"Regardless of our age, gender, or student loan debt, doctors have all taken an oath. An oath promising to value and respect human life, do no harm, maintain confidentiality and ultimately do what is best for patients and our community.
So the next time a young doctor walks into the room, give her the benefit of the doubt. She may be 20-something, driving a 2000 Toyota, with half of her paycheck paying off student loan debt. If you look hard enough you may see the “age lines” she and the next generation of young doctors acquired through the many sleepless nights and delayed gratification invested in taking care of you and your loved ones.”
-Dr. Aunna Pourang, Family Medicine from www.kevinmd.com
Great read. I feel like people often have very misconstrued notions about what it’s like to be a doctor these days. I’m not complaining, but the reality is often very different than what people believe.
"I know I raise my game when I work with residents and students. They make me better — even now, after all these years.
I can’t prove it: clinical expertise doesn’t lend itself easily to objective measurement, much less controlled trials. (If I could prove it, I would ask patients to give informed consent for admission to the nonteaching service.) But I know it as surely as I remember Mrs. J. in Chicago, whose severe pernicious anemia explained her dyspnea until my intern heard the diastolic rumble I had missed; and Mr. R. in Manhattan, whose raging illness stumped me cold until my resident taught me about familial Mediterranean fever; and Mrs. K. in Rochester, whose near-fatal drug addiction remained undiscovered until my medical student made the effort to bond with her family. Patients’ stories are clinicians’ lifeblood and conscience; they make us who we are. Shouldn’t I tell Mrs. A. who I am? How my student doctors can help her, too?”
-Brendan M. Reilly, M.D.
N Engl J Med 2014; 371:293-295July 24, 2014DOI: 10.1056/NEJMp1405709
There are many times that I have seen patients that do not want to see students. I disagree, I would rather be on a teaching service, so that you have more eyes on you. Attendings “step up their game” when they have to teach. And for me, teaching someone else reassures me that I know what I am talking about. It’s true, medical students are naive and residents, the same. But in training, you are forced to think of differential diagnoses that one may forget about or not think about.
Missouri Governor Jay Nixon has signed into a law a bill that makes it legal for medical students who have not yet completed a year of residency to work as “assistant physicians” within the state, delivering primary care services with 10 percent of their work reviewed by a physician.
I disagree with this. Residency is invaluable in teaching people how to be doctors. Looking back to myself as a 4th year medical student and now as a resident, it’s amazing to see how much I have learned while under supervision. Practicing medicine without a residency is scary and likely dangerous.