By Richard L. Cohen
This ebook is set how younger physicians adventure education as scientific experts. a lot realization is now being attracted to the stresses of publish graduate clinical schooling, their power detrimental influence at the qual ity of sufferer care, and the way during which those stresses effect the pro and private improvement of the physicians concerned. the full concentration of this booklet is at the firsthand event of fifty two such physicians enrolled in sixteen diverse scientific area of expertise education courses. as the review of tension is basically a subjective one, i've got elected in the course of the conception and the cognitive professional to strategy the query cesses of the trainees themselves. THE medical professionals The "subjects" of this paintings are fifty two younger physicians who volun teered to be interviewed confidentially and anonymously throughout the 1986-1987 educational 12 months. They signify the specialties of anesthesiol ogy, medical pathology, dermatology, emergency medication, kinfolk prac tice, basic surgical procedure, inner medication, neurology, neurosurgery, obstetrics and gynecology, ophthalmology, orthopedic surgical procedure, oto laryngology, pediatrics, psychiatry, and radiology.
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I've been to the chief resident about some of my problems, but I didn't get very far. His priority is to make sure everything gets done. He just changed the subject and deflected what I was saying. I can't say that he is 30 CHAPTER 3 terribly interested in the house officers' welfare. What this program should have is a chief resident who puts a higher priority on helping house officers who are starting out or a junior faculty member to do this. I think some of the people are using too much alcohol to handle the stress, and I'm probably one of them.
The private attending should be, but often he's not, he's just not on top of the case. He's not around enough. And he wants to go along with the consultants, but they don't agree, so the house officer is in the middle. It can be very frustrating. You want somebody to take control, and they won't let you do it. It takes a lot of your time. Eventually, you have to force the attending to make a decision. You sometimes feel like it's the commodities market-you've seen that on TV-with everybody standing up and screaming to get attention.
It's especially tough in the ER, where you're working pretty much alone. On the inpatient units, the attendings and the social workers handle a lot of this stuff with the parents. " One house officer agreed that he had been fairly critical of parents who gave him a hard time until his own child became sick. He went on to say, My wife and I were absolutely frantic. I was a total wreck. We bothered people a lot and probably made pains out of ourselves. I never fully appreciated this before. Now, I react to parents differently as a result of that experience.
House Officer: Becoming a Medical Specialist by Richard L. Cohen