I have suspected this for sooooo long. And it's not just the same degree of antagonism. The two of them make almost identical leaps/mistakes in logic that I catch from time to time.
You must have a baller ED
Fecal tubes?
Again, you make my point.
), (b) still inexperienced and learning themselves, and (c) a part of the culture of their specialty.
You can get frustrated and rant/vent at times; the difference to me is having a fundamental level of respect for the various fields and their responsibilities.
Turns out unfortunately that a lot of the stereotypes end up being true to some degree - you'll get consults from medicine residents who haven't examined the patient yet but "heard in sign out to consult surgery". Or conversely, you'll get reamed over the phone by the cranky surgery resident for not examining the patient even though they clearly have a surgical problem.
You'll get consults from ortho residents for an asymptomatic BP of 150/90.
You'll get admissions called up by the ED resident who is just trying to turf the patient somewhere before their shift ends.
You'll get a call from a peds resident that inevitably starts with "so we've got this kiddo..."
We all experience these types of things - because the residents on the front lines making and receiving these calls are (a) all overworked, regardless of field (well, except maybe derm
But even though in the minute I hang up the phone I want to strangle the idiotic medicine/surgery/ortho/ER/derm/peds intern...when I take a step back I can recognize the difficulty of their job and respect them for doing it.
No he's defying the stereotype that all surgeons are arrogant, rude jerks without any feelings. Don't let the user name fool you.
That must change when they get out in practice; not a day goes by when one of my patients doesn't complain about their medical oncologist not being very empathic (and we're talking about a wide selection of providers, not just one or two).
As much as we all bitch about it, most of us know better. That's what I always tell medical students on my team: I've rotated on ED, I know sometimes they have no way out, even if the admission is a weak one. Or just because X surgical subspecialty can't manage insulin, at least they're humble enough to admit it rather than go cowboy. We're different specialties and I don't exactly give them advice on how to complete operation Y. Not to mention even if the residents feel comfortable handling it, frequently the attendings don't. We're all stressed and we complain when people give us work, but we *only* do it behind closed doors. To do otherwise is just rude at best.You can get frustrated and rant/vent at times; the difference to me is having a fundamental level of respect for the various fields and their responsibilities.
Turns out unfortunately that a lot of the stereotypes end up being true to some degree - you'll get consults from medicine residents who haven't examined the patient yet but "heard in sign out to consult surgery". Or conversely, you'll get reamed over the phone by the cranky surgery resident for not examining the patient even though they clearly have a surgical problem.
You'll get consults from ortho residents for an asymptomatic BP of 150/90.
You'll get admissions called up by the ED resident who is just trying to turf the patient somewhere before their shift ends.
You'll get a call from a peds resident that inevitably starts with "so we've got this kiddo..."
We all experience these types of things - because the residents on the front lines making and receiving these calls are (a) all overworked, regardless of field (well, except maybe derm
But even though in the minute I hang up the phone I want to strangle the idiotic medicine/surgery/ortho/ER/derm/peds intern...when I take a step back I can recognize the difficulty of their job and respect them for doing it.
You can get frustrated and rant/vent at times; the difference to me is having a fundamental level of respect for the various fields and their responsibilities.
Turns out unfortunately that a lot of the stereotypes end up being true to some degree - you'll get consults from medicine residents who haven't examined the patient yet but "heard in sign out to consult surgery". Or conversely, you'll get reamed over the phone by the cranky surgery resident for not examining the patient even though they clearly have a surgical problem.
You'll get consults from ortho residents for an asymptomatic BP of 150/90.
You'll get admissions called up by the ED resident who is just trying to turf the patient somewhere before their shift ends.
You'll get a call from a peds resident that inevitably starts with "so we've got this kiddo..."
We all experience these types of things - because the residents on the front lines making and receiving these calls are (a) all overworked, regardless of field (well, except maybe derm
But even though in the minute I hang up the phone I want to strangle the idiotic medicine/surgery/ortho/ER/derm/peds intern...when I take a step back I can recognize the difficulty of their job and respect them for doing it.
You know, some people do say Emergency Physician. Context you know.
Just like GBS is not Group B Strep, it's Guillan Barre Syndrome
If they're NPO or on continuous tube feeds, we will frequently give regular, yes.
