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- May 3, 2011
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PGY-2 in Neurology here, just started about a month ago.
Basically, I had a meeting with 2 of the PGY-4s, one of whom was one of the 2 chiefs and my senior resident the last couple of weeks. She told me I was not doing well, and that there were many small things and a few big things that made things this way. The small things include being distracted on my phone during morning rounds (table and walking rounds) and not paying as much attention when the patients presented are not mine. People in Neuro have also noticed this and told me before. Sometimes, I'd either not hear something during rounds and have to clarify, or not put something updated in a copy-and-pasted note which the senior had to addend later.
Of the big things, one of them was missing big, potentially life-threatening issues in patients. For instance, there was a man I was seeing for stroke who had an event that looked sort of like a seizure but I wasn't sure. Instead of bringing it up to my senior immediately, I dismissed it as "not really a seizure" put it off until later...big mistake because he was in status later.
I also had issues before in 1st year of residency in IM with being inattentive and missing stuff, and I've already spoken with the PD about it and kept him updated on a monthly basis.
So, now I know some of the things I need to improve.
1. I'm going to turn my phone off during table and morning rounds because it's been repeatedly an issue and this seems to be the only way to fix it
2. I'm going to have a low threshold for potentially life threatening issues in patients and basically "know what I don't know."
I was told by my chief that if my performance does not significantly improve within the next few months that I'd probably lose my job. She stated she'd already spoken to the Program Director and another higher-up about it. Obviously, I want to avoid this and do everything I can to move past it and do well. They also brought up potential alternative career choices (like research) that I could get as an MD having passed Steps 1-3.
I'm really panicking and in a bit of a crisis here. Can anyone else offer more advice? Please?
Thank you. Wish me luck because I'll need it.
Basically, I had a meeting with 2 of the PGY-4s, one of whom was one of the 2 chiefs and my senior resident the last couple of weeks. She told me I was not doing well, and that there were many small things and a few big things that made things this way. The small things include being distracted on my phone during morning rounds (table and walking rounds) and not paying as much attention when the patients presented are not mine. People in Neuro have also noticed this and told me before. Sometimes, I'd either not hear something during rounds and have to clarify, or not put something updated in a copy-and-pasted note which the senior had to addend later.
Of the big things, one of them was missing big, potentially life-threatening issues in patients. For instance, there was a man I was seeing for stroke who had an event that looked sort of like a seizure but I wasn't sure. Instead of bringing it up to my senior immediately, I dismissed it as "not really a seizure" put it off until later...big mistake because he was in status later.
I also had issues before in 1st year of residency in IM with being inattentive and missing stuff, and I've already spoken with the PD about it and kept him updated on a monthly basis.
So, now I know some of the things I need to improve.
1. I'm going to turn my phone off during table and morning rounds because it's been repeatedly an issue and this seems to be the only way to fix it
2. I'm going to have a low threshold for potentially life threatening issues in patients and basically "know what I don't know."
I was told by my chief that if my performance does not significantly improve within the next few months that I'd probably lose my job. She stated she'd already spoken to the Program Director and another higher-up about it. Obviously, I want to avoid this and do everything I can to move past it and do well. They also brought up potential alternative career choices (like research) that I could get as an MD having passed Steps 1-3.
I'm really panicking and in a bit of a crisis here. Can anyone else offer more advice? Please?
Thank you. Wish me luck because I'll need it.