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Worst thing you've seen a medstudent do

Discussion in 'Emergency Medicine' started by Pudortu, Apr 30, 2012.

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  1. link2swim06

    link2swim06 PGY-1

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    Ehh I think its mostly the pressure of get graded that makes alot of people hyperfocused leading to that sort of behavior...

    I have had residents/attendings tell me things that breaks the law of thermodynamics, try to insert CDs upside down, count incorrect, identify anatomy incorrectly...etc. Granted I never said anything, BUT its was immediately obvious to me as it was during a session when they were pimping me.

    I would think most people could filter it...but nevertheless, I am just saying I am more alert to these things in the clinic than relaxing at home.
  2. Rendar5

    Rendar5

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    Med Student in my ED who was very excited to put a foley in a demented lady, despite being told to let the nurse do it by both the resident and the nurse. Apparently a few minutes later they hear some screaming. So instead of asking to do it alongside the nurse, they go in the room when no one's looking
  3. winkleweizen

    winkleweizen

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    What happened to this student^??
  4. Cooperd0g

    Cooperd0g

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    Awesomely articulate response.
  5. Rendar5

    Rendar5

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    well, other than proving that he didn't know how to put in a foley by macerating the vaginal tissue, the director of medical education was called and came in and spoke to the student that day.
  6. DeadCactus

    DeadCactus SDN Lifetime Donor Lifetime Donor

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    Well as far as we know, "how many times" is once. It's a completely inane and inconsequential detail not worth mentioning and yet somehow it simultaneously deserves all the thought and political maneuvering of pointing out a missed NSTEMI. Seems contradictory. And, really, whose reputation can possibly be so precarious that reporting sutures +/- one is going to leave you under a bus?

    A pattern of such behavior, a condescending tone, a malicious intent, etc. change the situation entirely. But I'm really not seeing the point in crucifying some medical student who spoke a little faster than they thought one time at the end of a shift. Seems a lot better than the student who never questions or corrects anything...

    The reality is most likely that the student in question had many other negatives to his credit which were not conveyed in the story.
  7. bad virus

    bad virus

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    Thanks for the reminder brother. I checked and my sphincter tone is still intact. Quivering, but still there.
  8. Kasey

    Kasey Member

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    I'm on an outside rotation (trauma) called to the ED to admit a patient. Med Student is suturing patient. When I enter the room, monitor is beeping due to patient's POx in mid-80's (multiple rib fractures in an older gentleman). I get the nasal cannula out, med student is between me and the wall oxygen (small room), I say, hey med student, plug this into the oxygen. Med student: I'm sterile! Me: um, so? Plug this in! Med student: No, I'm sterile! Me: you're not performing a sterile procedure. . . . And, well, you can put on new gloves. . . . Med student (getting extremely pissed off at me): I'm sterile! Me: basically physically leaps over the patient to plug in the O2.
  9. Poetic Silence

    Poetic Silence

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    Dr. House was your med student?
  10. johnnydrama

    johnnydrama I'm no Superman

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    All honesty, don't think the med student was that wrong here.

    He was probably told to use sterile technique by his resident/attending (whether that was necessary is another story).

    He should have backed away and let you plug in the oxygen, but telling him to change sterile gloves so you didn't have to walk around him to plug something in isn't right.
  11. Kasey

    Kasey Member

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    I physically couldn't walk around him, that's the point. He was physically blocking me from being able to plug in the oxygen and refusing to move or help.
  12. SpecterGT260

    SpecterGT260 Catdoucheus

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    You never know when your resident or attending is trying to see if you were paying attention either. This could have gone both ways. That said I wouldnt correct my resident in front of anyone. After the fact possibly
  13. johnnydrama

    johnnydrama I'm no Superman

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    Refusing to move is another story.
  14. SpecterGT260

    SpecterGT260 Catdoucheus

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    Are you a resident?
  15. pickupthepace

    pickupthepace

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    Yyyeah... maybe that student needs an ABC reminder.... hypoxia trumps lac repair...



