how do you handle the bs?

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I'd start with the fact that he was the only U of Hawaii grad in his class and work my way backwards if I were trying to be Sherlock Holmes...

...who'd lived in HK, had a bit of a British accent, was Asian, devastatingly handsome (in case he's reading)...lots of clues Even the most dense PD could figure it out.

What I cannot figure out is why?
 
..."the disruptive physician". ...can quickly become the foundation for one to lose privileges at a hospital and can jeopardize a medical license...
That behavior ...would bury you pretty quick in a community/private practice setting. If the ER docs and internists think you're an a-hole, they simply won't use you, and your consults will dry up pretty quick...
I am just going to comment and agree with above.

All the outbursts and such WILL hurt you, in the long run if your lucky but more likely very early in a short run. I have seen residents, well liked get suspensions and even restraining orders filed against them! I have been at the hospital when the sheriffs deputy arrived to take an "assault complaint"... after a nurse called the police against a physician (he threw an instrument on the ground... she said that conduct frightened her and felt it was intended to hit her).

Once you open your mouth and say things innapropriately or behave in a socially unacceptable manner; your fate is in the hands of the audience/recipients of said behavior.

Your department can love you. But, the nurse/tech/janitor/secretary doesn't need your department. They can actually lodge complaints with state employment office/boards if your lucky or just go straight to the licensing medical board. Termination from a job or any other disciplinary action must be reported to licensing board. "Bad conduct" is actually now something commonly reviewed per malpractice coverage.
 
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i am also interested in hearing people's *coping mechanisms* for handling inevitable bs.

at the risk of sounding new-age-y, i was thinking of doing the following when i feel i'm going to explode--count to ten and visualize someone/something non-surgical, non-medical, and very pleasant; visualize how that someone/something makes me happy and how i don't want to jeopardize it's presence in my life by doing something silly at work. life is bigger than the hospital walls. i learned that by taking a year away from medical school. i'm worried / almost certain i'm going to forget this fact after being an intern for a few months.

another coping mechanism is getting wasted after work, but i feel like that's a bad habit to get into ...
 
Nursing calls are like mosquitoes in that they can be annoying but they can be quickly dealt with over the phone and never really bothered me much. The things that typically set me off are unnecessary (this kid has diarrhea and has been throwing up with a normal WBC with no shift and a negative US AND CT for appendicitis, but we want your opinion) or inconsiderate (i.e. this kid has been in the hospital since last week, but we decided this morning on rounds that we want a central line placed first thing tomorrow morning so the kid can go home tomorrow and I'm calling you at 9:00 tonight because I'm just heard about it in sign out) consults.

I pretty much just vent to the junior on my team and explain to him/her why the offending party wasn't thinking/being considerate when s/he made the offending error prior to taking care of the problem (as they typically aren't urgent issues, hence the frustration). Getting it out is important for me, but making sure it is out prior to interacting with the person who caused my frustration is usually best, as it allows me to interact civilly with said individual. Most of the time it isn't because they are trying to be stupid/inconsiderate, it is just because they aren't informed. I will usually conclude the discussion with "You know, usually this is something that isn't an urgent issue, but if you were concerned enough to call, I'm fine with coming by to see what's going on."
 
Nursing calls are like mosquitoes in that they can be annoying but they can be quickly dealt with over the phone and never really bothered me much. The things that typically set me off are unnecessary (this kid has diarrhea and has been throwing up with a normal WBC with no shift and a negative US AND CT for appendicitis, but we want your opinion) or inconsiderate (i.e. this kid has been in the hospital since last week, but we decided this morning on rounds that we want a central line placed first thing tomorrow morning so the kid can go home tomorrow and I'm calling you at 9:00 tonight because I'm just heard about it in sign out) consults.

...Getting it out is important for me, but making sure it is out prior to interacting with the person who caused my frustration is usually best, as it allows me to interact civilly with said individual. Most of the time it isn't because they are trying to be stupid/inconsiderate, it is just because they aren't informed. I will usually conclude the discussion with "You know, usually this is something that isn't an urgent issue, but if you were concerned enough to call, I'm fine with coming by to see what's going on."
The things that frustrate/irritate me most are the calls in which someone tells me there is no surgical issue but they "just want to spread the risk". I also get frustrated with delayed consults. Not because of the late hour or weekend, rather because I now have a patient often down the road of badness unnecessarily. I much prefer a few extra premature/garbage calls to having people delay and hurt the patient.

