. I'll try not to be tired. What are you gonna do?...

...And if you do anything that remotely sounds like YOU are pimping ME, you will regret it forever. I promise....

...I will do whatever is reasonable to help you get what you want out of this clerkship, but I will BURY YOU if you lie to me about ANYTHING, no matter how inconsequential it seems to you...

Get over yourself. Your power trip is only in your own mind. My troll-dar is starting to buzz a little....

Originally Posted by Telemachus

1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

Mentor??

A newly minted intern is a mentor?

With all due respect for your soon to be exalted position in the medical hierarchy, I think most students look to folks a bit less wet behind the ears to MENTOR them.

I certainly will not have the audacity to assume I could mentor anyone while I am busy getting my butt kicked by my intern year.

Originally Posted by sophiejane

Mentor??

A newly minted intern is a mentor?

With all due respect for your soon to be exalted position in the medical hierarchy, I think most students look to folks a bit less wet behind the ears to MENTOR them.

I certainly will not have the audacity to assume I could mentor anyone while I am busy getting my butt kicked by my intern year.

Actually, I think you've got it backwards. That term was included in the list because of all of the great advice and guidance I got as a med student from the interns I was working with, who I would gladly point to as mentors to me. If you want to rip on interns and belittle the benefits that can be derived from learning what they have to teach, I think you are doing a disservice to med students who might read your posts and then ignore a useful resource.

Originally Posted by Telemachus

9) Work hard, be enthusiatic, volunteer to do things that make my life easier. I will care more about this than about the text book or journal you read last night. And if/when I'm happy, I'll create opportunities for you to show off what you've been reading about, opportunities to look like a star.

What constitutes "making your life easier?"

Running down lab results and radiology films?

what else

11) We will notice if you look out for your fellow students, and if you don't. We like it when you do. I want my co-residents to have my back, and I want to protect theirs. If you aren't doing this now, how can I expect that you will be doing it a couple years from now?

What does this mean explicitly?

Does this mean help to work up their patients? I thought that was a sign of an ******* gunner.

Thanks, intern. Before I get started, here are some things you should know about me. It's been a few years since you were in my shoes, and not much has changed. Here are a few pointers to refresh your memory:

1. You may find it laughable and naive, but I am still at the point in my education where I am excited about becoming a doctor. Please try to leave a small fragment of that passion intact.

2. Patient care is also my number one priority. But I also care about my grade and passing this rotation. These ideals are not mutually exclusive. Please don't force me to choose between the two.

3. Don't ignore me. Please try to acknowledge my existence at least once every 2-3 days.

4. If you ask me what specialty I want to go into, do NOT make fun of my reply. You may think that your witty comment that berates my chosen specialty is novel. Trust me, I have heard it before. It's hard enough to choose a speciatly. Don't make it any harder.

5. If you ask me what specialty I want to go into, don't expect me to say your specialy just to make you feel good or as a way to bond with the team. While I am on this rotation, I will try my best to walk, talk, shoot, and sh!t like a member of your chosen specialty. But I expect you to realize that some med students will not choose your specialty, and expect you to deal with that fact in a mature way.

6. I realize that as the most junior member of the team, nothing is beneath me. I will do whatever you ask, but don't abuse this. I will chase down whatever you tell me to find. I will get food for the team whenever I am told. But if I lend you money, then pay me back, damnit.

7. I don't need your respect, I don't need your praise, and I don't need you to validate me as a person. But a simple "good job" when I do something right goes a long way. If you only acknowledge my existence when I screw up, this will bring out the worst in me.

8. You are an ambassador for your specialty. If you treat me like sh!t, then I will assume that everyone in your specialty are scum. Furthermore, this tactic will also tend to recruit more scum while decent people will be discouraged from applying to your program.

9. First Aid for Mind Reading is still on back order. So don't expect to me to automatically know how you like things done. If I do things different than you would like, it does not mean I am an idiot. It probably means that this is what was expected of me on my last rotation.

10. If I get an opportunity to learn, work hard, and feel good about being part of your team, then I will tell all of my colleagues that you are the world's greatest intern. I might even consider joining your specialty.

11. The next two years will strip me of most of my dignity. Go ahead and take your fair share of my dignity. But don't take any more than necessary. I would still like to have enough self-respect left to hold my head up and smile when they hand me my diploma.

Caffeinated, MS-III

STFU.

As an intern, you will not fill out evaluations so what you think means NOTHING.

Secondly, you better be good at hiding your lack of knowledge because you will have some sharp 3rd year students eat your tail during rounds. I love interns like yourself with a chip on his shoulder. This is how I Honored my Internal Medicine rotation. The law of contrast. I looked good because the intern was clueless. I will bet you $1000 that you will be shown up by a 3rd year in the 1st month.

