I can't even conceive of how someone would make it to a sub-i with that type of behavior. Is it just playing the system? Is it possible for people to force their way through med school without ever trying hard? Seems impossible. Like maybe she has always been so oblivious that people don't want to hurt her feelings? Hmm. I hope I do not become this med student
) I don't know what to do with her. I have since finished my rotation and am now at another facility. The intern who has her now is ready to strangle her. She is now starting to point out the intern's and resident's deficiencies to the attending. She actually told the attending that the intern's notes are not as thorough as hers are! He has 10-12 patients to her 2-3, plus has to follow up on all of her stuff! This lady definitely has problems. I care about my students and want to see them do well, but this situation is a little incomprehensible to me. I have never been in a situation where my input could lead to someone's failure, but I am not sure if she should be allowed to pass this rotation. I feel bad for her, but at the same time, I don't feel as if she is ready to be an intern.
This girl actually failed her third year medicine clerkship and was made to repeat it during her "vacation time" this year. From what I hear, she got a straight Pass on the repeat. She is barely squeaking by on this rotation. I know that my attending and senior resident had a conference with her this past week, along with her clerkship director, to discuss her performance. It turns out that she also had to repeat part of one of her other third year rotations. I think that they are just trying to push her through to graduation because of the massive debt that she has now accumulated (she repeated at least one year of medical school). She just doesn't get it. There have been several instances of her "forgetting" to put orders/notes on charts. She cries all of the time. I was at the desk writing prescriptions when she came up to me, threw a ton of paperwork at me and told me to help her out by getting this stuff on the chart before the attending found out and killed her. She was crying and just ran off. I was just stunned! I put the paperwork on the charts for her and I tried to talk to her later. She told me that she had to get back to a particular state, which is very competitive for residency, and that no one seemed to care about giving her a good grade to help her do that. I looked over the list of programs that she is applying to and she has only applied to top notch programs, which are very likely to reject her based on her academic performance. She got mad at me when I suggested that she apply to some lower tier programs in that region, that are of good quality, but more within her reach. She accused everyone of sabatoging her because she is an older, nontraditional student. Once again, I tried to talk to her about the importance of putting paperwork on charts, not getting her patients confused, making sure that she followed up on essential studies, etc. Her response was, "I do all of that." She doesn't. She has no concept of organization. My resident told her to do an H and P around 5 PM one night and she hadn't even started it after 8 PM. This would have only made her 2nd patient as the attending didn't allow her to care for more than 3 patients at a time because she didn't think that this student could handle them. It wasn't like she was tied up with anything else and had an excuse not to get started on this patient. I was in the process of transferring a cross-cover patient to the ICU and happened to notice her on the floor, walking around with her coffee cup and talking to fellow students. I got paged at 8PM by my senior and was told to find her and help her do the H and P because she hadn't started on it yet. I paged her and made her come to the ICU to get started. I went into the room with her and interviewed the patient and got the information that I needed. She then asked me if I could write the H and P for her since I obtained most of the information! I told her that she was there and heard the same stuff that I did and she needed to take care of this. She started crying and told me that I was being unfair. I wrote her orders for her and went over the plan of care. She did not finish that H and P until around 11 PM!
