Rotations SUCK.

[QueenJames]

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What's up gang.

Anybody else just really not feeling their third year/fourth year rotations?

IDK if it's mainly cause of my program, or being at a DO school, but I HATE feeling this way. I definitely try and I definitely hold my composure and just go with the flow. My evals and COMATs have been in the Pass/High Pass range thus far (Sorry... Not the Honors like 90% of the folks on this site 😉 ) and I try to go into each rotation with a positive mindset and do my job....

BUT jesus... I feel like it's just one all suckfest of glorified shadowing, bitchy obese nurses being sarcastic, being talked down to, and learning to just take **** from everybody and anybody.

I'm genuinely just ****ing hating this **** thus far.

You want me to set up the room for the next patient? Sure. I'd be glad to.

But if I ask where this lubricant gel is or where this set of gloves or whatever is at and if you could show me so that I don't have to ask next tine... and you sigh and make me feel like a burden... then wtf?

Lol Eff off and get that **** yourself. I'm not paying to set up a stupid ass room for your lazy ass because you don't want to. I'm doing it because I genuinely want to get the patient in faster and get them out... just like you. Like WTF? This isn't even my job.

If we have downtime and I whip out my phone to do questions or bring my books to read up on a certain topic, my preceptor wants me to start doing his/her charting for him. THAT"S NOT MY GODDAMN JOB. WTF! I'M HERE TO LEARN. I"M HERE TO PERFECT MY PHYSICAL EXAM SKILLS, MY DIFFERENTIALS, AND MY GODDAMN PRESENTATION.... NOT TO BE YOUR LITTLE COMPUTER SLAVE clicking away on your stupid EMR to check boxes and look up ICD 10 codes for you!

Or how about being sent into a room with NO IDEA what the patient is here for. What's the chief complaint? What's their vitals? WTF am I doing? Like this is bull****. Now the patient looks at me like I'm some clueless idiot and they are already pissed they had to wait 15 minutes for somebody to see them at all.

I REALLY THINK rotations should be HALF-DAYS. That's MORE than enough time for me to decide if I like your specialty. The first 2 c sections are all I need to know that I hate OB. The first appendectomy and stupid early morning rounds and bitchy attending is all I need to see that let's me know I hate surgery. The first bitchy parent and their annoying ass child who won't sit still for me to do a physical exam while they are kicking and screaming is all I need to see to let me know I hate peds.

Idk.

Maybe I'm burnt out.

I needed to vent.

Some major advice to you pre-meds or first and second years that may be reading this - MAKE SURE YOUR SCHOOL HAS LEGIT PLACES FOR YOU TO ROTATE. Dedicated studying time is nice and all... but your real chances to learn occur in the real life and right now my knowledge (the very little I have) isn't being applied in the right context.

I could get more from reading and doing questions rather than being in clinic.

good luck to y'all though.

 

[BorntobeDO?]

What's up gang.

Anybody else just really not feeling their third year/fourth year rotations?

IDK if it's mainly cause of my program, or being at a DO school, but I HATE feeling this way. I definitely try and I definitely hold my composure and just go with the flow. My evals and COMATs have been in the Pass/High Pass range thus far (Sorry... Not the Honors like 90% of the folks on this site 😉 ) and I try to go into each rotation with a positive mindset and do my job....

BUT jesus... I feel like it's just one all suckfest of glorified shadowing, bitchy obese nurses being sarcastic, being talked down to, and learning to just take **** from everybody and anybody.

I'm genuinely just ****ing hating this **** thus far.

You want me to set up the room for the next patient? Sure. I'd be glad to.

But if I ask where this lubricant gel is or where this set of gloves or whatever is at and if you could show me so that I don't have to ask next tine... and you sigh and make me feel like a burden... then wtf?

Lol Eff off and get that **** yourself. I'm not paying to set up a stupid ass room for your lazy ass because you don't want to. I'm doing it because I genuinely want to get the patient in faster and get them out... just like you. Like WTF? This isn't even my job.

If we have downtime and I whip out my phone to do questions or bring my books to read up on a certain topic, my preceptor wants me to start doing his/her charting for him. THAT"S NOT MY GODDAMN JOB. WTF! I'M HERE TO LEARN. I"M HERE TO PERFECT MY PHYSICAL EXAM SKILLS, MY DIFFERENTIALS, AND MY GODDAMN PRESENTATION.... NOT TO BE YOUR LITTLE COMPUTER SLAVE clicking away on your stupid EMR to check boxes and look up ICD 10 codes for you!

Or how about being sent into a room with NO IDEA what the patient is here for. What's the chief complaint? What's their vitals? WTF am I doing? Like this is bull****. Now the patient looks at me like I'm some clueless idiot and they are already pissed they had to wait 15 minutes for somebody to see them at all.

