1. Dismiss Notice
  2. Download free Tapatalk for iPhone or Tapatalk for Android for your phone and follow the SDN forums with push notifications.
    Dismiss Notice

Internitis

Discussion in 'General Residency Issues' started by Deferoxamine, Aug 2, 2011.

  1. Deferoxamine

    Deferoxamine Non-smoking
    7+ Year Member

    Joined:
    May 7, 2009
    Messages:
    934
    Likes Received:
    45
    Status:
    Resident [Any Field]
    Honestly.

    A month into this gig and I feel so incredibly stupid lately. How come everything I've learned the past few years has just escaped me? No one is yelling at me, no one is being malignant or anything, I just can't complete coherent thoughts half the time. Hell, it's like even my common sense has left me. It's kind of embarrassing getting owned so badly.
     
  2. Note: SDN Members do not see this ad.

  3. Quink

    Quink Junior Member
    5+ Year Member

    Joined:
    Feb 8, 2006
    Messages:
    33
    Likes Received:
    0
    Status:
    Academic Administration
    Relax. You're probably tired and stressed. You will be fine and your brain will start to function again. Promise!
     
  4. Doctor4Life1769

    Doctor4Life1769 **tr0llin, ridin dirty**
    7+ Year Member

    Joined:
    Apr 28, 2008
    Messages:
    34,260
    Likes Received:
    901
    Status:
    Resident [Any Field]
    I dunno, I feel the same way.

    The other day, couldn't recall the names of CCBs except cardizem... dihydropyridines... whaaaa???
     
  5. shopsteward

    7+ Year Member

    Joined:
    Jun 25, 2010
    Messages:
    599
    Likes Received:
    216
    Status:
    Non-Student
    Shopsteward's Law of Institutions

    1. All man-made processes are inefficient.

    2. Any man-made process which appears to be efficient has merely succeeded in externalising its inefficiencies.

    As a newcomer to your organisation, you are currently at the receiving end of all its inefficiencies. Soon you will cease to notice them (this process is known as "institutionalisation") and all will be well.
     
  6. Arcan57

    Arcan57 Junior Member
    10+ Year Member

    Joined:
    Nov 21, 2003
    Messages:
    2,793
    Likes Received:
    1,147
    Status:
    Attending Physician
    You're discovering that medical school has almost nothing to do with what you need to function as a physician. Assuming you are like most interns, sometime this year or early next year you'll have the system figured out and will have obtained a veneer of competency. Until then, try to keep your screw-ups small and carry a peripheral brain at all times.
     
  7. jdh71

    jdh71 epiphany at nine thousand six hundred feet
    Physician 10+ Year Member

    Joined:
    Dec 14, 2006
    Messages:
    66,123
    Likes Received:
    39,402
    Status:
    Attending Physician
    wait until you start fellowship . . .

    ugh
     
  8. gutonc

    gutonc No Meat, No Treat
    Administrator Physician PhD 10+ Year Member

    Joined:
    Mar 6, 2005
    Messages:
    17,314
    Likes Received:
    9,595
    Status:
    Attending Physician
    Word. The thing about internship is that everyone basically expects you to not know your head from your butt until at least late November. That's not to say you won't get yelled at from time to time, but it's also why you have upper levels around and have relatively low patient loads (surgery excluded).

    In fellowship, this period of head/butt incoherence is allowed to last for, at the most, 45 minutes on July 1. After that, you are expected to have immediate, comprehensive, evidence-based answers to all consult questions in less time than it takes Domino's to make and deliver a pizza to the nurses lounge.

    It's awesome.
     
  9. The Angriest Bird

    10+ Year Member

    Joined:
    Sep 24, 2007
    Messages:
    422
    Likes Received:
    5
    Status:
    Resident [Any Field]
    For almost everything in medicine there's a textbook answer and there's a real-life answer. In the past four years you were learning the former. Now you are learning the latter.
     
  10. MJB

    MJB Senior Member
    Physician Moderator Emeritus 10+ Year Member

    Joined:
    Apr 12, 2005
    Messages:
    2,848
    Likes Received:
    23
    Status:
    Attending Physician
    I swear, if I could just figure out the damned EMR I think I'd be ok. Still scared to death, but at least ok.

    It really sucks to not only not know what you're doing, but to literally not know how to do what you're doing.

    And I'm fairly computer competent. Most user-unfriendly software I've come across. Other than DOS.
     
  11. CerealBox

    CerealBox Senior Member
    7+ Year Member

    Joined:
    Apr 26, 2005
    Messages:
    600
    Likes Received:
    0
    Halfway through and still feel like I have stupid intern brain. Having a bad day today :(
     
  12. nitemagi

    nitemagi Senior Member
    Physician Faculty 10+ Year Member

    Joined:
    Oct 15, 2001
    Messages:
    2,815
    Likes Received:
    851
    Status:
    Attending Physician
    Inflammation of the intern?
     
