Why are so many people having problems with school administration?

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The real professionalism issue is everyone pretending to be something they're not. Medical school is tough and stressful; make one mistake and you have a horde of people including your own ready to try to stomp all over you. Be happy with what you have and stop trying to police the people whose work allows for the system to function while paying your salary.
You and I apparently had vastly different med school experiences.

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I agree that everyone should be able to work together. And I'll be the first to say that plenty of doctors have bigger egos than actual clinical skills. However, the bolded statement above you should better direct towards the different nursing groups pushing for more autonomy. The physicians have always been here, we're not trying to encroach in other fields. Let me ask you this question. How would you feel if LVNs and nursing assistants start telling you they can do the same if not better job in doing nursing duties than you? Would you feel they are clinically up to snuff and would you let them do so? Then you may know how physicians feel about this subject.


I certainly agree with your basic sentiment, but comparing the difference between a CNA and an RN is a little different. I think a more apt comparison would be between the education of an Anesthesia Assistant and an Anesthesiologist.

The AA has a shockingly muted educational path, but as an industry there are those folks who believe Anesthesia has been made safe enough to allow someone with that level of training to work.

Similarly, society has deemed NPs as having enough training to work in certain circumstances.

Back to nursing, there actually used to be very common Diploma programs in the US that allowed RN training without the degree. One of the best (and oldest) nurses I know has a diploma and not even an Associate’s, but I promise this person has forgotten more about medicine than most of us will ever learn. I think in that case it’s perfectly fine to let a CNA train for a more advanced role.

Now obviously that’s a simpler course of education than to become a medical provider, but I think the end result is similar: we need to discern if midlevels truly provide much worse care. I know there are anecdotes, and I’ve seen them. But we need good studies. (Not ones funded by the nursing lobby that shows the superiority of “Cathopathic Physicians.”)

To the part about me working to diminish the NP scope of practice: I am an experienced RN who is an allopathic medical student. Obviously I believe in the superiority of training and outcomes with physician-lead care. I am putting my money where my mouth is (pathoma is paused in front of me as I type this). This means I am not the person the nursing lobby wants to listen to.

I am willing to pursue studies and resultant legislation that will better patient outcomes, but ultimately the onus needs to be on whichever physicians feel threatened by encroachment. The nurses aren’t going to pursue science that works contrary to their interests.

However, I do have enough faith in them to do whatever evidence shows is best for patients, even if that means backing off independent practice.
 
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I *have* started Med school.

I didn’t say it wasn’t a problem.

But this is a topic about professionalism and all it took was one observation about how permeated this board is with anti-nurse bias to devolve the thread into an us-vs-them phallus measuring contest. Not exactly what I’d call interdisciplinary respect. Which by the way... is considered a professionalism issue in modern healthcare.

Let me be clear: I think NP education is not up to snuff, and I think wildly expanding scopes of practice is bad.

I also think American physicians do a **** job of advocating for positive change in healthcare in general.

Our poor outcomes compared to our peers speak for themselves.

Maybe instead of jumping all over each other we should pragmatically find ways of coexisting harmoniously, pushing for the betterment of patient care?


If that’s the case then you should change your sig file which says “Accepted!”, as it is misleading.

It is not unprofessional to make a factual statement that nurses have much less education and training yet are claiming equivalency And in some cases, superiority.
 
I've used it a handful of times for difficult IVs in preop area. Often times these are either very obese pts or IVDU with super tiny veins so you have to go higher in the forearm or AC.

EJ. Or try using those penrose drains as a tourniquet.
 
If that’s the case then you should change your sig file which says “Accepted!”, as it is misleading.

It is not unprofessional to make a factual statement that nurses have much less education and training yet are claiming equivalency And in some cases, superiority.

I still use an older version of the forums because the newer ones don't give people's "title" in them. Did that ever get fixed?
 
but ultimately the onus needs to be on whichever physicians feel threatened by encroachment.

That's not how science works though. Physician training and education is the gold standard of medicine. If anyone wants to claim they are equal to that, or better as the nursing leadership likes to spout, then the onus is on them to prove it. With real studies, not the stuff they publish that is so bad it makes OMM research look like it should be in NEJM.
 