I REALLY THINK rotations should be HALF-DAYS. That's MORE than enough time for me to decide if I like your specialty. The first 2 c sections are all I need to know that I hate OB. The first appendectomy and stupid early morning rounds and bitchy attending is all I need to see that let's me know I hate surgery. The first bitchy parent and their annoying ass child who won't sit still for me to do a physical exam while they are kicking and screaming is all I need to see to let me know I hate peds.

Idk.

Maybe I'm burnt out.

I needed to vent.

Is it just me who feels this way?

We have all been there, but I do think your a little burnt. I definitely did not like setting up for the nurse on my last rotation so I get that completely. I always felt like why am I doing a job thats not actually my job, but ironically used to be my job. We know the answer (nurse taking advantage of the setup). But you just got to focus on what you can control (i.e. yourself). And even tho you may feel a bit 'used' being asked to chart, think of this as valuable practice for you. I was so slow on family med cause I would go over the entire ROS on every annual health exam. Why? So I can memorize that crap for PE. I don't need to be thinking 'oh lungs, what else should I be asking?' I just do it now. Make the most of what you got. A side benefit is I also didn't have to do as many charts, but my evaluation states 'his attention to detail will serve him well.' Win win baby. Also get that free food. You know its there.

Keep that head up son, don't get down. I was standing in surgery today nauseous as all get out feeling like I was gonna faint with a headache, my preceptor just came back from vacation and shared his 'cold' with me. I was seriously tempted to just tell my preceptor I didn't feel right and I think I need to leave the OR. But I didn't, I just looked at the clock, prayed for strength and positive self talked my way through that crap thinking about my people that I was doing this for. 30 minutes later the feeling finally passed, and no one even knows I was planning which direction to lean towards incase I fell. You can do this son, grind for all get out. I also listen to motivational videos on youtube in the morning while doing my cards, I think this really helps get my mind in the right place.

Also good to have you back, hopefully the snowflake you truth bombed ran all the way back to their safe place never to be seen again.

 

[Poit]

You're not the only one. Most of med school is a waste of time.

 

[deleted480308]

Play the game. You can fake anything for a month at a time

“Winning” is getting a good grade and landing a good residency, clean/setup/type/scut whatever it takes to win.

 

[ButterButter]

You're right. DO rotations suck. Period. Those out there claiming they had exceptional rotations as a DO student either did a sh*tload of aways, were exceptionally lucky (and I'm sure they still sucked) or they matched in some rural AOA community hospital and still have yet to experienced what a truly robust clinical experience is.

I was lucky enough to have some good inpatient experiences as a third year and a few good 4th year rotations, but all-in-all, my school was awful at securing good rotations for our students. My main advice is this: learn what you need to for COMATs and for boards and work to setup some solid 4th year aways to actually get the clinical experiences you need to be successful for intern year. If you have the funds, then rotate at big academic centers in all kinds of specialties. It doesn't have to be your chosen field. In truth, it doesn't matter what you do 4th year, nothing will really adequately prepare you for the **** storm of your first few months of residency, but that's ok. That happens to everyone.

DO schools don't give af about putting their rotating students in good clinical settings, because honestly, most of the people that work in those rotation departments don't know **** about what constitutes a good clinical experience. Outpatient, preceptor-based clinical experiences are dead ends. They suck. But that's what we've got. Just keep the head up and get through it. And know that it will eventually get better.

 

[ortnakas]

You, my friend, are facing burnout. Sometimes med school (and residency) sucks. Take the weekend off (unless you are at the hospital or have a shelf next week) and do something fun and completely not medicine-related, so you can come back fresh. Or sleep all day, that works too.

Lol Eff off and get that **** yourself. I'm not paying to set up a stupid ass room for your lazy ass because you don't want to. I'm doing it because I genuinely want to get the patient in faster and get them out... just like you. Like WTF? This isn't even my job.

If we have downtime and I whip out my phone to do questions or bring my books to read up on a certain topic, my preceptor wants me to start doing his/her charting for him. THAT"S NOT MY GODDAMN JOB. WTF! I'M HERE TO LEARN. I"M HERE TO PERFECT MY PHYSICAL EXAM SKILLS, MY DIFFERENTIALS, AND MY GODDAMN PRESENTATION.... NOT TO BE YOUR LITTLE COMPUTER SLAVE clicking away on your stupid EMR to check boxes and look up ICD 10 codes for you!

This is your problem. Your job is not only to learn, but to do whatever your attending/team needs. Intern year, you'll be called doctor, but this will still be true. Realize this is, in fact, your job, and that you signed up for it (although the fact that you're paying good money to do it does admittedly really suck). Once you wrap your head around that, it'll actually suck a little less.

Also, you are, in fact learning: you're going to be writing A LOT of notes very soon. You might as well get good/efficient at it.

