Hi all, Im about to start my residency this July in EM ( Actually thinking about switching to surgery after this year is over (Yeah I know it sounds crazy but that's another story) and I was wondering why people get so upset when you sign out your patients. When I rotated as a med student in the fall, I would bust my arse to continuing seeing people as long as there were people to see and not just sit around and sometimes I would have like 2 or 3 people waiting on labs when it was time for board rounds and the new shift. I kind of got ragged on about that, but I mean what the ** you STILL have to see the patient no matter what. The patient's chart will still be in the rack regardless if I haven't seen them yet or not. They don't go away. If me resident "Joe" signs out to resident "sue" what's the big deal? If me Joe decides not to see patient "Jim" because Joe doesn't want to dump on Sue then Jim DOESN't leave, Jim is still waiting on Sue. At least Joe got half the work done for Sue when he signs out. I don't know I just don't get it. Is there something Im missing? I really don't want to be looked down on when I start. One of the residents when I was a student politely mentioned "So the goal next time is no sign outs right?" That REALLy annoyed me.