Help. Med Student with poor interpersonal skills

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Bad Personality

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Completely serious post. I'm a med student with interpersonal skills on par with a young unnamed dictator. Any way to improve to a Gregg House?

Bad Personality

p.s. I changed the title so people won't get hung up on it.
 
Bad Personality said:
Completely serious post. I'm a med student with interpersonal skills on par with a young Hitler. Any way to improve to a Gregg House?

Bad Personality

hitler was actually an excellant communicator.
 
Yeah, but communication isn't my problem. It's my interpersonal skills and personality. When I actually open my mouth, I'm often told I have the worst personality they have ever personally encountered. My ideas do get across effectively though.
 
Bad Personality said:
Completely serious post. I'm a med student with interpersonal skills on par with a young Hitler. Any way to improve to a Gregg House?

Bad Personality

Just wait til your first night on-call. All that ill-will you generated will come back in spades.
 
Bad Personality said:
Completely serious post. I'm a med student with interpersonal skills on par with a young Hitler. Any way to improve to a Gregg House?

Bad Personality

Hey,

Sounds like you have a problem. But fortunately it is both a common proble and one that has a solution, if you are willing to work at it. Interpersonal skillas are just what they claim to be, skills. And these skills are ones that everyone needs to work on at one level or another. The first step is to identify which areas you really need to work on. It could be overcoming a fear or fulfilling a need within yourself before you can reach out. Sometimes the problem is just not knowing how to bridge the gap between one person and the next. How exactly are you like a young Hitler? What would you like to change?

Tim
 
"How exactly are you like a young Hitler? "

Just an attention grabber.

"What would you like to change?"

I would like to get along better with colleagues and develop better relationships with them. It may be a self-confidence problem, because I have a tendency to get defensive.
 
Bad Personality said:
"How exactly are you like a young Hitler? "

Just an attention grabber.

"What would you like to change?"

I would like to get along better with colleagues and develop better relationships with them. It may be a self-confidence problem, because I have a tendency to get defensive.

Innapropriate means to grab attention like this is probably an example of your bad personality. Find someone with a good personality who can tolerate you, and try and pick up their mannerisms and style. You may not ever get a good personality, but ought to be able to hide your bad one. Good luck.
 
Okay, let me expand a little. Some of my comments have included "aloof" and "laid back", while others have said I'm too agressive and contradictory.

Don't get me wrong, I've gotten some very good comments, but I think there is a definite problem. Also, I did a lot better in my first 2 years than in my 3rd (although my grades are still okay). I think this has more to do with interpersonal skills than knowledge base and medical skills.
 
Law2Doc said:
Innapropriate means to grab attention like this is probably an example of your bad personality. Find someone with a good personality who can tolerate you, and try and pick up their mannerisms and style. You may not ever get a good personality, but ought to be able to hide your bad one. Good luck.

Thanks. That helps a lot.
 
fun8stuff said:
hitler was actually an excellant communicator.

Yea he was pretty exceptional, but a lot of his high energy, exuberance, stamina and enthusiasm, came from taking a lot of drugs. Now which drugs he took I don't know, I just know that they caused rash on his hands and that;s why he wore gloves all the time. His doctors would give him a daily "cocktail" of several things, that just made him hyper. But on top of that he was a phenomenal communicator, and master manipulator.
 
Bad Personality said:
Yeah, but communication isn't my problem. It's my interpersonal skills and personality. When I actually open my mouth, I'm often told I have the worst personality they have ever personally encountered. My ideas do get across effectively though.

Don't bust ballz, and you'll aight. You can say what you want in an authoritative way without pissing people off.
 
tupac_don said:
Don't bust ballz, and you'll aight. You can say what you want in an authoritative way without pissing people off.


It's just that I'd like to devote my fourth year to improving in this area, because I know my flaws and weaknesses will become much more noticeable during residency.
 
Use the student services at your school. A counselor there can give you specific feedback in a no-consequences environment. You want to mess up there, not when you're on the wards and being evaluated by attendings.
 