 

[deleted480308]

You, my friend, are facing burnout. Sometimes med school (and residency) sucks. Take the weekend off (unless you are at the hospital or have a shelf next week) and do something fun and completely not medicine-related, so you can come back fresh. Or sleep all day, that works too.



This is your problem. Your job is not only to learn, but to do whatever your attending/team needs. Intern year, you'll be called doctor, but this will still be true. Realize this is, in fact, your job, and that you signed up for it (although the fact that you're paying good money to do it does admittedly really suck). Once you wrap your head around that, it'll actually suck a little less.

Also, you are, in fact learning: you're going to be writing A LOT of notes very soon. You might as well get good/efficient at it.

A lot of folks don’t know that “intern” is based off the latin root word for “note hoe”

 

[alprazoslam]

The world doesn’t rotate around the med student. But in your defense you might be at a sucky site ? But gotta make the best of it. I’ve been on psych peds ob last few months. Don’t want to do any of it but still plenty to learn. Even if it’s setting up rooms use the time to learn what the tools are. Will save you time having to learn what things in in residency. Name them off as you place them and learn to use them. You gotta know it all your gonna be the doc.

Even if you don’t want to go OB all the hands on stuff helps with hand eye coordination and also preps you for your surg rotation. Don’t want to do surg? Well even if you do fm im er you may be doing procedures. Get damn good w that needle driver and other tools. Don’t walk into intern or auditions not knowing how to suit up sterile, hold stufff, cut stuff, suture, names of tools, and how to communicate in battle


Peds sucks balls? Yeah I’d does. But if you can do a physical exam on a screaming three year old (wrench) you can def do one on an adult ( ball )

Psych? Literally I did flash cards all day on my phone since we just sat there in treatment team all day. But he thought I was reading and taking census notes. Honored comat just studying in treatment team mostly lol. So I feel you on that one

Nut up brother and roll with the punches

 

[ButterButter]

And don’t forget, you still rotate in sh** you have no interest in as a resident. As an anesthesia intern, my first year is mostly medicine. And it’s totally lame, but it’s just another hoop to jump through. But again, it’s all temporary. Death comes for us all at some point 😉

 

[deleted610572]

Man you and your long posts. TLDR man. TLDR. I do enjoy your long rants lol

 

[Bacchus]

This sounds like burnout. See what your school has in place to offset it. Letting it continue one rotation at a time or until you graduate is a recipe for disaster.

 

[atomheart]

A good bit of being a physician is coping with frustration. It sounds like they're trying to build your character and help you become a good physician.

 

[MedicineZ0Z]

You're right. DO rotations suck. Period. Those out there claiming they had exceptional rotations as a DO student either did a sh*tload of aways, were exceptionally lucky (and I'm sure they still sucked) or they matched in some rural AOA community hospital and still have yet to experienced what a truly robust clinical experience is.

I was lucky enough to have some good inpatient experiences as a third year and a few good 4th year rotations, but all-in-all, my school was awful at securing good rotations for our students. My main advice is this: learn what you need to for COMATs and for boards and work to setup some solid 4th year aways to actually get the clinical experiences you need to be successful for intern year. If you have the funds, then rotate at big academic centers in all kinds of specialties. It doesn't have to be your chosen field. In truth, it doesn't matter what you do 4th year, nothing will really adequately prepare you for the **** storm of your first few months of residency, but that's ok. That happens to everyone.

DO schools don't give af about putting their rotating students in good clinical settings, because honestly, most of the people that work in those rotation departments don't know **** about what constitutes a good clinical experience. Outpatient, preceptor-based clinical experiences are dead ends. They suck. But that's what we've got. Just keep the head up and get through it. And know that it will eventually get better.

What do you consider to be a robust clinical education for a med student?

I think it's a mixture of academic settings where you see intense pathology, rural setting where you do procedures and community based where you're treated more like an intern.
I do agree outpatient preceptor based is nonsense. It makes sense for family medicine and nothing else.

 

[W19]

That's medical school for you... The whole med school thing should only be 3 yrs... 18 months preclinical and 18 months clinical

 

[Drrrrrr. Celty]

I'm going to be frank here, you should take a leave of absence for at least a month and you should find mental health resources. Rotations are miserable and people are awful, but you're not coping and I don't want another repeat of your boards game.

 

[Bacchus]

I'm going to be frank here, you should take a leave of absence for at least a month and you should find mental health resources. Rotations are miserable and people are awful, but you're not coping and I don't want another repeat of your boards game.

Although I don’t follow the boards reference, this may be best. Right now I’m looking at the forest, not just a single tree. Although it will get better in fourth year, you have to get your head around this. Seek help. I wish I would have. Although I’m in a healthy place now, hindsight is 20/20 and as an attending I see this more than you think. If you want, you can take the Masloch burnout survey but it will confirmed you are burnt (not burning) out.