This last aspect (delay) is what I have found when people are afraid or adverse to interacting with certain consultants. I always saw the nasty/rude/mean surgeons getting the last minute delayed diagnosis perforated tics/etc.... The requesting physician team would almost universally apologize to the surgical team. They would then go on to explain the delay was cause they didn't want to unnecessarily bother surgeon, "The last time we called surgeon "x" he/she was so angry we had not done the full work up... yelled... made such a big fuss....".

It is 2010. Anyone that actually believes interacting with anger and displaying your temper is effective or efficient is naive... or making an excuse for or rationalizing their lack of self control. The minute you do that, you loose the "high ground". You may not know it yet, but, the power has just been transferred to the source of your irritation. You can communicate/educate and keep track and report failures. This will ultimately improve things. Building an umbrella of fear and track record of outbursts hurts you in the long run.
...Most of the time it isn't because they are trying to be stupid/inconsiderate, it is just because they aren't informed. I will usually conclude the discussion with "You know, usually this is something that isn't an urgent issue, but if you were concerned enough to call, I'm fine with coming by to see what's going on."
Absolutely
 
the sheriffs deputy arrived to take an "assault complaint"... after a nurse called the police against a physician (he threw an instrument on the ground... she said that conduct frightened her and felt it was intended to hit her).

That's priceless. "He threw an instrument on the ground and that made me think he was going to rape me next!! I was scared for my life!! So I immediately ran to my workstation and called my friends and played 'Soduku' on the computer for the next hour or so while my patient was coding. Then, after dinner and a quick nap, I alerted the authorities! Thank God for their vigilance, where's HR so I can file for workman's comp?"

There's a subspecies of people in the hospital who can't do their jobs right but who manage to stay employed. They're terrified of being made to do work and their only skill is that they have memorized the policy manual and know every way to pretend that anything is a violation, in case they need to report someone. It's pathetic.
 
...There's a subspecies of people in the hospital who can't do their jobs right but who manage to stay employed...
But, it is disruptive/innapropriate behavior, often by physicians that allows these people to persist. In private, large coorporate industries, you may have some one drum up a false charge of sexual harassment to keep from loosing a job or secure a nice severance package. In hospitals, folks usually don't need to invent things... because "we" are running around the hospital throwing tantrums and acting in a ridiculous manner. Then popular TV dramas embellishes this to the common public. Try defending yourself in a court room with a jury of "House" or "Grey's Anatomy" fans!:meanie: Explain to them that you are justified in yelling at another adult as if they are 3 year olds or throwing instruments around the room. 😱
 
Um, actually, people in the hospital make up things all the time. That was kind of my point. I had one instance where I put in an order for a nurse and she kept ignoring it, like "I'll do it later." So finally, after checking on it multiple times over the course of a few hours, I asked her directly if she was going to do it or not and if not I was going to document it. At that point, she promptly realized she was about to get into trouble and started in with this amazing litany. She goes, "oh, you didn't tell me the importance of this, that's a failure to communicate care plans with nursing. Did you tell the patient when this was needed, or just that it was going to happen? Can you come down here and clarify with the patient, or are you refusing to answer questions from the patient? Oh, and I remember I paged you a few hours ago and you didn't respond. That's a failure of duty on your part."

That's what I'm talking about. She sucked as a nurse, but she knew the system. So if anyone became upset by her total lack of doing her job, she'd just suddenly come up with fifty ways that they violated "patient care" in technical ways and hold it over them as a threat.
 
Like I said, that's not true. That's merely you saying so. It would be the same as if I said "the faucet is leaking, that's due to the ongoing disruptive and unprofessional behavior of certain residents and physicians." I appreciate that you totally committed to the eradication of that behavior, while at the same time being also totally committed to overlooking the poor behavior of nurses, but simply repeating that everything bad in the hospital is due to "the disruptive physician" doesn't make it so.
 
...I appreciate that you ...being also totally committed to overlooking the poor behavior of nurses...
I have not said nor condoned poor performances by janitors/nurses/techs or physicians. I have not said or suggested anyone "overlook" poor behavior of nurses....
...You can communicate/educate and keep track and report failures. This will ultimately improve things...
You should probably go back and read what I did say if you are so confused. If you do not see how an atmosphere of certain conduct may be used by others to hide their actual poor conduct, I guess you just don't get it.
 