Bad Personality said:
It's just that I'd like to devote my fourth year to improving in this area, because I know my flaws and weaknesses will become much more noticeable during residency.

Well saying that you have personality of Hitler, is very vague, what does that mean.

If you want to improve certain points of your personality you need to be a little more conscise as to what parts you want to improve.

Are you to abrupt, do people find you annoying. Are you too eager to show off your knowledge? Do you look down upon others and actively show it? Do you see things as black and white (ie. You give an order, you excpect it to be done with no ifs and or buts). Are you too impersonal, just give orders and dont' really know any of the ancillary staff or residents you work with. Are you too professional in your deameanor and just try to get the job done without considering any personality parameters of other people.

If you give more insight of the way you are and what exactly you are trying to improve and why you think you have personality of Hitler. Maybe then you will get better answers to your question.
 
Bad Personality said:
It's just that I'd like to devote my fourth year to improving in this area, because I know my flaws and weaknesses will become much more noticeable during residency.

What specialty are you going for? I think it's really cool that you've recognized your poor interpersonal skills because most people think that it's everyone else and not them. Now that you've identified the problem, you can go to work on it. Like a previous poster mentioned, find people whose mannerisms you want to emulate, and emulate them. The other thing that might be helpful is to actually try to take the time to get to know people as people-- learn about your patients lives, who they are, what they're passionate about, learn the nurses, embrace them, love them (in as many ways as they'll let you 😉 😉 ), etc. See them as people so you can relate to them. And remember the golden rule, because it's not a bad rule to live by.
 
If part of the issue stems from a lack of patience (which I suspect it might), how about picking up a hobby that requires lots of it? For example, there's knitting - or learning to play a musical instrument. Whatever you do, good luck. And it's definitely a good thing you're trying to improve an aspect of yourself. It's so much easier to ask everyone else to change, but it's far more effective to just change yourself.
 
Bad_Personality: Do not give up. You can change your personality over time. You can become the person you want to be and have the relationships you want to have without changing your fundamental morality and style. I was inspired recently by a wonderful book by Dale Carnegie: How to win friends and influence people (amazon link). I found it incredibly helpful and suggest that you purchase/read it immediately!

Here is an outline below with my comments in brackets:


fundamental techniques in handling people endorsed by the book:

1) Don't criticize, condemn, or complain.

[This is the single most important principle in social interaction. I have learned lately to error on the side of conservatism. In other words, when I am frustrated and feel the instinctive desire to criticize, condemn, or complain, I just remain silent until I am in a better frame of mind. Criticism puts the other person on the defensive and is usually counterproductive-there are some exceptions in section 4. A key to avoiding criticism or to avoid using it appropriately is to imagine how the person will react to your words before you utter them. Think from the other person's perspective.]

2) Give honest, sincere appreciation.

[I have always had appreciation for those around me, but I have rarely bothered to show it. I am not a naturally affectionate person. But in the spirt of thinking from the other person's perspective, I have learned that getting in the habit of giving sincere appreciation significantly improves rapport with acquantainces. One of my female classmates recently said to me, "I thought you were arrogant until I got to know you better." In my small discussion group, I have made an effort to think of the things that I like most about my groupmates and to mention them during evaluation periods. The result has been a more relaxed and enjoyable mood in discussion with increased communication and productivity. I did all of this without speaking a single false word. My comments were not mere flattery. They were genuine. They were sincere. they were from the heart.]

3) Arouse in the ohter person an eager want.

[This is a more advanced technique that I plan to work on in the future]

#2 is accompanied by a classic quotation: "Be hearty in your approbation and lavish in your praise."

II: Six ways to make people like you:

1) Become genuinely interested in other people.