Thirdly, don't forget it is the 3rd years job to post lab values, current radiological findings, pathological results to make the intern look good to the upper resident during pre-rounds. Keep up the attitude and you will be kept out of the loop, and the medical students will laugh about your competence behind your back. You will be working with 3rd years the whole year. Your respect level will be zero, after rumors fly about you. There are interns at my school that are the butt of everyone's jokes in my 3rd year class. If you want respect, you have to earn it with knowledge and ability.

Confident people don't start threads like this. Let' face it. 4th year of medical school is a vacation. We both know that you don't know jack starting your intern year, and you are scared to death. Let's not use displacement to diffuse this frustration. Just because you had an asehole intern, it doesn't mean that you have to be one too.

Originally Posted by Telemachus

Hi soon-to be MSIII's. I'm your intern, or at least I will be as of next month. I thought I might take this opportunity to tell you a few things about how this next year is going to work. These little gems are in no particular order.


1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

2) We should be friendly however. If I'm not civil, it may be because I am tired. It also may be because you are stupid, lazy, or a d!ckhead. I'll try not to be tired. What are you gonna do?

3) Don't adopt the attitude that you are paying tuition therefore you call the shots. I am "paying" in the form of opportunity cost by accepting this pittance of a salary, and I already paid my tuition, so spare me the drama. We are both in the midst of necessary training, so salary vs. tuition is just a technicality. Accept your role, play it well.

4) My first priority is patient care. PATIENT......CARE...... not teaching, not sleep or eating, not letting you do procedures. AFTER the patients come all of these other interests.

5) At worst, be on time. Ideally, be five minutes early, and don't act annoyed that eveyone else is five minutes late. Don't EVER be late yourself.

6) You will get what you deserve, good or bad. If you aren't getting what you deserve, I will try to intervene to make it so (see #8,9). Good OR bad. I'm no cheerleader, and no saboteur, but I will expend energy for the sake of fairness.

7) I should teach you stuff. And I will. But don't ask me a hundred questions during rounds. And if you do anything that remotely sounds like YOU are pimping ME, you will regret it forever. I promise.

8) Don't lie. Don't be a dick. Don't feud with anyone. The residents and attendings will discuss you behind your back, and their allegiance is to each other more than to you. Yes, even the *****hole residents/attendings, because we have to work with each other longer than we have to work with you.

9) Work hard, be enthusiatic, volunteer to do things that make my life easier. I will care more about this than about the text book or journal you read last night. And if/when I'm happy, I'll create opportunities for you to show off what you've been reading about, opportunities to look like a star.

10) If I give you advice about how the chief or attending likes presentations, or how you should be writing your progress notes, just trust me and try it that way. If I haven't worked with them long enough to know their preferences, I wouldn't be telling you. And if I have, then you should listen. Bad presentations and crappy progress notes make everyones' lives more painful, and that pain will trickle down onto you.

11) We will notice if you look out for your fellow students, and if you don't. We like it when you do. I want my co-residents to have my back, and I want to protect theirs. If you aren't doing this now, how can I expect that you will be doing it a couple years from now?

12) Don't lie, it bears repeating. If you don't know a lab or vital or the PCA data, it's okay, don't make it up. If you want a day off, say so. Don't claim illness or the like. I will do whatever is reasonable to help you get what you want out of this clerkship, but I will BURY YOU if you lie to me about ANYTHING, no matter how inconsequential it seems to you.


I'm sure there's more, but that's what's off the top of my head right now. Any questions? Additions from other current or near-future interns?

Originally Posted by MacGyver

What constitutes "making your life easier?"

Running down lab results and radiology films?

what else



What does this mean explicitly?

Does this mean help to work up their patients? I thought that was a sign of an ******* gunner.

Making life easier has nothing to do with fetching coffee or washing cars, it is like you surmised -- patient care issues. So that might mean checking for lab results that were pending or newly ordered, making sure imaging studies have been done and that the results are known, if there are dressings to be changed stash the appropriate materials in your coat pocket or next to the patient's bed, if we change important orders check later to see if the nurses are following the new orders. More often than not you won't actually be able to save the intern time or effort, because they are still responsible for "your" patients, but you can provide an extra layer of redundancy, or make things go more smoothly.


As for your fellow students, you are right that you shouldn't steal their patients on admission. But, for example, if you've discharged all of your patients but your co-student has so many rocks that they are struggling, offer to round on one or two the next morning. If they say no, at least you tried to help. If rounds are at a different time than usual one day, remind your fellow students when you part ways the evening before. Try to be flexible and fair in selecting days off, which may be left up to the students to work out amongst themselves. If they have to do a presentation one some topic and you've read a good review article on it, give them a copy (just don't make a big show about it). If they step out of the room for some reason, for goodness sake fill them in on what they missed at an opportune time. Basically just be a team player.

