How to succeed being put on the spot?

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unleash500

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I always freeze up when put on the spot. My mind draws blanks when I realize everyone is looking at me. It doesn't help that my residency has morning report where we put residents on the spot. Any tips / advice?
 
When you say, "put on the spot" do you mean being asked to present a case in front of an audience? How does your morning report work?
 
I think you will find that just about everyone has this issue, there's just a lot of variety in how people respond. I have some underlying social anxiety so this particular thing has brought up a lot of issues for me in residency as well (I'm an intern). Here are some things that have worked for me though.

1. Just coming to work every day and trying my best. I do get nervous and that's been noticed, but the more experience I get on a rotation the calmer I've gotten and I've improved every month. I've done the thing tons of times where I've been pimped and just haven't been able to come up with answers that I've known. I've been hard on myself for this, but the thing that has helped the most is just reassuring myself when this happens that I'm an intern and things will become more natural over time. This is normal and I think you'll notice that it happens to just about every one of your colleagues in some way or another as well. Be okay with not knowing the answer, also. I think it's always a bigger deal to ourselves than it is to other people.

2. Mindfulness exercise does help, or at least it helped for me. Spending 20 seconds before presenting just doing a few deep breaths focusing on what is happening now (instead of worrying about getting a question right or worrying you will look bad or whatever) will help to get your brain out of stress mode and more into what you need to be doing just then. How it's worked for me is that when I am thinking more clearly I actually have access to the stuff I know and the maturity to admit that I'm not sure with the stuff I don't.

3. You didn't ask about this specifically, but I found that efficiency was a big problem for me early on which then led to not having time to study, which then led to not being able to answer pimp questions. I went to one of my chiefs who I thought did things in a real efficient and effective way and asked for help, and got some really good advice that I've utilized (haven't mastered yet, but hey that's what intern year is for). Biggest thing is to just ask for help when you know you need it.

Might not be what you're looking for but I just wanted to comment that I know those feels and just wanted to write some things that worked for me.

I always freeze up when put on the spot. My mind draws blanks when I realize everyone is looking at me. It doesn't help that my residency has morning report where we put residents on the spot. Any tips / advice?
 
I always freeze up when put on the spot. My mind draws blanks when I realize everyone is looking at me. It doesn't help that my residency has morning report where we put residents on the spot. Any tips / advice?

Relax, just know they can't fire you for getting a question wrong and usually those are the questions you never forget.
 
I'm not sure I understand the original question. Are you saying you get called on with a question and don't know the answer?
 
Read yo
 

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1) Read. If you know the morning report topic ahead of time, read up specifically about it. If not, read in general. Your program may assign weekly readings, but if they don't, then get the main text for your specialty (such as Harrison's for IM), and read it on your own.

2) If you get asked a question that you don't know the answer to, try to reason it out if you can. Think out loud so your attending can see your thought process. And after your morning report, go read about that topic so you'll know for next time.

3) If you're doing a presentation, prepare enough for it so you know your material cold. Particularly when dealing with off-service faculty who may ride you a bit, making a good early impression is essential so they get the idea that you're a guy or gal who knows their stuff. Some showmanship can help too when dealing with aggressive personalities. I got an off-service team off my back once by doing a brief "chalk talk" about opiates, where I drew the structure of morphine and some of its derivatives from memory while discussing their different properties. The attending and senior residents had no idea that I had deliberately memorized all those structures right before giving the talk. But the important point is, they left me the heck alone after that when it came to the aggressive pimping.
 
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