Siempre Tango

What Makes a Bad Medical Student?

Anna Burkhead -- Residents on “core” services such as Internal Medicine, Surgery, and OB/GYN work with a lot of medical students. Since their schedules don’t always entirely line up with students’ schedules, they may work with a new student as often as every 1-2 weeks, or as long as a month, for every year of their residency.

That’s a lot of medical students! And as much as I would like to believe that all of the students are stellar in knowledge, dedication, and attitude, I know it is not true.

I would venture to guess that most of the medical students reading this entry have been told by a resident or attending at some point that they are “good” students, or that their work has been “excellent”, or their write-ups “outstanding”. It’s easy to praise someone to their face. It’s not as easy to tell them they’re doing a bad job. Therefore, if you’re a “bad” medical student, you may not know it until you get your evaluations back. And at that point, it’s too late to change.

(At this point you may be asking yourself, “If I’ve never received any true positive feedback face-to-face, does that mean the residents have only negative feedback for me, and that I’m a ‘bad’ medical student?” Hmmmm….)

I’ve asked a few residents to give me a few tips, and I’ve compiled a list of things that make a medical student “bad”:

-#1 overall = BAD ATTITUDE. If you balk when your intern asks you to write the note on your patient for that day, or if you repeatedly say no to scrubbing in on late afternoon OR cases, you may be a bad medical student.

-Disappearing for extended periods, multiple times per day, to read or nap or goof around. I’m not saying you need to be married to your team, but make them aware you’re available and willing to help.

-Not appearing interested. Even if you detest surgery, or if you’d rather poke yourself with a MRSA-flavored fork than interview a manic patient, try to make a conscious effort to look engrossed. This may be as simple as altering your resting facial expression.

-Correcting your resident on rounds, or its extreme variant, “The Reverse Pimp”. Some medical students get so bent out of shape over being asked difficult “pimp” questions that they decide to try the “taste of your own medicine” routine. If you ask your resident or attending a question that is fact-based, a picky detail, or something that you’d find in a long paragraph of your basic science book, and you don’t ask it in a curious “I’m asking because I don’t know” manner, you may be a Reverse Pimper. Steer clear.

The above are just a few characteristics of “bad” medical students; there are countless others. Take a glance at the column “How May I Help You?” and think of the opposite.

My last point is this: even if you’re not the smartest 3rd year ever to don a short white coat, never fear. Not knowing answers does not make you a bad medical student. Attitude and work ethic count for a lot!

(Disclaimer: In no way am I claiming to be the polar opposite of a “bad” medical student, that is, a “perfect” medical student. Just sharing observations and solicited advice :) )

March 15, 2008 in Anna Burkhead | Permalink

 

在醫院仍舊得熱愛不是很想去做的事情

再討厭也要面帶微笑去執行

這就是人生呀!!

 

 

 

 

意外在網路上發現這篇94年的實習醫師意見說明會紀錄

想不到三年前的建議 到現在仍舊沒有太大改變

萬芳ECG從九樓到十一樓 只多了一台 

開單的問題仍舊沒有解決

primary care到現在仍然做不到  只是綁手綁腳的寫note 

北醫那邊  三年前就反應讓實習醫師開單 但是到現在 一樣的問題一再反映 卻沒有人付出行動有所改善

 

看看那些在上位者的回答 及老秘書無俚頭亂入的臨時報告

 

這兩家醫院在醫學教育上似乎沒有所謂的制度可言

 

從以前就反應過R3 R4對intern的冷漠態度    與台大相較起來

明明每年都有機會在實習開始前有所計畫 改變  卻再次實習結束前得到相同的意見反映

邱院長能不斷讓萬芳醫院升級 維持center的地位  醫院業務 及形象或許都做的很漂亮   可以向世人呈現完美的成績單  

不知道院長今年初獲頒醫療奉獻獎  是否也有對院內的醫學教育有更果決的改革決心

北醫院長也名列請假人員第一位

看來這種意見說明會對當官的人來說 只是每日行事曆上的會議之ㄧ吧!!

 

公關作的好  教育也要兼顧 

 

不然只是空有美麗外表的糖果屋  硬把學生留下來實習 卻未必留的住每個人的心  只會讓學生更認清兩院對醫學教育不求進步的怠惰心態

 

或許應該把這份記錄一併帶到下次的意見反映會議會讓我們更有立場來表達心聲  也上那些只會耍嘴皮的人禁聲..好好用耳朵聆聽

 

北醫大加油吧!!  都升大學了   做事的心態也要更積極些  不然只是閉門造車

 

Aujourd'hui , c'est mon 26ème anniversaire!!! 

Désormais, il n'y aura plus de réduction des prix de trains , des billets de musée et  de cinéma en Europe pour moi....

Mais, autrement dit, je suis  une adulte qui est compmlètement autonome et responsable de la vie.

Quelle joyeuse de vieillir!!! haha

 

 

真的很神奇

闊別十多年 竟然還能找到時幾個人聚在一起 

人長大了 還是認的出臉 

而且

美女 型男一堆

 

發現只聚一晚根本不夠    很想趕快再看到大家

 

跟你們一起度過充實的週末 真棒!!!

最近開始對ED有點厭倦 

看來很多事情 只能在乎曾經擁有

過多接觸 加上身心疲乏  似乎會讓興趣大減

每次大家都搞的比蜜蜂還忙  要多問問相關問題也沒時間  不然就是回答的言不由衷

來匆匆去匆匆  標準的on / off duty

真是對學生的生涯規劃一點幫助也沒有

還是保留當初的新鮮感比較好....

 

兩天密集的訓練課程

到最後考 MageCode的時候 竟然把pulseless Torsades de point 當作一般有脈搏的來想

實在是...

為什麼考試總是剛好考到自己的盲點 

而且還在最不喜歡的那間考試 

好吧 只希望有過啦

學長也說 都花兩個整天了 不考過就太浪費了....

不過感覺在急診比較有機會用到這些東西

到內科 只能當Ambu達人了....

急診 拜拜~~~

 

 

 

奇怪

明明兩天放假

卻老是睡到10點起床

刷牙 洗臉  開電腦上網查信 或是亂逛網站  馬上就吃中飯了

再看個電視  下午一 兩點  本想振奮一下精神唸個書 

打開書本  潛意識馬上就告訴我該睡午覺了

鬧鐘定了也沒用 只是提醒我要賴一下床 昏睡三小時

醒來 傍晚五六點   又開電腦 跟朋友閑聊  晚餐時間不知不覺到來

吃完飯 閑晃  猶豫該不該衝一下去跟前輩學習

結果是跑出去看電影  11點回家

洗澡  刷牙洗臉  為避免醫院緊張生活導致快速老化所以敷個臉 

想說邊敷邊看書  結果周公又來按門鈴了

一天的生活終告落幕

 

真是充實的一天  囧....

我到底做了什麼? @@