Med students pimping one another in front of attendings

[link2swim06]

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Good luck asking a 5-year-old about her cancer medications while the nurse chats up the mom. The kid should have her dosages and frequency down pat, nbd.

I have learned two things about nursing.

1. They have **** they have to fill out on every patient. It's not their choice. No need to interrupt them because that will just slow both of you down. It is best to just come back later after they are done asking the patient stuff you don't care about.

2. After the nursing assessment is done you "should" interrupt the nurse if she is just talking about the weather to the mother. I would never ask the nurse to leave...I would just start asking the mother questions back to back.

It's about respect. You should let them do their assessment. And they should let you do your assessment. This isn't that difficult.

 

[VisionaryTics]

I have learned two things about nursing.

1. They have **** they have to fill out on every patient. It's not their choice. No need to interrupt them because that will just slow both of you down. It is best to just come back later after they are done asking the patient stuff you don't care about.

2. After the nursing assessment is done you "should" interrupt the nurse if she is just talking about the weather to the mother. I would never ask the nurse to leave...I would just start asking the mother questions back to back.

It's about respect. You should let them do their assessment. And they should let you do your assessment. This isn't that difficult.

I remember I was doing general surgery rounds with attending and resident on a Sunday morning. We had a list of like 55 patients to see.

We came to check on a post-op patient and the nurse was in the middle of her "do you feel safe at home" questionnaire or something.

Attending, to nurse: "Good morning." Turning to patient. "How are you feeling today, Mrs. Gusta-"

Nurse: "Excuse me! I am in the middle of my questions! You can come back later!"

The attending (who hadn't slept in three days) gave her a death stare, spun on his heel, and stomped out of the room. He pulled out his cell phone and called the director of nursing services for the hospital and started tearing into the nurse.

I didn't like the way he handled the situation, but I think a nurse can take a break for a few minutes, especially for an attending.

 

[link2swim06]

I remember I was doing general surgery rounds with attending and resident on a Sunday morning. We had a list of like 55 patients to see.

We came to check on a post-op patient and the nurse was in the middle of her "do you feel safe at home" questionnaire or something.

Attending, to nurse: "Good morning." Turning to patient. "How are you feeling today, Mrs. Gusta-"

Nurse: "Excuse me! I am in the middle of my questions! You can come back later!"

The attending (who hadn't slept in three days) gave her a death stare, spun on his heel, and stomped out of the room. He pulled out his cell phone and called the director of nursing services for the hospital and started tearing into the nurse.

I didn't like the way he handled the situation, but I think a nurse can take a break for a few minutes, especially for an attending.

Key word is attending.

As a med student I would never pull that move. Even doing that as a resident could make your life a lot harder in the long run.

 

[tiedyeddog]

Good luck asking a 5-year-old about her cancer medications while the nurse chats up the mom. The kid should have her dosages and frequency down pat, nbd.

I had to do this almost exact scenario today....

Ask the nurse if you can interrupt for ten minutes to ask mom some questions. I mean, it's not that hard. If the nurse is doing something important ask if she will be done in x amount of time when you can come back.

Nurses are busy. They have a job to do. Be polite and don't act like you the smartest guy in the room and they will either help you out or get out of your way.

 

[imperturbable]

I have learned two things about nursing.

1. They have **** they have to fill out on every patient. It's not their choice. No need to interrupt them because that will just slow both of you down. It is best to just come back later after they are done asking the patient stuff you don't care about.

2. After the nursing assessment is done you "should" interrupt the nurse if she is just talking about the weather to the mother. I would never ask the nurse to leave...I would just start asking the mother questions back to back.

It's about respect. You should let them do their assessment. And they should let you do your assessment. This isn't that difficult.

She was just shooting the sh** with the patient's mom. Of course they have things they have to do. Nobody said otherwise. I get what you're trying to get at, but not all medical students are as incompetent as you seem to believe.

"And they should let you do your assessment." Keyword: should. It's funny because you assume that this interaction was about "respect" or lack thereof, as if no medical student knows how to be polite or respectful towards nurses. She was rude, as much as you'd like to believe otherwise. "It's not that difficult." Give me a break.

I had to do this almost exact scenario today....

Ask the nurse if you can interrupt for ten minutes to ask mom some questions. I mean, it's not that hard. If the nurse is doing something important ask if she will be done in x amount of time when you can come back.

Nurses are busy. They have a job to do. Be polite and don't act like you the smartest guy in the room and they will either help you out or get out of your way.

Again, you assume that the medical student is at fault because of arrogance or timidness, which was not the case. I get it. A lot of medical students are arrogant pricks who seem to victimize themselves whenever they complain about a nurse being malignant, but sometimes, the nurse is the problem. You two don't seem to grasp this concept or be able to consider that possibility. My buddy is probably one of the nicest guys in our group, and she still treated him like trash. It's uncalled for.

