Of course there is variance in people's experiences on surgical rotations.
Of course there is variance in how surgeons approach students and residents.
Of course nurses can observe interactions and make cogent observations on those interactions.
My point is is that you presented your rather limited and skewed observation that being quiet on the surgical rotation was the best way to obtain a good grade. While I don't have the time, I could find numerous threads here which students have claimed the opposite: they've gotten poor grades because they were quiet and shy. I recall several posts in which students were nervous about their surgical rotation because they had been advised by their classmates that they needed to speak up and be outgoing.
In my many years, in many hospitals, and many institutions across The United States, I have a certainly observed variation in how medical students are perceived. I talk with my surgical colleagues every day. My experience is the vast majority prefer inappropriately outgoing friendly and interactive medical student over someone who remains silent unless spoken to.
While there may be at exceptions, and perhaps CT surgery is that exception, surgeons are typically by nature outgoing themselves and want medical students to reflect that. That's why I stand by my observation that advising medical students to be quiet on surgical rotations is unlikely to be helpful and perhaps can result in a negative impact on their grade.
This was not meant to negate your experience or to suggest that nurses don't make valuable observations but rather that I suggest that your observation is skewed either by the individuals you work with and does not accurately reflect the wider variety of surgeons across the United States.
WS, I have no problem at all deferring to your experience and expertise. I shared my, as you say, "skewed" perspective, simple as that. Each person will have to determine the social dynamics in which she or he will be asked to function/perform. All I am saying is that it's not always easy, and sometimes, you just have to accept that people are as they are, for whatever reasons.
I have too worked with a number of excellent surgeons that were, by nature, more reserved and focused on their work. I have also worked with some that were a little more gregarious; but limited their displays as such. In general, although medicine may be changing in many ways, it is still pretty conservative in certain ways. Also, in my experience, the demands of surgery, especially in training, limits the time they can spend w/ patients. Of course there are always exceptions and exceptional situations either way.
I can't really care that much, b/c mostly--99% of the time in the years I have worked I have had great experiences with surgeons (the number of which is not small), and I try to accept people as they are and
try not to get bent out of shape one way or another--so long as we are all putting the patient/family first.
I don't care about the surgeon's club in terms of what the expected behavior is, for a number of reasons that I have no interest in expanding upon at this time. Of course every group has a way of accepting or rejecting. For student surgical rotations. again. the student is just going to have to do his best to figure out how to speak and act, given the particular group of people.
For surgeons in particular, I respect what they do probably more than the average non-surgical nurse or the general public, b/c their's is quite a heavy load to carry in many ways. Some surgeons I naturally respect more, b/c they are either super gifted, super insightful and talented, or some combination of all all of these things. In my experience in particular, I don't think that the personality of the surgeon should be the number one focus of the patient/family. What they do and how good they are at doing it, as how well they manage post-operatively, these are the essential things to me.
If the surgeon is a truly compassionate and understanding soul, who also has those aforementioned things, so much the better. Yes, I know that people learn to compartmentalize in order to survive and get the work done. But in my opinion, deeply compassionate and understanding people, in general, are more rare than prevalent. Don't misunderstand. I am not saying compassionate and understanding people are not around or even prevalent. I am saying deeply compassionate, understanding people--intuitively so, are rarer in general. For some folks, it's just more of an innate gift that they have.
In undergoing a surgical procedure, I want carefulness, adeptness of skill, amazing knowledge, and the ability to think fast and critically when surprises arise. Mostly I want amazing skill and expertise from a surgeon. I mean, every patient wants their doc, whatever kind s/he is, to listen to them. That is just the plain truth. But I ultimately don't care so much what the surgeon's personality is as much as his/her overall skill, talent, adeptness, etc as she or he cuts or pokes (where minimally invasive or not) into my body. When I think on the gravity of what is being done to a surgical patient to help make him or better, those things come first.
What I've learned is in general--
in my experience- surgeons are not as much about what you say, as what you do--meaning they watch carefully and learn whether or not they can trust you or not. I suppose, then, to your point, when MSs are on surgical rotations, surgical residents, fellows, and attendings will seek discussions and dialogues to ascertain surgical knowledge, interest/enthusiasm, and so forth. But I could honestly name probably >10 top surgeons in my area that are not particularly gregarious, but rather somewhat reserved. Yes, I could name another 10 that are more outgoing and just a total pleasure to be around. That's fine.
Ultimately, however, what I have seen and learned is that it is a lot about reading people and situations, and sometimes that is easier to do than at other times. Of course once you are accepted into a group, then the group is more likely to support you.
Either way, it's nothing to get bugged about in my opinion.