 

[Solodyn]

I am going to help you out here...

Accept the fact that the 3-4th year is NOT about you learning medicine. Learning medicine is secondary to doing your job as an extern. What you learn in the 3rd-4th year is about how to be a team player in the Medical Industrial Complex and understand your place in it. You are learning how to function at your lowest level as an extern and assimilate your role as you move the next level up. It is about how to win over angry patients, obese nurses, and mean interns/residents who talk down to you. This is the real world. Your clerkship does not center around your learning. Your goal is to make everyone's job easier and get everyone to like you. You learn medicine at your own time, evenings, or weekends. If you see a rare case, it is a bonus; that is not why you are there.

The real-world skill you learn from interfacing with all these healthcare professionals and patients is what will get you ahead in medicine. It is not going to be the excellent board scores or killer grades. After you begin residency, no one cares about that anymore. Read the book "Medical Student Survival Guide" by Steven Polk MD... hope you can find a copy.

Even if you go to Mass General for rotation, it is still going to suck. It will probably suck more. There is no good rotation out there as attendings are not centering their days around your learning. You are the orbiter. Kiss up, network, and maybe you will also learn something along the way. The people skill is what is going to land you the residency, job, good patients, great career, and wonderful life. Have the right perspective. Good luck.

 

[ciestar]

You need to learn to chart, it is just part of the process... HOWEVER, it is actually illegal to chart as someone else. Be careful of this.

 

[QueenJames]

Y'all are right.

I'm just being a babyback biatch and it ain't cool.

I love medicine and my experience in school isn't bad.

I know how to play the game with people and fake the smiles and laughs, but I let it get to me this time around. I just hate the fact that I'm paying $50,000+ this year and that's all it is buying me.

I went to the gym today and did some cardio, hit some weights, and got my hair cut. It was all about self-care today.

Since my preceptor gave me the day off today, I'ma go watch netflix and cuddle in my blanket eatin' some of the finest poke bowls my area has to offer.

Appreciate y'all.

 

[ciestar]

To be fair, I get it. On services I spend more time shadowing than anything else, I absolutely don’t want to be there. I stand in the corner for the entire day and do nothing. At least right now i am on peds and can entertain the kids while the doctor talks to the parents. (For the record, I am at an MD school and I have spent most of my peds rotation shadowing)

 

[W19]

My only rotation that was pure shadowing in 3rd year was psych...

 

[Giovanotto]

I am going to help you out here...

Accept the fact that 3-4th year is NOT about you learning medicine. Learning medicine is secondary to doing your job as extern. What you learn in 3rd-4th year is about how to be a team player in the Medical Industrial Complex and understand your place in it. You are learning how to function at your lowest level as an extern and assimilate your role as you move next level up. It is about how to win over angry patients, obese nurses, and mean interns/residents who talk down to you. This is the real world. Your clerkship does not center around your learning. Your goal is to make everyone's job easier and get everyone to like you. You learn medicine at your own time, evenings or weekends. If you see a rare case, it is a bonus; that is not why you are there.

The real world skill you learn from interfacing with all these healthcare professionals and patients is what will get you ahead in medicine. It is not going to be the excellent board scores or killer grades. After you begin residency, no one care about that any more. Read the book "Medical Student Survival Guide" by Steven Polk MD... hope you can find a copy.

Even if you go to Mass General for rotation, it is still going to suck. It will probably suck more. There is no good rotation out there as attendings are not center their day around your learning. You are the orbiter. Kiss up, network, and maybe you will also learn something along the way. The people skill is what is going to land you the residency, job, good patient, great career and wonderful life. Have the right perspective. Good luck.

As much as I resist, and want to align myself with the Queen, this is what I needed to hear.

 

[BorntobeDO?]

Y'all are right.

I'm just being a babyback biatch and it ain't cool.

I love medicine and my experience in school isn't bad.

I went to the gym today and did some cardio, hit some weights, and got my hair cut. It was all about self-care today.

Since my preceptor gave me the day off today, I'ma go watch netflix and cuddle in my blanket eatin' some of the finest poke bowls my area has to offer.

Appreciate y'all.

I know I get those days too, but just do like Destiny's Child and shake yourself off and try again (just don't be a scrub tho)

 

[Spectreman]

Y'all are right.

I'm just being a babyback biatch and it ain't cool.

I love medicine and my experience in school isn't bad.

I went to the gym today and did some cardio, hit some weights, and got my hair cut. It was all about self-care today.

Since my preceptor gave me the day off today, I'ma go watch netflix and cuddle in my blanket eatin' some of the finest poke bowls my area has to offer.

Appreciate y'all.

There ya go!!! Yeah man, you got this!

 

[SLC]

Queen,

We should figure out a way to get you out to rotate with me.

