Which clinical rotation is the worst?

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What is the worst clinical rotation?

  • Internal Medicine

    Votes: 72 9.1%
  • Surgery

    Votes: 175 22.2%
  • Pediatrics

    Votes: 56 7.1%
  • Obstetrics & Gynecology

    Votes: 340 43.1%
  • Psychiatry

    Votes: 66 8.4%
  • Neurology

    Votes: 27 3.4%
  • Family Medicine

    Votes: 52 6.6%

  • Total voters
    788
Yeah, honestly the baby talk and high fives are kinda annoying. ;) My thing is that I like adults -- I like being an adult, and I like being around adults.

And getting back to the weird part, the people in the peds department here are weird in totally non-goofy way. Their wanting to protect kids might explain some of the being uptight, but I think there's something else there.

And last vent, why do kids get all the nice hospitals? Being sick as an adult sucks, too. Why do we get the crap hospitals while the kids get all the neat stuff?

Hey, I get it. Not everyone is destined to be a pediatrician or even a specialist who takes care of a lot of kids. Doesn't bother me anymore than the fact that some folks aren't meant to be parents.

As far as the weird part - you'd have to be more specific for me to guess at what's going on. It could be specific to the folks you're working with, but more likely it has to do with how THAT pediatric department fits into the hospital/med school. In some places pedi is more independent, more highly valued, etc than others. This can affect some of these attitudes. Mostly however, it is the sense some attendings can have that folks who do not naturally relate well to children are not doing a good job on the rotation. This is unfair, but no different than what can happen on other rotations.

As far as the hospitals, I don't really agree with you. There are some new and beautiful Children's Hospitals but there are plenty of old ones and not very nice pedi wards in general/university hospitals. The fanciest hospitals in America are most definitely NOT Children's hospitals, IMHO. Globally, it's even worse. Kids get stuck in horrific wards/hospitals in many places.

Good luck and keep making goofy faces at the kids. They'll think you're stupid, but so what??:)

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And last vent, why do kids get all the nice hospitals? Being sick as an adult sucks, too. Why do we get the crap hospitals while the kids get all the neat stuff?

I'll be honest, this is one reason - out of a great many, mind you - why I chose to go into peds. Last month, doing adult cardiology, I got depressed walking on to the ward each day...nothing but white walls, white floors, white ceilings, white counters, white everything. Absolutely awful. Freestanding children's hospitals on the other hand are pretty amazing places (usually - I have seen a couple which left a lot to be desired, including one that opened in the past 2 years which looked as though it could be easily converted in to a VA facility if need be). Certainly makes going to work each day a little bit more cheerful.

I also understand what you mean about some peds faculty or staff being "uptight" and at times overprotective. NICU nurses, in my experience, are the worst (NICU attendings on the other hand...as long as you're not pulling out lines don't seem to get too worked up). Sometimes admitting that you're either uncomfortable or ignorant, and asking for their help (because, you know, they're so "great with kids") can go a long way. A little flattery never hurt, and it doesn't have to be brown-nosing...just enough to gain some trust - because if you're doing what they taught you to do, you can't be doing it wrong. Even if it's something you know how to do, like swaddling a newborn, can get you a little slack.

The other thing I've seen bother quite a few students (myself included) about some peds faculty is that some have a bit of an inferiority complex and try to trump up the fact that they don't get paid as much and don't get the same level of respect as some how meaning they're more altruisitic or simply better people than other physicians. That's a lot tougher to navigate, even as someone going into peds.
 
Seems like OB/Gyn sucks every where. Go figure. Put a bunch of *****s in charge of caring for a bunch of hormonal, emotionally fragile women, and you get a horrible time.
 
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I've realized that the peds attendings at my school are pretty passive aggressive, which is part of the weird people vibe. They're notorious for giving pretty bad evals without really giving any feedback to students suggesting they were doing anything wrong. It's also a department where they check up on us all the time and basically display no trust toward the students, which is not cool. So there you have, more reasons to hate peds. I hate the work, and the people are weird in an entirely non-goofy non fun type of way.
 
Wow- I had a vastly different experience on peds. Our attendings were fluffy bunnies. It was so nice to work with them.
 
I think the "worst" rotation is the one that is the most opposite from your interests. I haven't really hated any rotations, but rather parts of them.