I have not said nor condoned poor performances by janitors/nurses/techs or physicians. I have not said or suggested anyone "overlook" poor behavior of nurses.... You should probably go back and read what I did say if you are so confused. If you do not see how an atmosphere of certain conduct may be used by others to hide their actual poor conduct, I guess you just don't get it.

when was the last time you saw an example of "keeping track and reporting failures" actually change something for the better? Seriously I've never seen it so I'd love to hear how it works.
 
when was the last time you saw an example of "keeping track and reporting failures" actually change something for the better? Seriously I've never seen it so I'd love to hear how it works.
Almost every other week and sometimes more often! We establish a standard, expect it to be met. We don't accept answers/excuses based on accusations of hostility and/or threats and/or tantrums. We keep on top of our service and the product we provide. We could not do so if we created an atmosphere of fear and intimidation.

I had a sit down with the charge nurse a week ago. The conversation started with her saying, "come on in, I think I know what your concern is. We have already talked about it and I told the floor nurses you are right and we should do better". Then we spoke of the issue and she spent the entire time saying, "yep, we agree".
 
i had a resident who never got angry, no matter how much ancillary staff or whoever else antagonized him. stuff that would make most others at least raise their voice if not yell...this dude showed no reaction. we thought it was because he was just total ice...zen-like. then one night out with the other residents and us outgoing med students from the rotation he kind of let out his method after a few drinks were in him. basically through the liquor/truth serum he let out "because those people are nothing compared to me" (his exact words) when we joked how he could be so calm. darn harsh! he went on to say that he was already an M.D. and in a few years he was going be an attending surgeon...something they could never achieve. so they took out their jealousy/bitterness for their "lower" position by doing the passive-aggressive/outright antagonistic behavior towards doctors. a lot of arrogance there from a dude i thought was real humble but there you have it. but it kind of make sense though. there's a saying that goes "he who cares less wins". if you let them rile you up then you've shown you've let them get to you...and for a lot of them that's a "win"...all they want is a reaction. but by not letting them get to you then you've all but nullified them. it's like those big shot attendings who don't even acknowledge your existance unless you're on their level.
 
..."because those people are nothing compared to me" (his exact words) when we joked how he could be so calm. darn harsh! he went on to say that he was already an M.D. and in a few years he was going be an attending surgeon...something they could never achieve...
I have had surgery mentors teach me similar though not in an arrogant manner/intent. The gist of it was that the ancillary and midlevels are at the peak/terminal end and boxed into their career. Where as, a physician is just getting started and opening possibilities. They, surgery mentors, went on to point out that you are less likely to get mad if you understand this and take a different perspective. I guess you can imagine how that might work with the folks that are running around mad and throwing tantrums. They usually take it as some sort of personal attack as opposed to recognizing... other possibilities for the individual's failures/short comings.
 
I had a sit down with the charge nurse a week ago. The conversation started with her saying, "come on in, I think I know what your concern is. We have already talked about it and I told the floor nurses you are right and we should do better". Then we spoke of the issue and she spent the entire time saying, "yep, we agree".

So in other words, you're bragging about getting the run-around. We do that all the time, too. It's lots of bureaucracy and committee meetings where everyone sits around and talks about how "this will change, I vow it on my first-born son!!" or whatever. Everyone gets all energized about the positive synergy and then they all disperse and nothing changes. Good job.
 
i had a resident who never got angry, no matter how much ancillary staff or whoever else antagonized him. stuff that would make most others at least raise their voice if not yell...this dude showed no reaction. we thought it was because he was just total ice...zen-like. then one night out with the other residents and us outgoing med students from the rotation he kind of let out his method after a few drinks were in him. basically through the liquor/truth serum he let out "because those people are nothing compared to me" (his exact words) when we joked how he could be so calm. darn harsh! he went on to say that he was already an M.D. and in a few years he was going be an attending surgeon...something they could never achieve. so they took out their jealousy/bitterness for their "lower" position by doing the passive-aggressive/outright antagonistic behavior towards doctors. a lot of arrogance there from a dude i thought was real humble but there you have it. but it kind of make sense though. there's a saying that goes "he who cares less wins". if you let them rile you up then you've shown you've let them get to you...and for a lot of them that's a "win"...all they want is a reaction. but by not letting them get to you then you've all but nullified them. it's like those big shot attendings who don't even acknowledge your existance unless you're on their level.