That's not how science works though. Physician training and education is the gold standard of medicine. If anyone wants to claim they are equal to that, or better as the nursing leadership likes to spout, then the onus is on them to prove it. With real studies, not the stuff they publish that is so bad it makes OMM research look like it should be in NEJM.

Here’s the thing, though: MONEY guides stuff.

If a hospital can cheap out with midlevels, the money will go towards it. Hence all the new D.O. schools. Do you believe that osteopathic education is superior to allopathic? The same? Then why are all these new osteopathic schools popping up? Money.

Do you think the new D.O. Schools are going to do studies about how their students clinical rotations stack up against major academic centers?

No?

So why would NP schools choose to sabotage themselves?

If we as physicians (in training in my case) want to prove that midlevel care is inferior, nobody is going to do it for us.

If that’s the case then you should change your sig file which says “Accepted!”, as it is misleading.

It is not unprofessional to make a factual statement that nurses have much less education and training yet are claiming equivalency And in some cases, superiority.

Ah sorry, I only view SDN for my phone and I haven’t seen how to fix that. I’ll look at it.

The second part is true. But the point is, if equivalency is *not* present, we need to prove that. I haven’t seen much evidence to support inferiority yet, but that’s likely because of a lack of studies!
 
If a hospital can cheap out with midlevels, the money will go towards it. Hence all the new D.O. schools. Do you believe that osteopathic education is superior to allopathic? The same? Then why are all these new osteopathic schools popping up? Money.

Do you think the new D.O. Schools are going to do studies about how their students clinical rotations stack up against major academic centers?
Non Sequitur.

DO students still need to take and pass Boards that are designed to test physician's competency. If they failed to do so, they won't get into a training program. If they fail the in-training service exams, they won't graduate. If they fail specialty boards or are clinically incompetent, they won't graduate. So that's a moot point. I don't understand your logic there. It makes no sense. Are you seriously comparing DO medical schools to mid-level diploma mills?

You are a first year, barely done with your Gross Anatomy course, get off your soapbox. Your years of experience in nursing don't give you any more insights into what it's like to be a resident or physician or their level of training than my few years of clinical experience and insights into the nursing world. The burden of proof is on the inferior products not the other way around. Who in their right mind would volunteer for a randomized control study where you might or might not be assigned to a fully independent mid-level? How to track outcomes? Is it ethical for physicians to not intervene if the mid-level is killing the patients? Would you sign yourself up or your family up for that kind of study?

Please don't bother answering those questions, I don't care. Focus on your first year classes and pass Step 1 first.
 
The second part is true. But the point is, if equivalency is *not* present, we need to prove that. I haven’t seen much evidence to support inferiority yet, but that’s likely because of a lack of studies!

Actually, when considering a new treatment, it is the job of the researcher to demonstrate equivalency or superiority over the current standard of care. It is not the job of physicians to prove that NPs are inferior. See the fine post from @AnatomyGrey12 above.

Thus, it is the job of the nursing community to conduct well designed studies (which is the major factor in their lack of data) to show that they are equivalent to physicians and that our increased education doesn't matter (as they claim). To date, they have not done so.
 
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Oh look another unrelated thread turned into complaining about midlevels
It’s a conspiracy by the nursing lobby. I spent years training to troll at this level only to have some mid level who just ordered a laptop (totally online btw, not at Best Buy like me) start encroaching on my Internet forums.

Emoji games are weak, gifs are outdated, and their misuse of infamous “Bruh” meme is completely mistimed. Yet they have the nerve to claim equivalency, nay, superiority in pointless internet time-wasting message board use? Not on my watch!
 
Med students like this lack perspective. I was constantly annoyed by the ones who would say they “had to go to work” in referring to their rotations. Like it was a cute little thing for them. Hey guys look at this, “I’m actually going...snicker...to work!” You seeing this shi*? Hey ma, guess what I’m going TO WORK today. Talking to the cute undergrad at the bar , “yeah so there I was at work in the OR and had to take this gunshot wound to surgery...”

