- Joined
- Sep 17, 2017
- Messages
- 325
- Reaction score
- 443
I’m thinking of IM vs Neuro vs Anes vs FM… I’ll do more electives and some sub-Is next year to figure it out.
TL;DR—fellow and resident set no expectations (literally said “I have no expectations”), I scrub in two days a week for the cases of the day, I don’t present patients on rounds, and I don’t stay long hours at night or come in on weekends. The other medical student does. I’m worried my eval will be bad, and I’m getting no guidance but I also don’t want to stay past 6 and come in on weekends since the fellow said he doesn’t expect us to. I try to ask questions and read up on all the patients, so I’m learning, but can’t prove it.
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I’m at the end of month 1 of 2 of surgery rotation. I tried and still try to learn what indications there are for surgery and how to manage a post-op patient. However, I’m on transplant surgery which is very busy and there is only 1 fellow, who is basically on all the time. He’s busy and exhausted. On the first day, he told me and the other medical student that he has no expectations of us. He doesn’t care if we scrub in, write notes, come in at night, etc. He doesn’t do any teaching because he’s busy. The senior resident on does have some expectations, like presenting patients to him and scrubbing in frequently, but even then he’s not really counting (or so it seems). My mid clerkship feedback from him was basically “scrub in more” which I’m doing.
My concern is that I really don’t do much. I present 1 patient to the resident in the mornings, and I scrub into cases probably 2 times a week (usually Mondays there aren’t cases, then I go tues/wed, and then Thursday is my clinic day. Fridays are didactics and we don’t go in. Fellow said he doesn’t expect us to come in on weekends). I help out on the floor by writing notes on Mondays. The other medical student presents patients on rounds, goes in at night, and sometimes goes on weekends. I’m not interested in going into surgery, she is, and honestly I don’t want to stay past 6 when I wake up at 4 every day.
I’m worried when they eval me, they’ll compare me to her and say I was disinterested and didn’t do much. This is true, but I have no guidance from the fellow or resident, and I am not interested in going into surgery but I am interested in understanding surgical patients. I try to ask “good” questions when I can, and I try to think of differentials whenever a patient has a complaint, but I don’t get to really tell anyone them because as soon as the patient says “my abdomen hurts” the fellow jumps in and says “I’m worried it’s a leak, we’ll get an ultrasound and might go back to the OR.”
TL;DR—fellow and resident set no expectations (literally said “I have no expectations”), I scrub in two days a week for the cases of the day, I don’t present patients on rounds, and I don’t stay long hours at night or come in on weekends. The other medical student does. I’m worried my eval will be bad, and I’m getting no guidance but I also don’t want to stay past 6 and come in on weekends since the fellow said he doesn’t expect us to. I try to ask questions and read up on all the patients, so I’m learning, but can’t prove it.
——
I’m at the end of month 1 of 2 of surgery rotation. I tried and still try to learn what indications there are for surgery and how to manage a post-op patient. However, I’m on transplant surgery which is very busy and there is only 1 fellow, who is basically on all the time. He’s busy and exhausted. On the first day, he told me and the other medical student that he has no expectations of us. He doesn’t care if we scrub in, write notes, come in at night, etc. He doesn’t do any teaching because he’s busy. The senior resident on does have some expectations, like presenting patients to him and scrubbing in frequently, but even then he’s not really counting (or so it seems). My mid clerkship feedback from him was basically “scrub in more” which I’m doing.
My concern is that I really don’t do much. I present 1 patient to the resident in the mornings, and I scrub into cases probably 2 times a week (usually Mondays there aren’t cases, then I go tues/wed, and then Thursday is my clinic day. Fridays are didactics and we don’t go in. Fellow said he doesn’t expect us to come in on weekends). I help out on the floor by writing notes on Mondays. The other medical student presents patients on rounds, goes in at night, and sometimes goes on weekends. I’m not interested in going into surgery, she is, and honestly I don’t want to stay past 6 when I wake up at 4 every day.
I’m worried when they eval me, they’ll compare me to her and say I was disinterested and didn’t do much. This is true, but I have no guidance from the fellow or resident, and I am not interested in going into surgery but I am interested in understanding surgical patients. I try to ask “good” questions when I can, and I try to think of differentials whenever a patient has a complaint, but I don’t get to really tell anyone them because as soon as the patient says “my abdomen hurts” the fellow jumps in and says “I’m worried it’s a leak, we’ll get an ultrasound and might go back to the OR.”
