Every year was always better than the last for me. Not perfect. but always getting better in terms of satisfaction etc. certainly not always bad.
I could say the same about residency. The point's been debated in other threads too, but it's delayed gratification in this career, this pain will make sense to you later type of thing etc.. It's something, i've recently come to like about med. In that it's always getting better and it's always different. It's never the same, never boring and I feel like i'm always improving (I have so, so much to improve on everyday).
I definitely will never try to neglect students or look down on them (unless they are a little s*** bag). I don't get this attitude toward people lower on the totem pole. I think it is important for all those people who had bad experiences not be bitter and continue that tradition.
i did/do the same as a resident - in terms of trying to make sure students get away with a good experience as much as possible (when it's possible to). In turn, I've come to realize why some of the good residents I was with as a student were great. One also told me in past - 'here, i'm going to show what i wish had shown me as a student, before internship'. the good ones remember.
However, i felt like I went through a seismic shift in understanding things on going from being a student to resident.
Just like how the preclinical years are so different to the clinical years as a student, so is going from being a student to resident.
One thing that sunk in, is that when I'm really busy, or have an attending that has a higher level of expectation, none of us on the team really have time for students. It hurts having to neglect them, and some of them understand. (I'm impressed when a few come up with creative ways to help out and stick around for us to find time to teach them.) It's a weird feeling going from the neglectee..to actively neglecting people when I don't wanna.
(from
Biwen-studentmd [not my blog])
when we get an attending that's pro-teaching (and it's great for all of us), i'm freer to teach and delegate more to students. there's a joy in having a student around, people who aren't jaded, are excited and wanting to do jobs. It's whether we have time to teach or mentor. We're trying to survive too, but patients and the team come first. As a student, teaching and learning occupies much of your focus and goals. As residents, that like factors into 10-30% of our thoughts, there's usually too much going on. as much as it sucked being a student in some ways, occasionally I do get nostalgic in the sense of, I had more free time comparatively. When I see students go home, part me of me goes..take me with youuuuu. Sometimes i'd like to be invisible (momentarily), usually when I'm getting reamed.
there always dicks around in this career too. I've had them as students and I've worked with them on occasion. It's an example of what not to be. some don't start off that way either. you have to wonder what happened to them for them to turn out that way. what made them so broken.
As for lower guy on the pole thing, well, most of the time it's not deliberate when it happens. It's not meant to be a tradition, not in most cases. As for why. It's like saying human nature is human nature. Or power corrupts absolutely, whatever idiom you wish to insert here. It's not fair, but where does it say life is?
It's funny to look back on all this.
I remember feeling the desperation to be taught or engaged as a student, and not always colliding into the right teams for this. then feeling demoralized by it as a result. on the flip side, I've been on teams as resident where we all want students around or we could use the help and badly. And they're either not around (we've run into exams or summer holidays) or they're **** bags lol. I hate the **** bags, it's like, we're trying to give you opportunities here and you're totally taking it for granted. Occasionally it does feel like the universe has to line up for 'good teams' to run into 'good students' and vice versa.
Also, I totally feel this:
Residency has been better although it has a different kind of suck associated with it.