Reply: Med School Survivor: 3rd Year (Part C)
thisismehidingfromtheworld asked:
and here’s a real question : how did you survive med school? i’m in my second year and i just want to know how did you survive this thing ;)
Part 3 of a 4-year 4-part reply on “Tips for Surviving 4 Years of (American) Med School” — see disclaimer from Part 1, please!
[Part C of an ever-expanding set of posts about 3rd year…]
Politics: It’s everywhere, whether you like it or not. And as a 3rd-year med student, you will quickly discover that you need to learn to play (if not enjoy) the hospital-politics game. Your efforts at learning who has The Power(tm) in your clinical rotations will pay off in increased learning, slightly less stress, and better evaluations. Here’s some tips on navigating these icy waters:
Be nice to the nurses
-I don’t care how you see doctors treating nurses on TV, but in real life, a doctor (and especially a med student) who is rude to the nurses or treats them like unpaid slaves will soon discover just how miserable their day (and more importantly, their night) can get! Nurses may look all innocent in their optimistically-white outfits, but they have gobs of The Power(tm)!
-Ways to “suck up” politely: Always refer to a nurse by name if you know it; if you DON’T know it, ask! Never act surprised when they display their medical knowledge — they may not have suffered through Biochemistry with you, but they have lots of practical experience! Introduce yourself to them early on, explain that you’re a med student and that you’d love to learn anything they might want to contribute to your education. Offer to help with patient-care issues, especially wound care and dressing changes — the nurses have a lot of wound care knowledge that is not specifically “taught” to us medical students, and this info is priceless in the real world! Bring in treats once or twice (pastries, fruit plates, and gallons of juice or coffee are always big hits).
-BIG NO-NO: Never blame a nurse for a patient-related issue that YOU could have dealt with (i.e. confirming that the lab tests were drawn, repeating a blood pressure when the last BP is suddenly abnormal). They are not your servants or your slaves. Take some responsibility!
(NOTE: These tips also apply to all the other health-care and hospital services that you will encounter: respiratory therapists, physical therapists, chaplains, social workers, food service, janitors, secretaries, unit clerks, the list goes on — we’re all just a bunch of humans walking around taking care of other humans, and no amount of initials on your name-badge gives you the right to disrespect anyone else.)
Be nice to doctors on other services (consultants, specialists, etc.)
-The Lord of the Flies mind-set is an easy one to fall into: It’s US (the attendings, residents and students on your particular rotation) versus THEM (any doctors on the other services in your hospital, the other surgical teams in the OR, the ER doctors or primary-care doctors trying to admit patients to your team, the specialists that you have to consult from time to time). AVOID THIS TRAP: not only can it set the stage for poor patient care (I can recall many times when a patient’s admission, consultation, procedure, or discharge was delayed because the doctors involved were mad at each other and intentionally delaying things just to piss off the other doc), but it can also come back to bite YOU later. You are on 3rd year ROTATIONS — pay close attention to the circular nature of this word. The very resident that you are back-stabbing today may be the same doctor who gets to write an evaluation of you in a future rotation. That 4th year medical student may be a resident on the interview panel in your chosen residency 2 short years from now… with new-found The Power(tm) to repay any slacking or insults you may have provided years before.
Uh-oh: I discovered that a resident or attending with The Power(tm) is a JERK! What do I do?