I agree that I probably should've asked her for some time with the patient, but hindsight is 20/20. I didn't think she was going to talk for that long, so I was ahem polite and didn't interrupt her. Be polite and don't act like you're the smartest guy in the room, and they will either help you, get out of your way, or treat you like garbage and throw you under the bus because you never had a chance to begin with.

 

[tiedyeddog]

She was just shooting the sh** with the patient's mom. Of course they have things they have to do. Nobody said otherwise. I get what you're trying to get at, but not all medical students are as incompetent as you seem to believe.

"And they should let you do your assessment." Keyword: should. It's funny because you assume that this interaction was about "respect" or lack thereof, as if no medical student knows how to be polite or respectful towards nurses. She was rude, as much as you'd like to believe otherwise. "It's not that difficult." Give me a break.



Again, you assume that the medical student is at fault because of arrogance or timidness, which was not the case. I get it. A lot of medical students are arrogant pricks who seem to victimize themselves whenever they complain about a nurse being malignant, but sometimes, the nurse is the problem. You two don't seem to grasp this concept or be able to consider that possibility. My buddy is probably one of the nicest guys in our group, and she still treated him like trash. It's uncalled for.

I agree that I probably should've asked her for some time with the patient, but hindsight is 20/20. I didn't think she was going to talk for that long, so I was ahem polite and didn't interrupt her. Be polite and don't act like you're the smartest guy in the room, and they will either help you, get out of your way, or treat you like garbage and throw you under the bus because you never had a chance to begin with.

yeah, hindsight is 20/20, but If the nurse was really that bad then why not report her to your attending or to the rotation site manager?

 

[imperturbable]

yeah, hindsight is 20/20, but If the nurse was really that bad then why not report her to your attending or to the rotation site manager?

We didn't care that much, and it wasn't bad enough to report (i.e., "Hey, this nurse didn't let me take a history, and she implied that I was arrogant!"). I've just had to defend myself to you guys, so it seems like I care more than I do.

My friend and I are pretty level-headed and affable (IMO), so we found it funny that we both had a bad experience with the same nurse in almost exactly the same way. He had told me about her the week before, but I didn't think it was going to happen to me - until it did. I'm not saying we weren't somewhat at fault, but she definitely made things more difficult than they needed to be. Like I said before, the majority of my interaction with nurses has been pretty pleasant; one bad experience isn't going to change my perception.

 

[link2swim06]

She was just shooting the sh** with the patient's mom. Of course they have things they have to do. Nobody said otherwise. I get what you're trying to get at, but not all medical students are as incompetent as you seem to believe.

"And they should let you do your assessment." Keyword: should. It's funny because you assume that this interaction was about "respect" or lack thereof, as if no medical student knows how to be polite or respectful towards nurses. She was rude, as much as you'd like to believe otherwise. "It's not that difficult." Give me a break.

.

I agree BUT I have seen a lot of med students be inadvertently rude to nurses doing what I said above.

 

[Bacchus]

Good luck asking a 5-year-old about her cancer medications while the nurse chats up the mom. The kid should have her dosages and frequency down pat, nbd.

I take grape, strawberry, orange and blueberry. (Idk if anticancer medicines are flavored) Obvi not if they're IV. We get the point I'm trying to make, though.

 

[KnuxNole]

I agree BUT I have seen a lot of med students be inadvertently rude to nurses doing what I said above.

Which is something I don't get. Why would a med student even think about acting rude....especially to nurses who've been there for years? I remember hearing a med student say "we earned our way to med school! They are treating us like incompetent fools, I'll call everyone out!". Noone cares about your Step score or what school you go to when you hit the wards. Some nurses can be mean and permanent PMS'ers, but they should ignore them. Realize they are miserable, and continue to smile!

 

[KnuxNole]

Good luck asking a 5-year-old about her cancer medications while the nurse chats up the mom. The kid should have her dosages and frequency down pat, nbd.

That kid is such a noob. I mean seriously, get with the program buddy.

 

[tiedyeddog]

We didn't care that much, and it wasn't bad enough to report (i.e., "Hey, this nurse didn't let me take a history, and she implied that I was arrogant!"). I've just had to defend myself to you guys, so it seems like I care more than I do.

My friend and I are pretty level-headed and affable (IMO), so we found it funny that we both had a bad experience with the same nurse in almost exactly the same way. He had told me about her the week before, but I didn't think it was going to happen to me - until it did. I'm not saying we weren't somewhat at fault, but she definitely made things more difficult than they needed to be. Like I said before, the majority of my interaction with nurses has been pretty pleasant; one bad experience isn't going to change my perception.

Gotcha, I see your point.