Sorry, you are not “going to work”, you are going to school. You do not do work as a med student. You make our lives harder and get in the way. You don’t just get to be involved in a procedure or something whenever it is convenient for you. It’s not playtime, these are people’s lives. You are not “doing” anything productive. We take time to try and teach you and give you advice. YOU ARE AN OBSERVER, A LEARNER. You don’t get to make decisions,

So I would say it’s not really about having work skills. It’s about lacking perspective and constantly thinking they are the center of the universe and everything revolves around them and their schedule.

Regarding pushing the social agenda, I was referring more to the social justice warriors trying to cram controversial topics down everyone’s throats as truth and calling you unprofessional if you disagree. Rather than actual professional issues with patients like wearing blue jeans and a t shirt to clinic or something,


I definitely concur with the bolded statement. This is a disturbing trend in medical education. If you disagree with any of the "new social norms" you're automatically shredded by liberal administration and colleagues.
 
"Why are so many people having problems with school administration?"

Because people don't know how to pick and choose battles wisely. You see the same thing in residency, and it all comes from a lack of life experience.
I feel like having some sort of real world experience ideally clinical should be a mandate. Not as much as PA but at least something. I've noticed it all over and its very rarely the people who worked and didn't go straight through
 
I feel like having some sort of real world experience ideally clinical should be a mandate. Not as much as PA but at least something. I've noticed it all over and its very rarely the people who worked and didn't go straight through
It's becoming much less common to go straight through, probably for the better. My class is probably only 10-20% 22 year old fresh college grads. Having to deal with office and work politics for (just) one year in a toxic environment was such a huge positive. You learn how to conduct yourself within a power structure instead of yelling "HER DA PATRIARCHY" or something of the sort.
 
It's becoming much less common to go straight through, probably for the better. My class is probably only 10-20% 22 year old fresh college grads. Having to deal with office and work politics for (just) one year in a toxic environment was such a huge positive. You learn how to conduct yourself within a power structure instead of yelling "HER DA PATRIARCHY" or something of the sort.
That and even just realizing how lucky you are to have this opportunity. There are jobs you'll never reach 100k in, much less EXPECTING 250 when you come out. Sure its hell going through it but everything worthwhile is. Being at the bottom of the barrel in a job really changes your perspective.
 
Non Sequitur.

DO students still need to take and pass Boards that are designed to test physician's competency. If they failed to do so, they won't get into a training program. If they fail the in-training service exams, they won't graduate. If they fail specialty boards or are clinically incompetent, they won't graduate. So that's a moot point. I don't understand your logic there. It makes no sense. Are you seriously comparing DO medical schools to mid-level diploma mills?

You are a first year, barely done with your Gross Anatomy course, get off your soapbox. Your years of experience in nursing don't give you any more insights into what it's like to be a resident or physician or their level of training than my few years of clinical experience and insights into the nursing world. The burden of proof is on the inferior products not the other way around. Who in their right mind would volunteer for a randomized control study where you might or might not be assigned to a fully independent mid-level? How to track outcomes? Is it ethical for physicians to not intervene if the mid-level is killing the patients? Would you sign yourself up or your family up for that kind of study?

Please don't bother answering those questions, I don't care. Focus on your first year classes and pass Step 1 first.

You’ve already said that you’re not willing to listen to my replies to your incredibly feeble arguments, so I won’t waste my breath! Thanks for clarifying early so that I can save my time! 🙂
 
Because we’re paying hundreds of thousands of dollars to people who are micromanaging us and steering us down the potentially wrong path in some cases.

I’m not fresh out of college. I can take care of my own board prep plan, but our school’s administration forced us to buy with our own money a $1k subpar, time-intensive board review course, not recommended by anyone you see talking about resources here on SDN. People in my class used it and still failed their board exam. I think decisions that can impact one’s career should be taken seriously.
 
Because we’re paying hundreds of thousands of dollars to people who are micromanaging us and steering us down the potentially wrong path in some cases.

