Small hiccup on rotation - protocol for addressing this?

[astrocreep96]

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[Ableton]

So, back to the thread title - what's the best way to handle this? This seems to be the kind of thing that gets remembered when evaluations come around. Or should I just chalk it up to experience and be a little bit wiser tomorrow?

Be quicker when pre-rounding and read up on your patient the night before. Two hours to pre-round on a single patient is just ridiculous.

 

[astrocreep96]

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[ZagDoc]

Yes, you got hung out to dry by your resident.

This will happen to you again in the future. Likely worse.

I would not try to "talk to him about it".

Yes, you should stand up for yourself, but this is one of those "third year" things you just got to deal with.

Do NOT go over your resident to the attending and try to "explain" yourself. It will come off as excuse-making.

I would swallow my pride, suck it up, and ace my presentations the rest of the rotation.

 

[McGillGrad]

If you come in early, it is your duty to avoid being seen until you finish what you are there to complete (i.e. your SOAP). Getting 'snagged & tagged' with extra work is common for med students.

Personally, I would have quickly finished the A&P and then went to get the labs.

I agree with ZagDoc, you just need to bite the bullet in this one and chalk it up to a 'lesson learned.'

 

[SouthernSurgeon]

All is going well until 25 minutes before rounds as I am finishing my SOAP.

My attending dismissed my SOAP since I didn't complete my A&P, I couldn't run my differential, ask questions, etc.

The patient was picked up off night-float and an H&P was done two nights prior. I reviewed that, spoke with the patient's family, contacted the PCP to have records faxed, read UpToDate/Step-Up/little red book, etc. the evening prior.

Ok...well it sucks that you weren't able to get your completed soap note in the chart when that is expected of you, no two ways around it.

But you've said that you have put over 2 hours of preparation into this, including researching the night before, reviewing outside records, etc. The fact that you lost the last 25 minutes of your pre-rounding time shouldn't have prevented you from being able to run through the differential and ask pertinent questions.

As others have said, learn from this and move on. Make yourself scarce in the AM or be willing to help out.