[Take a look at #4 in this section and #6 in the next section as well. Previously, I had a very bad habit of talking about myself, my goals, my interests, and my opinions nonstop with little concern or interest in the lives of others. I never realized until now that people are far more interested in themselves than they are in me. Recently, I encouraged a 2nd year student to expound upon some of his political experiences. I was rather impressed when he told me that he met the two Pennslyvania senators. I was also impressed by the organizations he had started, and I told him so. I was "lavish in my approbation and hearty in my praise." He began to brag unhesitantly with a huge smile on his face. Is he arrogant by nature? Does he have a superiority complex? Not at all. He is a very nice guy who happened to be in a particularly proud mood. He just needed an outlet. He just wanted someone to listen to him and to appreciate his accomplishments. I was that someone, and now, our relationship is slightly stronger.]

2) Smile

[This technique is a powerful one. The key is sincerity. A blind man can spot a fake smile ten miles away and through a brick wall. Don't feel the need to smile when you are exceptionally depressed or anxious. Smile under normal circumstances to show your genuine friendliness towards someone. No amount of knowledge or intelligence can match a million-dollar-smile in the realm of personal relationships. There is an individual on this forum who has much difficulty smiling. I met him in person, and he told me that at one point, he practiced facial expressions in front of the mirror with limited success. I feel a great deal of sympathy/empathy for this person because the ability to form a genuine smile is of tremendous importance in social interaction. I wish this person the best of luck, and to those of you who can smile, remember to do it often. 🙂 ]

3) Remember that a person's name to that person is the sweetest and most important sound in any language.

[I have made an explicit effort to remember names of new people whom I meet. I call clerks, janitors, and receptionists by first name when possible]

4) Be a good listener. Encourage others to talk about themselves.
5) Talk in terms of the other person's interests.
6) Make the other person feel important-and do it sincerely.

III: Win people to your way of thinking.

1) The only way to get the best out of an argument is to avoid it.

[I would be far better off if I had learned this lesson ten years ago. I used to be the sort of person to argue continuously. I derived incredible pleasure from challenging views and putting people to the test. Now, I realize that the assumption that humans are logical and rational is the fallacy of ancient philsophy. Humans are not in their own phylum with respects to the powers of the mind. Humans are capricious and emotional. They are motivated by pride and ego. They buy the most abundant resource on the planet when it falls from the sky and spend an amount of money on shiny rocks that could easily save ten lives. Many humans outright deny the desire to discover truth. Why argue with these people? It would be like arguing with a madman. Instead, think carefully about how your oponent will react. Try to understand his perspective. Know that people tend to make reasonable decisions given their knowledge, intelligence, and goals. It is only valuable to argue with someone with whom you have already developed trust, mutual affinity, and a resistance to dispute.]

2) Show respect for the other person's opinions. Never say, "you're wrong."
3) If you are wrong, admit it quickly and emphatically.

[The other day, I used this technique to perfection. I was late in solving a problem for my discussion group, and as I presented the solution, I apologized immediately and emphatically. I took complete responsibility, and gave a reason for why my belatedness was unacceptable. So what happened? Did they pounce on me like tigers, scorning me to rub salt in the wounds? On the contrary! They defended me and told me that I had nothing for which to apologize.]

4) Begin in a friendly way.
5) Get the other person saying "yes, yes" immediately
6) Let the other person do a great deal of the talking.
7) Let the other person feel that the idea is his or hers.

[I have used this technique a few times. If a student in my group provides a vague description of an aspect of medical science, I will fill in the details (when I can) while giving the original student credit for inspiring the discussion.]

8) Try honestly to see things from the other person's point of view.
9) Be sympathetic with the other person's idea and desires.
10) Appeal to the nobler motives.
11) Dramatize your ideas.
12) Throw down a challenge.


IV Leadership techniques:

1) Begin with praise and honest appreciation
2) Call attention to people's mistakes indirectly
3) Talk about your own mistakes before criticizing the other person
4) Ask questions instead of giving direct orders
5) Let the other person save face

[Everyone at some point feels the desire to finish off a rival. Few things are more satisfying than thrusting a knife into the heart of an enemy. But Don't do it! Don't ever ever do it! In seconds of humiliation, you can dig profound wounds into an individual and seed a lifetime of hatred towards you in his soul. On the contrary, if you call out an individual's error subtly, adroitly, and with tact, he will remember it, and he will forever be greatful.]

