1. Dismiss Notice
  2. Download free Tapatalk for iPhone or Tapatalk for Android for your phone and follow the SDN forums with push notifications.
    Dismiss Notice

Unfair, but is it worth discussing?

Discussion in 'Medical Students - MD' started by Neurophiliac, Jul 26, 2011.

  1. Neurophiliac

    Joined:
    Jul 24, 2011
    Messages:
    10
    Likes Received:
    0
    Status:
    Medical Student
    This summer, I went for observership training in the department of emergency medicine. I was assigned a supervisor who never showed up. I attended the evening shift at the ER anyways, approached on-call physicians and asked for permission to follow around, learn and assist if possible.

    Towards the end, I was given an evaluation form and since there was no supervisor and none of the physicians I had adequately followed was on-call, I handed it over to an attending who I had worked with for two days. I was surprised she gave me a low mark on patient communication skills because on the very same week, she asked me for assistance with history taking from a difficult patient.

    Thought maybe I wasn't up to her standards, until a colleague came expressed her surprise as well because she was given a better evaluation when she was mostly an observer and didn't engage in patient communication.


    I was just wondering, what to do in that situation? Would you check with the attending? Is it worth discussing anyways?

    P.S. Apologies for the extremely lengthy post.
     
    #1 Neurophiliac, Jul 26, 2011
    Last edited: Jul 27, 2011
  2. Note: SDN Members do not see this ad.

  3. turkeyjerky

    Physician 7+ Year Member

    Joined:
    Sep 27, 2008
    Messages:
    1,705
    Likes Received:
    94
    Status:
    Resident [Any Field]
    first of all, who care? This doesn't sound like an actual rotation, so it's not like your grade actually means anything. Second, yeah, this happens all the time. There're about a hundred threads in the clinical rotatations forum b_tching about this.
     
  4. Neurophiliac

    Joined:
    Jul 24, 2011
    Messages:
    10
    Likes Received:
    0
    Status:
    Medical Student
    You're right. Maybe this wasn't worth a post after all.

    Thank you. :)
     
  5. FrickenhugeMD

    5+ Year Member

    Joined:
    Jan 16, 2007
    Messages:
    641
    Likes Received:
    2
    Status:
    Medical Student
    This issue will be one of the most frustrating aspects you will face in 3rd year. Yeah, it sucks. No, it isn't always fair. It's just one of those things you have to grin and bear and move on.
     
  6. DrCoffeeBean

    Joined:
    Jul 3, 2011
    Messages:
    141
    Likes Received:
    1
    Status:
    Medical Student
    Sounds like this is not a very significant evaluation. Usually if I see an attending giving me an evaluation lower than I expected I ask about ways to improve. That serves two purposes:

    1) an attending will have to think about which box to tick and not just whichever box the hand is drawn to in a hustle and bustle of a working day

    2) an attending might have a fair point and I was overly optimistic about my performance.
     
  7. Law2Doc

    Law2Doc 5K+ Member
    Physician Moderator Emeritus 10+ Year Member

    Joined:
    Dec 20, 2004
    Messages:
    30,989
    Likes Received:
    9,847
    Status:
    Attending Physician
    Yeah, welcome to the real world of subjectivity. Subjective grading means if you asked the attending to evaluate you he can be anywhere on the spectrum. It's his personal opinion, not objectively derived. So he can give one person a good and another person a very good and it's foolish to try and peg it to an objective set of facts -- it's his opinion. Maybe he just wasn't "feeling it" when you interacted with patients. Maybe hes the kind of guy who actually prefers if folks on observership hang back and observe. Maybe you somehow rubbed him the wrong way and don't even know it -- reminded him of his goodfornothing cousin or something. Maybe he was just in a pissy mood when you approached him. It's not about "fair", it's about what his subjective opinion was. There's no way to contest this. He thought you were good. He didn't think you were very good. That's just his prerogative. It's his subjective opinion. you have no grounds to contest because there are no articulated standards on which this is based.
     
  8. WellWornLad

    10+ Year Member

    Joined:
    Feb 5, 2008
    Messages:
    1,090
    Likes Received:
    30
    Status:
    Resident [Any Field]
    Are you seriously sweating the difference between "good" and "very good" on a single category on your eval?

    That question pretty much sums up 3rd year. The answer is no.
     
  9. Neurophiliac

    Joined:
    Jul 24, 2011
    Messages:
    10
    Likes Received:
    0
    Status:
    Medical Student
    I haven't been on any rotations yet, so I wasn't sure how to react in such a situation. Thank you, all for your responses. :)

    That's a brilliant way of approaching it. Thanks!

    Not that, but it doesn't hurt to know what went wrong so that you can work on it next time.
     

Share This Page