family practice issues and general life events

Posts tagged ‘hospital’

The beginning of the new year

July is the beginning of the new year, well in medicine at least in terms of training.  (while in some instances the training year might start the middle of June, July is the common cut off point)  Nursing schools start their new programs, medical schools start the rotations, and residencies start their training.

 

If you go to a teaching hospital, in some ways this could be scary.  The “nurse” could just be starting their rotations and a freshly graduated doctor might be the ones giving the “orders”  Well, usually those orders are more like requests, because after 4 years of medical school, while you have the title doctor attached to your name, your true training has begun.  The two years of classes and two years of rotations have nothing on the training that you are about to learn.

 

These newly minted doctors do not have their licenses yet, and cannot practice on their own, so there is another doctor, an attending, constantly looking over their shoulder for the year.  Hopefully understanding, at least initially, and always teaching them.  However, there is never a more watched group of people.  While still in medical school, patients don’t expect much from the student (Sorry to those that are insulted, but from the aspect of the student you are still learning).  However, once that title is attached to your name, you are a doctor, and even though 2 months ago you had the same knowledge in your head, you did not have the same expectations laid upon you.  The newly minted doctor is practicing under someone else’s license and that makes all the difference in the world.

 

There is nothing scarier than the first code you experience as a doctor.  If anyone remembers the first year of the show “Scrubs” where the newly minted doctors were hiding in a linen closet, well that is accurate, at least in that is how many would like to act.  Because a code is stressful, and unlike many other aspects in medicine it is truly life and death, and you are expected to know and command the situation.  At least initially, I stuck to chest compressions, I knew how to do that.  However, as training goes on, you have to learn to lead, to command, to be a physician.

 

The year is scary, it is stressful, and yet, I don’t think there was any year of my life which I learned more.  It is a necessary trial by fire, because in three short years, you will no longer have backup, those patients become your patients.  And they are all looking to you.  So good luck, new residents.  Take advantage of the learning experience.  Live the “See one, do one, teach one,”  mantra.  After all people will be looking to you in the future to continue the grand tradition.

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Construction the hard way

Our local hospital is undergoing construction to remodel the ER to meet federal guidelines.  Simple enough concept in itself, and something you think would have involved some thought and planning.  This is not saying that there was not any thought on the part of the architect, but more thought on how to decrease the effect on actual patient care.

When I walked in the front doors, there were arrows on how to get to the ER which was on the completely other side of the building, and whose entrance was blocked. Sounds simply enough, but I saw arrows leading to the ER going in two different directions.  Both ways can lead you to the ER, but one goes through the doctors lounge, or as I discovered when I tried to eat my lunch there, what was formerly known as the doctors’ lounge.  In their defense, I got a memo the next day stating that the doctors’ lounge was now the ER walk through.

When administration was asked, why didn’t you put up construction tunnels to minimize the displacement of patients and inconvenience the remodeling would cause, the looks were that of amazement.  Apparently, that had never even crossed their minds.

In this case, you can almost imagine a bull dozer just showed up one day and  started knocking down entry ways and blocking doors.  It was apparently drive by construction.    I understand that there will always be inconveniences when there is construction, but seriously, some preplanning can decrease it dramatically

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