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At interviews I noticed some people were concerned whether the teaching hospital was a public or private one. Why is that important?
Praetorian said:Having to speak Spanish is an advantage? Sure....right..... That should be listed below under disadvantages along with:
-Disgruntled and underpaid staff
-Often located in the worst possible part of town you would think to put a hospital (don't leave your car unlocked and certainly don't walk to work)
-You will be treating a large number of incarcerated or very soon to be incarcerated folks
-A fair number of your patients will be heavily armed, and a good number of these will be misogynistic or bigoted against you particularly if you're fairer complected than they are (granted I've met some very respectful people from bad parts of town, but most of them were elderly)
-Most of your patients will have ETOH on board, as well as any number of unlicensed pharmaceuticals, therefore they tend to be uncooperative or even outwardly violent
argonana said:good points. i didn't know that some patients are actually armed. the shady neighborhoods of public hospitals just seem like a nuisance, but the fact that one's safety could be at risk inside the hospital is pretty scary.
I saw it on numerous occasions (I'd say 10-12 times) working around Washington DC and Southeast DCRendar5 said:haven't heard of complaints from my friends about this before . That includes friends who go to SUNY Downstate and Temple.
Praetorian said:OK, so how is that an advantage? I don't see how being required to speak a foreign language and "maintain or improve" your skills in it is an advantage when it comes to practice. Personally it sounds like a huge headache and PITA that could be avoided by looking for a residency in a better area. Granted I'm planning on a career in pathology most likely so my cases won't be hablamos-ing anything...so maybe I'm missing something about how wonderful it is to converse in Spanish with a woman about her fibromyalgia.
Personally after medical school, if I ever see a public hospital as a staff member again it will be a sign that something has gone terribly wrong. I don't mind earning my stripes in one, but I don't intend to practice at one for all the reason so many of you view as "advantages".
Praetorian said:I saw it on numerous occasions (I'd say 10-12 times) working around Washington DC and Southeast DC
Praetorian said:OK, so how is that an advantage? I don't see how being required to speak a foreign language and "maintain or improve" your skills in it is an advantage when it comes to practice. Personally it sounds like a huge headache and PITA that could be avoided by looking for a residency in a better area. Granted I'm planning on a career in pathology most likely so my cases won't be hablamos-ing anything...so maybe I'm missing something about how wonderful it is to converse in Spanish with a woman about her fibromyalgia.
Personally after medical school, if I ever see a public hospital as a staff member again it will be a sign that something has gone terribly wrong. I don't mind earning my stripes in one, but I don't intend to practice at one for all the reason so many of you view as "advantages".
OwnageMobile said:I'm guessing that you have never spent time learning another language before? I spent half a year in Honduras just to learn how to hablar. Best 500$ I ever spent seriously. The satisfaction that comes with using your jedi trick to communicate with someone who needs your help, or someone in general, is one of my favorite highs. I would enjoy the oppurtunity to keep my spanish skills sharp and work with my mandarin as well. The immediate respect that many hispanics give me when I speak to them in spanish, well 95% ot them, is worth it alone. Plus, by living the the corner of an adobe house the size of my garage and seeing dead dogs being eaten by vultures every day gave me a good look at what these people go through, which unfortunately many in this profession don't quite understand unless they have been there. So maybe I'm just a polygot who likes to see the smiles on peoples faces when I speak to them in their(somewhat broken)language. But what could be bad about learning a language? You are doing med school- don't tell me it is too much learning to spend time on.
Praetorian said:Actually I highly recommend the DC area for training. You do see a lot and if you stay to the "nicer side" (west) you won't have that many problems. Just stay out of Suitland, Anacostia, etc.
Rendar, I still don't see your argument as holding much water. I am going to take a guess and assume you already speak at least some Spanish and enjoyed learning it?
Praetorian said:OK, so how is that an advantage? I don't see how being required to speak a foreign language and "maintain or improve" your skills in it is an advantage when it comes to practice. Personally it sounds like a huge headache and PITA that could be avoided by looking for a residency in a better area. Granted I'm planning on a career in pathology most likely so my cases won't be hablamos-ing anything...so maybe I'm missing something about how wonderful it is to converse in Spanish with a woman about her fibromyalgia.
Personally after medical school, if I ever see a public hospital as a staff member again it will be a sign that something has gone terribly wrong. I don't mind earning my stripes in one, but I don't intend to practice at one for all the reason so many of you view as "advantages".
Praetorian said:The reason I learned foreign langauges was not like many here- i.e. I didn't learn them to use as application padding or to make life "easier" in medical practice. I learned them out of genuine interest in the language or because I travel to areas where these are the dominant languages.
