This is the actual evaluation that I submitted for my chief resident while on my 3rd year surgery clerkship. Nothing has been changed whatsoever. I was browsing through my comments today and happen to come across it. This asshole’s name has been removed for obvious reasons. He did, however, know who the evaluation was from at the time of submission.
Typical surgeon mentality, he fits the bill well. Mad at the world because you lost a fellowship? Pissed because, well, your life really just sucks and you know it? After experiencing this rotation, I have to say that I hate surgeons. I would never, ever choose to work with them on a daily basis. My core surgery month was perhaps the worst month of my life. OB/GYN is a close contender.
I was told the following by Dr. XXXXX on day 2 of the rotation: “No independent thoughts, no independent actions.”
Well, I took this to heart and would not do anything unless specifically told (note: I was never asked to do anything, I was always told to do it). This meant not showing up for cases unless I was specifically told to do so. As expected, I was reprimanded by Dr. XXXXX for not being in the OR during a case. No independent thoughts, no independent actions: You didn’t specifically tell me to be in the OR during the case therefore I am not to think independently nor act independently. You reap what you sow. I didn’t want to be your retractor bitch anyway, so I win.
I’ll end this with a quote:
“Surgeons have little lenses attached to their glasses in the OR; it gives them a narrow view of the world. At least they wash their hands.” -Michael Gregor, M.D.
Sums it up well, I think.
This asshole is now an attending somewhere unknown to me “living the dream.”
I finished my last patient care rotation today. As alluded to in a recent post, I was doing a critical care rotation in the Shock-Trauma ICU. Holy shit, I’m glad that’s over. They even gave us tomorrow off. It’s a really awesome feeling to know that I wrote my last patient note and saw the last patient that I’ll ever see today. While rounding this afternoon, I checked off the patient names as we went down the list.
Now all that’s left is what I call “filler rotations.” You know, the electives that are classroom based with no patient interaction and you’re always home by noon. I can’t wait.
Based on my observations over the last month, I’ve come to a few conclusions. First, there is no doubt that the patients in the STICU are very sick – and I don’t particularly care for sick people. Second, most of the patients in the STICU are there because of their own stupidity. Sure, there are very sick innocent people in the STICU but they are generally the exception to the rule.
Here are some scenarios for a “stupid” STICU patient:
I grabbed this from the SDN forums and wanted to post it here just in case you guys haven’t seen it yet.
From the Journal of Medical Economics:
“I’m frustrated and disillusioned,I do not know one single M.D. who is happy right now, and many are actively looking for a way out. The system is all very broken. But the health plans, the insurance companies, are all more solvent than ever.”
-Dr. Patrick Lyden, UCSD Department of Neurology
“I love being a physician, but practicing medicine is extremely frustrating when I never know how much my charges will translate into actual dollars. Medicine used to be about helping people. Our system of fragmented care is broken. It’s time for the big overhaul.”
-Patricia M. Martin, MD
“I’m a practicing board-certified internist, and over the past 25 years I’ve seen catastrophic changes to the practice of medicine in the state of Pennsylvania. Even the busiest physicians have found it impossible to keep up with their monthly costs. Overhead continues to rise at exponential rates and our reimbursement continues to fall. This explains why so many physicians have fled the state. Nevertheless, at 50 years of age with an established practice, and a family devoted to remaining in this area, I struggle to enhance the finances of my practice, while finding it more and more difficult to succeed.”
-Ronald M. Block, MD
Medical Economics, Sept 2, 2005 v82 i17 p8(1)
When I was a first and second year medical student, we had to attend a crappy â€œclinical medicineâ€ course. Ninety percent of the time, there was nothing about â€œclinical medicineâ€ to be found anywhere. Instead, we would sit around in a big circle with a group of 10 or so of my classmates and talk about pure shit.
Basically, hereâ€™s how it would work: Some goody-goody type question would be posed to the group. The question would usually be of the variety where you wouldâ€™ve sworn that a liberal tree-hugger just died and went to heaven. Something like â€œhow would that make you feel?â€ Or, better yet, â€œwhat scares you most about doing your first pelvic exam?â€ Holy shit, I didnâ€™t know if I was going to get out alive.
Yep, just in time for residency folks. Pack this one away in your overnight bag so you’ll have something without puke and piss on it to wear home. You’ll be post-trauma day 1 status-post scut-filled night of bliss and everyone will know.
Truly proud to be post call? Good for you. Wear this one with pride.
I thought I’d create my own t-shirt design, which showcases my post-call pride a little more accurately. Yes, I’m proud. Proud that I don’t give a fuck.