I’m not fresh out of college. I can take care of my own board prep plan, but our school’s administration forced us to buy with our own money a $1k subpar, time-intensive board review course, not recommended by anyone you see talking about resources here on SDN. People in my class used it and still failed their board exam. I think decisions that can impact one’s career should be taken seriously.
:arghh:😱😱😱:scared::scared::scared::scared:
What penal colony is this?????? Why are they doing this to adult learners???? PM if needed.
 
Because we’re paying hundreds of thousands of dollars to people who are micromanaging us and steering us down the potentially wrong path in some cases.

I’m not fresh out of college. I can take care of my own board prep plan, but our school’s administration forced us to buy with our own money a $1k subpar, time-intensive board review course, not recommended by anyone you see talking about resources here on SDN. People in my class used it and still failed their board exam. I think decisions that can impact one’s career should be taken seriously.


Was one of the board review course designers on your faculty?

I remember our genetics textbook being particularly bad and when I mentioned to the prof that I thought there might be better options out there, she goes "this is a good book, my friend so and so is one of the authors." 🙄
 
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Yeah that sounds corrupt as ****.
Sounds like there is a financial conflict of interest. Probably well hidden.
 
"Why are so many people having problems with school administration?"

Because people don't know how to pick and choose battles wisely. You see the same thing in residency, and it all comes from a lack of life experience.

The new med school generation was raised in a primary and secondary school system where teachers are neutered and basically baby sitters.

Get a bad grade? Have mom and dad call the principal and demand the teacher be fired. Grade changed. Teacher gives up. Everybody gets As. Don’t make the basketball team? Daaaadd....
 
The new med school generation was raised in a primary and secondary school system where teachers are neutered and basically baby sitters.

Get a bad grade? Have mom and dad call the principal and demand the teacher be fired. Grade changed. Teacher gives up. Everybody gets As. Don’t make the basketball team? Daaaadd....

What age groups are you talking about? Are you talking from personal observation, or just up bs from an old man perspective who likes to piss on everyone cheerios and look down on the younger generation?

I'm in my late 20s - early 30s here. I can say with certainty that I bust my ass for every As and dime earned to support my family.
 
The new med school generation was raised in a primary and secondary school system where teachers are neutered and basically baby sitters.

Get a bad grade? Have mom and dad call the principal and demand the teacher be fired. Grade changed. Teacher gives up. Everybody gets As. Don’t make the basketball team? Daaaadd....
This is a super lazy take. I'm mid 20s and if any of that happened the teacher or coach would just laugh and tell you to work harder. I know its fun to dump on generations after you but do better that the classic "get off my lawn" bit given that the people who dump on the younger generations are typically the ones that raised them...
 
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This is a super lazy take. I'm mid 20s and if any of that happened the teacher or coach would just laugh and tell you to work harder. I know its fun to dump on generations after you but do better that the classic "get off my lawn" bit given that the people who dump on the younger generations are typically the ones that raised them...

Depends on where you are. Where I grew up, teachers now have no authority. A friend of mine quit because she got punished for disciplining a student who slapped her in the face when she asked him to stop interrupting class (and by disciplined, I mean she calmly sent him to the principal).
 
Depends on where you are. Where I grew up, teachers now have no authority. A friend of mine quit because she got punished for disciplining a student who slapped her in the face when she asked him to stop interrupting class (and by disciplined, I mean she calmly sent him to the principal).
woah that's definitely unique. My fiancee is a high school teacher and if that happened idk what I'd do
 
I guess its reassuring to know the issue more lack of work/professional experience than vindictiveness.


Depends on where you are. Where I grew up, teachers now have no authority. A friend of mine quit because she got punished for disciplining a student who slapped her in the face when she asked him to stop interrupting class (and by disciplined, I mean she calmly sent him to the principal).

Terribly sorry to hear about that. I think this has less to do with baby-boomer child rearing practices (e.i. "every millennial gets a trophy") and more to do with Obama administration disciplinary guidelines ("If there's no consequences for violent behavior in schools, and no suspensions, we've fixed the school to prison pipeline!") Though I suppose it was millennial who voted him in. Not to go off topic...
 