I do that, except much more openly and arrogantly. A nurse will come up to me and start talking and I'll ignore her and just walk away. Usually, she doesn't take that well, but whatever. I've also done that with attendings, where I've been told that apparently I will openly start smirking at them while they talk if they start saying ridiculous things. It's pretty funny.
 
I do that, except much more openly and arrogantly. A nurse will come up to me and start talking and I'll ignore her and just walk away. Usually, she doesn't take that well, but whatever. I've also done that with attendings, where I've been told that apparently I will openly start smirking at them while they talk if they start saying ridiculous things. It's pretty funny.

I knew a CT surgery fellow like you. It was a miracle he didn't get thrown out of fellowship. Anyway, he graduated and moved out to Vegas and was displaying this same type of attitude to people in a bar. He got his ***** beat to a pulp and was unable to operate for a over a year due to his injuries.
 
I like how you're essentially happy that a guy was beat up. Whereas, if I said that some guy was angry at my attitude and attacked me, but I turned him into a paraplegic, you'd probably be aghast. Good one.
 
I like how you're essentially happy that a guy was beat up. Whereas, if I said that some guy was angry at my attitude and attacked me, but I turned him into a paraplegic, you'd probably be aghast. Good one.

I thought he was a good surgeon and we got along believe it or not, but he just thought he could carry the inhospital attitude out into the real world. Nobody was surprised when we heard about what happened to him. I wouldn't wish a career ending injury on anyone, unless they were a total POS like a rapist or child molester.
 
Since you want to take it somewhat out of context:
Almost every other week and sometimes more often! We establish a standard, expect it to be met. We don't accept answers/excuses based on accusations of hostility and/or threats and/or tantrums. We keep on top of our service and the product we provide. We could not do so if we created an atmosphere of fear and intimidation.

I had a sit down with the charge nurse a week ago. The conversation started with her saying, "come on in, I think I know what your concern is. We have already talked about it and I told the floor nurses you are right and we should do better". Then we spoke of the issue and she spent the entire time saying, "yep, we agree".
So in other words, you're bragging about getting the run-around...
You asked a question and I answered it. I did NOT get the run around. You can go back and forth and try to recharacterize it as you like to make a flamatory dialogue. The fact is that the charge nurse and other nurses understood our expectation. They had heard about a concern I raised on early morning rounds. By the time I reached the charge nurse in the pm, she had already met with the nurses and taken corrective action. There was no run around. The problem was solved. It was solved in the same manner with the same speed & efficiency we expect of all our problems and findings of patient care shortcomings.

My bragging if any is that we have a team that doesn't tolerate sloppy work and expects corrective action promptly and does so with some draconian and unpleasant hostile atmosphere.
 
Well, then I guess your hospital must be perfect, then. I mean, whenever there are care issues, everyone is cordial to one another, people agree on the problem, and the solution is smoothly and quickly implemented. I'm just wondering why you guys aren't being touted everywhere as "the hospital of the future ...TODAY!" :laugh:

To NYRN: Actually, that always cracks me up. I love imagining all these hot-shot attendings who love to have residents at their mercy who kiss up and laugh at all their dumb jokes and grin at everything they do. Then they go to the local grocery store and some high school kid flips them off or something. It has to crush their ego.
 
Well, then I guess your hospital must be perfect, then. I mean, whenever there are care issues, everyone is cordial to one another, people agree on the problem, and the solution is smoothly and quickly implemented. I'm just wondering why you guys aren't being touted everywhere as "the hospital of the future ....
No it's not perfect and mistakes are made. I appreciate your experience where you currently are may be different.

However, it is increasingly more common accross the country that hostile and tantrum like conduct is not tolerated. Our hospital and in particular surgical service has just made a concerted effort to come in line with that trend... and we have found it has worked. If you can not appreciate life and practice outside of residency and/or academia may have significant difference then I think you are naive.
 
However, it is increasingly more common accross the country that hostile and tantrum like conduct is not tolerated.

...from certain people, but is completely tolerated from others. Right, that was my point.
 
