I did my surgical internship at a hospital where there was a STRONG emphasis on “do”. We had to do at least one month of SICU, 15 beds, you were the doctor. IT. You had to be on top of 15 people doing their best to die minute by minute. We ran vents, floated in Swans, put in Tenkoffs, managed peritoneal dialysis, customized hyperal (there was no “service” that we could just order). I was so “good at it” I was asked to do more than my one month, I did five. In return I got to scrub and do better cases. I did four gallbladders (the old way) as an INTERN. One splenectomy. As an intern. In seven months I scrubbed 350 cases and dictated 75. 25 hernias, 25 appendectomies.
These punks have been trained in an era when “succeeding” means correctly answering questions on tests and watching. They can’t DO crap.
These punks have been trained in an era when “succeeding” means correctly answering questions on tests and watching. They can’t DO crap.
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It shows in every way possible. I am frightened for our future health care.
Half of each residency class are women in our area. And they go into derm, pedes, fp, and rarely into the tough areas like thoracic surgery, ortho, etc.
The schools did not increase admissions to offset what the women would not do. so there is a dearth.