How to BE a doctor

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EmergencyMonkey

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Hey guys. I am ER physician and I have been out for several years now. I work with residents and I find that I am teaching more about HOW to be a doctor more then anything. I am working on a guide geared towards premed/med/intern and residents based on my ER experience. Would residents be interested in this too? I've gotten good responses on the premed and med boards. Let me know your thoughts and what you might be interested in reading. Thanks!
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It's interesting because I feel if anyone needs to hear this stuff the most it's residents. I think all levels would benefit but I see residents every day lack the skills of BEING a doctor. I get patient complaints everyday about residents who upset then because they know medicine but they don't know patient care. Knowing medicine does not mean knowing how to treat patients. Anyone have thoughts or suggestions?
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The desire to diversify out of clinical practice is strong in this one.
 
Can you elaborate on what exactly you are talking about?
 
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DB2013EM said:
Can you elaborate on what exactly you are talking about?
Click to expand...

I'm talking about how to manage people, not patients. Everyone knows or will learn the medicine, but the thing I found the hardest to learn was how to manage people. How to diffuse situations, how to deliver bad news, how to be a human being and not get wrapped up in being "the doctor".

It may sound cheesy, but time after time I have seen disgruntled patients that a resident has taken care of because of attitude or lack of empathy/sympathy, as if doctors are immune to everything, or too good for the situation. I hope that is clear.

I just find I have been teaching less "the medicine" and more human being management these days and I think we could all use a lesson.

On the premed and med school forums I have asked for ideas and have gotten a few. I have a whole list of my own. I would love input from residents as well. I feel everyone, even attendings could stand to learn something. I don't think anyone is too far gone to be able to improve themselves and how they treat patients. Especially in this day and age of reimbursement based on patient satisfaction etc.

I am damn good at how I practice medicine and even better at how I practice without the medicine. I feel there is a deep need for this form of education.

Here is the other thread:
http://forums.studentdoctor.net/showthread.php?t=988217

Let me know what you think.

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visit the monkey at EmergencyMonkey.com
 
I'm glad you're offering to put your efforts towards an area that is so high yield yet so rarely addressed. If I can put humility aside for a moment, I anticipate myself and a vast majority of my peers to be able procure the medical knowledge sufficient for passing the boards in 3 years, regardless of which institution trains us. When it comes to further developing educational resources, what we need is something that's not tested and will not appear on any residency's curriculum: education concerning how we interact with out patients and the extent to which we address their mental or emotional well being.

As it stands, I think most people learn these lessons at 3am with a patient load heavy enough to make you feel like the wheels are spinning off. The utility of learning these lessons in a controlled setting without first adversely affecting our future patients is beyond measure.
 
I think this plays with the the "science" of medicine vs the "art" of medicine. I have begubn to learn throughout intern that it is much more of an art...

Survivor DO
 
Akail said:
The utility of learning these lessons in a controlled setting without first adversely affecting our future patients is beyond measure.
Click to expand...


I could not have said it better myself🙂 thank you for that comment!
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visit the monkey at EmergencyMonkey.com
 
Just don't teach it to first year medical students. They have enough touchy-feely classes like this. The info is far more useful to a resident who actually has to deliver bad news to people or actually solve their social issues at 3 am etc.
 
I think it's useful for all levels. If anything, something to keep in the back of their mind as they train. Hey I can handle this.
But I'm not just talking about touchy feely crap. I'm talking things that have helped me to survive the drug addicts or the migrainers in the er on top of how to keep patients happy in this day of customer service medicine bit not doing through jusy giving them meds, just other techniques I have learned.

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visit the monkey at EmergencyMonkey.com
 
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