...from certain people, but is completely tolerated from others. Right, that was my point.
The tantrums and hostility are not tolerated in accordance with employment laws. They are not tolerated at the medical license board level. Most hospital admins do not tolerate it. Those hospital admins that do tolerate it do so in the majority of cases to gain leverage for future negotiations. Nobody is perfect and no hospital is perfect. But civility and professionalism as the norm is expected.

Not sure what your point is or even care. Obviously, feel free to yell, make a scene, throw a tantrum, and/or throw things. It is your career.
 
http://www.jointcommission.org/sentinelevents/sentineleventalert/sea_40.htm

The Joint Commission sets guidelines that the hospitals must follow if they want reimbursement. They are taking this very seriously, and doctors are being fired for acting in an abusive manner...
Thank you for that link:
JC excerpt said:
...A survey on intimidation conducted by the Institute for Safe Medication Practices found that 40 percent of clinicians have kept quiet or remained passive during patient care events rather than question a known intimidator...These behaviors are not limited to one gender and occur during interactions within and across disciplines... It is important that organizations recognize that it is the behaviors that threaten patient safety, irrespective of who engages in them...

...The presence of intimidating and disruptive behaviors in an organization, however, erodes professional behavior and creates an unhealthy or even hostile work environment – one that is readily recognized by patients and their families...
 
lol, like I said, nobody is denying that there are policies about "disruptive" behavior. All I ever said, and what I stand by, is that the enforcement of said policies are extremely subjective. Same thing with many of the people who come on here and whine about residents being rude to nurses (which happens) but barely care or acknowledge the harrassment of residents by nurses or excuse it by saying "it only happens to the residents who deserve it." Oh, so are there nurses who "deserve" rudeness from residents? "No, nobody deserves that." Oh, do you realize you sound like you have Down's syndrome? "Yes, yes, I do."
 
lol, like I said, nobody is denying that there are policies about "disruptive" behavior. All I ever said, and what I stand by, is that the enforcement of said policies are extremely subjective. Same thing with many of the people who come on here and whine about residents being rude to nurses (which happens) but barely care or acknowledge the harrassment of residents by nurses or excuse it by saying "it only happens to the residents who deserve it." Oh, so are there nurses who "deserve" rudeness from residents? "No, nobody deserves that." Oh, do you realize you sound like you have Down's syndrome? "Yes, yes, I do."

TJC regulations about disruptive behavior apply to all disciplines including nurses. From your previous posts, you admit to the abusive behavior. Do you expect people to just sit there and take it? Of course you are going to get attitude back if you are constantly insulting them. This type of cycle is going to keep going and going. If administration sees you as the problem, getting rid of you will solve it. If its the nurses who are the aggressors, they will be taken care of. Maybe in your facility its subjective, but the next place you go will not be. I haven't heard of anyplace nowadays that allows this type of behavior.

Its not up to you to handle them yourself! You have to take the proper avenues to report their behavior because even if you are 100% right that they are incompetent, your point will be moot because of the way you handled it.

You don't even see how you are putting yourself into a position that could ruin your career over nonsense. You could be the most skilled surgeon that ever walked the earth, but if you have a record of abusive behavior or are reported to the board of medicine for professional misconduct, its all over for you.
 
From your previous posts, you admit to the abusive behavior. Do you expect people to just sit there and take it?

OK, but let me turn the table on you. Do you expect me to just sit there and take it? Yes, you do. Because I can tell you lots of tales about how I used to be polite and nice and was ridden all over the place by people. But if I say that, your response is predictably "well, you have to learn to deal with that." See what I mean? When I do it to others, I get some lengthy speech about how I "deserve" the response or should expect it. But when others do it to me, you don't say "good, they deserve what you do to them." You say something lame and pat like "suck it up" or "break the cycle."

The reason residents are rude is because the system of residency engenders it. Everyone in the hospital knows that they're allowed to abuse the residents. That includes nurses. Let me give you this: everyone here knows nurses will phrase things to attendings to get residents in trouble. So if a nurse calls a resident about something and the resident says (correctly) "you're calling the wrong person," she'll call the attending and say "this resident says he doesn't care about the issue." Which is completely different than what actually occurred, although it is technically true. Nurses do that all the time and I've witnessed it and I've experienced it. And the nurse knows fully what she is doing.
 
OK, but let me turn the table on you. Do you expect me to just sit there and take it? Yes, you do.

No, I don't think anyone should have to take abuse, no matter what your title is. If they are acting unprofessional towards you, they should be reported and reprimanded.