Peds was probably my least favorite rotation, simply because I cannot stand having to deal with kids in the hospital. Most feel horribly and don't want to talk to you, others can't talk to you, and many of those who are okay have parents who have no idea what is going on (or who don't care). I don't have any desire to spend hours on end playing with the kids in the play area or wearing a stupid sticker on my ID badge. I was always thrilled to get an adolescent patient, because they are more like adults.

Surgery was probably next worst, mostly because I don't like the OR. Talk about a monumental waste of time. I am glad we have surgeons who enjoy cutting, but it's not for me. I was actually pleasantly surprised that I didn't deal with more of the "surgeon ego" than I did.

OB/GYN was not bad at all. I really enjoyed the outpatient gyn aspect of it, and made it through L&D and gyn surgery because I had an awesome teammate as well as good residents. A few of the residents I worked with on L&D were miserable people, but overall everyone was okay. It is definitely a very cliquish specialty though, and the women are very catty. Interestingly enough, the men who go into OB/GYN all seem to be very nice. Go figure.
 
I thought family medicine was the worst followed by pysch. I enjoyed OB/GYN and peds even though i will never find myself doing either one for the rest of my life.

If one more smoking diabetic hypertensive obese patient walk in with non specific complaint of congestion, i'll have to kill something!

I'll stick with surgery!
 
Peds was probably my least favorite rotation, simply because I cannot stand having to deal with kids in the hospital. Most feel horribly and don't want to talk to you, others can't talk to you, and many of those who are okay have parents who have no idea what is going on (or who don't care). I don't have any desire to spend hours on end playing with the kids in the play area or wearing a stupid sticker on my ID badge. I was always thrilled to get an adolescent patient, because they are more like adults.

Yeah, this about sums up my thoughts on peds in general. My favorite pt so far has been a 12 year old who needed surgery. I probably could do all adolescent medicine, but I don't really like working with the younger kids.

Also, yeah, everyone's preferences will be based on their schools. Here, lots of people hate peds, but pretty much nobody hates psych or FM because the hours are good, scut is non-existent and the people are amazingly nice.
 
Ortho, hands down. We have a mandatory 2-week pass/fail ortho rotation, and I got it at a community hospital instead of at the Mothership.

*No* thinking. Same procedure over and over and over and over-- all arthroscopic, too. Never really scrubbed in. Never taught a damn thing. And the residents had some kind of competition to personify the ortho stereotype most perfectly (I was the only female, and the only person not counting her damn calories every day and eating cheeseburgers. The others all ate their 6 small meals a day with salads with dressing on the side... argh!).

And they presented patients like this at rounds-- official rounds:

Chief: "Dude! So we've got this f^&*ing dude who fell off a goddamn f&*(ing ladder last night! And I had to f&*(ing pin that **** in the middle of the night!

R3: "What the f^&* was that ****, man?!"

Chief: "Right, f&*(ing *******."

Was is *really* that much harder to just say "38 yo man s/p tib-fib ORIF?"

Anyway, as Austin Powers says, not my bag, baby.
 
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Ortho, hands down. We have a mandatory 2-week pass/fail ortho rotation, and I got it at a community hospital instead of at the Mothership.

*No* thinking. Same procedure over and over and over and over-- all arthroscopic, too. Never really scrubbed in. Never taught a damn thing. And the residents had some kind of competition to personify the ortho stereotype most perfectly (I was the only female, and the only person not counting her damn calories every day and eating cheeseburgers. The others all ate their 6 small meals a day with salads with dressing on the side... argh!).

And they presented patients like this at rounds-- official rounds:

Chief: "Dude! So we've got this f^&*ing dude who fell off a goddamn f&*(ing ladder last night! And I had to f&*(ing pin that **** in the middle of the night!

R3: "What the f^&* was that ****, man?!"

Chief: "Right, f&*(ing *******."

Was is *really* that much harder to just say "38 yo man s/p tib-fib ORIF?"

Anyway, as Austin Powers says, not my bag, baby.

Ok...that's a little bit funny. We definitely had different ortho rotations!
Kell
 
i am suprised to see surgery on the list and even more suprised that 22% picked it UP!! for me it was THE most enjoyable rotation of all!! i enjoyed attending and enjoyed studying it!! aaah Those were Good Days :love:
 
Anyway, as Austin Powers says, not my bag, baby.

Since BD wants to go into a surgical field, plastics, I suspect she liked the ortho rotation more than she would like to admit, I already bought her book titled "All Types of Surgical Fields/Specialties are my bag, baby. by Blond Docteur."
 
