When I am a resident, I will... (feel free to add your own)

[Ashers]

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July 1st is closing in, so just a reminder to all those soon to be interns (assuming you have time to really worry about interacting with the med students!)

Of course I start out on night float, so no worries about this just yet...

I'm kinda scared. I start on the neonatal ICU, so I don't think I'll be working with a student; I will be on wards in August though. The student will definitely know more than I do about peds.

When I am a resident, I will make my students use a secret word when presenting in front of the attending on rounds. It could be "nimble", "catharsis", "joyous", any variety of fairly common words that don't quite fit into a standard presentation. That is what I will do. The students will love it or else.

Will everyone scream when they hear the secret word?

 

[Mayhem]

...try to stay far away from medical students because sadly med school has made me warped and bitter and it's very likely i'll treat them the way I was treated. It's awful but I think it's better that I ignore them instead of treat them like crap.

If it's possible I think I'm more bitter and warped than I was here. Plus I have the joy of staying at my medical school for internship so it's going to be that much worse. I don't really have any friends in lower years but I'm sure there's going to be somebody who expects special favours because I was one of them. I really think it's best if I stay away.

 

[FutureInternist]

When I am a resident, I will make my students use a secret word when presenting in front of the attending on rounds. It could be "nimble", "catharsis", "joyous", any variety of fairly common words that don't quite fit into a standard presentation. That is what I will do. The students will love it or else.

My first day at a new IM rotation, I get there, resident hands me a SOAP note about a patient, gives me a quick run-down & tells me to present it to the attending when he gets in.
Patient had to be shocked twice during the night, & the resident tells me to make sure to use the phrase "hard to kill" in the presentation....so 1st day, I'm the only student, resident is 6'2"........I do it.

Turns out the attending's favorite "actor" is Steven Segal & he just loves the movie "Hard to Kill"....goes on a 10 minute talk about how fluid his aikido is & how not even IV kryptonite can kill him etc.

Fun stuff. 😀

 

[Rogue Synapse]

Will everyone scream when they hear the secret word?

Nope, it will involve knowing glances and then secret high fives on the way to the next patient's room.

 

[45408]

This is simultaneously the truest and least popular post ever.

As an intern, I was always doing the popular thing such as sending the students home, etc. As a PGY-2, I began to realize that we have an obligation to teach, and being liked and easy-going is not as important. So, I make my medical students work hard, and I have high expectations. Sorry.

There's a good way and a bad way. I had a resident on OB/gyn that I'd like to emulate when I'm a resident. Incidentally, he won a very prestigious teaching award last month (some other nominees were department chairs). I actually don't mind being pimped, as long as it's with the intent to teach rather than with the intent to humiliate. I also don't mind being given something to read up on, as long as every one of my questions isn't answered with "Why don't you read up on that?" This resident said "Why don't you read about this, and we'll talk about it when we're on call tomorrow?" And so we did.

 

[Ashers]

Nope, it will involve knowing glances and then secret high fives on the way to the next patient's room.

Aww... a Pee Wee's Playhouse reenactment would be more entertaining, especially if rounds are early in the morning. 😉

 

[psychforme]

On the first day I get a new med student I will ask her stances on abortion/Obama/Iraq war/future specialty/religion/gun laws. If she meet any of these criteria I will label her an idiot:

*)pro-life
*)pro-iraq war
*)dislike Obama (REPUB)
*)christian
*)creationist
*)want to be a dermatologist
*)pro-guns

If she's labelled an idiot I will:
*) constantly critique everything she does (frequently adding "are you sure you're fit for medicine")
*) never let her go home. Call 24/7.
*) constantly pimp her random esoterique stuff in front of patients, nurses and other students. Sigh loudly every time she answers wrong (and when she answers right.)
*) Constantly let her do scut work making sure none of the time she spends with me is worthwhile.
*) Tell all attendings this is THE laziest, worst and most immature student I've ever had.
*) Totally axe her on the evaluation. Leave a personal message to the dean that this student should be expelled for not meeting the minimum standard.

If I was an attending instead I would excuse how hard I've been on her for these last 4 weeks. I would explain what a brilliant student she was handling it. That all I wanted to do was test her to the limit! And she PASSED! Then I would offer writing a GREAT recommendation letter guaranteed to get her into OBgyn/derm/whatever shes interested in. Then I would secretly axe her in the letter and warn all future PDs from accepting this woman.