    I once had a patient working with me who liked to lie about the physical exam. Was interviewing a patient while the nurse was in the room charting. Per the vet RN whom i respect and trust, the student never laid hands on the patient.... let alone do the rectal that he said was negative
  16. OccupyTheED

    OccupyTheED PGY-2

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    I've gotta disagree here, how hard would it be to get another pair of gloves? I don't think you can justify watching this guy de-sat for the sake of a simple lac repair
  17. SpecterGT260

    SpecterGT260 Catdoucheus

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    No what the Med student did was obviously dumb. But I wonder if it was a situation where he was told by someone else to do something or pay special attention to being sterile and when a wrench got thrown in that plan his brain short circuited
  18. OccupyTheED

    OccupyTheED PGY-2

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    You're probably right, but that's one of those situations where you've got to take into account the context. I think a lot of us are somewhat robotic once we start our rotations but at some point you've gotta develop the ability to adjust on the fly.
  19. SpecterGT260

    SpecterGT260 Catdoucheus

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    Like in residency ;) lol
  20. Apollyon

    Apollyon Screw the GST Lifetime Donor

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    Patient, or student? Or, why would you have patients working with you?
  21. Poetic Silence

    Poetic Silence

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    ROFL! Does this guy have his patients do their own rectal and pelvic exams or does he put two patients in a room at a time before saying, "Have at it," and closing the door?
  22. StevieStud

    StevieStud

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    And you played the game of "I am right and you are not" for the sake of proving your superiority.

    The student was dense (possible) but more likely had zoned out doing the "important" task assigned to him/her.

    A simple solution would have been to instruct the student to step back / step away, thus allowing you access to the outlet and not compromising the student's task
  23. DeadCactus

    DeadCactus SDN Lifetime Donor Lifetime Donor

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    Sterile procedure or DRE, you shouldn't need someone hooking up O2 to redirect your efforts when the pulse ox is reading in the 80s. The student was screwing up long before he refused to break sterile technique. I don't think it's expecting too much of a medical student to realize when they need to "get an adult" so to speak...
  24. Perrotfish

    Perrotfish Has an MD in Horribleness

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    Nvm
    Last edited: May 7, 2012
  25. juiceman311

    juiceman311 Senior Member

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    As a resident myself, non-EM thankfully, this thread is absolutely pathetic.
    They're students, we were in the their shoes years if not months ago. We're still students. The irony of this thread is that it's in the ED forum.
  26. winkleweizen

    winkleweizen

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    Did you regularly threaten to report your attending for harassment, perform DREs with two fingers on the wrong patient, or lie about doing a physical exam?

    Guess so

    And why is it ironic that its in the ED forum?
  27. SpecterGT260

    SpecterGT260 Catdoucheus

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    2 fingers? Oh god why?
  28. EMandM

    EMandM

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    Congrats on becoming an obnoxious stereotype in just 2 years. For all our sakes, please never forget how important you are.
  29. SpecterGT260

    SpecterGT260 Catdoucheus

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    Why are medical students ragging on the resident who claims to understand that mistakes happen? In the Med student boards the general consensus often is "my resident is a big fat jerk face" (intended to be read with the voice of a child). So they are *******s until they ease up and suddenly they are obnoxious?
  30. SeekerOfTheTree

    SeekerOfTheTree

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    I miss the funny stories on this thread. I will be the first to admit we mess up as med students and there definitely are a few lazy students out there. Let's bring back more of the funny stories.
  31. Apollyon

    Apollyon Screw the GST Lifetime Donor

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    Swing and a miss, but you get non-style points for also being an insulting, non-collegial *****!

    First, if you've read the thread, it isn't about people making mistakes because they are new or inexperienced, for the most part - the things mentioned won't be changed by training, although possibly by aversive stimulus. Personality is rather fixed.

    Second, you're urology, either an intern or PGY-2. Also, on SDN, under the guise of "information", you've posted how great of a student you were (hard working but not brown nosing or the like), your stellar Steps 1 and 2, and your massively egalitarian nature ("If you're not the attending or fellow, I'm calling you by your first name" or something to that effect). However, you're not egalitarian - you think you are better, and we, as a group, are a lesser quality of people. Really? Aristocratic much?

    And, the final irony is something that you yourself posted:

    So, very junior urology resident, thank you for graciously insulting us as a group, and thinking we are less than you (and, therefore, you are better than us). Likewise, you are quite genteel with your "irony". I guess a lesson you can learn (and apply, so that this thread, or it's spirit, won't apply to you) is that "it is better to be thought a fool than to open one's mouth and remove all doubt".
  32. winkleweizen

    winkleweizen

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    :bow::bow:
  33. Perrotfish

    Perrotfish Has an MD in Horribleness

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    Patient comes in for belly pain several days after abdominal surgery. The rushed medical student asks about recent bowel movements, and reports to the senior resident that the patent has had two stools of average volume and consistency in the past 24 hours. He glosses over the physical exam as being 'within normal limits', head to toe.

    Lessons from this student:
    1) Before taking a history, do a chart check to make sure your patient isn't schizophrenic
    2) Before reporting on stooling, check either the patient or the chart to confirm he doesn't have an osteomy.