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i am suprised to see surgery on the list and even more suprised that 22% picked it UP!! for me it was THE most enjoyable rotation of all!! i enjoyed attending and enjoyed studying it!! aaah Those were Good Days :love:

I haven't done surgery yet, so I don't know if I'll hate it or not, but I do think I'll hate the hours. That alone might be enough for some people. :eek:
 
OB was bad because I've probably seen more vaginas than Hugh Hefner has in 1 year. No kidding. Clinic was >100 patients each day, and I had clinic 3 times a week. The OB side was a little bit better, but I just could not stand cope seeing a placenta after a natural birth. However, OB was not as bad as surgery.

Surgery was worse because of the way surgeons conducted rounds at the hospital I was at, and because of the way medical students / interns / lower level residents were treated. Plus, I didn't learn a thing on surgery. I didn't even have to present a single time to an attending.

Surgery >> OBGYN in terms of what is worse.
 
Let me cast a late vote for internal medicine.

-Social work BS. We had 6 patients ready for D/C Friday. None left because, well, you try finding a social worker late Friday afternoon.
-Rounding. I can tolerate this once a day. Bedside rounds twice a day, with the afternoon one starting at 5PM and including a teaching session is outrageous.
-Labs. You're damned if you, damned if you don't. Attendings snap at you for shotgunning labs and retaining them daily. Of course, if you don't have those labs ordered and your patient's health goes downward, the attending immediately asks why we don't have labs on board.
-O2. Why do all patients insist on keeping the nasal canula on? We take it off, try to see how they do on room air, and before you know it, it's right back on and the attending is screaming his balls off about now prepping our patients for discharge.
-The pampering. I had a patient ask me to clean his ears. I gave him a blank stare before walking out of the room. It's a hospital, not a spa. WTF?
-The downtime. Probably not there for an intern but even as a sub-I, there just isn't that much to do if I'm carrying 4 patients. Especially with afternoon rounds starting so late. I'm going down daily to the lounge and napping for an hour. Not exactly what I consider a productive work day.



Amen.

My OB/GYN experience was wonderful, but it was more of an outpatient setting...and the hours were awesome. Attending said "the overnight crap is for residency if you decide to do OB/GYN".

Peds was cool, but got boring. Can't wait to move on to Surgery.

I like to DO things....
 
Ob/Gyn. The material is interesting, the work environment is a neat mix, and the patient population is pretty cool, but the docs overall are so needlessly inhumane that I will never pursue this field.
 
OB wasn't all that bad for me... I have no interest in it as a career, but where I did my clerkship, everybody was pretty nice, I learned a ton, and really can't remember any real bad experiences. Although "lactation consultants" are crazy.

I did not enjoy L&D, though, just because of the nature of the work, so I think that's a bit of a dealbreaker for going into OB.
 
I would most dislike having to repeat family medicine or psychiatry. They were a bit on the painful side overall.

I'll be honest, this is one reason - out of a great many, mind you - why I chose to go into peds. Last month, doing adult cardiology, I got depressed walking on to the ward each day...nothing but white walls, white floors, white ceilings, white counters, white everything. Absolutely awful. Freestanding children's hospitals on the other hand are pretty amazing places (usually - I have seen a couple which left a lot to be desired, including one that opened in the past 2 years which looked as though it could be easily converted in to a VA facility if need be). Certainly makes going to work each day a little bit more cheerful.
No kidding. The new PICU at our children's hospital is awesome. The lighting is easy on the eyes, the floors are fake wood, and the colors are better than white, purple and green. My eyes start to hurt after 12-15 hours of plain fluorescent lighting.
 
Ortho, hands down. We have a mandatory 2-week pass/fail ortho rotation, and I got it at a community hospital instead of at the Mothership.

*No* thinking. Same procedure over and over and over and over-- all arthroscopic, too. Never really scrubbed in. Never taught a damn thing. And the residents had some kind of competition to personify the ortho stereotype most perfectly (I was the only female, and the only person not counting her damn calories every day and eating cheeseburgers. The others all ate their 6 small meals a day with salads with dressing on the side... argh!).

And they presented patients like this at rounds-- official rounds:

Chief: "Dude! So we've got this f^&*ing dude who fell off a goddamn f&*(ing ladder last night! And I had to f&*(ing pin that **** in the middle of the night!

R3: "What the f^&* was that ****, man?!"