Because I can tell you lots of tales about how I used to be polite and nice and was ridden all over the place by people. But if I say that, your response is predictably "well, you have to learn to deal with that." See what I mean? When I do it to others, I get some lengthy speech about how I "deserve" the response or should expect it. But when others do it to me, you don't say "good, they deserve what you do to them." You say something lame and pat like "suck it up" or "break the cycle."

I'm not a surgeon so I can't say I know what you have to deal with, but I am not blind, I see how the culture is. Your attending comes down on you and your co-residents, and then you guys come down on us. I am against the whole "suck it up" thing. The future of medicine has to change, and it's your generation of doctors that has to change it. It's cliche, but its the truth. Too bad administration doesn't come down on these attendings that are acting like jerks. They should learn to act like human beings or be fired. You don't deserve abuse any more than anyone else. But if I'm talking to you and you curse me out then turn around and walk away mid-sentence I am going to embarrass you in front of your peers, AND if the problem with the patient hasn't been addressed, I WILL call your attending. Call me a bitch if you will, but address the problem with the patient first at the very least.


That includes nurses. Let me give you this: everyone here knows nurses will phrase things to attendings to get residents in trouble. So if a nurse calls a resident about something and the resident says (correctly) "you're calling the wrong person," she'll call the attending and say "this resident says he doesn't care about the issue." Which is completely different than what actually occurred, although it is technically true. Nurses do that all the time and I've witnessed it and I've
experienced it. And the nurse knows fully what she is doing.

It goes both ways. You don't think doctors lie and say to the charge nurse, "the nurse is refusing to do xyz and I told her to do it stat" when I'm busy with another patient? I could be running to the room with the code cart and some doctor will stop me and tell me to give tylenol to another patient. We should show courtesy to each other, and playing these games are childish. If these nurses are calling you on a patient you are not covering, then I don't see why you would get in trouble. If I can't get a hold of surgery, I don't call medicine and ask them to come see the patient. That is just plain dumb. If the nurses are calling other doctors who have nothing to do with the patient just to get an answer, then they need re-education.

I just find it really sad that you can't see how this attitude is going to ruin your career. You worked so hard to get where you are, just suck it up for 10 seconds and bite your tongue if you are pissed off. If the nurses are wrong, than write them up or go to nursing administration. It's not worth it. Besides, how do you think the patients feel when they see you yelling and berating nurses? They are wondering who the unlucky bastard is who is going to get cut open by that angry surgeon.
 
OK, but let me turn the table on you. Do you expect me to just sit there and take it? Yes, you do...etc, etc....
This line of discussion is pointless. NOBODY is saying a physician should accept abuse....PERIOD. However, we are saying there is a proper, professional, legal manner to address abuse and or deficiencies. You asked me for example, etc... I describe a cordial, professional interaction with a charge nurse and successful corrective action. Your rsponse is that I got the "runaround".

Nobody is going to convince you of anything. You are going to continue to rationalize and try to justify the disruptive behavior. Folks may give you examples suggestions and you are going to simply take their comments out of context and misrepresent them, i.e.:
...You can communicate/educate and keep track and report failures. This will ultimately improve things...
...I appreciate that you totally committed to the eradication of that behavior, while at the same time being also totally committed to overlooking the poor behavior of nurses...
I have not said nor condoned poor performances by janitors/nurses/techs or physicians. I have not said or suggested anyone "overlook" poor behavior of nurses...
...Do you expect me to just sit there and take it? Yes, you do...
No, I don't think anyone should have to take abuse, no matter what your title is. If they are acting unprofessional towards you, they should be reported and reprimanded...
IMHO, continuing discussion along these lines is feeding a troll. You seem intent on driving a conversation in which you debate in support of abussive and disruptive behavior. Well, we are obviously not going to change your mind or maybe just convince you the sparring sport is not what we are trying to discuss. You have never seen corrective action in regards to nursing through education and reporting, you believe ignoring, walking away or throwing tantrums is the way to go, etc, etc..... It's pointless. Do what works for you and live with it.:troll:
 
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This line of discussion is pointless. NOBODY is saying a physician should accept abuse....PERIOD. However, we are saying there is a proper, professional, legal manner to address abuse and or deficiencies.
You are so manipulative, because I can't imagine anyone being that naive deliberately.