6) Praise the slightest improvement and every improvement
7) Give the other person a fine reputation to live up to.
8) Use encouragement. Make the fault seem easy to correct.
9) Make the other person happy about doing the thing your suggest.

_________________________

I still have much to learn, but I am making significant progress. I make sure to keep the outline above with me most of the time so that I can refer to it for inspiration. Often, I repeat the key rules and quotations in my head ("Be hearty in your approbation and lavish in your praise," "Don't criticize, complain, or condemn."). In the above outline, I have not done the book justice. The actual book is very well written and utilizes copious real-life examples. I encourage anyone who feels that he needs to improve his social skills to look into it.
 
Wow.

Every once in awhile I run across a post where someone will reply with someting like "best post I've ever seen on SDN."

Well, this one deserves one of those comments. Thanks for a well thought-out and meaningful post. Now I just need to find a spare $7.99 in my dwindling supply of loan money.

thanks
 
*Blush*

Thanks guys.

DW3843 and fab4fan just used fundamental technique #2 (Give honest, sincere appreciation) on me, and it worked beautifully. I feel elated and honored. I feel a sense of affinity towards them.

See...Dale Carnegie was a genius...that smiling bastard!

dalecarnegie.jpg
 
DW3843 said:
Wow.

Every once in awhile I run across a post where someone will reply with someting like "best post I've ever seen on SDN."

Well, this one deserves one of those comments. Thanks for a well thought-out and meaningful post. Now I just need to find a spare $7.99 in my dwindling supply of loan money.

thanks

It's an old classic; your public library will have it.
 
DW3843 said:
Wow.

Every once in awhile I run across a post where someone will reply with someting like "best post I've ever seen on SDN."

Yup. I've never heard a bad thing about that book. I have to read it someday. And the suggestions he makes for improvement don't require money or vast resources - just time, patience, and committment. It's amazing.
 
Bad Personality said:
Completely serious post. I'm a med student with interpersonal skills on par with a young unnamed dictator. Any way to improve to a Gregg House?

Bad Personality

p.s. I changed the title so people won't get hung up on it.

Id say House has overdramatic interpersonal skills. Better known for being a good scientist, great clinician and great diagnostician.
I agree with what was said above mimick someone who is a favorite and well liked.
 
Taurus said:
Use the student services at your school. A counselor there can give you specific feedback in a no-consequences environment. You want to mess up there, not when you're on the wards and being evaluated by attendings.


I agree -- talk to a therapist or counselor. This kind of thing is what they are there for.

Also, there's a book called "How to Win Friends and Influence People" that is actually a quick and interesting read with a lot of non-intuitive suggestions for how to interact with people in a way that makes them like you. It's a classic, so pretty much every large bookstore will have a copy. Glance through it.
 
Cinnameg said:
I agree -- talk to a therapist or counselor. This kind of thing is what they are there for.

Also, there's a book called "How to Win Friends and Influence People" that is actually a quick and interesting read with a lot of non-intuitive suggestions for how to interact with people in a way that makes them like you. It's a classic, so pretty much every large bookstore will have a copy. Glance through it.

Oh, sorry, I didn't read the rest of the thread before answering the original question. So, I'm just repeating what someone else suggested: get that book. 😳
 
Callogician said:
*Blush*

Thanks guys.

DW3843 and fab4fan just used fundamental technique #2....
You think waaaaayyy too much. :laugh:
Plus, you don't know if they're honest or sincere.
 
Bad Personality said:
Completely serious post. I'm a med student with interpersonal skills on par with a young unnamed dictator. Any way to improve to a Gregg House?

Bad Personality

p.s. I changed the title so people won't get hung up on it.

How about volunteering with children and chronically ill teenagers...that should help
 
Callogician said:
1) The only way to get the best out of an argument is to avoid it.