 

[MedicineZ0Z]

You need to learn to chart, it is just part of the process... HOWEVER, it is actually illegal to chart as someone else. Be careful of this.

lol except it happens everywhere rampantly. It's one of those things... like it's illegal to go 5 over the speed limit too.

 

[Stagg737]

You're right. DO rotations suck. Period. Those out there claiming they had exceptional rotations as a DO student either did a sh*tload of aways, were exceptionally lucky (and I'm sure they still sucked) or they matched in some rural AOA community hospital and still have yet to experienced what a truly robust clinical experience is.

I was lucky enough to have some good inpatient experiences as a third year and a few good 4th year rotations, but all-in-all, my school was awful at securing good rotations for our students. My main advice is this: learn what you need to for COMATs and for boards and work to setup some solid 4th year aways to actually get the clinical experiences you need to be successful for intern year. If you have the funds, then rotate at big academic centers in all kinds of specialties. It doesn't have to be your chosen field. In truth, it doesn't matter what you do 4th year, nothing will really adequately prepare you for the **** storm of your first few months of residency, but that's ok. That happens to everyone.

DO schools don't give af about putting their rotating students in good clinical settings, because honestly, most of the people that work in those rotation departments don't know **** about what constitutes a good clinical experience. Outpatient, preceptor-based clinical experiences are dead ends. They suck. But that's what we've got. Just keep the head up and get through it. And know that it will eventually get better.

That's a pretty crappy view on DO schools. Yea, some have awful rotation sites, but some schools are mostly solid. My core site had rotations at the local academic institutions as part of our core and numerous teaching hospitals. Not all sites for my school were like that, but plenty were. Also, plenty of MD schools have terrible teaching hospitals. I used to work at one before med school and most med students there got less actual clinical experience than the techs.

Definitely something every pre-med should ask on interview day though and ask if they can have email addresses of 4th years (who are most likely to be brutally honest about their school).

My only rotation that was pure shadowing in 3rd year was psych...

That's a huge disservice then. I tell my med students to go interview patients on day 1 and I expect them to carry 2-3 patients for the duration of the rotation. If they're a sub-I I expect them to (mostly) be able to do my job (I'm an intern). I expect them all to suck, but they should at least be competent by the end of the rotation.

 

[Oh_Gee]

Queen,

We should figure out a way to get you out to rotate with me.

where do we sign up

 

[QueenJames]

Queen,

We should figure out a way to get you out to rotate with me.

I would ****ing love to my big homie SLC!

But I'm afraid my school may drop that goddamn ball somehow someway. I'll keep you posted though.

<3

 

[ciestar]

lol except it happens everywhere rampantly. It's one of those things... like it's illegal to go 5 over the speed limit too.

Funny, I heard of this happening and it got reported to the hospital legal department by the attending in charge by a friend of mine. Not worth it even if everyone does it.

 

[SLC]

I would ****ing love to my big homie SLC!

But I'm afraid my school may drop that goddamn ball somehow someway. I'll keep you posted though.

<3

I think you go to my school, I got an affiliation in place with the group I work for like 5 years ago, should still be in effect.

Seriously, I’d be willing to have you.

 

[Blanky]

Y'all are right.

I'm just being a babyback biatch and it ain't cool.

I love medicine and my experience in school isn't bad.

I know how to play the game with people and fake the smiles and laughs, but I let it get to me this time around. I just hate the fact that I'm paying $50,000+ this year and that's all it is buying me.

I went to the gym today and did some cardio, hit some weights, and got my hair cut. It was all about self-care today.

Since my preceptor gave me the day off today, I'ma go watch netflix and cuddle in my blanket eatin' some of the finest poke bowls my area has to offer.

Appreciate y'all.

Stay strong Bro! Enjoy them poke bowls and you will be attending aoon enough $$$

 

[cryhavoc]

Me: Okay, so all the patients are seen and my doctor is just waiting on calls and charting, I will use this time to study.

*Pulls out review book.
*Doctor’s psychic powers activate.

Doctor: Here’s some busy work. Even though there is a ton of down time today, you may either stare blankly at the wall waiting for a patient to arrive or do menial tasks with no educational benefit.

Me: Ugh.

 

[LutGholein]

I know it sucks man— but glad to know you’re still out there in the grind. It gets better man. You got this Queen!

 

[shadowlightfox]

Tell me about it, we third years are so low in ranking, that if you had a totem pole to illustrate where everyone stands, we wouldn't even be in that totem pole!

 

[Angus Avagadro]

The problem is students dont realize that when 3rd year begins, you are a Freshman,...again! You are the bottom of the food chain, you dont know enough or have done enough to be a help to anyone. It was hugely frustrating for me. Older and non traditional students sometimes have difficulty with this. Glad OP can vent and get support on SDN, friends outside of medicine dont understand. Hang in there @QueenJames , keep your eye on the prize.

