What you can learn from a low level job

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LizzyM

the evil queen of numbers
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Thank you so much for sharing this LizzyM!

On one hand, this story makes me miss my CNA job. The opportunity to participate in the care of a person in such an intimate way and be the one that they turn to for help, is humbling and inspirational.

The flip side to it is that if you work in a facility (as I did) where the management was largely unresponsive to the needs of the residents, it can be incredibly stressful, frustrating and demoralizing.

It also reaffirmed my reasons for attempting medicine in the first place. Care for the sick at the most basic levels is so lacking back home, it makes my heart ache.
 
That was epic. Thanks Lizzy.
 
+1. Learned a lot (still learning) of life lessons at my current job. Definitely provides great deal in the way of perspective.

Sent from my SGH-T999 using SDN Mobile
 
How does one get involved in these types of experiences? This is what I was really looking forward to going in to volunteer at a hospital, yet what it turned out to be was just filling up drawers of bedsheets and towels and restocking sani-wipes...
 
How does one get involved in these types of experiences? This is what I was really looking forward to going in to volunteer at a hospital, yet what it turned out to be was just filling up drawers of bedsheets and towels and restocking sani-wipes...

Look into being a CNA. Before becoming certified make sure there is a market in your area for nursing assistants.
 
Really wonderful post. 🙂 I worked as a CNA for over two years before med school. It's an experience I wouldn't trade for all the glitzy research gigs or prestigious summer internships in the world. I learned a few things about medicine, a lot of things about people, but most of all I learned that I don't actually know a damn thing.
 
How does one get involved in these types of experiences? This is what I was really looking forward to going in to volunteer at a hospital, yet what it turned out to be was just filling up drawers of bedsheets and towels and restocking sani-wipes...

You take a no credit course (or courses) at your local community college to get certified. Often the courses are a part of the school of continuing education.

(sent from my phone)
 
Look into being a CNA. Before becoming certified make sure there is a market in your area for nursing assistants.

This...and if you decide to pursue it make sure you take your classes from a legitimate institution..preferably the local CC.
 
What a beautiful story, thank you of sharing it. I once volunteered at a hospice home, I learned a lot about humility and how unpredictable life can be. I was thankful to have the opportunity to interact with the patients but I soon realized that I could not handle meeting them, getting to know them for 3 weeks and then not seeing them ever again. One day I may be able to handle it better and I think that physicians should be more used to the inevitability of death but I find it very difficult...
 
How is being a "nursing attendant in a stroke rehab unit" a low level premed job? o.o
 
How is being a "nursing attendant in a stroke rehab unit" a low level premed job? o.o

I guess you didn't pick up on the assumption: Low level meaning low paying. Low paying meaning minimum wage. Minimum wage meaning working a second job during gap year to pay for bills.

EDIT: You are 100% correct in your implication, however. It's a very respectable job to hold.
 
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How is being a "nursing attendant in a stroke rehab unit" a low level premed job? o.o

In the real world, it's a low-level job. To most physicians, it's a low-level job. But it's a truly worthwhile job.
 
I get rather sick of some people (cough EMT-Bs cough) throwing around their self-importance and their denigration of CNA as not being as good a work experience for a pre-med.

CNAs are low-paid and up to their wrists in feces on a daily basis. They are at the very bottom of the patient-care hierarchy within institutions. That isn't low level?
 
I get rather sick of some people (cough EMT-Bs cough) throwing around their self-importance and their denigration of CNA as not being as good a work experience for a pre-med.

CNAs are low-paid and up to their wrists in feces on a daily basis. They are at the very bottom of the patient-care hierarchy within institutions. That isn't low level?

I understand that, but from the perspective of a college student who aspires to get into healthcare (medicine particularly), this experience is very well seen as it is (and for very good reasons).

To me, a low level job is one that gives very little financial/social security AND that does not involve significant life experience; being a CNA certainly does not fulfill the latter condition.
 
**steps on soapbox**

I used to be a CNA at a nursing home. I was the only 20 year old guy in a female dominated facility with a completely geriatric population so I kinda had an easier time compared to my other new female counter parts at that time. While I only lasted 3 months, that kind of job makes you yearn for something more. That you wanna be a part of the cure, instead of just doing palliative care for someone you connect with on a daily basis. You wouldn't forget that first patient of yours that dies under your care with your limited abilities.

That experience helped be become a PCA at a big hospital in connecticut. Yes, the job description is pretty much the same (elbow deep in incontinence) I just consider it a menial task that is a part of something bigger. I asked the nurses and doctors if they could teach me a thing or two when it comes to critical care (which they actually gladly did when i told them i was going to pursue medicine) - ventilation, intubation, code, CVVH, bipap/cpap, trach, oj/nj/ng tubes, phleb work, etc.

