The Ugly Truth About TOP QUALITY RESIDENCES

Every medical student is really a bit apprehensive when he/she knows they will be assigned a new resident. Exactly the same questions always appear…will the resident be nice? Will they understand my busy schedule? Will they make me execute a ton of scutwork? Will they make me write all of his/her progress notes? And maybe most importantly, will they i want to leave early to review for boards or enjoy the occasional night out? After a year . 5 of clinical rotations in a variety of hospitals throughout NYC, I’ve learned that every resident can fit in to 1 of three general categories.

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

I have also noticed that this kind of resident is usually better and smarter than his/her colleagues. He/she can get their work done without a medical student, therefore does not have to depend on him for help. Since this resident is normally smarter compared to the average bear, they often times times impart unique clinical knowledge to the student. The funny thing concerning this resident is that I am MUCH more ready to do the lowest of scutwork to greatly help him/her out because of their teaching and understanding of the medical student’s role.

The Horrible Resident
On another extreme of the spectrum is the resident which makes the student think that if you don’t work longer and harder than the resident, then you 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 negative evaluation if you are not breaking your back to make their life easier. Therefore if you eat lunch before finishing scutwork for him/her even though you’re about to pass out from hypoglycemia, you are unworthy. This kind 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 rather than the external jugular, despite the fact that you were only an observer during the procedure. And for your information, it will always be your fault, thus it really is easier not to argue and merely accept the blame and state that you will never do it again.

This sort of resident can either be smart or not so bright, but one thing is always true, their notion of ‘teaching’ is quite misconstrued. They believe that making the medical student call another hospital to get medical records, or calling the primary care doctor regarding a patient that they know nothing about, falls under the category of teaching, Therefore, this fulfills their role as a ‘teacher,’ resolving them of experiencing 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 type 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 get 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 become extraordinarily competent on many procedures. I can now do an ABG blindfolded and I don’t need any assistance apart from a nurse to put an NG tube. Thus, I have to thank that resident for being a negative teacher and leaving me to understand things on my own.

The Okay Resident
The last kind of resident is markedly different than others, but sometimes has traits of both extremes. Ki Residences Singapore I really believe the primary problem that undermines this resident is that they aren’t aware of the fact that the student has needs such as going to the bathroom and eating. They have a tendency 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 they are usually too overwhelmed throughout the day and just don’t know how exactly to make use of the student effectively. This results in a medical student that’s 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 group of residents to be not smart, but they don’t get it like many of their colleagues. The point that they are overwhelmed by work is because they don’t know how to manage their time appropriately and when needed, require help from the medical student. I have met quite a few of the residents that are very smart, it’s that they are usually thorough with their patients, which doesn’t allow any moment for them to consider 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 usually better in the healthcare world and their meticulousness is hindering instead of helping.

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