Legally, you run a high risk going against the hospital, both financially and career-wise. You need to have the money to be able to employ an attorney for the duration of the case. You don't have the money, as you have been working as a resident slave. There are no DNA tests that prove workplace abuse, so you have a total uncertainty to what the outcome will be, it's called legal positivism.

Honestly, I feel the steam rushing out of my ears when I read what you managed to cough up.

The troll accusations are horrible. You are essentially advocating that people steer clear of the best strategy to survive residency, and act like martyrs to uphold YOUR ideals.

I am not gonna type in what I feel about your personality, but what you write proves that you are a hypocrite. You would never accept abuse onto yourself, but you have all the nerve claiming that others should.
 
No, I don't think anyone should have to take abuse, no matter what your title is. If they are acting unprofessional towards you, they should be reported and reprimanded.

Absolutely. But the problem is that when you report a nurse, your life becomes more miserable. It's pretty obvious who reported the nurse and all of the nurses then band together against "that guy" who is creating problems for one of them (even if the nurse is harrassing the resident, it's viewed as the resident creating the problem because he "tattled"). And like I said, from that point on it's a game where the nurses try to find anything that can be used as a technicality and blown out of proportion to report the resident. I've heard about it and seen it happen, to the point where one resident, after reporting a nurse, got reported so many times (literally thirty or forty reports within a week) that administration had to step in. And you may say "there's the solution," but the only mistake the nurses made was that they all went crazy like chimpanzees. Had they been smarter and just filed one or two reports every week, everyone would just think that it was definitely the resident being a jerk. And they realized that and do that now.

The future of medicine has to change, and it's your generation of doctors that has to change it. It's cliche, but its the truth. ...But if I'm talking to you and you curse me out then turn around and walk away mid-sentence I am going to embarrass you in front of your peers, AND if the problem with the patient hasn't been addressed, I WILL call your attending.

Shouldn't you practice what you preach?

We should show courtesy to each other, and playing these games are childish.

I wholeheartedly agree. What angers me are the games that are played. Rather than acting like adults, people act like children. And my point is that I refuse to "play the game." I don't curse out anyone or yell at anyone. But I also don't sit around pretending to love people who are being childish. Like, if a nurse pages me with a question that should be directed to the intern, I tell her flat out "I'll answer your question, but first I want to know why you paged me and not the intern." That's a fairly simple question, but usually it gets met with a lot of anger and some dumb response like "oh, so you're not interested in your patient?" What a stupid response from a stupid person. An adult would just say "you know what, sorry, I'll page the correct person from now on" and we could get on with our day. Instead, I have to deal with some nimrod who is going to argue even though she did the wrong thing.

Or take this: like you said, we all get interrupted with silly stuff when we're in the middle of something important. But when I talk to a nurse, I will say "this isn't urgent, and I can see you're in the middle of something, call me whenever you're free." The same nurse, that same day, paged me about something equally irrelevant and, when I told her I'd get to it in a half-hour because I was in the middle of something, says "no, you do it now." So thereafter, I made sure to treat her the same way and demanded that she drop everything to do anything I wanted. I'm a very considerate person, but since people are inconsiderate, I'm not going to do this one-sided B.S. That stuff happens all the time.
 
Someone recognize the troll undercurrent and next reply is... from someone banned for trolling!!!
You are so manipulative, because I can't imagine anyone being that naive deliberately...
Not even sure what you are talking about nor do I care.
...Legally, you run a high risk going against the hospital, both financially and career-wise. You need to have the money to be able to employ an attorney for the duration of the case. You don't have the money, as you have been working as a resident slave. There are no DNA tests that prove workplace abuse, so you have a total uncertainty to what the outcome will be, it's called legal positivism...
Again, not even sure what you intend to say....
...The troll accusations are horrible. You are essentially advocating that people steer clear of the best strategy to survive residency, and act like martyrs to uphold YOUR ideals...
Again, trolling I presume. The best strategy according to you is abusive, rude, disruptive behavior? Nobody here has suggested be a martyr. These are not my "ideals". They are rules, regulations, laws set down from state labor boards, med license boards, joint commission, etc... You suddenly jump into this conversation to decry troll sighting and declare disruptive behavior is the best strategy and those that oppose that are supporting martyrdom....:eyebrow:
...The troll accusations are horrible....I am not gonna type in what I feel about your personality, but what you write proves that you are a hypocrite. You would never accept abuse onto yourself, but you have all the nerve claiming that others should.
You obviously have not read what has been typed.:troll:
 
The abuse needs to stop from both ends. I'm not denying that there are abusive nurses, and I have no objection to them being held to the same professional standard as a phyisician. In the years I have been in the hospital, I have only had it out with maybe 3 people. The other hundreds of residents, med students and attendings I have had the pleasure to work with are respected collegues, and we work together without a problem at all. The truth is, these few people who had personality issues dug their own grave in one way or the other. Someone so clouded by anger cannot possibly be thinking clearly. This will effect his clinical judgement at some point, and that mistake on top of everyone complaining is going to do him in.