I guess its reassuring to know the issue more lack of work/professional experience than vindictiveness.




Terribly sorry to hear about that. I think this has less to do with baby-boomer child rearing practices (e.i. "every millennial gets a trophy") and more to do with Obama administration disciplinary guidelines ("If there's no consequences for violent behavior in schools, and no suspensions, we've fixed the school to prison pipeline!") Though I suppose it was millennial who voted him in. Not to go off topic...

I honestly think it’s not just one generation. The school administrators enforcing these things are all baby boomers. But a lot of the parents who aren’t teaching their kids that it’s not okay to behave that way are millennials or gen x. But I digress. Glad to pick up the convo in PM or on the pre-also social thread (or maybe a lounge thread).
 
I frequently find myself utterly shocked at the way my classmates are willing to act with regards to school. Between their hostile tone re: questions and skipping mandatory lectures to literally play video games in the lounge directly adjacent to the classroom, it's a wonder that more of them aren't in some form of trouble (or they are and I just don't know it, who knows).

The divide between students with / without full time work experience or other serious responsibility is immeasurable

If you learn one thing in the preclinical years - it’s that mandatory lecture is code for useless lecture.

Dodge, duck, dip, dive, & dodge, bro.
 
If you learn one thing in the preclinical years - it’s that mandatory lecture is code for useless lecture.

Dodge, duck, dip, dive, & dodge, bro.

I don't disagree, but at least have enough respect to not rub it right in the instructor's face.
 
it’s that mandatory lecture is code for useless lecture.

I would literally pay 10k more a semester if they would just let me sit at my desk for long periods of uninterrupted study time without making me get up multiple times a day to attend stupid crap. Example, this 3 hour rural medicine sales pitch I am being forced to sit through right now.

I don't disagree, but at least have enough respect to not rub it right in the instructor's face.

Yep, just keep calm and Anki in the back.
 
I would literally pay 10k more a semester if they would just let me sit at my desk for long periods of uninterrupted study time without making me get up multiple times a day to attend stupid crap. Example, this 3 hour rural medicine sales pitch I am being forced to sit through right now.



Yep, just keep calm and Anki in the back.

The DO push for PCP DOs. Welcome to the shietshow that’s known as the DO sabatage for you to get low board scores and scramble to primary care.
 
I would literally pay 10k more a semester if they would just let me sit at my desk for long periods of uninterrupted study time without making me get up multiple times a day to attend stupid crap. Example, this 3 hour rural medicine sales pitch I am being forced to sit through right now.

This sounds amusing. Care to summarize?
 
The DO push for PCP DOs. Welcome to the shietshow that’s known as the DO sabatage for you to get low board scores and scramble to primary care.
That seems pretty sensationalist...I wouldn't say they're purposely sabotaging their students. The whole "never attribute to malice was can be attributed to stupidity" adage seems to apply best. I hate some of the crap that some schools pull just as much as the next guy, but it isn't sabotage just stubbornness to change the way they do things.

Secondly, most schools are in (more) rural areas and have a mission to try to get docs to stay in the areas they are. If you didn't know that being a DO meant a much much higher chance at primary care that's on you for not doing your research prior to applying.
 
Secondly, most schools are in (more) rural areas and have a mission to try to get docs to stay in the areas they are. If you didn't know that being a DO meant a much much higher chance at primary care that's on you for not doing your research prior to applying.

Ummm nooooo most folk go to DO schools because the M.D. shops won't take them for whatever reason and they don't want to go Caribbean just to have the letters M.D. It's not at all about primary care vs. specialization and actually making a decision about where you should go based on your career goals, it's about getting a seat when the music stops. That's it. Eliminating all the B.S. and layers of philosophy and the usual forum nonsense, that's the essence of the matriculation hunger games. Practical reality.
 