  13. CerealBox

    CerealBox Senior Member
    7+ Year Member

    Joined:
    Apr 26, 2005
    Messages:
    600
    Likes Received:
    0
    Yes, causing serious functional defects :D
     
  14. mmmcdowe

    mmmcdowe Duke of minimal vowels
    Moderator Physician Gold Donor Classifieds Approved 10+ Year Member

    Joined:
    Sep 12, 2008
    Messages:
    9,669
    Likes Received:
    1,394
    Status:
    Resident [Any Field]
    Studies have shown a possible correlation with the severity of inflammation of one's senior earlier in life.
     
  15. jdh71

    jdh71 epiphany at nine thousand six hundred feet
    Physician 10+ Year Member

    Joined:
    Dec 14, 2006
    Messages:
    66,123
    Likes Received:
    39,402
    Status:
    Attending Physician
    You'll probably have days like that until you retire. Most days when I get a consult for dyspnea, I'm like, "Here we go again . . . sure I'll go do the intellectual heavy lifting for [insert name of service that is not pulmonary here], because it's not that hard to give the patient their gattam Advair(!!) . . ." and I review the case and usually the CT findings and examine the patient and I'm like, crap, this guy is all ****ed up and I'm not sure what's going on *scratching head* . . . at all . . . :laugh:
     
  16. TheLesPaul

    Physician 10+ Year Member

    Joined:
    Aug 20, 2007
    Messages:
    709
    Likes Received:
    53
    Status:
    Attending Physician

    :clap:
     
  17. 45408

    45408 aw buddy
    7+ Year Member

    Joined:
    Jun 13, 2004
    Messages:
    16,978
    Likes Received:
    43
    Status:
    Resident [Any Field]
    I'm a year further along, and every day I realize how every time I learn something, I realize that there are at least two more things I don't know. Especially with cancer.
     
  18. Buzz Me

    Moderator Emeritus Gold Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 17, 2004
    Messages:
    1,919
    Likes Received:
    112
    Status:
    Attending Physician
    Every day I realize how little I know.
     
  19. ShyRem

    ShyRem I need more coffee.
    Physician Moderator Emeritus 10+ Year Member

    Joined:
    Jun 17, 2004
    Messages:
    9,798
    Likes Received:
    125
    Status:
    Attending Physician
  20. dragonfly99

    10+ Year Member

    Joined:
    May 15, 2008
    Messages:
    5,093
    Likes Received:
    45
    Status:
    Attending Physician
    Realizing how little we know is usually a good thing...it's the people who don't realize that they don't know stuff who we need to be afraid of. Which reminds me, I need to go study :)
     
  21. Mattchiavelli

    5+ Year Member

    Joined:
    May 22, 2010
    Messages:
    503
    Likes Received:
    11
    Status:
    Attending Physician
    Even if you could somehow absorb and integrate all the current knowledge about cancer there is still stuff that no one knows about... and that's medicine for ya.
     
  22. asap6

    Joined:
    Sep 16, 2011
    Messages:
    11
    Likes Received:
    0
    Status:
    Resident [Any Field]
    So glad I'm not the only one feeling this way. As an IMG at a prominent university program its so intimidating to be around some of the smartest interns and world renowned attendings.

    I feels so incompetent and useless. Although I'm only hearing good feedback, the anxiety of screwing up is killing me.
     
  23. Buzz Me

    Moderator Emeritus Gold Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 17, 2004
    Messages:
    1,919
    Likes Received:
    112
    Status:
    Attending Physician
    You have to keep striving to learn as much as you can, and your confidence will grow. But it's healthy to always have a small amount of fear in the back of your head. I still do...and it keeps me prepared, expecting the worst, and out of trouble.
     
  24. rachmoninov3

    rachmoninov3 Senior Member
    10+ Year Member

    Joined:
    Dec 14, 2004
    Messages:
    895
    Likes Received:
    23
    Status:
    Attending Physician
    For the first 6 months I could have sworn that my job discription should have been changed to read "show up and make mystakes"---especially on OB.

    Now I'm feeling slightly less awkward, and more like I have a handle on things. Of course now the problem of efficiency comes into play. I am still far too worried about killing people, and therefore hand write detailed notes in the morning so that I don't miss anything. Yet one of these days I'm going to have to take a leap of faith and start just reviewing labs, studies, vitals, seeing the patient, writing orders and doing my notes later.

    Anyone else find it frightening that we're so far from where we started in July, but have no friggin clue how we got here?
     

Share This Page