What do you actually do during residencies?

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idahoruralDO

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I know that I reveal my ignorance here but I have looked all over and all I can find is vague allusions to what residents actually do. Some make it sound suspiciously similar to shadowing. Is that true and if so what is the value of shadowing 100+ hours a week in some rotations? Is there much "hands-on" at all? Just a glimpse of the typical day or week in the life of a medical resident would help me out a lot.

Thanks in advance!
 
Haven't you ever watched Scrubs????

Residents are also known as housestaff. They're the docs in the the hospital and clinics 24/7.

Its nothing like shadowing. :scared: Maybe the attending shadows you to make sure you dont kill anyone.

It's practicing their chosen field while under supervision - for long hours with an intense schedule. So, all settings for a given field are represented (wards, clinic, OR, etc.).

Residents are present at all of these settings to, in a way, have a first crack that the attending's patient (since they dont have their own). The resident comes up with an assessment and plan, discusses it with the attending, and carries it out. Or, their work is double-checked by the attending within a day or two.

Everything is hands on. The resident is the primary doctor for all patients, the attending is there to supervise and suggest. Every residency has a "skillset", or required procedures for that particular specialty. All procedures in the skillset must be completed in residency. And, this is rarely an issue, because if there is anything to be done, the resident will be the one to do it - oftentimes, the supervising attending isn't even in the hospital. Anything that happens in the hospital, an emergency, a newly admitted patient, daily rounds, anything, is done independently by the resident first, and then may be double-checked by the attending later.

The resident learns by intense experience. They also attend lectures and conferences. At the end of residency they sit for the Boards.
 
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Haven't you ever watched Scrubs????

Residents are also known as housestaff. They're the docs in the the hospital and clinics 24/7.

Its nothing like shadowing. :scared: Maybe the attending shadows you to make sure you dont kill anyone.

It's practicing their chosen field while under supervision - for long hours with an intense schedule. So, all settings for a given field are represented (wards, clinic, OR, etc.).

Residents are present at all of these settings to, in a way, have a first crack that the attending's patient (since they dont have their own). The resident comes up with an assessment and plan, discusses it with the attending, and carries it out. Or, their work is double-checked by the attending within a day or two.

Everything is hands on. The resident is the primary doctor for all patients, the attending is there to supervise and suggest. Every residency has a "skillset", or required procedures for that particular specialty. All procedures in the skillset must be completed in residency. And, this is rarely an issue, because if there is anything to be done, the resident will be the one to do it - oftentimes, the supervising attending isn't even in the hospital. Anything that happens in the hospital, an emergency, a newly admitted patient, daily rounds, anything, is done independently by the resident first, and then may be double-checked by the attending later.

The resident learns by intense experience. They also attend lectures and conferences. At the end of residency they sit for the Boards.

...aaaand paperwork. Lots of paperwork.
 
I messed this whole thread up- I am looking for information about rotations not residencies. I have no idea what students do on their rotations that's what I'm looking for. Any info?
 
I messed this whole thread up- I am looking for information about rotations not residencies. I have no idea what students do on their rotations that's what I'm looking for. Any info?

:eyebrow:

It depends on the rotation.

Generally in your 3rd year core clerkships, youre placed on a team - which includes interns, a resident or two, and an attending. You are assigned a couple of inpatients to follow along with the intern/resident, or you follow patients with them in the clinic. By follow, I mean know everything about them, and what is being done to fix them. You'll also go to lectures and such with the other students. If you're proactive, you can do hands-on things for patients assigned to your team.

4th year electives vary from the intense acting/sub internships where you work like an intern.... to a very chill derm elective where you show up for 3 hours a day and see patients along with the dermatologist.

But, its still not "shadowing". Even on a chill derm elective, you are responsible for knowing the basics. You dont stand behind the doctor and be seen and not heard. Even if you arent required to interview the patients and write the notes yourself, the doc is going to ask you medical questions all day - they can be about patients that you are seeing, or they can be Step2 type questions. that sorta thing
 
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