Ummm nooooo most folk go to DO schools because the M.D. shops won't take them for whatever reason and they don't want to go Caribbean just to have the letters M.D. It's not at all about primary care vs. specialization and actually making a decision about where you should go based on your career goals, it's about getting a seat when the music stops. That's it. Eliminating all the B.S. and layers of philosophy and the usual forum nonsense, that's the essence of the matriculation hunger games. Practical reality.
I'm not saying people don't go DO because they don't have MD available. Most people want to be doctors first, hell I'm in that boat. Also your reply really doesn't address at all what I said. What people can do to have a choice based on their career goals, is improve their application in several ways or just do better in the first place. SMPs are always an option, research, etc. If their career goals are lofty, then that's what you have to do. There is no short cut. As soon as you sign up for DO, you have to either adjust your vision of what you wanted to be, or suck it up and bust your a** more than anybody else to even have a chance
 
Also your reply really doesn't address at all what I said.

I addressed what you said. You said if you didn't want to be primary care you should have thought of that before applying Do. I'm paraphrasing but that's exactly what you said and what you meant and you fair well know it. Don't talk around in circles trying to walk it back.

Done with you.
 
I addressed what you said. You said if you didn't want to be primary care you should have thought of that before applying Do. I'm paraphrasing but that's exactly what you said and what you meant and you fair well know it. Don't talk around in circles trying to walk it back.

Done with you.
You seem irrationally upset with this. Sorry to ruin your Sunday. I'm not trying to walk anything back at all actually.

And yes that is what I said and my argument makes a lot more sense than yours, you have to be resigned to the possibility of being in primary care if you go DO. There is nothing false about this statement. Have a nice weekend
 
That seems pretty sensationalist...I wouldn't say they're purposely sabotaging their students

Sometimes I put on that tinfoil hat I’ll be honest, usually when there is a 3 hour mandatory thing the Friday before a massive exam. Obviously don’t really believe it but sometimes I definitely wonder.
you have to be resigned to the possibility of being in primary care if you go DO.

I would say that statement is false but for different reasons. There are lots of non-competitive specialties that take DOs, and only the very bottom of the barrel are the ones truly forced into PC.
 
Sometimes I put on that tinfoil hat I’ll be honest, usually when there is a 3 hour mandatory thing the Friday before a massive exam. Obviously don’t really believe it but sometimes I definitely wonder.


I would say that statement is false but for different reasons. There are lots of non-competitive specialties that take DOs, and only the very bottom of the barrel are the ones truly forced into PC.
Well and beyond that, if you're a DO but land a decent IM residency and do well its not that hard to get a fellowship. So from the school's match perspective it looks like you're primary care but it doesn't have to end there
 
Sometimes I put on that tinfoil hat I’ll be honest, usually when there is a 3 hour mandatory thing the Friday before a massive exam. Obviously don’t really believe it but sometimes I definitely wonder.


I would say that statement is false but for different reasons. There are lots of non-competitive specialties that take DOs, and only the very bottom of the barrel are the ones truly forced into PC.
I guess I generalized too much. The SDN mindset got me haha the classic 'ortho vs PCP' and nothing in between. 3 hour mandatory thing before an exam is rough...I hope it was at least a helpful thing
 
Sometimes I put on that tinfoil hat I’ll be honest, usually when there is a 3 hour mandatory thing the Friday before a massive exam. Obviously don’t really believe it but sometimes I definitely wonder.


I would say that statement is false but for different reasons. There are lots of non-competitive specialties that take DOs, and only the very bottom of the barrel are the ones truly forced into PC.
we had 6 hours of mandtory attendance for an unrelated thing the friday before two exams as well. Scheduling incompetence/insensitivity is not a DO only trait its a medical education trait .
 
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I hope it was at least a helpful thing

Nope lol, but it is what it is.

we had 6 hours of mandtory attendance the friday before two exams as well. Scheduling incompetence/insensitivity is not a DO only trait its a medical education trait .

Oh I know, it’s just fun sometimes to put on the tinfoil hat as I vent.

Often I feel like I’m combating my medical school because I’m trying to learn medicine and they are wanting me to learn random stuff like how to put together a wheelchair and how to properly use a cane. Don’t even get me started on the time I had to go shadow an NP for 3 hours... Many of the people I know at MD schools have the same complaints so I know it’s not just a DO issue.
 
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