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Can I refuse or put my vaccinations off?
Forced to get vaccinated?
- Thread starter Mrsmojorisin
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Aim for >240 on Step I, get involved with some derm research (something you can publish . . . even if it's just a case report or two), and shoot for Honors in your clerkships and you should be good to go.
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How is this related to dermatology? .......
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if you are interested in 21st century medicine, there are some hard truths you will have to come to grips with:
Here are 10:
1) you will have to succumb to a few medical requirements to see patients. You will need to have annual PPD's and get flu vaccines. You will also need to show proof of HBV immunity. It is best to not fight these battles. you will also be pressured to be fit tested each year.
2) there is no one lower on the totem pole than a resident.
3) administrations of hospitals care more about being politically correct than anything else. Hence, not getting a vaccine is a real problem in their world. try not to stick out in the crowd. While medical school tends to be about standing out and excelling, residency is about keeping your head down and going unnoticed. It can be a bit difficult to adjust, but it is worth it. Most attention the administration will give you will be when you have done something they do not approve of. Positive reinforcement is the exception, not the rule.
4) try to understand that most things are not personal. Hospitals are tough places to work. You will have many, many bosses and will have many responsibilities with little power to carry them out. Try to focus on helping patients when you can and learning anything and everything you can. Take advantage of every "text-book" presentation you can and leave the zebras to the higher-ups. While zebras are cool in medical school, bread and butter medicine is the most interesting part of residency because textbooks rarely correlate directly to real life. make sure when the textbook diagnosis is the right one, you don't miss it.
5) Big city hospitals will run you ragged but you will learn soooo much.
6) When your colleagues need help, give it even if they have not helped you in the past.
7) When clinical judgement varies from the textbook/medical school, try to understand why rather than just memorizing what to do. Guidelines change everyday, but good sound reasoning will last a lifetime.
8) Try to meet attendings and fellow residents outside of the hospital. It makes for a much more agreeable introduction. It is hard to see co-workers as people in the hospital.
9) eat breakfast
10) When in doubt, look it up on the web but use multiple sources. Today we have so much more access to information than they did 50 years ago. Take advantage of it.
I know you didn't ask for a lecture, but I am on night float and delirious. I can't fall asleep because I drank too much coffee and I also can't help but impart advice on those who suggest they are interested in receiving it. It seemed to me that a person with your initial question could benefit from the above 10 suggestions, but please feel free to take or leave them as you see fit.
Cheers
PGY1 in NYC
Here are 10:
1) you will have to succumb to a few medical requirements to see patients. You will need to have annual PPD's and get flu vaccines. You will also need to show proof of HBV immunity. It is best to not fight these battles. you will also be pressured to be fit tested each year.
2) there is no one lower on the totem pole than a resident.
3) administrations of hospitals care more about being politically correct than anything else. Hence, not getting a vaccine is a real problem in their world. try not to stick out in the crowd. While medical school tends to be about standing out and excelling, residency is about keeping your head down and going unnoticed. It can be a bit difficult to adjust, but it is worth it. Most attention the administration will give you will be when you have done something they do not approve of. Positive reinforcement is the exception, not the rule.
4) try to understand that most things are not personal. Hospitals are tough places to work. You will have many, many bosses and will have many responsibilities with little power to carry them out. Try to focus on helping patients when you can and learning anything and everything you can. Take advantage of every "text-book" presentation you can and leave the zebras to the higher-ups. While zebras are cool in medical school, bread and butter medicine is the most interesting part of residency because textbooks rarely correlate directly to real life. make sure when the textbook diagnosis is the right one, you don't miss it.
5) Big city hospitals will run you ragged but you will learn soooo much.
6) When your colleagues need help, give it even if they have not helped you in the past.
7) When clinical judgement varies from the textbook/medical school, try to understand why rather than just memorizing what to do. Guidelines change everyday, but good sound reasoning will last a lifetime.
8) Try to meet attendings and fellow residents outside of the hospital. It makes for a much more agreeable introduction. It is hard to see co-workers as people in the hospital.
9) eat breakfast
10) When in doubt, look it up on the web but use multiple sources. Today we have so much more access to information than they did 50 years ago. Take advantage of it.
I know you didn't ask for a lecture, but I am on night float and delirious. I can't fall asleep because I drank too much coffee and I also can't help but impart advice on those who suggest they are interested in receiving it. It seemed to me that a person with your initial question could benefit from the above 10 suggestions, but please feel free to take or leave them as you see fit.
Cheers
PGY1 in NYC
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At my institution one of the allied health staff pooped in the toilet, and before it could be flushed, a quick thinking clerk rescued it from the commode. The poop was then brought on staff and quickly promoted above all the residents.
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