- Joined
- Aug 9, 2018
- Messages
- 23
- Reaction score
- 18
Hi SDN forums,
Hope you all are enjoying yourselves- I am questioning if I should report an intern that had some major shortcomings as I felt patient care was compromised. While I sympathize the learning process, I felt that there were dangers to the patients that perhaps the attendings should be aware of. I will name the resident "Alex". We saw multiple patients in *half* a day, and there were red flags in each of the visits.
1st visit. Spanish speaking patient had a virtual translator in the room. In the beginning of the visit, she nodded as if she comprehended what Alex was saying to her in English. Alex proceeded to tell the translator "just translate the parts that need to be translated". However, how can the translator know what needs to be translated?!? Alex decided to go through lab results purely in English, but patient showed confusion on her face and Alex continued to not use the translator. Additionally, when the physical exam was conducted, the patient could not follow any simple commands including "pull or push"
2nd visit. patient came in with symptoms of receiving messages from god, feeling unlimited power, feeling she can climb mountains, feeling like she is connecting with her in her soul, feeling like she is commanded by god. This patient had also previously seen a psychiatrist and was taking anti-psychotic which the patient stopped themselves. However, when I presented the patient to Alex, the resident simply dismissed it as a mental illness that all religious people suffer from. I was supposed to present on the patient to the attending, but instead decided to present themselves, because he wanted to "not make it sound like the patient was having delusions". However, when we reviewed the chart further, apparently Alex had seen the patient and was told the patient had a schizophrenic disorder. When Alex presented to the attending, they flipped the script entirely and talked about the delusions.
3rd patient. pregnant mother at 39w0d, G1P0000 was scheduled for induction next week to which she was very nervous about the induction and was wondering if she could wait a few days past the due date for chance natural birth despite being against medical advice. However, Alex kept misinterpreting the question and repeatedly said that induction takes a while and so the birth might happen perhaps 12-24 hrs past the due date, and that the mother needs to stick with the induction date. Alex , at one point, snapped at the mother. Alex did not offer shared decision making and the family was visibly upset and frustrated with Alex
Hope you all are enjoying yourselves- I am questioning if I should report an intern that had some major shortcomings as I felt patient care was compromised. While I sympathize the learning process, I felt that there were dangers to the patients that perhaps the attendings should be aware of. I will name the resident "Alex". We saw multiple patients in *half* a day, and there were red flags in each of the visits.
1st visit. Spanish speaking patient had a virtual translator in the room. In the beginning of the visit, she nodded as if she comprehended what Alex was saying to her in English. Alex proceeded to tell the translator "just translate the parts that need to be translated". However, how can the translator know what needs to be translated?!? Alex decided to go through lab results purely in English, but patient showed confusion on her face and Alex continued to not use the translator. Additionally, when the physical exam was conducted, the patient could not follow any simple commands including "pull or push"
2nd visit. patient came in with symptoms of receiving messages from god, feeling unlimited power, feeling she can climb mountains, feeling like she is connecting with her in her soul, feeling like she is commanded by god. This patient had also previously seen a psychiatrist and was taking anti-psychotic which the patient stopped themselves. However, when I presented the patient to Alex, the resident simply dismissed it as a mental illness that all religious people suffer from. I was supposed to present on the patient to the attending, but instead decided to present themselves, because he wanted to "not make it sound like the patient was having delusions". However, when we reviewed the chart further, apparently Alex had seen the patient and was told the patient had a schizophrenic disorder. When Alex presented to the attending, they flipped the script entirely and talked about the delusions.
3rd patient. pregnant mother at 39w0d, G1P0000 was scheduled for induction next week to which she was very nervous about the induction and was wondering if she could wait a few days past the due date for chance natural birth despite being against medical advice. However, Alex kept misinterpreting the question and repeatedly said that induction takes a while and so the birth might happen perhaps 12-24 hrs past the due date, and that the mother needs to stick with the induction date. Alex , at one point, snapped at the mother. Alex did not offer shared decision making and the family was visibly upset and frustrated with Alex