Tuesday, May 13, 2014

Wind Down

The final weeks of intern year are coming to a close. The reality of being a senior resident is starting to settle in. Talking to other seconds years, they common theme seems to be that the transition from intern to senior is tougher then med student to intern. I'm having a hard time fathoming this, but it just might be true. Even more responsibility, even more to know, and more people looking to you to make a decision. With the new format of 2 interns and 1 resident, that means there been less hands on and even more managerial responsibilities. Granted, it will be with fresh medical students. Those little doe-eyed youth have no idea what they are about to experience. Now there will be two. And since I'll most likely be starting on a general medicine service, I'll be in the middle of it. Help us all.

This might be my moment to vent about my incredibly lazy senior resident. This is the guy who comes in on the first day of service to let me know that I'm almost a senior resident and that I should be able to handle the service on my own. Translation: I'm really lazy and I'm probably not going to do a lot of work, but I'm going to pretend that this is a "learning" experience of the intern. And he has lived up to his reputation. He will only write the notes demanded of him by law. He presents none of the patients, so in the end, I still have to look up all the information so I know what's going on. He takes off for hours at a time. He makes "suggestions", expecting me to put in the orders and follow-up with the consultants. He sits back during rounds, with his little smug smile, while sitting back silently throughout the process. Put it this way, when he has clinic, the service is essentially the same; I'll still do all the work. He doesn't have a malignant personality that some other residents have, but the laziness is brutal. Two more weeks. I'll have to remind myself to not be such a self-righteous prick when I'm in that position. The saving grace is that I'm at Abington, where the consultants are happy, the radiology images get done promptly, and the social workers actually get patients out. Bless private practice medicine.