Chief: "Right, f&*(ing *******."

Was is *really* that much harder to just say "38 yo man s/p tib-fib ORIF?"

Anyway, as Austin Powers says, not my bag, baby.


dude, you just described exactly why i can only do ortho. the more swearing, dude-ing, and sports talk the better.
 
Wow, what a gem this thread is. Wish I had found it when I was on Ob/Gyn 6 weeks ago.

I thought I wanted to do FP until my Ob rotation, at which point I was super confused because I loved the work of Ob/Gyn, but was having a horrible time understanding what the residents wanted from me, why it was ok for them to consume our souls to the last drop by using us for 15 hrs/day for paperwork and errand running without ever devoting one precious moment to teaching us, and why they were so damn evil to students while treating one another with collegial affection. I was pretty distressed by it, especially in the context of deciding I wanted to pursue the specialty despite the personality issues I witnessed, and now see echoed to infinity and beyond in this thread. Pretty comforting to see that a lot of other med students feel the same way about the 3rd year rotation.

I'm still planning to pursue Ob/Gyn, and have to share my sense of wonderment when, despite thinking I had done an admirable job of silently eating s**t from my interns and residents for 8 weeks, I received my evaluations and learned that I had apparently earned myself the reputation of being "hard-working," "smart," "aggressive," "abrasive," and "harsh-seeming when she expresses her desire to be assigned more complex tasks".

Good god, I can't imagine a better set of qualifications for my intended field! I've found my people.

That being said, I am older than traditional age for a med student, so I've worked outside of medicine and know that abuse in the workplace isn't the norm in the US, and believe fully in treating everyone I work with with kindness. Maybe if more of us who are sensitive bitches go into Ob/Gyn, we can change the culture.

As an aside, even though I received my share of direct abuse, the most irksome thing I heard from my residents/attendings was their gushy fawning all over any male med student who said he was considering Ob/Gyn, a treatment I never witnessed bestowed on any female student. Disgusting.
 
Let me cast a late vote for internal medicine.

-Social work BS. We had 6 patients ready for D/C Friday. None left because, well, you try finding a social worker late Friday afternoon.
Haha, that was very much the feeling during my medicine sub-I at the VA. The social worker wasn't bad, but all the support staff for D/C planning (home care nursing, home O2, long term IV abx, etc) was just a huge pain in the ass.

Our D/C planners are mostly pretty decent at my program now.
 
Ob/Gyn sucked but SURGERY really takes the cake for me.

I didn't like being in the OR one bit. Making me not a surgeon, obviously.
The smell of the bovie made me want to puke--I trooped it out through a lot of long horrible surgeries without complaint so now I am voting SURGERY as a small tiny bit of pay-back for three months of my life I can never get back. :)
 
Medicine was the worst I guess, tons to read and learn and crappy attending making you feel like you are crappy beings.
 
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Hahahahaha
OB/GYN 2:1 hated. Gyn Onc was the only part I liked, everything else was "Why am I here" or "Man, these people are malignant".
 
OB hands down; most of the residents are mean/ overworked/ dont bother to teach, same with the attendings.
This has been the biggest waste of my time thus far. Heck even being proactive gets you no where at the hospital I am at!
 
Haha, this will sound sick, but I love the smell of the Bovie- not because it smells great, obviously, but because I associate it with the OR and therefore, awesomeness.

Guess I don't have to spell out what I'm going into. No surprise, I HATED medicine. The attendings were mostly dinguses, the residents had a chip on their shoulders because they were never the experts at anything (hey, that's what consults are for!) We also basically never fixed anyone. I probably cried on my way to work on about 80% of the days during that clerkship. I went down the SIG E CAPS list and was honestly starting to get worried that I had MDD or something. Lo and behold, the clerkship ended, and the fog lifted- turns out, I just don't like pretentious dinguses or intellectual masturbation:)
 
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For me, peds. I probably would've hated psych more, but I did psych first and did peds last. At that point it was just agony.

2-3 hours of signout every day. Wcc, wcc, wcc, wcc, wcc. Rounding for an hour on each patient on nephrology. Peds sickle cell wards. Adolescents too cool to take their HIV meds. Adolescents too cool to go to dialysis. My god did that rotation suck.
 
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easily psych. Ob/gyn was alright. Hours sucked but you do end up learning some real medicine at least.