Just think of it as a transition to something better. If I didn't do that cna job, i wouldn't have that hospital job. If I didn't have that hospital job, I wouldn't have the opportunity to shadow doctors I work directly under.


I wouldn't have had the drive to pursue medicine.


(This is my very first post and I just felt I had to say something to this thread as it hits close to home)

**steps off soapbox**
 
I understand that, but from the perspective of a college student who aspires to get into healthcare (medicine particularly), this experience is very well seen as it is (and for very good reasons).

To me, a low level job is one that gives very little financial/social security AND that does not involve significant life experience; being a CNA certainly does not fulfill the latter condition.

Low level means you can't tell anyone what to do because nobody is below you on the totem pole.

Sent from my SGH-T999 using SDN Mobile
 
**steps on soapbox**

I used to be a CNA at a nursing home. I was the only 20 year old guy in a female dominated facility with a completely geriatric population so I kinda had an easier time compared to my other new female counter parts at that time. While I only lasted 3 months, that kind of job makes you yearn for something more. That you wanna be a part of the cure, instead of just doing palliative care for someone you connect with on a daily basis. You wouldn't forget that first patient of yours that dies under your care with your limited abilities.

That experience helped be become a PCA at a big hospital in connecticut. Yes, the job description is pretty much the same (elbow deep in incontinence) I just consider it a menial task that is a part of something bigger. I asked the nurses and doctors if they could teach me a thing or two when it comes to critical care (which they actually gladly did when i told them i was going to pursue medicine) - ventilation, intubation, code, CVVH, bipap/cpap, trach, oj/nj/ng tubes, phleb work, etc.

Just think of it as a transition to something better. If I didn't do that cna job, i wouldn't have that hospital job. If I didn't have that hospital job, I wouldn't have the opportunity to shadow doctors I work directly under.


I wouldn't have had the drive to pursue medicine.


(This is my very first post and I just felt I had to say something to this thread as it hits close to home)

**steps off soapbox**

👍
 
Having a low level job reminds you of why you want to pursue Medicine. In between residencies I worked at a movie theater until I obtained a research position.

Low level jobs aren't easy: I burnt myself making popcorn, got yelled at by my bosses with a HS education, worked with people of highly objectional moral standards, cleaned the bathrooms, and made minimum wage. It definitely increased my resolve to get back into residency.
 
Giving this a little necro-bump to share a bit of a recent essay by David H. Gustafson, PhD published in JAMA (2013;309(3):247-248. doi:10.1001/jama.2012.176580) Entitled "A Systems Engineer Meets the System" he wrote about a catastrophic illness he experienced and the long hospitalization that preceeded a heart transplant. Here's what he wrote that I think applies to hospital volunters and employees alike.

"Caring means commitment, but it also includes having fun; being friendly; and getting to know other people as human beings and not just as clinicians, patients, housekeepers, or administrators. Why do these things matter? Because in the midst of life-and-death decisions, of pain and sometimes grim outcomes, they remind us that life is worth living, that we can experience joy. Institutions need to make room for these reminders.

"To cheer me on, my daughters made me CDs with upbeat songs like "I Feel Good." I listened to them often. One day, nurses started dancing to the music in my room. They did it pretty often after this for a quick break from their stressful jobs. I was so happy watching, I wanted to join them. The day I left my room for a swallow test—essential to pass for getting on the transplant waiting list—nurses lined the hall and cheered for me. Some employees at the hospital are full-time greeters and question-answerers. They wear distinctive jackets, and they make a sterile and often frightening environment welcoming.


"Great care is a complicated thing, but it begins with simple caring. Rob [his primary care provider] said it best: Patients will never care how much you know until they know how much you care."
 
i worked at an acute inpatient psychiatric hospital for 2 years as a mental health worker (pretty much the bottom of the barrel).

I got bit, bruised, peed on, and called every name in the book at one point or another. It was dirty and hard work, but i loved my job and the patients changed the way i look at so many things in life. I honestly believe I am a different person because of this experience.
 
Having a low level job reminds you of why you want to pursue Medicine. In between residencies I worked at a movie theater until I obtained a research position.
Low level jobs aren't easy: I burnt myself making popcorn, got yelled at by my bosses with a HS education, worked with people of highly objectional moral standards, cleaned the bathrooms, and made minimum wage. It definitely increased my resolve to get back into residency.

WHAT?! I thought my "I will never have to work a job like this again" era was over once I obtained a medical school acceptance?
 
Low lvl jobs aren't as bad as people make it out to be. I worked at McDs in undergrad. I had to clean bathrooms, flip burgers, sweep floors, take out the garbage, etc. I didn't feel it was that bad, but it certainly makes you appreciate what you have.
 
