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guidewire: How to be a good resident?--some thought after faculty meeting
作者:USMedEdu
发表时间:2008-06-13
更新时间:2008-06-13
浏览:1209次
评论:2篇
地址:10.
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发信人: guidewire (guidewire), 信区: MedicalCareer
标 题: some thought after faculty meeting
发信站: BBS 未名空间站 (Fri Jun 13 09:14:43 2008)

I just finished my last faculty meeting in my hospital as a chief resident.
we discussed the performance of all the residents individually, the
evaluation is from all perspective.

The things attendings concern about are basically the academic performance,
how do that resident interact with attending, we had an intern was criticized
for being timid, cause when he saw the attending in the hallway, instead of
say hello, he just took a detour and run away. attending does not know your
day to day activity, so they depends heavily on chiefs opinion how the
resident function.

So make sure your chief likes you, it can make huge difference. we have an
intern may not be able to advance next year if I did not fight for him, telling
everybody how hard he is working and how good patient care he provides. so
the final decision is to advance him but keep close eye on him next year.

The very important thing is patient care, to be good knowledge wise,
technically and get work done are not enough. all the attending voice their
concern about the incoming chief, who is a very bright guy, with excellent
knowledge, and good leader, hard working and efficient. but, not having too
much patient toward the patients and family. in other words, he cares the
disease more than patients. that is bad. I can see the attendings are
worried.

It is really important to care about patients and treat them equally and with respect, no matter what their social economical status is. never argue with
patient no matter how much they offend you. it is really bad if you get complains from the patient or from the family.

--

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共有2条评论
1   [dokknife 于 2008-06-13 17:46:56 提到] [FROM: 10.]
在各职业行业里,临床医学住院训练尤其外科、EM是最TOUGH接近MILITARY训练的。
作为住院,你就要接受和忍受很多的、来自各方面的ABUSE--当然,过分的,非礼的
如SEX HARASSMENT等除外--要能忍受。一般过了第一年尤其头半年,以后日子会好
过的多。

要和任何人从ATTENDING到护工,尤其你的CHIEF/SENIOR以及同班,无论如何要搞好
关系。
 
2   [dokknife 于 2008-06-13 10:54:25 提到] [FROM: 10.]
发信人: dokknife (力刀_麦地辅导员), 信区: MedicalCareer
标 题: Re: some thought after faculty meeting
发信站: BBS 未名空间站 (Fri Jun 13 10:48:43 2008)

这都是肺腑之言,千真万确绝对需要新进住院的CMG注意和警惕的。

我现在每个月或2-3周都有一个住院跟我某专业轮转SIGN OUT CASE,轮转完毕,立
即系里有电子信件评估表格自动送来要求对其轮转表现评估,每月的FACULTY MEETING
上,
大家都要谈某某住院表现如何。

确实,作为ATTENDING我们不会太在乎你知识如何,聪明与否,但最CONCERN的是1。
责任感;2。认真与否;3。COMMUNICATION--与ATTENDING、PEERS、STAFF,临床接
触病人的当然最重要的是与病人和家属的。第一年尤其前3-6个月,你就是笨,很SLOW,
没有关系,会被理解和允许和接受,但前面这几点,你无论如何要做好,任何一条
出格,你就是犯了很危险甚至致命的错误--对己、对病人!

时刻挂在嘴上的三句话:
YES, SIR!
I'm sorry, I apologize.
Thank you! Greatly apppreciate!

另外强调一点:对于CMG尤其重要的是:如果你的科室有CMG ATTENDINGS, 你更要
注意和懂得如何尊重和与CMG ATTENDING的交流--任何时候(指在医院里),他无论比
你年长还是年少得多,甚至在国内时曾是你的小师弟/师妹、现在在临床上他则是你
的老师和上级,对此没有任何或半点疑惑的,你必须要毕恭毕敬,有令必从。哪怕
你们曾是铁哥们,平素在一起可以喝酒踢球打牌笑骂,但在ACADEMIC场合和环境,
一切必须按PRO方式行事!任何不恭敬的念头和言行都是要不得和致命的!
--

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