 

[Angus Avagadro]

The thing most frustrating for me is not given any type of instruction or expectations at all, then having attendings ask me if I did xyz and I’m caught, pardon my French, with my dick in my hand because I wasn’t aware this was something that was expected of me.

This is your residents fault. You are their responsibility, and it's their job to bring you up to speed and not allow you the opportunity to mess up. If no resident is responsible for you and it's only the attending, that's a tough situation. As faculty, if we bring too much clinical info into preclinical years, we are criticized for not teaching for the boards. 3rd yr is just frustrating. Hang in there, 4th yr is better

 

[deleted950463]

What's up gang.

Anybody else just really not feeling their third year/fourth year rotations?

IDK if it's mainly cause of my program, or being at a DO school, but I HATE feeling this way. I definitely try and I definitely hold my composure and just go with the flow. My evals and COMATs have been in the Pass/High Pass range thus far (Sorry... Not the Honors like 90% of the folks on this site 😉 ) and I try to go into each rotation with a positive mindset and do my job....

BUT jesus... I feel like it's just one all suckfest of glorified shadowing, bitchy obese nurses being sarcastic, being talked down to, and learning to just take **** from everybody and anybody.

I'm genuinely just ****ing hating this **** thus far.

You want me to set up the room for the next patient? Sure. I'd be glad to.

But if I ask where this lubricant gel is or where this set of gloves or whatever is at and if you could show me so that I don't have to ask next tine... and you sigh and make me feel like a burden... then wtf?

Lol Eff off and get that **** yourself. I'm not paying to set up a stupid ass room for your lazy ass because you don't want to. I'm doing it because I genuinely want to get the patient in faster and get them out... just like you. Like WTF? This isn't even my job.

If we have downtime and I whip out my phone to do questions or bring my books to read up on a certain topic, my preceptor wants me to start doing his/her charting for him. THAT"S NOT MY GODDAMN JOB. WTF! I'M HERE TO LEARN. I"M HERE TO PERFECT MY PHYSICAL EXAM SKILLS, MY DIFFERENTIALS, AND MY GODDAMN PRESENTATION.... NOT TO BE YOUR LITTLE COMPUTER SLAVE clicking away on your stupid EMR to check boxes and look up ICD 10 codes for you!

Or how about being sent into a room with NO IDEA what the patient is here for. What's the chief complaint? What's their vitals? WTF am I doing? Like this is bull****. Now the patient looks at me like I'm some clueless idiot and they are already pissed they had to wait 15 minutes for somebody to see them at all.

I REALLY THINK rotations should be HALF-DAYS. That's MORE than enough time for me to decide if I like your specialty. The first 2 c sections are all I need to know that I hate OB. The first appendectomy and stupid early morning rounds and bitchy attending is all I need to see that let's me know I hate surgery. The first bitchy parent and their annoying ass child who won't sit still for me to do a physical exam while they are kicking and screaming is all I need to see to let me know I hate peds.

Idk.

Maybe I'm burnt out.

I needed to vent.

Some major advice to you pre-meds or first and second years that may be reading this - MAKE SURE YOUR SCHOOL HAS LEGIT PLACES FOR YOU TO ROTATE. Dedicated studying time is nice and all... but your real chances to learn occur in the real life and right now my knowledge (the very little I have) isn't being applied in the right context.

I could get more from reading and doing questions rather than being in clinic.

good luck to y'all though.

My sister is soon to be an IR attending and yet she’s still setting rooms up for unionized techs and nurses.

 

[QueenJames]

My sister is soon to be an IR attending and yet she’s still setting rooms up for unionized techs and nurses.

That is perfectly fine.

I HAVE NO PROBLEM SETTING UP ROOMS.

Setting up rooms, taking vitals, getting urine dipsticks is not beneath me. NOTHING is beneath me. I will do WHATEVER is asked of me or what I can do to help. Hell.. I had to go into a room to kill a goddamn roach because NONE of the MAs or ANYBODY in the office wanted to do so and were scared.

SERIOUSLY... I can honestly say all I am trying to do is HELP.

THE PROBLEM that I have is the BITCHINESS and ATTITUDE I get when I am trying to do so. Don't SIGH at me. Don't BARK ORDERS AT ME and YELL AT ME to show off in front of your nurse buddies and pals.

If you want to yell at me because I did something WRONG...? SURE. BY ALL MEANS.

But when you do it to "show me my place" as if it's some ****ing "welcoming ritual"? THAT IS BULL****.

I CAN'T STAND THAT.

AND so far that has happened when I have been in more surgical fields and rotations.

It's bull**** and I CAN SEE why many people in surgery have a ****ty personality (no offense. It's just the culture).

But my god. What a ****ty culture to have?