Praetorian said:Actually I speak passable French, and I'm getting a degree in German/linguistics and debating learning some Arabic. I can also speak Latin but I don't get much use from that skill. So I don't think the problem is that I'm somehow linguistically deprived . I just find rather repugnant the fact that I have should be more or less expected to learn a language I have no desire to ever speak, just simply because another group has refused to learn our primary language. Add to that the fact that in areas where there are lots of Spanish speakers, chances are pretty good that someone in that ER speaks enough to get by.
The reason I learned foreign langauges was not like many here- i.e. I didn't learn them to use as application padding or to make life "easier" in medical practice. I learned them out of genuine interest in the language or because I travel to areas where these are the dominant languages.
I just find rather repugnant the fact that I have should be more or less expected to learn a language I have no desire to ever speak, just simply because another group has refused to learn our primary language.
OwnageMobile said:No, it doesn't sound like you are deprived.
With all respect Praetorian, I find this statement repugnant. You sound naive. So tell me, is it the people who make you detest the language, or is it the language that makes you detest the people?
Actually no it's the expectation from persons such as yourself that because I don't choose to learn a particular language I'm somehow biased or disliking of a particular group. BTW, I never said I detested the language, just that I do not see much purpose in learning a little bit of it.OwnageMobile said:With all respect Praetorian, I find this statement repugnant. You sound naive. So tell me, is it the people who make you detest the language, or is it the language that makes you detest the people?
Praetorian said:Hispanics are not a majority here (probably around 10% of the population I'd guess), but we deal with them frequently due to the farms around the area and also the construction business. I have a great deal of respect for them, I've never seen anyone with the level of a work ethic like they have.
Praetorian said:I think it's far more disrespectful to butcher someone's native tongue. Ever watched the look on an American's face when they watch someone stumble through very broken English?
argonana said:The solution would be to become fluent in the language, but I know what you're saying. There's always that fear that you'll be offending whomever you're speaking to, or perhaps even coming across as condescending. I think that's always a possibility unless your spanish (or whatever) is near-perfect.
I do want to add that as health professionals, it is/will be part of our job to communicate effectively with patients. The opposite does not hold true--patients are not getting paid to learn english well so they can speak to us. i don't think we'd really be in a position to judge their reasons for speaking faulty english. (if we were their employers or something, i suppose it might be a different story.)
Praetorian said:I think it's far more disrespectful to butcher someone's native tongue. Ever watched the look on an American's face when they watch someone stumble through very broken English?
Praetorian said:I make that assumption because there are many people here who continue to breathe only because they have been told it looks good on their app to be off-gassing CO2. Yes, there are a few of us that grew up in bilingual households (*raises hand*) and maybe there are a few more that grew up loving a particular culture, but a good number of us (I'd bet 75%) are learning Spanish for less pure reasons.
I just find rather repugnant the fact that I have should be more or less expected to learn a language I have no desire to ever speak, just simply because another group has refused to learn our primary language.
Actually no it's the expectation from persons such as yourself that because I don't choose to learn a particular language I'm somehow biased or disliking of a particular group. BTW, I never said I detested the language, just that I do not see much purpose in learning a little bit of it.
princessd3 said:I see you all went a little off topic. Anyway, why do schools make it a point to say that their hospital is public. Is that usually better for a medical education?
Praetorian said:I actually called a radio talk show one time and told the host to shut up because he stated that Mexicans were lazy and just here to sponge off us, and to take our jobs. I told him to get off his butt and go haul sod, or bricks or pick fruit for a few months then he could assess their laziness. By no means do I have any negative feelings towards the Mexican immigrants other than I feel that if they want to be here, they really should learn the language, just as if I were to go to Mexico to live I would have the decency to learn Spanish.
Praetorian said:And by the way, there are parts of this country where the public hospitals are not seeing large numbers of Spanish speakers. Actually the rural public hospitals need more help translating the German and Dutch spoken by some of the Mennonite and Amish sects around here than Spanish just so you know.
Praetorian said:But I do disagree about it being part of our job to communicate effectively in a language not our own. I pose this question then, are we to each become fluent in Spanish, French, Dutch, Italian, Arabic, various dialects of Chinese, Japanese, Portuguese, Russian, German, and Farsi? Because to effectively communicate with any potential patient (using your standard) I would have to speak those just to converse with the people who live in just this apartment building. So I don't see it as our professional responsibility to be linguists as well as medical practitioners.
Praetorian said:Yeah, I really have to listen closely when I translate for the Amish. It sounds more like Dutch than the German I learn in school. Imagine the Godfather (that mouth full of cotton "Make him an offer he can't refuse") tone, only in German....gives me a headache listening to it.
BooMed said:Everybody that I've met from a Europoean country speaks 4+ languages, they see it as an opportunity to connect with other people and have a very practical skill, not as a burden.
Americans need to get over themselves. Nobody declared English as the master language of the world.
P.S. I bet none of you ancestors spoke English when they immigrated here either.