To be honest with you, I confused you with thefritz and thought you were the one who made then long rang about crotchety nurses above.... Sorry for the grilling. I probably would have done something similar in your situation if the nurse was that bad.

 

[imperturbable]

Gotcha, I see your point.

To be honest with you, I confused you with thefritz and thought you were the one who made then long rang about crotchety nurses above.... Sorry for the grilling. I probably would have done something similar in your situation if the nurse was that bad.

Haha nbd. The situation could've been interpreted either way without more context. I took the "useless third year" comments from the attending like a good little student.

I think thefritz has had issues with the nurse because he takes things too personally. I'd just chalk it up to her being a horrible person and call it a day. Some people are just like that. Expressing those thoughts on here feels pretty good though, don't blame him for that.

 

[Chaoticsheath]

I pimp my patients in front of the attending. Is so that wrong? Who else, as an M3, was I allowed to pimp?

 

[JP2740]

One time on rounds, I pimped my attending to manly tears. He never ****ed with me again. My eval was glorious.

Did I dun goofd? Will I ever make it?

in b4 depressed loser go away

 

[lesterfreamon]

I pimp fellow med students sometimes.

But that is only in private and it is only rehashing pimp questions i got, hopefully helping them out if they get asked the same question 🙂

 

[JGimpel]

OK, a resident, NOT in front of an attending, asking med students about a topic to gauge their level of understanding to get an idea of where to start teaching more about it to them: not pimping, it's encouraged behavior.

If an attending does this on rounds and, again, uses it to help teach more about the subject, now with some clinical correlation to one of the patients you're seeing: also not pimping.

If one student/resident asks questions of another student/resident that have little bearing on anything being discussed for the sole purpose of making them look foolish, then starts chastising them publicly for not knowing it, THAT'S pimping. Attendings, on occasion, may do this but, as always, they're exempt from rules about this.

We can see gunners within the first few hours of their rotation, and they will be brutally pimped every time they try to pimp anyone else. Attendings let us do their dirty work for them and all we need is a look at one of us when a student is trying to show someone else up.

If you're gonna be a pimp, ball out:

 

[rodmichael82]

anyone else seen this happen? 2 of my classmates have been pimping one another on obscure stuff in front of attendings on this rotation. i think it's pre-planned because they always get eachother's pimp questions correct and go back and forth on related stuff as if they practiced it beforehand. also they never do this when the attendings aren't around.

i found it comical at first but now i got to wondering....will they be evaluated favorably for appearing to know a lot of stuff by doing this? and should i somehow try and get in on this "secret pimp question trade system" that they're employing?

Now that is some crazy stuff!

 

[Espadaleader]

So I saw this thread for the first time. I thought pimping was like prostitution lol. I'm interviewing right now and the coordinator is an attending too and she was like to the group "don't worry, theres no pimping". We where all like whaa.

 

[neusu]

One of my favorite memories from medical school was my first month of my 3rd year. I was on internal medicine with one of my best friends at the time and we were on a cardiology sub-section of medicine. We happened to be assigned the chief of cardiology that week as our attending so the residents were trying to be more formal and impressive, meanwhile my friend and myself had no idea how clinical medicine worked let alone who to impress because we wanted to go in to neurosurgery and radiology, respectively. Anyhow, I digress.. The intern on the service, who wanted to go in to cards, starts to pimp me about CHADS2, and being the diligent medical student I was could explain that our 84 y/o patient with new AF and HTN had a 4% stroke risk and should be started on anti-coagulants. I got him back though, we were consulted on an assault with troponin leak and he said the guy who was assaulted and kicked in the chest, now GCS 3T was brain dead because that's what GCS 3 means. I informed him that a watermelon has a GCS 3T and has nothing to do with brain death.

 

[cbrons]

I have seen a student pimp a resident before in front of attendings.

Lmao major shots fired right there. Would love to hear full story (reactions, etc.)

 

[tco]

One of my favorite memories from medical school was my first month of my 3rd year. I was on internal medicine with one of my best friends at the time and we were on a cardiology sub-section of medicine. We happened to be assigned the chief of cardiology that week as our attending so the residents were trying to be more formal and impressive, meanwhile my friend and myself had no idea how clinical medicine worked let alone who to impress because we wanted to go in to neurosurgery and radiology, respectively. Anyhow, I digress.. The intern on the service, who wanted to go in to cards, starts to pimp me about CHADS2, and being the diligent medical student I was could explain that our 84 y/o patient with new AF and HTN had a 4% stroke risk and should be started on anti-coagulants. I got him back though, we were consulted on an assault with troponin leak and he said the guy who was assaulted and kicked in the chest, now GCS 3T was brain dead because that's what GCS 3 means. I informed him that a watermelon has a GCS 3T and has nothing to do with brain death.

You go, girl.