"Great care is a complicated thing, but it begins with simple caring. Rob [his primary care provider] said it best: Patients will never care how much you know until they know how much you care."

Writting down the quote, thank you for sharing.
 
I get rather sick of some people (cough EMT-Bs cough) throwing around their self-importance and their denigration of CNA as not being as good a work experience for a pre-med.

CNAs are low-paid and up to their wrists in feces on a daily basis. They are at the very bottom of the patient-care hierarchy within institutions. That isn't low level?

Is this a SDN thing? I've never felt denigrated by EMTs that I know, and many pre-med EMTs ask for my advice in becoming CNAs after we compare our jobs.

It's definitely a low level job. Low level jobs are the types of jobs that I find help build character and humility.
 
Having a low level job reminds you of why you want to pursue Medicine. In between residencies I worked at a movie theater until I obtained a research position.

Low level jobs aren't easy: I burnt myself making popcorn, got yelled at by my bosses with a HS education, worked with people of highly objectional moral standards, cleaned the bathrooms, and made minimum wage. It definitely increased my resolve to get back into residency.

That's always fun. :laugh:
 
I never was a Nurse's Aide or a EMT or whatever. I had enough of low level work in research and being a waiter. I knew it was popular, but it seems like almost half the people at my interviews had done it. Why is being an EMT/NA such a popular premed activity?
 
I never was a Nurse's Aide or a EMT or whatever. I had enough of low level work in research and being a waiter. I knew it was popular, but it seems like almost half the people at my interviews had done it. Why is being an EMT/NA such a popular premed activity?

It is great patient exposure that you get compensated for.
 
I get rather sick of some people (cough EMT-Bs cough) throwing around their self-importance and their denigration of CNA as not being as good a work experience for a pre-med.

As an EMT, I feel like I'm only good for taking vitals. It wouldn't necessarily make my "what am I proud of" list. EMT cert is longer in terms of hours, but you'd get more experience as a CNA in a hospital than an EMT in an ambulance.

There aren't that many EMTs on the interview trail. But the cert itself is about 150 hours, which I guess people add to their ECs. You learn a lot as an EMT, and patient exposure helps too. You'll get an idea of what medicine is like,

Being an EMT is great and I'm glad I did it, but I prefer my job as a rescuer instead. Also, didn't see too many other water rescue technicians or rope guys on the interview trail 😛
 
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I definitely learned a lot from my various "low-level" jobs. I used to be a shy, awkward individual, until I volunteered constantly and worked as a secretary and research assistant at many hospitals. These jobs really put me up to the challenge, and I slowly learned to break out of my shell.
 
I never was a Nurse's Aide or a EMT or whatever. I had enough of low level work in research and being a waiter. I knew it was popular, but it seems like almost half the people at my interviews had done it. Why is being an EMT/NA such a popular premed activity?

You can lie about "amazing" clinical experiences if you're an EMT or CNA. Lying about clinical experiences looks better than lying about research experiences or service industry experiences.
 
You can lie about "amazing" clinical experiences if you're an EMT or CNA. Lying about clinical experiences looks better than lying about research experiences or service industry experiences.

Or you don't have to lie about amazing clinical experiences if you are an EMT or CNA.
 
I was going to say that I'd put a non-clinical low-level job (like food service) in a different category for clinical low-level job, because at least the latter contributes to an overall career plan for us pre-meds. But I think they both can really help you relate to people - both people who do these jobs long-term and the patients/patrons you meet on the job. I worked in food service for awhile and have never before or since had so many burns on my hands... just goes to show that there is no such thing as unskilled labor!
 
You can lie about "amazing" clinical experiences if you're an EMT or CNA. Lying about clinical experiences looks better than lying about research experiences or service industry experiences.

Lol, that's a little cynical, don't you think?
 
You can lie about "amazing" clinical experiences if you're an EMT or CNA. Lying about clinical experiences looks better than lying about research experiences or service industry experiences.
it's not hard - at all - to get decent clinical experience in either of those jobs. If you're resorting to lying, then you're doing it wrong.
 
does anyone have the link? the above link is not in use anymore..thanks
 
i managed to find it somehow..this is the story:

In the summer of my first year of college, I did an internship as a nursing attendant in a rehab hospital's stroke unit.

As a premed student, I had little idea of what it meant to be a physician. But that didn't stop me from feeling slightly superior to others who weren't on the same path. Although I didn't know how to take someone's blood pressure, I often treated friends to detailed descriptions of the biochemistry of complex metabolic diseases.

My summer job took me totally out of this academic comfort zone.