Just today, I was helping a second year gown and properly drape and get positioned for a delivery (it was her first delivery) while one of the bitchy obese OB nurses is barking orders at me and telling me "GET OUT OF MY WAY STUDENT".

First off, I have a name. Second of all, I get you are trying to put on a show. Nothing is happening. The patient is having MINIMAL contractions and she isn't even ****ing dilated yet.

I continued to ignore her and stayed in her way tying my second year med student's gown and helping her glove properly. I could tell she was pissed as she let out a big SIGH and put her hand on her hips like I'm going to apologize... but **** HER. Ignored her and walked my student to the bedside as I ran to another room to grab a gown and set of gloves and came back to help deliver this cutie pie.

It's this type of **** that pisses me off.

I am no better than ANYBODY but NEITHER ARE YOU.

I believe that love, and nurturing and helping somebody with a calm demeanor is more worthwhile and helpful than barking orders like that biatch.

Maybe the nurse has something going on at home or in her personal life and she thinks it's okay to bring it to work.. but NO. Leave that **** at home.

God.

Just 2 more weeks.

 

[QueenJames]

I think you go to my school, I got an affiliation in place with the group I work for like 5 years ago, should still be in effect.

Seriously, I’d be willing to have you.

I may see you fourth year 🙂

 

[MedicineZ0Z]

That is perfectly fine.

I HAVE NO PROBLEM SETTING UP ROOMS.

Setting up rooms, taking vitals, getting urine dipsticks is not beneath me. NOTHING is beneath me. I will do WHATEVER is asked of me or what I can do to help. Hell.. I had to go into a room to kill a goddamn roach because NONE of the MAs or ANYBODY in the office wanted to do so and were scared.

SERIOUSLY... I can honestly say all I am trying to do is HELP.

THE PROBLEM that I have is the BITCHINESS and ATTITUDE I get when I am trying to do so. Don't SIGH at me. Don't BARK ORDERS AT ME and YELL AT ME to show off in front of your nurse buddies and pals.

If you want to yell at me because I did something WRONG...? SURE. BY ALL MEANS.

But when you do it to "show me my place" as if it's some ****ing "welcoming ritual"? THAT IS BULL****.

I CAN'T STAND THAT.

AND so far that has happened when I have been in more surgical fields and rotations.

It's bull**** and I CAN SEE why many people in surgery have a ****ty personality (no offense. It's just the culture).

But my god. What a ****ty culture to have?

Just today, I was helping a second year gown and properly drape and get positioned for a delivery (it was her first delivery) while one of the bitchy obese OB nurses is barking orders at me and telling me "GET OUT OF MY WAY STUDENT".

First off, I have a name. Second of all, I get you are trying to put on a show. Nothing is happening. The patient is having MINIMAL contractions and she isn't even ****ing dilated yet.

I continued to ignore her and stayed in her way tying my second year med student's gown and helping her glove properly. I could tell she was pissed as she let out a big SIGH and put her hand on her hips like I'm going to apologize... but **** HER. Ignored her and walked my student to the bedside as I ran to another room to grab a gown and set of gloves and came back to help deliver this cutie pie.

It's this type of **** that pisses me off.

I am no better than ANYBODY but NEITHER ARE YOU.

I believe that love, and nurturing and helping somebody with a calm demeanor is more worthwhile and helpful than barking orders like that biatch.

Maybe the nurse has something going on at home or in her personal life and she thinks it's okay to bring it to work.. but NO. Leave that **** at home.

God.

Just 2 more weeks.

When it's non-attendings who are evaluating you, stand up for yourself. When it's the attending, complain to the school.

 

[MedicineZ0Z]

getting yelled at by attendings/residents occasionally (and mild) is acceptable. It is never ever acceptable for others to be rude to you.
Thankfully I never had such encounters so far, even during surgery and Ob.

 

[W19]

That's the culture of medicine in the US @QueenJames. Even as a resident, some MA thought she could order me around. I was in my 3rd week of residency (1st week working at the clinic). The MA told me to take a patient on a wheelchair to another floor to get an xray. "I told her straight you are talking to the wrong person." She was shocked when I shouted these words with an angry face. She probably has tried some bs like that on some other new interns and thought that would work on everyone.

 

[alprazoslam]

That is perfectly fine.

I HAVE NO PROBLEM SETTING UP ROOMS.

Setting up rooms, taking vitals, getting urine dipsticks is not beneath me. NOTHING is beneath me. I will do WHATEVER is asked of me or what I can do to help. Hell.. I had to go into a room to kill a goddamn roach because NONE of the MAs or ANYBODY in the office wanted to do so and were scared.

SERIOUSLY... I can honestly say all I am trying to do is HELP.

THE PROBLEM that I have is the BITCHINESS and ATTITUDE I get when I am trying to do so. Don't SIGH at me. Don't BARK ORDERS AT ME and YELL AT ME to show off in front of your nurse buddies and pals.

