The Secret of Successful TOP QUALITY RESIDENCES

The Secret of Successful TOP QUALITY RESIDENCES

Every medical student is really a bit apprehensive when he/she knows they’ll be assigned a new resident. The same questions always appear…will the resident be nice? Will they understand my busy schedule? Will they make me do a ton of scutwork? Will they make me write most of his/her progress notes? And maybe most importantly, will they let me leave early to study for boards or benefit from the occasional night out? Following a year . 5 of clinical rotations in a variety of hospitals throughout NYC, I have learned that each resident can fit in to 1 of three general categories.

The Amazing Resident
The first kind of resident is my favorite. He/she is the one which still remembers what it’s like to have freedom no responsibility as a 3rd and 4th year medical student. They recognize that the medical student is strictly there to understand some cool things and see some interesting procedures, then get out of the hospital to review. This resident is nearly always cognizant of the fact that the medical student does NOT want to sort out lunch to finish a progress note that ought to be done by the resident to begin with.

I have also noticed that this type of resident is usually better and smarter than his/her colleagues. He/she will be able to get their work done with out a medical student, therefore doesn’t have to rely on him for help. Since this resident is usually smarter compared to the average bear, they often times times impart unique clinical knowledge to the student. The funny thing about this resident is that I’m MUCH more willing to do the cheapest of scutwork to help him/her out because of the teaching and knowledge of the medical student’s role.

The Horrible Resident
On another extreme of the spectrum may be the resident that makes the student think that if you don’t work longer and harder compared to the resident, you then will ultimately be considered a horrible doctor and unworthy of the ‘MD’ degree. The darkest of these types of residents will taunt the medical student’s worst fears by threatening the idea of giving you a bad evaluation if you’re not breaking your back to make their life easier. Therefore in the event that you eat lunch before finishing scutwork for him/her even though you’re about to pass out from hypoglycemia, you’re unworthy. This sort of resident will berate you if anything goes wrong during their shift. This can include yelling at you for misplacing the central line in the carotid as opposed to the external jugular, even though you’re only an observer during the procedure. And for the information, it will always be your fault, thus it really is easier not to argue and merely accept the blame and declare that you will never repeat.

This kind of resident can either be smart or not so bright, but one thing is always true, their notion of ‘teaching’ is very misconstrued. They think that making the medical student call another hospital to obtain medical records, or calling the principal care doctor regarding an individual they know nothing about, falls beneath the group of teaching, Therefore, this fulfills their role as a ‘teacher,’ resolving them of having to waste their time explaining the reasoning for ordering potassium levels Q4H on the DKA patient.

On the other hand, I must admit that this kind of resident is not entirely bad. I once had a resident that often left the building before me leaving some of his work for me to perform. He would ask me to obtain an ABG on his patient with respiratory distress, and go home while I was in the patient’s room. Although this was incredibly annoying, I did so become extraordinarily competent on many procedures. I could now do an ABG blindfolded and I don’t need any assistance apart from a nurse to put an NG tube. Thus, I must thank that resident for being a bad teacher and leaving me to understand things on my own.

The Okay Resident
The last type of resident is markedly different than others, but sometimes has traits of both extremes. I really believe the principal problem that undermines this resident is that they aren’t aware of the point that the student has needs such as for example going to the bathroom and eating. They tend to forget that the student actually exists and is a lot more than only a fly following them around. This resident isn’t directly vicious (like the ‘horrible resident’), it’s that they are usually too overwhelmed throughout the day and just don’t know how to make use of the student effectively. This leads to a medical student that is bored and zones out because he/she is not engaged and is left to stare at the paint drying on the wall.

I don’t want to generalize this category of residents as being not smart, but they do not get it like a lot of their colleagues. The point that they’re overwhelmed by work is because they don’t learn how to manage their time appropriately and when needed, require help from the medical student. I’ve met quite a few of these residents that are very smart, it’s that they tend to be thorough making use of their patients, which doesn’t allow any moment for them to think about how to have the student interact. From my experience, it appears that their strict attention to details is due to their paranoia of making a blunder and somehow killing a patient. This leads me to believe they have to read Samuel Shem’s books and grasp the theory that less is normally better in the healthcare world and their meticulousness is hindering rather than helping. Ki Residences Singapore

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