Psych was just a mess. Patient population is extremely frustrating, the treatments suck, and no one gets better. The ones that do get better never needed your help in the first place (eg suburban soccer moms who just need a good lay, not xanax + lexapro).
 
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1. Neurology.
Not allowed to round on patients. Didn't present plans. Then having to stand for four hours while attendings and residents rounded. Then having nothing to do in the afternoons. And the stroke calls - uggh. 45 minutes of debate over tPA - when the outcomes either way are most likely going to be miserable. 45 yos with pontine strokes who are just barely enough to keep breathing and eating but not alive enough to do anything else - so sad and just not my calling.

2. ER
This surprised me: I thought I'd love the mix of mild-mod-severe acuity, seeing crazy stuff, and getting to do some procedures. I do love all that and have enjoyed it (and the nurses here are awesome!). But, it's overshadowed by: 1) The hours. 2) The having to fight to see patients and the amount of shadowing. 3) The lack of cohesive teams. 4) The no follow-up with my patients. 5) The constant trash talking of other specialties. 6) The ridiculous number of CT scans ordered. 7) The lack of anything the ER does with traumas (Trauma Surgery takes it all over here). 8) The ridiculous waits due to workflow issues for simple things that should be 15min outpatient visits that become 4 hours in an ER room.
 
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Peds. Some of the meanest people I've had the displeasure of meeting.
 
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Peds. Some of the meanest people I've had the displeasure of meeting.
So,
Funny story. I did peds and thought everyone either hated me or were going to fail me. I wasn't a fan. I finally looked at my grade and eval a year later and found the most amazing reviews I've ever had in my life. Everyone said I was great. I thought I was hallucinating and had to have someone else confirm it. It was weird. They beat me to a pulp and I apparently did great. Kid you not: near the end, I wanted to quit but just continued.
So, I have no idea. Maybe I should be a pediatrician
 
maybe they were being hard on you to toughen you up because you were worth it
 
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And they presented patients like this at rounds-- official rounds:

Chief: "Dude! So we've got this f^&*ing dude who fell off a goddamn f&*(ing ladder last night! And I had to f&*(ing pin that **** in the middle of the night!

R3: "What the f^&* was that ****, man?!"

Chief: "Right, f&*(ing *******."

Although this is 5 years old, and although I apparently posted on this thread 6 years ago, this is the first time I read this post.

This may be the absolute best thing I have ever read on the internet.
 
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Peds. Some of the meanest people I've had the displeasure of meeting.
Yep, I really disliked most of peds also. I got a assigned to a nice outpatient place for a couple weeks, but the inpatient experience was worse than OB/GYN.
 
Oddly enough, my most hated clinical rotation was in orthopedics, the field I ended up matching into. Don't get me wrong, I love ortho and am very happy in my current residency program but there was something about the sheer force and effort required during those rotations (both home and away) that really took it out of me. Day #1 was a slap in the face after I arrived at the hospital before 5 AM only to find that I needed to take a bunch of vitals from the computer and write them on a master list to be photocopied. I thought about how there is a machine that does this....A PRINTER!!!! From the sleepless long days of call, to the even longer sleepless post-call days, to watching residents do paper work for hours on end, the quality of life I had at that time was pretty low. In fact, that period of time for me was the second lowest, only behind the time I was bed-bound with bilateral broken femurs when I was fourteen. All that being said, the experience I've had so far as a resident is much better. It no longer feels like I am on a constant interview. I'm worried more about doing a good job for my patients and increasing my knowledge base, than impressing for the sake of impressing. I guess my advice is even though your experience as a student can be very revealing, it is still different as a resident.
 
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maybe they were being hard on you to toughen you up because you were worth it
Agreed. I look back and realize they were doing just that. I never got a pimp question wrong but I just screwed up presenting like any other third year. I just didn't read it right lol
 
Guess I don't have to spell out what I'm going into. No surprise, I HATED medicine. The attendings were mostly dinguses, the residents had a chip on their shoulders because they were never the experts at anything (hey, that's what consults are for!) We also basically never fixed anyone. I probably cried on my way to work on about 80% of the days during that clerkship. I went down the SIG E CAPS list and was honestly starting to get worried that I had MDD or something. Lo and behold, the clerkship ended, and the fog lifted- turns out, I just don't like pretentious dinguses or intellectual masturbation:)

This pretty much nails it for me too. I hated, and I do mean HATED, medicine. I liked OB, Peds, and the medicine clinic, so I decided to check out FM; to my surprise there is a whole field of great people who like what they do, but don't take themselves so seriously. Now I'm matched into FM and really looking forward to the future.

