I'm going to turn in to one of those crotchety old physicians that thinks that the younger generation of physicians are a bunch of slack-asses. I can just feel it already. From time to time I have a medical student on rotation for OB/GYN with me. I usually only have 2 or 3 a year, but lately, more and more have been requesting to switch rotations from some other doc to me. I am flattered, really, that the students are having such a good time in my clinic, but sometimes I come across a student that just rubs me the wrong way. Here is a list of what not to do as a student (claiming to want to go into OB/GYN):
~ show up to round at least half an hour after the physician is already there, and a full hour after the time that s/he told you to be there
~ after being late to said rounds, ask "Well, you don't want me to write notes on the patients *now*, do you?"
~ when your precepting physician asks you to pull up a newish drug on your fancy new PDA to check for interactions, do not say "Don't *you* have one of these to look things up?"
~ wander over and play with the newborn kiddo while your precepting physician is repairing a second degree, and trying to show you how to do it.
~ make up a lie about an ailing, possibly dying, relative, in order to get the full week around Thanksgiving off, rather than just being upfront, honest and asking for the time outright.
~ ask your precepting physician for the dosages of medications when writing prescriptions (after s/he has told you several different times, nevermind that you have a fancy PDA to look them up) because "It's easier to ask you than to look it up."
~ near the end of the rotation, when you are well versed in discharge instructions and discharge meds, when the precepting physician asks you to get a patient's discharge ready, do not ignore her/his request, and instead, play with one of the newborn kiddos in the nursery because "She was crying."
~ decline to watch a circ because you've "seen enough of those, already."
This is just a sampling of the smorgasbord of med student miscues during a recent rotation. It really blows my mind (long winded tirade ahead) because when *I* was a student in a large teaching institution, my butt was rounding on patients at 4 in the morning, frantically getting notes written, vitals, and labs pulled before the intern came in to round between 5 and 5 :30 am. You wouldn't dream of getting to the hospital after the intern much less the attending! All discharge orders were skeletonized (along with prescriptions) and tucked in a pocket in the front of the chart in order for more efficient discharges. If (and I do mean if) the attending ever spoke to you directly outside of lecture and asked you to do something, you better have it done before the request was cold in the air! You certainly didn't smart back. Declining to watch *any* procedure? That just didn't happen. Because of the atmosphere in the hospital in which I trained, you functioned as a Sub-I when you were a third year, and really, as a fourth year, you functioned as an intern. I realize that a small community based hospital is going to be cushier, and definitely not as much work as a large inner city hospital. The respect and interest in learning should be the same across the board though. *Sigh*
Okay, you can start reading again. I'm done ranting for now.
In other news, Mr. Whoo is sitting out in the freezing cold woods looking to shoot some poor defenseless animal, CindyLou is watching her 3rd episode of Mickey Mouse Club-house, and I am getting really good at holding my breath when opening the fridge, lest the smell of the food in there make me gag. I really don't think there is anything rotten in the fridge. Mr. Whoo can't seem to smell anything offensive, but I'm gagging just the same. I'd like to know what is going on with this pregnancy, because I'm really not digging the gagginess, but I would gladly take it if it meant that the bean was going to be ok. I have made the decision not to order any further testing on myself, and I will wait until I see a physician in University City and let them diagnose me...hopefully sometime next week. Thank you all again for your kind thoughts, wishes and prayers. You are the best, and I will keep you updated. :)