Notes

Everything You Wanted to Know About TOP QUALITY RESIDENCES and Were Too Embarrassed to Ask
Every medical student is a bit apprehensive when he/she knows they will be assigned a new resident. The same questions always come up...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 most of his/her progress notes? And maybe most importantly, will they i want to leave early to review for boards or benefit from the occasional night out? Following a year . 5 of clinical rotations in various hospitals throughout NYC, I have 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 like to have freedom and 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 escape the hospital to review. This resident is almost always cognizant to the fact that the medical student does NOT want to sort out lunch to finish a progress note that should be done by the resident in the first place.

I have also noticed that this sort of resident is usually more efficient and smarter than his/her colleagues. He/she has the capacity to get their work done with out a medical student, therefore doesn't have to rely on him for help. Since this resident is normally smarter than 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 help him/her out because of their teaching and knowledge of the medical student's role.

The Horrible Resident
On another extreme of the spectrum may be the resident which makes the student think that if you don't work longer and harder compared to the resident, then you will ultimately be a horrible doctor and unworthy of the 'MD' degree. The darkest of these types of residents will even 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. Because of this if you eat lunch before finishing scutwork for him/her even though you're about to pass out from hypoglycemia, you're 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, even though you were only an observer through the procedure. And for your information, it will always be your fault, thus it is easier never to argue and merely accept the blame and state that you will never do it again.

This type of resident can either be smart or not so bright, but one thing is always true, their notion of 'teaching' is very misconstrued. They believe making the medical student call another hospital to obtain medical records, or calling the principal care doctor regarding a patient they know nothing about, falls beneath the group 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 a few of his work for me to perform. He would ask me to get an ABG on his patient with respiratory distress, and then 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 place an NG tube. Thus, I have to thank that resident for being a negative teacher and leaving me to learn things on my own.

The Okay Resident
The last kind of resident is markedly different than others, but sometimes has traits of both extremes. I really believe the primary problem that undermines this resident is they aren't aware of the truth that the student has needs such as going to the bathroom and eating. They tend to forget that the student actually exists and is more than just a fly following them around. This resident is not directly vicious (like the 'horrible resident'), it's that they are usually too overwhelmed during the day and just don't know how exactly to make use of the student effectively. rumawip bukit jalil This results in 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 basically because they don't discover how to manage their time appropriately so when needed, require help from the medical student. I have met quite a few of these residents which are very smart, it's that they are usually thorough with their patients, which doesn't allow any time for them to consider how to have the student interact. From my experience, it appears that their strict focus on details is due to their paranoia of making a mistake 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.
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