Originally Posted by Telemachus

Hi soon-to be MSIII's. I'm your intern, or at least I will be as of next month. I thought I might take this opportunity to tell you a few things about how this next year is going to work. These little gems are in no particular order.


1) I'm not your friend. I want that to be clear. I assume you have friends already. We're coworkers, colleagues, mentors/proteges, whatever. But not friends.

2) We should be friendly however. If I'm not civil, it may be because I am tired. It also may be because you are stupid, lazy, or a d!ckhead. I'll try not to be tired. What are you gonna do?

3) Don't adopt the attitude that you are paying tuition therefore you call the shots. I am "paying" in the form of opportunity cost by accepting this pittance of a salary, and I already paid my tuition, so spare me the drama. We are both in the midst of necessary training, so salary vs. tuition is just a technicality. Accept your role, play it well.

4) My first priority is patient care. PATIENT......CARE...... not teaching, not sleep or eating, not letting you do procedures. AFTER the patients come all of these other interests.

5) At worst, be on time. Ideally, be five minutes early, and don't act annoyed that eveyone else is five minutes late. Don't EVER be late yourself.

6) You will get what you deserve, good or bad. If you aren't getting what you deserve, I will try to intervene to make it so (see #8,9). Good OR bad. I'm no cheerleader, and no saboteur, but I will expend energy for the sake of fairness.

7) I should teach you stuff. And I will. But don't ask me a hundred questions during rounds. And if you do anything that remotely sounds like YOU are pimping ME, you will regret it forever. I promise.

8) Don't lie. Don't be a dick. Don't feud with anyone. The residents and attendings will discuss you behind your back, and their allegiance is to each other more than to you. Yes, even the *****hole residents/attendings, because we have to work with each other longer than we have to work with you.

9) Work hard, be enthusiatic, volunteer to do things that make my life easier. I will care more about this than about the text book or journal you read last night. And if/when I'm happy, I'll create opportunities for you to show off what you've been reading about, opportunities to look like a star.

10) If I give you advice about how the chief or attending likes presentations, or how you should be writing your progress notes, just trust me and try it that way. If I haven't worked with them long enough to know their preferences, I wouldn't be telling you. And if I have, then you should listen. Bad presentations and crappy progress notes make everyones' lives more painful, and that pain will trickle down onto you.

11) We will notice if you look out for your fellow students, and if you don't. We like it when you do. I want my co-residents to have my back, and I want to protect theirs. If you aren't doing this now, how can I expect that you will be doing it a couple years from now?

12) Don't lie, it bears repeating. If you don't know a lab or vital or the PCA data, it's okay, don't make it up. If you want a day off, say so. Don't claim illness or the like. I will do whatever is reasonable to help you get what you want out of this clerkship, but I will BURY YOU if you lie to me about ANYTHING, no matter how inconsequential it seems to you.


I'm sure there's more, but that's what's off the top of my head right now. Any questions? Additions from other current or near-future interns?

You think your "co-residents" will "have your back"? You're in for a nice suprise with that pompous and cocky attitude. You are acting like you are on a pedestal now that you have some kind of medical degree (MD or DO)...I hate to tell you but there are a lot of people posting in the Step 1 forum right now who can knock you back to earth regarding clinical and basic science knowledge. You may be able to sign orders now but I guarantee you that your students will screw you and you won't even know it. Too bad interns don't evaluate students and vice versa. I'd rip you into shreds if you were my intern.

Originally Posted by p53

As an intern, you will not fill out evaluations so what you think means NOTHING.

Quite right that I don't do evals. I never said otherwise. Your reward for a job well done comes in talking you up to the residents/attendings, and giving you underhand pitches to smash out of the park. Like when we talk about some topic before rounds and then I "pimp" you right as rounds ends, and you look like a rock star.

Originally Posted by p53

I will bet you $1000 that you will be shown up by a 3rd year in the 1st month.

I won't have any MSIII's around me the 1st month, I know my schedule already. But thanks for the $1000!

Originally Posted by p53

Let's not use displacement to diffuse this frustration. Just because you had an asehole intern, it doesn't mean that you have to be one too.

I had awesome interns. I don't have a single complaint about them. It's the med students who were the *****holes at my institution. Thus the advice.

Originally Posted by Pox in a box

Too bad interns don't evaluate students and vice versa.

I've seen a lot of people posting this, but it's not true @ all institutions. At mine, MS-III's are evaluated by all interns, residents, and attendings they come in contact with in IM & Peds.