I found myself washing, dressing and caring for the most debilitated people imaginable--unable to walk and suffering from cognitive impairment and, often, incontinence. Throughout the day, the halls echoed with their moans of pain.

Every morning, it was my job to wash, dress and transport several of them to the dining room before breakfast. The work didn't come naturally to me. Long-haired, underweight and completely unused to manual labor, I was quickly labeled a burden by the nurses.

To counteract this humiliating reality, I tried every minute to project an air of knowing exactly what I was doing. And somewhere inside, I still harbored a sense of superiority--not to the doctors or medical staff, but to the patients.

Despite the strain of my job, I enjoyed being with the patients. As the youngest and newest staff member, I sensed that they found my presence invigorating. And I liked talking with them.

Telling me their stories, they would share unsuspected sides of themselves. At night, one proud working-class man often broke down and cried with frustration over his debilitated condition, complaining that the neurologists didn't listen or take him seriously. When I mentioned this to them, they said that such outbursts were a symptom of his stroke--but to me, that seemed like an easy way out of dealing with the patient's emotional pain. This man, once so self-reliant, now felt scared and confused, and I felt glad to help him feel less lonely for a few hours.

Two months into my job, just when I was starting feel more competent and confident, a new patient arrived: Mr. Woyzeck. A large, wise, cheerful, foul-mouthed ex-mechanic, he had multiple sclerosis and had recently suffered a massive stroke.

I liked him right away for his positive, upbeat energy and never-ending banter.

"Hey, Sean!" he'd call. "See if you can get the nurses to start giving us guys Viagra!"

Between jokes, he'd pepper me with practical advice--everything from how to change a flat tire to his proven methods for picking up women. It was a relief to spend time with him--to let down my guard, have some laughs and relax for a few moments.

Mr. Woyzeck needed help with the most basic self-care, but even when doing the lowliest tasks for him, I didn't feel small. I didn't mind taking him to the bathroom--rather, I felt proud and grateful that he trusted me enough to let me help him.

"You're too young to look so serious all the time. And get a haircut--one of these days I might mistake you for a nurse and make a pass at you!" he'd say, his rusty laugh like a dying steam engine.

One morning, I was getting Mr. Woyzeck ready for breakfast. I'd washed him, changed his clothes and emptied the urine from his Foley catheter bag; now it was time to transfer him from the bed to the wheelchair.

In the past, I'd asked others to help me with this task. This time, I felt, I was ready to do it on my own.

Positioning the wheelchair, I lowered the bed's safety guard and had Mr. Woyzeck sit up, his legs planted firmly and perpendicular on the floor before the chair. My next step was to grab him by his waist and, with his help, shift him quickly into the chair.

I put my arms around his waist and lifted his soft, 200-pound body.

Halfway between the bed and the chair, Mr. Woyzeck's knees buckled. He started to slip down through my arms.

Feeling panicky, I gripped his bulky frame tighter, trying to hold it up.

"Sean, I think you should lower me to the floor," he said calmly.

As he continued to slide slowly downwards, I had no choice but to comply. Gingerly, I lowered him the rest of the way down. Then I rang the bell for help.

___________________________________

"Sean, I think you should lower me

to the floor," he said calmly...
__________________________________

In seconds, the room filled with doctors, nurses and other staff. As the physical therapist and nurses lifted Mr. Woyzeck into his wheelchair, the doctors checked my back to see whether I'd wrenched anything.

As soon as Mr. Woyzeck was off the floor, he started talking.

"If Sean hadn't been here helping me, I would have been in much worse shape. Sean did an excellent job of lowering me to the floor. If it had been anyone else, I don't know what would have happened. If I could write, I'd write a letter of recommendation for him."

He could have yelled at me, called me incompetent, demanded a different attendant. Instead, clearly thinking I was in for a reprimand, he was doing his utmost to get me off the hook.

I just stood there, face flushed and heart racing, feeling humiliated. Just when I'd thought I was getting the hang of things, here I was back at square one...

But no one reprimanded me. Later, in fact, a doctor told me, "This happens to everyone who works in the stroke ward. Don't worry about it."

I realized that it wasn't my confidence but my humility--my willingness to listen, not to lecture--that had led Mr. Woyzeck to befriend me.

In the following days, I felt a change: My feelings of superiority over my patients had disappeared and were replaced by a sense of kinship with them.

Shortly afterwards, my internship ended, and I headed back to college.

For months after, I turned the incident over in my mind; and even now, in my final year of medical school, I often think about Mr. Woyzeck.

My fellow medical students and I are often taken to task by our professors; in a sense, we learn humility on a daily basis.

But to relinquish my feelings of superiority in exchange for a real, much deeper connection with my patients is a very special lesson--one that I still thank Mr. Woyzeck for teaching me.
 
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