If you want to yell at me because I did something WRONG...? SURE. BY ALL MEANS.

But when you do it to "show me my place" as if it's some ****ing "welcoming ritual"? THAT IS BULL****.

I CAN'T STAND THAT.

AND so far that has happened when I have been in more surgical fields and rotations.

It's bull**** and I CAN SEE why many people in surgery have a ****ty personality (no offense. It's just the culture).

But my god. What a ****ty culture to have?

Just today, I was helping a second year gown and properly drape and get positioned for a delivery (it was her first delivery) while one of the bitchy obese OB nurses is barking orders at me and telling me "GET OUT OF MY WAY STUDENT".

First off, I have a name. Second of all, I get you are trying to put on a show. Nothing is happening. The patient is having MINIMAL contractions and she isn't even ****ing dilated yet.

I continued to ignore her and stayed in her way tying my second year med student's gown and helping her glove properly. I could tell she was pissed as she let out a big SIGH and put her hand on her hips like I'm going to apologize... but **** HER. Ignored her and walked my student to the bedside as I ran to another room to grab a gown and set of gloves and came back to help deliver this cutie pie.

It's this type of **** that pisses me off.

I am no better than ANYBODY but NEITHER ARE YOU.

I believe that love, and nurturing and helping somebody with a calm demeanor is more worthwhile and helpful than barking orders like that biatch.

Maybe the nurse has something going on at home or in her personal life and she thinks it's okay to bring it to work.. but NO. Leave that **** at home.

God.

Just 2 more weeks.

I get along with most nurses and was one before med school but I will tell you when it comes to those who think they are so much more intelligent and important than everybody else those stereotypical nurse types take the cake.


They got a chip on their shoulder and hate the fact you’ll be making 4-10 times what they make one day and be their boss.

 

[Hippocrates II]

getting yelled at by attendings/residents occasionally (and mild) is acceptable. It is never ever acceptable for others to be rude to you.
Thankfully I never had such encounters so far, even during surgery and Ob.

Medicine is a pretty messed up profession when being yelled at is ever acceptable (outside of malicious intent). I've never worked in a profession where someone legit yelled at me and it was okay.

 

[libertyyne]

Medicine is a pretty messed up profession when being yelled at is ever acceptable (outside of malicious intent). I've never worked in a profession where someone legit yelled at me and it was okay.

any customer service job you get yelled at by the customers all the time. Professional sports, law firms, sales, high finance, military...

 

[MedicineZ0Z]

Medicine is a pretty messed up profession when being yelled at is ever acceptable (outside of malicious intent). I've never worked in a profession where someone legit yelled at me and it was okay.

If you're doing something that's a hazard to patient safety, or something you're persistently doing wrong - it's okay for the supervisor to be slightly harsher. I didn't mean them chewing you out or full on yelling. I never experienced that from anyone... I think I saw a PA do it to another student but that was the exception and they got yelled at back by that student lol.

What is completely unacceptable is anyone besides a resident or attending doing it. No one else should ever supervise med students (and yes I'm aware NPs/PAs do so at crappy rotation sites) nor instruct them... unless the med student specifically seeks it out (ex. asking a nurse how to do something practical).

 

[libertyyne]

If you're doing something that's a hazard to patient safety, or something you're persistently doing wrong - it's okay for the supervisor to be slightly harsher. I didn't mean them chewing you out or full on yelling. I never experienced that from anyone... I think I saw a PA do it to another student but that was the exception and they got yelled at back by that student lol.

What is completely unacceptable is anyone besides a resident or attending doing it. No one else should ever supervise med students (and yes I'm aware NPs/PAs do so at crappy rotation sites) nor instruct them... unless the med student specifically seeks it out (ex. asking a nurse how to do something practical).

You are at the bottom of the totem pole. Getting yelled at by ancillary staff occurs because they do have power over you, if you pisss them off you risk your grade because they have much more rapport with the person doing your eval. Just take your licks and move on, if you are really concerned report them after you get your grade.

 

[MedicineZ0Z]

You are at the bottom of the totem pole. Getting yelled at by ancillary staff occurs because they do have power over you, if you pisss them off you risk your grade because they have much more rapport with the person doing your eval. Just take your licks and move on, if you are really concerned report them after you get your grade.

We've had students in my class who stood up for themself to ancillary staff and got honors. In one case, two attendings had their back fully.
It's a matter of how you handle it and what it was over.

 

[libertyyne]

We've had students in my class who stood up for themself to ancillary staff and got honors. In one case, two attendings had their back fully.
It's a matter of how you handle it and what it was over.

Exceptions do not disprove the rule. We had a student who stood up to an attending about a care issue and still survived. Doesnt mean you should make a habit out of it. Suck it up, take your licks and move on. You will be calling the shots soon enough.