I always try to see the good in people, maybe that's a fault of mine. I just think its sad that someone who has come so far is going to lose it all because of foolishness.
 
So, I just had an job interview out west. The CEO looked at me and asked specifically, "how do you get along with nurses? I will be calling and speaking to surgical floor nurses and nurse managers and would like to give you the opportunity now before any surprises or confusion arises!!!" He went on to tell me they are not interested in rude surgeons or any yelling or tantrums.

Again, disruptive physicians just are not being tolerated in todays professional work environment.
 
Goodie for him. At that point, I would have said:

1) "Great! And do you also interview residents who worked with your nurses to determine which nurses you should not be hiring and/or firing? Just wondering, since we know that both sides contribute to the dynamic, don't they? Or are you implying that only one side is accountable?"

2) "Great! By the way, did you realize there's a general surgeon shortage? See you later!"
 
Goodie for him. At that point, I would have said:

1) "Great! And do you also interview residents who worked with your nurses to determine which nurses you should not be hiring and/or firing? Just wondering, since we know that both sides contribute to the dynamic, don't they? Or are you implying that only one side is accountable?"

2) "Great! By the way, did you realize there's a general surgeon shortage? See you later!"

JADs not a general surgeon (although general surgery trained I doubt he was interviewing for a GS job).
 
You can replace "general surgeon" with any surgeon and it's still true.
 
JADs not a general surgeon (although general surgery trained I doubt he was interviewing for a GS job).
What do you practice, Jack? (I always assumed he was a general surgeon from his posts.)
 
Goodie for him. At that point, I would have said:

1) "Great! And do you also interview residents who worked with your nurses to determine which nurses you should not be hiring and/or firing? Just wondering, since we know that both sides contribute to the dynamic, don't they? Or are you implying that only one side is accountable?"

2) "Great! By the way, did you realize there's a general surgeon shortage? See you later!"
Just when I thought I was out... they pull me back in...Not!!!:meanie:

Hey, whatever works for you. If you believe that approach will work for you, you should by all means use it. However, while there is a "shortage", it is not a full on drought. Plenty of positions out there but still usually more then one person applying for the positions.
 
Just when I thought I was out... they pull me back in...Not!!!:meanie:

Hey, I'm not the one who decided to come up with some hilarious anecdote. That was you.
 
...I would have said:

1) "Great! And do you also interview residents who worked with your nurses to determine which nurses you should not be hiring and/or firing? Just wondering, since we know that both sides contribute to the dynamic, don't they? Or are you implying that only one side is accountable?"

2) "Great! By the way, did you realize there's a general surgeon shortage? See you later!"
Hey, I'm not the one who decided to come up with some hilarious anecdote. That was you.
I know you post about a very tough and/or combatitive type conduct. Maybe that is you. Have you interviewed for jobs? This "hilarious anectdote" is actually a common place part of just about every interview I have been on.... and, when the question is not asked verbally, it is definately asked in written forms you complete. In addition, I have seen the forms they send to my PD. These forms specifically ask these questions too.

One thing to keep in mind is that physicians can and do get sued for any number of work place ~behavior failures. The hospitals want to extricate themselves from these and they do by pulling out documentation in which they can demonstrate they had no idea "you" were a disruptive physician. It is a real deal. I would also encourage folks to take a look at some of the different state licensing boards. Most will publish monthly or quarterly "newspapers" that lists "board actions" and describes physician sanctioning for different issues. It can be an eye opener. It runs the length of wrong side and/or unconsented surgery to workplace harassment....
 
1985 called. they want your "not" joke back.

Nice. Although in JAD's defense, it was more like the late 80's and early 90's.

1985 was more Top Gun high fives and John Hughes movies.
 
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