[I would be far better off if I had learned this lesson ten years ago. I used to be the sort of person to argue continuously. I derived incredible pleasure from challenging views and putting people to the test. Now, I realize that the assumption that humans are logical and rational is the fallacy of ancient philsophy. Humans are not in their own phylum with respects to the powers of the mind. Humans are capricious and emotional. They are motivated by pride and ego. They buy the most abundant resource on the planet when it falls from the sky and spend an amount of money on shiny rocks that could easily save ten lives. Many humans outright deny the desire to discover truth. Why argue with these people? It would be like arguing with a madman. Instead, think carefully about how your oponent will react. Try to understand his perspective. Know that people tend to make reasonable decisions given their knowledge, intelligence, and goals. It is only valuable to argue with someone with whom you have already developed trust, mutual affinity, and a resistance to dispute.]

2) Show respect for the other person's opinions. Never say, "you're wrong."

Oh Callogician why hath you forsaken me with these decrepit ideas? I held you in such high esteem for your straight to the point, no nonsense, rational thinking, your very name indicative of the post one could expect from you. You were one of the few that I could rely on to be a champion of truth and reason in the face of idiotic ideals and demoralizing, intellectually dishonest drivel that so often rears its ugly head in our lives. I am sorely disappointed in you here, specifically on this point. Sure the rest of the post was run of the mill people skills 101 that certainly can serve many people well, but you musn't relent on your search for and expounding of the truth at all costs. What have in this world but integrity? What more can we say we have as mere mortal men with meaningless existence but that we have discovered some level of truth? We must continue at all costs not to give in to the easy way out, the be the more likeable person just because society tells us that is the way. We must pursue our noble goal of intellectual honesty at all costs, and attempt to root out such vestigial mythologies as those so often put forth. To never say you are wrong? Blasphemy I cry! The very pinaccle of human knowledge is continually arising by such an assertion.... you Callogician should of all people understand this pursuit!
 
Okay- first off, I think you should be applauded. It is good that you recognize this about yourself and that you want to improve for yourself, your patients and for our profession.

I agree with Law2doc.

(1) You probably know who is the best communicator in your class (or best liked). Even if they are not your greatest fan, talk to them honestly-- flatter them and tell them that you have noticed over the last few years that they really have a flair for interpersonal skills and communication with patients and colleagues and that you would like their help. I am sure you know that as medical students we are getting our egos battered on a daily basis so a little positive reinforcement from our classmates can work wonders.

(2) Also, is there a physician that you admire- an attending/resident who will give you honest feedback when you are interviewing patients and interacting with your classmates? A mentor if you will? Does your school have a Communications Department? It might be worthwhile talking to them if so.

(3) You can also ask the patients to help you-- you will be surprised at how impressed they will be if you ask their opinion. Too many patients think we don't give a crap about their feelings and look at them like solving a puzzle rather than helping them. Seriously, you can tell them how important medicine is to you and how you really want to help people but that sometimes people get the wrong impression of you so that the message gets lost in translation and if there is anything that they can tell you that might help you improve your skills. Maybe it is your non-verbal cues.

Regardless of who you ask, make sure you keep that defensiveness under control. We all need to be better at taking criticism, particularly when it is going to be constructive and help you change something about yourself that you don't like.
 
Alexander Pink said:
Oh Callogician why hath you forsaken me with these decrepit ideas? I held you in such high esteem for your straight to the point, no nonsense, rational thinking, your very name indicative of the post one could expect from you. You were one of the few that I could rely on to be a champion of truth and reason in the face of idiotic ideals and demoralizing, intellectually dishonest drivel that so often rears its ugly head in our lives. I am sorely disappointed in you here, specifically on this point. Sure the rest of the post was run of the mill people skills 101 that certainly can serve many people well, but you musn't relent on your search for and expounding of the truth at all costs. What have in this world but integrity? What more can we say we have as mere mortal men with meaningless existence but that we have discovered some level of truth? We must continue at all costs not to give in to the easy way out, the be the more likeable person just because society tells us that is the way. We must pursue our noble goal of intellectual honesty at all costs, and attempt to root out such vestigial mythologies as those so often put forth. To never say you are wrong? Blasphemy I cry! The very pinaccle of human knowledge is continually arising by such an assertion.... you Callogician should of all people understand this pursuit!