Man I sure hated Medicine though, that was 8 weeks I'll never have back.
 
Gotta be Family Med for me.

Location: worst city in Idaho, rhymes with hell-hole
People: D.O.'s diagnosing conditions that verifiably don't exist so they can prescribe 8 visits of OMM. Drug rep visits with lunch everyday.
Procedures: Swear to god we were doing botox treatments and laser hair removal at this clinic.
Sadness: Narcotic dispensing doc managed all the chronic pain patients and gladly took new ones on with free refills for new patients (despite the fact we were on the border of two other states where the patients all also doctor shopped for narcotics). Huge obese diabetic people without even basic insurance -- one lady had a diabetic ulcer so deep you could see her calcaneal surface anatomy perfectly, she was waiting for her husband to die of a cancer so she could use his term life insurance for a cash pay amputation (he was given 6-12mo with terminal cancer). Multiple COPD patients passed out in our waiting room --> ambulance calls. One 92-year-old patient that had just seen the doctor passed out with her foot on the accelerator and drove into the side of the clinic almost hitting me. It was like a warzone.

Outcome: Honestly nice people trying their best, but it was a giant pit of sadness/despair.
 
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Peds - all inpatient. One attending was just plain mean, and one had good intentions but would take literally eight hours to round on mostly healthy neonates. On Saturday. Then again on Sunday. Doing that week after week with no days off was kind of a bummer.

It was also discouraging to see some of the tremendous demographic changes coming down the pipeline based on who was reproducing the most. Hint - generally not folks who are likely to raise their children in a stable home environment with high expectations.
 
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Nobody ever seems to talk about neuro. Is it easy or just neutral?
 
Surgery, but it's more the attending's fault as to why. The guy is too smart for his own good and puts others down.
 
Nobody ever seems to talk about neuro. Is it easy or just neutral?
Maybe it's because Neurology isn't a required rotation at all schools?
 
Maybe it's because Neurology isn't a required rotation at all schools?

I didn't realize that. At my school it seems like there isn't a great way to provide medical students a substantial role on the team. The stroke service and going to the ED for stroke codes sure doesn't seem like a place for a med student to practice the neuro exam. I'm interested to see what it'll be like.


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I didn't realize that. At my school it seems like there isn't an great way to provide medical students a substantial role in the team. The stroke service and going to the ED for stroke codes sure doesn't seem like a place for a med student to practice the neuro exam. I'm interested to see what it'll be like.
Oh boy I know a similar feeling - overnight trauma call on surgery was fun but what wasn't fun was that we were somehow expected to complete and document a pretty thorough physical exam even when the residents, interns, nurses, paramedics, and x-ray techs were all surrounding the patient, moving him, with blood and needles flying around and promptly sending him off to CT after about 5 minutes. Then I get scolded by the attending who came in afterwards because I didn't complete my physical exam in that time frame. But when I tried to squeeze in to do the physical exam on the next patient, the senior resident told me to back off. And then I got scolded again for not completing the physical exam when the attending strolled in five minutes later.
Overall it was exciting and enjoyable though. And an important lesson that sometimes you can't make everyone happy.
 
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Gotta be Family Med for me.

Location: worst city in Idaho, rhymes with hell-hole
People: D.O.'s diagnosing conditions that verifiably don't exist so they can prescribe 8 visits of OMM. Drug rep visits with lunch everyday.
Procedures: Swear to god we were doing botox treatments and laser hair removal at this clinic.
Sadness: Narcotic dispensing doc managed all the chronic pain patients and gladly took new ones on with free refills for new patients (despite the fact we were on the border of two other states where the patients all also doctor shopped for narcotics). Huge obese diabetic people without even basic insurance -- one lady had a diabetic ulcer so deep you could see her calcaneal surface anatomy perfectly, she was waiting for her husband to die of a cancer so she could use his term life insurance for a cash pay amputation (he was given 6-12mo with terminal cancer). Multiple COPD patients passed out in our waiting room --> ambulance calls. One 92-year-old patient that had just seen the doctor passed out with her foot on the accelerator and drove into the side of the clinic almost hitting me. It was like a warzone.

Outcome: Honestly nice people trying their best, but it was a giant pit of sadness/despair.
Sounds like it could be a will ferrel movie

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