TorqueConversion
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Hi Goro, sorry that the story appears different in my other posting. This one encompasses everything, while the other talks only about the clerkship issue. The program was only concerned with what happened with the ET tube, and says they are basing their decision on that.So which story(s) is correct?
Dismissed from second rotation
Theres got to be more to this storySo I have had very stupid incidents with this program in the past. I have good academics, no issues with patients or medical personnel, and am able to do what is asked of me. The administration on the other hand has been hurling fire at me since the end of my first didactic year. 2 students decided to accuse me of sexual harassment and after a lengthy investigation over entirely hearsay, I was found not guilty. The chairperson wanted to meet me shortly on a whim but I was unable to attend that meeting with her - she replied that I was unprofessional in the way I responded to her request, claiming I was unprofessional and would have to see the academic review committee to discuss my unprofessionalism. About a week before I was set to appear at this meeting, I realized that I was going be one question short of receiving honors for cardiology. I reached out to the Professor and discussed 2 questions with her - she relayed this to the chairperson. The meeting that was supposed to be about the supposed unprofessionalism regarding communication over email 3 months ago was now focused on how my grade appeal from one week ago. At a much later point in time during my second year of didactic, I missed a single class. A SINGLE CLASS, (attendance is mandatory- I was yet to miss anything) and they came up with a whole bunch of issues regarding professionalism that they wrote in a report and subsequently put me on probation for behavioral reasons. I reached out to the dean of campus life and was eventually reinstated from probation a few months later. I finished one clinical rotation and everything went superbly. My second clinical rotation is an unstructured disaster and I have had almost no interactions with the preceptor. During my third week I have a 24+ hour call and I decide to go to sleep for a few hours - this is within school policy. The preceptor hears word that I was sleeping 'excessively' and calls me to his office. I apologize and tell him its the school policy that I get some sleep and from there I will stay up for the rest of the shift. He gets an unrelated phone call during the meeting and abruptly tells me that I am to go home from the rotation. As per policy, I called the school and told them that I was released earlier than expected from the shift. The following day, I am failed for the rotation because of the single-day of sleeping and a rather benign situation regarding a bedside procedure that I had almost no part in that was inaccurately reported to the program by the preceptor. They put me on suspension and are considering dismissing me.
I went in with a few residents and the attending to do a bedside BAL in the ICU. I was told to hold to anchor the ET tube by the attending, something I had never heard of before. After about 5 minutes, I switch hands. 10 minutes pass, nothing goes wrong, and the attending tells me to switch hands to the prior position. I told him the position I was previously held my hand in before was very uncomfortable and I am still maintaining the anchoring as he mentioned. Somehow this word got to my preceptor (who I have had almost not contact with during this rotation) and they wrote to my program that they are dismissing me from the rotation because I compromised a patient's airway. The administration put me on suspension and is considering dismissing me from the program. The meeting I held with program told me that this incident shows that I am insubordinate and lack judgment - I am currently in limbo what to do if I end up getting expelled and what do with 100s of thousands dollars in student loans debt.
Lessons for SDNers:
#1) when you get onto radar, you don't get off.
#2) when a Chair or, in fact, any other Faculty says "you need to come see me", you go see him/her.
#3) Mandatory lecture attendance means
A) Mandatory
B) Optional
C) Missing a required class is OK, because it's my first incident
D) None of the above
#4) If you're going to appeal a grade, do it VERY nicely, and don't act like a pre-med.
#5) Always remember that emails are forever, and that people on the other side of the screen can't read your emotions when you hit SEND.
#6) When you're on probation, all eyes are on you.
#7) It takes work to actually get kicked off of a rotation
#8) When you see an iceberg, you're only seeing some 10% of it.
#9) It far more common to get dismissed after a pattern of misbehavior, rather than a single incident.
To address a few of the points:
1) It was a single incident of sexual harassment - one girl was egging the other girl on to make a report about a very immature thing that happened during a physical exam- the case was dropped because it illegitimate on several fronts but everything had to be investigated anyway per policy.
Your problem is likely not what you did, but how you did it / approached it. If the attending asked you to switch hands, there was probably a clinical reason why they wanted that done. Your answer appears to have been "No, it was too uncomfortable that way, I'll stay like this, it's fine". You may not think this is what you said, but I bet it's what the attending heard. And although these issues may be the ones called out, there may be many more that everyone knows about but were not made into a big deal.
I'm 20+ years into my career. When my chair says they need to meet with me, everything else stops. Again, your answer was probably heard as "I'm too busy now, I'll get back to you later".
6) I initially replied that I was unable to make it to the meeting, but I was in a rush and didn't elaborate when I would make the next one. She immediately responded that professionalism was an issue that had to be explored at a council meeting before I had time to make it back to my apartment.
This is unclear. You were directed to come to a meeting, yet didn't. Why?
What exactly happened during a physical exam that got someone even thinking they needed to report it as sexual harassment? And was this during a class PE with standardized patients? or were you practicing PEs on each other? or you were on rotations with another student and they were uncomfortable with how you did a PE on a real patient?very immature thing that happened during a physical exam
I am basically looking for advice. Everything they have written so far about my infractions has been vague and just carrying on into the next thing. No policies in the handbook have been violated to the point of dismissal, but if someone in admin decides to proceed down that avenue on their own prerogative for 'behavioral' reasons - what is some advice you all can give?
You must be following suit.Everything they have written so far about my infractions has been vague
The advice has already been given. Show extreme remorse, apologize profusely for everything, accept responsibility for everything even if you think you didn’t do anything wrong. Get down on your hands and knees and beg.
Still waiting to hear what was at your apartment that was more important than meeting with the dean.
