Inpatient medicine was interesting. I was too impressed with docs' desire/ability to teach but they were very knowledgeable and pretty nice. I felt like an idiot coming out of that rotation so I set up my last rotation for IP med at a different hospital.
This rotation, my second to last, is in orthopedics. Last week was boring because my PA preceptor was out on vacation so his surgeon and a fellow had me follow them around. In surgery I did little more than watch and close. Oh and on my first day in the middle of a long surgery I went to sit on a rolling stool and missed. I crashed to the floor on my ass. No one really missed a beat though. They asked me if I was OK and the the surgeon informed that I was no longer sterile. Duh. The surgeon takes care of a major league sports team which is kind of interesting I guess. I am not involved in any of that but the surgeon and his fellow are. I use to consider myself somewhat a jock, as it were, but these guys live it and work it. It is weird to see grown men so interested in a sports team that they don't even play on. Furthermore, the fellow, who has completed residency and is now doing a year in sub-specialty ortho had never removed an ingrown toenail!? These surgeons (now and in previous rotations) do such a wimpy H&P it makes me laugh. They don't even own stethoscopes!
Some folks love surgery, but I think I need more medicine to be happy. Plus standing around in an OR all day telling lame jokes or going over stupid music or history trivia is not my idea of fun. Even if I do get to drive the scopes.
Sunday, June 27, 2010
Sunday, June 6, 2010
moving forward
Surgery went well. I learned a lot and got pimped more than I cared for. I got t hold a lot of retractors and close up a bunch. I even got to drive the instruments on a few lap choles.
I had an ortho surgeon approach me about a job, but when the interview came I was very disappointed. none of the 6 docs or 5 PAs had read my resume, no one had set aside much if any time to talk to me so I had to wait around the MAs desk waiting for someone to come out of a room so I could talk to them for 3 minutes. When I had lunch the practice owner, he spent the first 10 minutes explaining to me why I shouldn't expect to get paid too much as a new grad and how much of a burden and investment I would be in the first year. By then I had shut down so when it came time to talk to the practice manager I was over it. She asked me if I had any questions and all I could say was "no." She asked me if I wanted to hang around and see some patients with a doc and PA and I lied and told them I had another appointment soon. What a joke.
Now I am doing hospital medicine and I was working evenings and nights, which is why I hadn't written anything here for a while. I was either working or sleeping! By the way, 8p-8a sucks!!!! I was utterly useless most of the time after 2 am and slept from 10a to 4p, further increasing my useless quotient. Furthermore I know absolutely nothing compared to the docs i am working with. The patients are so much more complex and the differentials are seemingly infinite. Or at least pretty obscure in my mind. I am feeling stupid and tired right now. At least my shift is changing now so I should only feel stupid soon.
I had an ortho surgeon approach me about a job, but when the interview came I was very disappointed. none of the 6 docs or 5 PAs had read my resume, no one had set aside much if any time to talk to me so I had to wait around the MAs desk waiting for someone to come out of a room so I could talk to them for 3 minutes. When I had lunch the practice owner, he spent the first 10 minutes explaining to me why I shouldn't expect to get paid too much as a new grad and how much of a burden and investment I would be in the first year. By then I had shut down so when it came time to talk to the practice manager I was over it. She asked me if I had any questions and all I could say was "no." She asked me if I wanted to hang around and see some patients with a doc and PA and I lied and told them I had another appointment soon. What a joke.
Now I am doing hospital medicine and I was working evenings and nights, which is why I hadn't written anything here for a while. I was either working or sleeping! By the way, 8p-8a sucks!!!! I was utterly useless most of the time after 2 am and slept from 10a to 4p, further increasing my useless quotient. Furthermore I know absolutely nothing compared to the docs i am working with. The patients are so much more complex and the differentials are seemingly infinite. Or at least pretty obscure in my mind. I am feeling stupid and tired right now. At least my shift is changing now so I should only feel stupid soon.
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