- Joined
- Aug 17, 2012
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Hi,
I’ve been struggling for some time now. I’m finishing my second year of IM residency, and don’t feel that I’m performing at the level of other residents. My clinical reasoning is terrible (I’ll be thinking of PE when ACS is top differential). My exam skills have not improved. My evaluations at putting me at the level of a late intern, or early PGY2, and comments reflect that I’m performing below average. Now an attending has voiced concerns to leadership that I am not responding to a rapid response situation appropriately (my lack of confidence in my abilities may me stand back and let them take over when a patient was unresponsive—had they not been there I would have taken over and done the same things they did). Going to work has become hell for me—not only is my reasoning poor, but I’m extremely inefficient, which means I get to work at 5:30 and leave at 9:30almost every day. I sleep 4-5 hours a night. I know I have no chance at fellowship anymore with all of these bad evils, even for something non competitive.
I’ve tried changing my techniques for prerounding, reading more, MKSAP questions, nothing has helped with poor clinical reasoning. I’ve went to counselor for anxiety/depression-they basically told me I was exaggerating my symptoms.
I feel like I‘m just too poor a resident to continue at this point, but have no idea how to pay back loan debt. I feel that at some pointI will be fired.Just need some advice.
I’ve been struggling for some time now. I’m finishing my second year of IM residency, and don’t feel that I’m performing at the level of other residents. My clinical reasoning is terrible (I’ll be thinking of PE when ACS is top differential). My exam skills have not improved. My evaluations at putting me at the level of a late intern, or early PGY2, and comments reflect that I’m performing below average. Now an attending has voiced concerns to leadership that I am not responding to a rapid response situation appropriately (my lack of confidence in my abilities may me stand back and let them take over when a patient was unresponsive—had they not been there I would have taken over and done the same things they did). Going to work has become hell for me—not only is my reasoning poor, but I’m extremely inefficient, which means I get to work at 5:30 and leave at 9:30almost every day. I sleep 4-5 hours a night. I know I have no chance at fellowship anymore with all of these bad evils, even for something non competitive.
I’ve tried changing my techniques for prerounding, reading more, MKSAP questions, nothing has helped with poor clinical reasoning. I’ve went to counselor for anxiety/depression-they basically told me I was exaggerating my symptoms.
I feel like I‘m just too poor a resident to continue at this point, but have no idea how to pay back loan debt. I feel that at some pointI will be fired.Just need some advice.