 

[FutureInternist]

On the first day I get a new med student I will ask her stances on abortion/Obama/Iraq war/future specialty/religion/gun laws. If she meet any of these criteria I will label her an idiot:

*)pro-life
*)pro-iraq war
*)dislike Obama (REPUB)
*)christian
*)creationist
*)want to be a dermatologist
*)pro-guns

If she's labelled an idiot I will:
*) constantly critique everything she does (frequently adding "are you sure you're fit for medicine")
*) never let her go home. Call 24/7.
*) constantly pimp her random esoterique stuff in front of patients, nurses and other students. Sigh loudly every time she answers wrong (and when she answers right.)
*) Constantly let her do scut work making sure none of the time she spends with me is worthwhile.
*) Tell all attendings this is THE laziest, worst and most immature student I've ever had.
*) Totally axe her on the evaluation. Leave a personal message to the dean that this student should be expelled for not meeting the minimum standard.

If I was an attending instead I would excuse how hard I've been on her for these last 4 weeks. I would explain what a brilliant student she was handling it. That all I wanted to do was test her to the limit! And she PASSED! Then I would offer writing a GREAT recommendation letter guaranteed to get her into OBgyn/derm/whatever shes interested in. Then I would secretly axe her in the letter and warn all future PDs from accepting this woman.

Who hurt you ? 🙂

 

[45408]

On the first day I get a new med student I will ask her stances on abortion/Obama/Iraq war/future specialty/religion/gun laws. If she meet any of these criteria I will label her an idiot:

*)pro-life
*)pro-iraq war
*)dislike Obama (REPUB)
*)christian
*)creationist
*)want to be a dermatologist
*)pro-guns

If she's labelled an idiot I will:
*) constantly critique everything she does (frequently adding "are you sure you're fit for medicine")
*) never let her go home. Call 24/7.
*) constantly pimp her random esoterique stuff in front of patients, nurses and other students. Sigh loudly every time she answers wrong (and when she answers right.)
*) Constantly let her do scut work making sure none of the time she spends with me is worthwhile.
*) Tell all attendings this is THE laziest, worst and most immature student I've ever had.
*) Totally axe her on the evaluation. Leave a personal message to the dean that this student should be expelled for not meeting the minimum standard.

If I was an attending instead I would excuse how hard I've been on her for these last 4 weeks. I would explain what a brilliant student she was handling it. That all I wanted to do was test her to the limit! And she PASSED! Then I would offer writing a GREAT recommendation letter guaranteed to get her into OBgyn/derm/whatever shes interested in. Then I would secretly axe her in the letter and warn all future PDs from accepting this woman.

and if you were my resident, I'd just report you to the dean, who would kill you.

 

[JPmamd09]

I hope that's sarcasm. Oy.

I hope that when I'm a resident (someday soon, hopefully) I can figure out how each individual student learns best and teach appropriately to those strengths. I also really hope I can balance working with teaching. Some of my favorite residents were the ones who, rather than sitting me down and teaching/pimping me about a topic, explained the things they were doing, let me observe how they did things, and watched me doing things so they could help me improve. It was also really helpful when residents showed me quick and easy ways to look up appropriate articles on patients (rather than the painful method taught at my school) or told me the "real world" stuff that's super important, like how to find dosing info or which fluids to run in different scenarios - hopefully I can teach something that people really want to know/care about. I don't know, I guess we'll see how things go when I get there.

Good luck to all the new interns who are getting started!

 

[Doctor Bagel]

I would love the whole tailoring a rotation to a person's specialty interest, especially at the end of the year when they're in less of an exploratory spot. Scrubbing tons of cases cases and getting pimped on obscure surgical anatomy not so useful for those us surgery who are not going in to surgery.

And I also disagree with the idea that students are screwing around if you let them go study on their own. I actually have been studying most of those times on this rotation. It's certainly a more productive use of my time than hanging out with the residents while they're talking about football or whatever.

 

[QofQuimica]

On my last rotation, I had a senior who was absolutely awesome. He pimped the crap out of me, but it was always in a positive way where he helped me reach the right answers by leading me. Whenever I said something wrong, he would give this mock expression of shock that cracked me up. He also really took care of the team, such as helping the juniors do admits when they were overwhelmed even though it technically wasn't his job. When we were on call, he would buy coffee and snacks for the entire team, and sometimes even for the night nurses. Understandably, everyone really liked him. He is the kind of resident (and human being) that I would like to be.