You don't do immature things that people construe as sexual harassment during physical exams. You don't blow off mandatory classes or meetings with the dean. You don't go sleep whenever you feel like it while on call (you wait to be told to go rest or if you can't help yourself you can ask to go sleep). You don't tell doctors what position you want to hold an airway in when they tell you how they want it done. Seems like the school has been pretty reasonable with what they have allowed before dismissing you.
Then what's the point?And don’t sexually harass your classmates
Sounds like you need some more SAPR training.Then what's the point?
At this point you have one card in your hand you can play.
Extreme remorse.
Goro has a talent for condensing the obvious for the oblivious.Lessons for SDNers:
#1) when you get onto radar, you don't get off.
#2) when a Chair or, in fact, any other Faculty says "you need to come see me", you go see him/her.
#3) Mandatory lecture attendance means
A) Mandatory
B) Optional
C) Missing a required class is OK, because it's my first incident
D) None of the above
#4) If you're going to appeal a grade, do it VERY nicely, and don't act like a pre-med.
#5) Always remember that emails are forever, and that people on the other side of the screen can't read your emotions when you hit SEND.
#6) When you're on probation, all eyes are on you.
#7) It takes work to actually get kicked off of a rotation
#8) When you see an iceberg, you're only seeing some 10% of it.
#9) It far more common to get dismissed after a pattern of misbehavior, rather than a single incident.
I will add a caveat to this...sometimes, if the initial event actually truly was a fluke rather than just "a slightly more prominent example of the behavior that low-level rubs people wrong on a constant basis," then sometimes you fall off the radar. Maybe someday I will tell SDN the story of how I got onto the Deans' radar early in M1 (was even placed on probation for professionalism, but fortunately in a way that doees not remain on the transcript in any way)...but suffice it to say that I very much ended up NOT on the radar by the end of preclinicals due to the very very good relationships I developed with my classmates, as well as with faculty. Between my grades, my extracurricular involvements, my constant efforts to help out classmates, and the fact that I never had another professionalism issue (and in fact was anonymously nominated by a classmate as an exceptional classmate), even the dean who initially got off on the wrong foot with me and put me on the sh¡t list to begin with has told me point-blank that I proved it wrong.Lessons for SDNers:
#1) when you get onto radar, you don't get off.
This is a good story and counterpoint to the usual issues that come up. Im glad you shared it. I think the problem is people who get into trouble like this tend to have a habit of pushing the envelope when it comes to expectations of behavior. 5 minutes late to a mandatory thing here, say something inappropriate to a classmate there, make a negative social media post there. All taken invididually do not constitute anything else then a bad day. However it is a constellation and pattern of behavior that finally breaks the camel's back when a clear violation occurs that is observed.I will add a caveat to this...sometimes, if the initial event actually truly was a fluke rather than just "a slightly more prominent example of the behavior that low-level rubs people wrong on a constant basis," then sometimes you fall off the radar. Maybe someday I will tell SDN the story of how I got onto the Deans' radar early in M1 (was even placed on probation for professionalism, but fortunately in a way that doees not remain on the transcript in any way)...but suffice it to say that I very much ended up NOT on the radar by the end of preclinicals due to the very very good relationships I developed with my classmates, as well as with faculty. Between my grades, my extracurricular involvements, my constant efforts to help out classmates, and the fact that I never had another professionalism issue (and in fact was anonymously nominated by a classmate as an exceptional classmate), even the dean who initially got off on the wrong foot with me and put me on the sh¡t list to begin with has told me point-blank that I proved it wrong.
If it was truly a fluke that got you onto the radar, you stand a chance of getting off. These SDN stories, including OP's, more often fall into the category of "everyone consistently had an issue with their interactions with you, but it was always subtle and not explicitly against the rules until The Incident that got you on the radar, after which your continued pattern of vague problematic-ness was scrutinized enough to end you."
The only way to fix that is to identify your consistent thread of subtle attitude problems, admit its existence, and then try like hεll to change it.
You aren’t busy when the dean wants to meet with you, you just aren’t. You email whoever else is expecting you somewhere and let them know you apologize but you have been told you have dean meeting.
And don’t sexually harass your classmates
Goro has a talent for condensing the obvious for the oblivious.
This is a good story and counterpoint to the usual issues that come up. Im glad you shared it. I think the problem is people who get into trouble like this tend to have a habit of pushing the envelope when it comes to expectations of behavior. 5 minutes late to a mandatory thing here, say something inappropriate to a classmate there, make a negative social media post there. All taken individually do not constitute anything else then a bad day. However it is a constellation and pattern of behavior that finally breaks the camel's back when a clear violation occurs that is observed.
I was going to write a reply to mehc's post, but lib did all my work.
We have found that when it comes to professionalism issues, there are single incidents that are indeed flukes, there are single incidents that aren't flukes, but people get the fear God instilled, and then there are those like the OP, who have a consistent pattern of behavior where one incident by itself isn't lethal, but the collective is. Key to this is the repetitive nature...these people simply can't help themselves, and/or don't learn from their mistakes. My school's single worst student ever fit this bill to a T.
I guess that was my intent in posting...to remind us that there ARE these flukes and these people who learn to self-correct, so that we remember that when cases like OP's get posted, those truly are unusual and it's not like these committees and administrators are just constantly nitpicking low-level crap on unsuspecting students.I think there’s also a huge selection bias coming from the fact that only the most oblivious people come here and post a thread detailing multiple professional and ethical and legal shortcomings while still acting like what they did wasn’t a big deal. The people who slip up and get it don’t need any advice; they just fix the issue and keep their noses clean until they finish.
You’d be surprised....Med students arent the type to report a student for something like this unless it was really off.