Things I wish I could say to my residents...

[saiyagirl]

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1. Never sit on the bed of a patient who has peritoneal signs. Never lean on her bed either.

2. Never make said patient get in and out of a wheelchair to transport them simply because it's "faster" than wheeling their bed around.

3. Don't interrupt your patient when she's trying to answer your questions, and then say that she didn't understand what you were trying to tell her.

4. If you didn't auscultate it, don't write in the chart that you did.

5. Don't talk while you're trying to percuss. You can't hear what you are percussing.

6. If you can't visualize the pelvis properly on the abd ultrasound, and the R2 can't either, don't have the R3 and the R4 try and put the patient through ridiculous amounts of pain (esp if she is a child with peritonitis!!) before you ask the attending to try. And then end up getting the CT anyway.

7. If you can't figure out what is wrong with the patient, don't assume they are "making it up" or their family is "weird."

Thanks. I needed to get that out. Post yours.

 

[SLUser11]

Oh, if they only knew what you know, wise one.

1. Never sit on the bed of a patient who has peritoneal signs. Never lean on her bed either.

2. Never make said patient get in and out of a wheelchair to transport them simply because it's "faster" than wheeling their bed around.

3. Don't interrupt your patient when she's trying to answer your questions, and then say that she didn't understand what you were trying to tell her.

4. If you didn't auscultate it, don't write in the chart that you did.

5. Don't talk while you're trying to percuss. You can't hear what you are percussing.

6. If you can't visualize the pelvis properly on the abd ultrasound, and the R2 can't either, don't have the R3 and the R4 try and put the patient through ridiculous amounts of pain (esp if she is a child with peritonitis!!) before you ask the attending to try. And then end up getting the CT anyway.

7. If you can't figure out what is wrong with the patient, don't assume they are "making it up" or their family is "weird."

Thanks. I needed to get that out. Post yours.

 

[fuzzyerin]

My only reply is that I could come up with a million things to say to my medical students....

We all had some bad residents along the way. Learn from it and take away that you're never going to do the same to your patients.

 

[loveumms]

Geez - didn't realize you were so much smarter then your residents ... maybe you should just skip med school and go straight to residency.

 

[DOtobe]

Just wanted to say that the OP's post comes across as really obnoxious.

Don't be the annoying med student who acts like they know more than their residents.

 

[sacrament]

Things I wish I could say to saiyagirl:

1. STFU

 

[Pox in a box]

Just wanted to say that the OP's post comes across as really obnoxious.

Don't be the annoying med student who acts like they know more than their residents.

Maybe those comments were in jest...just take it with stride.

 

[cytoskelement]

Perhaps they shouldn't be things you "wish" you could say...

it sounds like you WANT to be a patient advocate, and that's admirable - so be one. don't wish, just say it. sometimes, people just don't think in the same way. a resident may forget that peritonitis hurts like hell. we're all human here.

what are you worried about, a bad eval! if that's the case, then you don't have the right to put your desire for a good grade over the resident's desire to be comfortable or skip corners - NEITHER one should be weighed more heavily than patient care.

 

[steven1174]

Things I wish I could say to saiyagirl:

1. STFU

that is too funny....haha...i haven't read such a great response on this forum in a while now...thanks sacrament

p.s. i am not being sarcastic...that **** was funny.

 

[robotsonic]

Things I wish I could say to saiyagirl:

1. STFU

I second that.

It is pretty clear from her post that saiyagirl has just started clinical rotations. I can understand where she (he?) is coming from, though. I, too, was overidealistic about medicine at one point. She will learn. I'm only a fourth year medical student and I'm already a lot more cynical... I mean wiser.

 

[loveumms]

You know I'm only in my second rotation in third year and I have already learned that we are all learning together ... students, residents and believe it or not even attendings.

If you feel like your residents are somehow decreasing patient care then politely say something.

 

[Hoo\/er]

ohnoes

 

[OkieMD]

Saiyagirl OBVIOUSLY was referring to his/her surgery residents. After all, it is no secret that the majority of surgeons are much better at using their hands than using their brains. It's better to keep these guys in the OR where their patients are anesthesized as their capacity for behaving as a compassionate, empathetic PERSON (much less a physician) is immensely inadequate.

 

[loveumms]

Saiyagirl OBVIOUSLY was referring to his/her surgery residents. After all, it is no secret that the majority of surgeons are much better at using their hands than using their brains. It's better to keep these guys in the OR where their patients are anesthesized as their capacity for behaving as a compassionate, empathetic PERSON (much less a physician) is immensely inadequate.

Wow - your response was totally chauvinistic and closed minded. I worked with a few surgeons during my three months on surgery who were not only extremely intelligent but also very great patient advocates. They not only had amazing bed side manner, but also were very down to earth and wonderful to work with. Of course there are some who don't know how to treat a patient but you know what, in the long run I would much rather have a talented surgeon then one who is "all warm and fuzzy".

Did you get a bad mark during your surgery rotation or do you always just jump the gun and lump all persons in a specialty into one description.