    FWIW I feel for this student, tactless as that response may have been. You learn pretty fast that doing a 'fake' H&P on a patient after your Intern and Senior resident have already devised an assessment and plan is just about worthless educationally, especially in the ER. Once they know that the patient is squared away a real discussion of your assessment and plan becomes a teaching exercise and, like resident lectures and feedback, is relegated to a later period (that never actualy happens) while the real doctors work on more urgent problems.

    A good ER rotation is a modified sub-I. Patient comes in, senior resident briefly triages to make sure there's nothing life threatening, Med Student takes an H&P and writes out a plan and orders, and then the senior resident discusses the plan, does his follow up interview, and either signs off on your orders or rewrites them. If the ER is too crowded to give medical students their own beds to cover without Interns cross covering, then its too crowded for medical students period.
  34. link2swim06

    link2swim06 PGY-1

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    :laugh: Epic post.
  35. ToxicChic

    ToxicChic

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    aaaaaaaannnnnnnndddddddd............


    BOOM! goes the dynamite

    View attachment boom goes the dynamite.jpg

    well worth the time spent.:thumbup:
  36. EM2BE

    EM2BE Elf

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    Did you get that from a Tosh.0 episode? Because I just watched it a few days ago again.
  37. stretched

    stretched Junior Member

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    I heard this story from one of the surgery guys.

    They are in the ED admitting a trauma pt. The resident tells one of the med students (whose primary language was not english) that they needed to put a foley catheter in.

    He tells them to make sure to use the betaine solution on the cotton balls, and turns around for a few minutes to fill out the H and P.

    To his shock, he turns back and sees the student rubbing the betadine soaked cotton balls all over the pt's scrotum. When he asks what the hell he is doing, the student says, "You told me to be sure to get his cock and balls no?"

    I guess you could understand the mistake lol.
  38. theseeker4

    theseeker4 MS 3

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    LMFAO, wow. That is something he will never live down!
  39. SpecterGT260

    SpecterGT260 Catdoucheus

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  40. equinsu ocha

    equinsu ocha

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    I about fell out of my chair when I read this.
  41. ToxicChic

    ToxicChic

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    :highfive: Basically... It's a quote several friends use, originally stolen from the show. On a related note, I think his episodes are going downhill, which is tragic. Now sdn stories about "boy scout-style rectals" and the like are my main source of humor. Can't say I'm complaining. I was laughing so hard while reading this thread the other day that there were tears in my eyes. Been a long time since I laughed that hard.
  42. DeadCactus

    DeadCactus SDN Lifetime Donor Lifetime Donor

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  43. RandomHero117

    RandomHero117 winning

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    "A trademark application on the phrase was filed but ultimately abandoned by a San Diego-based speculator who offered it on t-shirts, saying that part of the proceeds would go to a scholarship fund at Ball State for journalism students."
    :D haha
  44. neusu

    neusu Chief Resident

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    For all the students feeling bad, at least at my institution, the students are better at calling in the consults than the staff. They have seen and examined the patient as well as reviewed the labs/imaging and weren't just signed out something to try to dump on my service..
  45. Rendar5

    Rendar5

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    umm. ok...:confused:
  46. SeekerOfTheTree

    SeekerOfTheTree

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    Being a student I don't think I am as as good as a resident on my best day. I just don't have that level of training or responsibility.
  47. neusu

    neusu Chief Resident

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    Not as good meaning what? Not as good at procedures or suturing? Sure, any monkey can be trained to do that. Not as good at performing a thorough examination and succinctly conveying the information without having your ego bruised when a consultant asks you a rather specific question? You're probably better. All too often in medicine we become master's of our own universe in our own mind and when someone else asks us questions that are out of our domain we get defensive. As a med student you generally spend more time gathering information and aren't as offended when you don't know something. Maybe the rest of us can learn from the med students here.
  48. SpecterGT260

    SpecterGT260 Catdoucheus

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    without having been there, I would suspect that once "sh*t gets real" you end up learning things in a hurry. i.e. the first week of residency teaches/solidifies things for you in a way the previous 2 years of med school just didnt.

    But I dunno, any new interns wanna reflect on that in about a month? ;) Or MS3s want to talk about starting 3rd year along side a green intern?
  49. Rendar5

    Rendar5

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    What's with the kissing up to med students attitude in a thread where we're trying to tell funny stories? It's like a total non-sequitar.
  50. neusu

    neusu Chief Resident

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    Sorry
    Last edited: May 12, 2012

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