You make an excellent point, Dr. Pink. I retract my statement, but I feel that most of our disagreement is a misunderstanding. What Dale Carnegie writes and what I am endorsing is to never use the literal phrase, "your'e wrong" ...or at least to never open a statement with it. When you say "you're wrong" with vitriol, without fully appreciating your opponent's arguments, and without having indroductory calm background discussion, you put him on the defensive.

A concrete example-Imagine the following discussion between Kent and Kelly:

(1)

Kelly: Black people are *****ic criminal junkies.

Kent: That's Bull**** you racist ****!

Kelly: Oh yeah!? You're just a negro lover!

Kent: You're ignorant! You have no Idea what you're talking about!

Kelly: You've just been brainwashed by the liberal media!

As you can see, Kent is not using effective Rhetoric. Lets replace Kent with Callogician.

(2)

Kelly: Black people are *****ic criminal junkies.

Callogician: [calmly] What makes you say that?

Kelly: Well...Black people on average have lower standardized test scores, lower socioeconomic status, high incarceration rates, and higher drug abuse rates.

Callogician: I don't know whether or not your claims are true, but I agree that there are many significant differences between different racial groups. What do you suppose is the explanation for these differences?

Kelly: Um...I don't know. Races are just different, that's all. Mexicans are lazy, asians are submissive and hard working, blacks are evil and lazy...you know the deal.

Callogician: Do you think that all members of these races have these characteristics...or do you think that these differences just exist as a statistical average.

Kelly: Just as an average of course. I've met a few smart black people....extremely rare...but they exist.

Callogician. Well, I believe that though there may be some genetic differences between races, most of the differences you are describing are best explained by differential histories and resulting social conditions rather than differences in intrinsic characteristics. To take an obvious example, the history of slavery puts African Americans in this country at a tremendous socioeconomic disadvantage.

Kelly: Nah...they're just stupid.

As you can see, Kelly is a tough sell, but in (2), I have at least opened up some opportunities for a successful argument. With a few more examples/arguments, I might even make her viewpoint a bit less extreme (even if she won't admit that I've convinced her of anything).

...And I've just used similar rhetoric on you. What if I had opened up this post by writing, "Mr. Pink, you are *******-idiot-piece-of-****, and I had anal sex with your grandmother last night!" After that, I would have no chance to convince you of anything. But instead, I buttered you up a bit. I called you "Dr. Pink." I made a partial concession. Even you are not immune to these superficialities.
 
PomPom said:
You think waaaaayyy too much. :laugh:
Plus, you don't know if they're honest or sincere.

it was both honest and sincere. a real double whammy

fundamental technique # 2 is my b!tch
 
BP- You can't get away with House's crap unless you truly are the best doctor people have ever worked with. I don't think you're there yet.

But, asking for help is the best way to start changing what you don't like about yourself. Now, if you're wanting to make a change because you're worried about what other people think, reccommentations, evaluations, etc, then you haven't quite gotten the point yet. If you want to be a more compassionate and better received person, well, that's going to take you a lot further.

I'll just leave you with the idea that no one cares how much you know until they know how much you care. I'm not saying you have to be emotional or overly anything, just treat people with common decency and respect and try to think about how you'd feel if you were in their position-sick, hurt, scared, confused. Most people aren't at their best when they come in to see the doctor or are in the hospital, so keep that in mind, too, nor do they want to be talked to like an infant. They just want to be treated with respect, and the same goes with hospital staff and faculty. Hopefully you know better than to piss off the nurses!

Good luck with the NEW YOU!
 
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