This girl actually failed her third year medicine clerkship and was made to repeat it during her "vacation time" this year. From what I hear, she got a straight Pass on the repeat. She is barely squeaking by on this rotation. I know that my attending and senior resident had a conference with her this past week, along with her clerkship director, to discuss her performance. It turns out that she also had to repeat part of one of her other third year rotations. I think that they are just trying to push her through to graduation because of the massive debt that she has now accumulated (she repeated at least one year of medical school). She just doesn't get it. There have been several instances of her "forgetting" to put orders/notes on charts. She cries all of the time. I was at the desk writing prescriptions when she came up to me, threw a ton of paperwork at me and told me to help her out by getting this stuff on the chart before the attending found out and killed her. She was crying and just ran off. I was just stunned! I put the paperwork on the charts for her and I tried to talk to her later. She told me that she had to get back to a particular state, which is very competitive for residency, and that no one seemed to care about giving her a good grade to help her do that. I looked over the list of programs that she is applying to and she has only applied to top notch programs, which are very likely to reject her based on her academic performance. She got mad at me when I suggested that she apply to some lower tier programs in that region, that are of good quality, but more within her reach. She accused everyone of sabatoging her because she is an older, nontraditional student. Once again, I tried to talk to her about the importance of putting paperwork on charts, not getting her patients confused, making sure that she followed up on essential studies, etc. Her response was, "I do all of that." She doesn't. She has no concept of organization. My resident told her to do an H and P around 5 PM one night and she hadn't even started it after 8 PM. This would have only made her 2nd patient as the attending didn't allow her to care for more than 3 patients at a time because she didn't think that this student could handle them. It wasn't like she was tied up with anything else and had an excuse not to get started on this patient. I was in the process of transferring a cross-cover patient to the ICU and happened to notice her on the floor, walking around with her coffee cup and talking to fellow students. I got paged at 8PM by my senior and was told to find her and help her do the H and P because she hadn't started on it yet. I paged her and made her come to the ICU to get started. I went into the room with her and interviewed the patient and got the information that I needed. She then asked me if I could write the H and P for her since I obtained most of the information! I told her that she was there and heard the same stuff that I did and she needed to take care of this. She started crying and told me that I was being unfair. I wrote her orders for her and went over the plan of care. She did not finish that H and P until around 11 PM!
This girl actually failed her third year medicine clerkship and was made to repeat it during her "vacation time" this year. From what I hear, she got a straight Pass on the repeat. She is barely squeaking by on this rotation. I know that my attending and senior resident had a conference with her this past week, along with her clerkship director, to discuss her performance. It turns out that she also had to repeat part of one of her other third year rotations. I think that they are just trying to push her through to graduation because of the massive debt that she has now accumulated (she repeated at least one year of medical school). She just doesn't get it. There have been several instances of her "forgetting" to put orders/notes on charts. She cries all of the time. I was at the desk writing prescriptions when she came up to me, threw a ton of paperwork at me and told me to help her out by getting this stuff on the chart before the attending found out and killed her. She was crying and just ran off. I was just stunned! I put the paperwork on the charts for her and I tried to talk to her later. She told me that she had to get back to a particular state, which is very competitive for residency, and that no one seemed to care about giving her a good grade to help her do that. I looked over the list of programs that she is applying to and she has only applied to top notch programs, which are very likely to reject her based on her academic performance. She got mad at me when I suggested that she apply to some lower tier programs in that region, that are of good quality, but more within her reach. She accused everyone of sabatoging her because she is an older, nontraditional student. Once again, I tried to talk to her about the importance of putting paperwork on charts, not getting her patients confused, making sure that she followed up on essential studies, etc. Her response was, "I do all of that." She doesn't. She has no concept of organization. My resident told her to do an H and P around 5 PM one night and she hadn't even started it after 8 PM. This would have only made her 2nd patient as the attending didn't allow her to care for more than 3 patients at a time because she didn't think that this student could handle them. It wasn't like she was tied up with anything else and had an excuse not to get started on this patient. I was in the process of transferring a cross-cover patient to the ICU and happened to notice her on the floor, walking around with her coffee cup and talking to fellow students. I got paged at 8PM by my senior and was told to find her and help her do the H and P because she hadn't started on it yet. I paged her and made her come to the ICU to get started. I went into the room with her and interviewed the patient and got the information that I needed. She then asked me if I could write the H and P for her since I obtained most of the information! I told her that she was there and heard the same stuff that I did and she needed to take care of this. She started crying and told me that I was being unfair. I wrote her orders for her and went over the plan of care. She did not finish that H and P until around 11 PM!
