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Patients constantly think I'm a nurse!

Discussion in 'Women in Healthcare' started by PteFabulous, Aug 2, 2012.

  1. Pimping is in the eye of the beholder, i think. Some students are very intimidated by questions. Others expect that as part of their education. I think overly aggressive questioning without giving the student time to think is considered "pimping..."...the line is thin.
    valid username likes this.
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  3. valid username

    valid username 7+ Year Member

    Aug 29, 2009
    Questions without the show are not aggressive. When you answer correctly you may get "are you sure?" but eventually you find out you were right. If you answer wrong, you may get more questions that help you see your error. The whole point of this process is to teach you to be a better doctor. If a group is being questioned generally anyone in the group can answer. Some attendings even let the group mumble together before braving the answer. This is teaching, not pimping. This is what most most attendings do.

    Pimping is less common. It's more likely to be done by a fellow or resident. Occasionally an attending will do it--but it's much milder and likely to be in surgery.

    It is the "show" that lets the student know that they are inferior. (As if we don't already know it). It's gathering a group, singling a student out, then asking a question. When the student answers the pimper either asks another question, ignores the student or proceeds to ridicule the student. Other people are invited to join this sport. Pimping responses I heard were:
    "did you go into med school because plumbing was too tricky?"
    "i hope you're going into psychiatry"
    "I thought you were smarter than these img's" with gesture (i'm an img, but rotate with amg's)
    "I thought you were smarter than these girls" with gesture
    Obnoxious laughter followed by "that is the most ridiculous answer i have ever heard--How did you pass step 1? how is your school still accredited."

    i got that last one for answering "magnetic sphincter" when a fellow asked me "what options might be considered for treatment-resistant gerd?" He retold the story several times with me standing there humiliated. No less than ten people laughed at me--including other fellows, a resident, and several students. The person to decide i was sufficiently humiliated was an attending. The fellow told about my stupid answer DURING A SURGERY. the attending said "It's less common than a nissen." but he didn't call me stupid. He just asked me to describe pro's and con's. Then who might not be a good candidate for magnetic sphincter. I didn't know it--he told me "morbidly obese." This didn't embarrass me, but I remember it.

    I seriously hate pimping. It is terribly confusing--did it help me remember? It helped me remember that i am the mumbler who gives the answer to another student. The only times I have answered in a group since then were the times the attending said "i heard you already, just say it so everyone can hear."

    Personally, I won't pimp. It's not nice.
  4. why would anyone laugh at someone's wrong answer? I would be furious if i heard my residents doing that.
  5. valid username

    valid username 7+ Year Member

    Aug 29, 2009
    I think it was displacement with that particular fellow. Other than the pimping, he was actually a really good guy. (I'm not qualified to speak of his skills.) The attendings were very nice to students, but they treated this guy quite poorly. The first major issue was we should have had 2 fellows, but one had visa issues holding him up. So the lone fellow was overworked. I spent most of my time in the ORs during surgery. When a pt was being intubated I would go to find him and untie his gown so he could go scrub for the next surgery--where the attending would scold him for being late. There were maybe 6 attendings and all did things differently. He had to remember very slight differencess between surgeon preferences. I saw him get berated so many times for doing something that Dr. X and Y insisted on, but Dr. Z did not do.

    He should have found a more mature way to deal with what was going on. But he had a lot on him. I know I'm making excuses for him, but the way he treated the students* from time to time was nothing compared to the way he was treated.

    (Disclaimer: he had a 50/50 mix of AMG/IMG students. He was a former IMG and seemed hesitant to tell the AMGs what to do--2 in our group had dr parents in the area)
  6. Yes being overworked can make a resident more likely to snap at a student. However, consistently poor behavior is not excusable. You don't get to s**t on someone lower on the totem pole just because you feel powerless. It's the mark of insecurity that does not befit a surgeon.

    Sent from my iPhone using SDN mobile

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