- Joined
- Oct 19, 2003
- Messages
- 772
- Reaction score
- 6
I am currently on a sub-I rotation and while the first week went well and the senior resident and attending didn't mind that I wrote progress notes in the patient charts, the current senior and attending ripped all my notes out of the charts.
Evidently it's a "medical-legal issue" for me to write anything in any patient's chart. According to the Chief Medical Staff on the floor, I can't write anything or have anything to do with the charts on this floor.
I am allowed to write things down, but I should keep them for my own edification and learning process (whatever that means). Interns can copy their notes from me, but sign them without my name present (i.e. I do their work for them and get no mention). I have no true responsibility or voice in the management of patients, but I'm welcome to ask why we're doing something so that I may learn.
Is this a common situation for a medical student on a sub-I?
I had huge hopes for this rotation. I envisioned having the responsibility and workload of an intern, but fewer patients. That I'd admit patients while on call (with resident oversight), come up with my own assessment and management, order labs and meds (with co-sigs), and generally have some measure of autonomy over my patients.
Instead I've been relegated to a shadowing role where I see the patients but it's a formality or just to help the interns. I can "suggest" portions of the management plan, but it really isn't the same.
Is this me wanting more than I should be expecting? Am I out of line?
Evidently it's a "medical-legal issue" for me to write anything in any patient's chart. According to the Chief Medical Staff on the floor, I can't write anything or have anything to do with the charts on this floor.
I am allowed to write things down, but I should keep them for my own edification and learning process (whatever that means). Interns can copy their notes from me, but sign them without my name present (i.e. I do their work for them and get no mention). I have no true responsibility or voice in the management of patients, but I'm welcome to ask why we're doing something so that I may learn.
Is this a common situation for a medical student on a sub-I?
I had huge hopes for this rotation. I envisioned having the responsibility and workload of an intern, but fewer patients. That I'd admit patients while on call (with resident oversight), come up with my own assessment and management, order labs and meds (with co-sigs), and generally have some measure of autonomy over my patients.
Instead I've been relegated to a shadowing role where I see the patients but it's a formality or just to help the interns. I can "suggest" portions of the management plan, but it really isn't the same.
Is this me wanting more than I should be expecting? Am I out of line?