In the past three weeks or so, one of my interns has been on my case about:
-doing too much for my patients
-doing too little for my patients
-asking too few questions
-asking too many questions
-my notes are too detailed
-my notes are too short
-writing on team to-do list
-not respecting the hierarchy
It’s not the hierarchy. It’s her. The fact of the matter is, I can’t respect someone who thinks it is ok to pimp their student — that is, quiz them on medical algorithms or workup or pathophys or whatever — by reading off the Redbook/Greenbook or UpToDate. If you don’t know the workup cold, you have no right to be pimping me on it. These aren’t even obscure or complex topics either. Interpreting iron studies. The definitions in the sepsis continuum. When I do ask her questions, she gives me one word answers that totally shut down my desire to engage in a conversation.
She also tends to scoop my admissions, by being the one who talks to family (I previously got my head chewed off for daring to talk to family), and then not updating me fully when I ask, and then jumping in during rounds to look like a superstar.
Also, she reassigns patients daily, and when we the sub-i’s say “I think So-and-so was following that person” she says we should just know everything about all the patients. She also once assigned me a new patient saying it was a good medical student case because “we need to obtain records from an outside hospital.” It’s a mixed message — you are a sub-intern and should be functioning semi-independently, and you are just a medical student, do this scut.
Granted, I’m grumpy today because I only got a half-hour of sleep yesterday and my admission crashed about an hour before rounds.