Let's shit on the interns

July in the hospital means one thing: new interns. It's common knowledge that going to the hospital in July is risky business. I know the new interns are here because I can hear the staff complaining. Every third sentence starts, 'Those dumb interns... *sigh*!' To everyone out there bitching about the interns' growing pains, I'd like to say this: STFU!

When I was a new intern, I caught flack from everyone: my attending, my senior, RN's, PCT's, MA's, RT's, EMT's, PT's, OT's, case managers, and even some custodial staff (strangely enough, I never heard a bad word from social work or nutrition...). I discovered one universal truth to being an intern in July: no one has your back.

My intern hell continued until my ICU month. Nurse Battle Axe was taking care of one of my patients. BA had been doing critical care since I was in diapers. The amount of critical care knowledge she would lose in a particularly violent sneeze was still more than I knew. So, when she asked me a question, I assumed it was rhetorical.

"I asked, 'What do you want to do, doctor?'" she repeated. My patient had a blood pressure of 70/30 despite aggressive hydration. I had no clue what to do. So, I sat down and thought about it, and after a little soul searching, I decided to start a pressor.

"Um, can we start dopamine? ... please?"

"Sure, doc!" she replied, and walked into the room, pushed a button on an IV pump, and dopamine was in. BP improved to 90/60. Mission accomplished.

Later, I thought about it, and she must've had the dopamine hung already and the line primed. But she let me make the call. I asked her about it, and she told me, "Dr. ifinding, you know I've always got your back!"

Part of being an intern is painful, and that's just how it is, but it certainly doesn't have to be more painful than it already is. So take it easy on the interns, huh? Or at least don't badmouth them to their face.

5 comments:

Vitum Medicinus said...

If it's this bad for the interns, I wonder how bad it will be for me starting my clerkship in September...

Dragonfly said...

Am being nice to interns...cause that will be me in 15 months. I don't believe in karma....more like treat like I would be lucky to be treated...

Anonymous said...

hahaha! so nice of you to care! hope we, future interns, find more doctors like you. Gb+

Anonymous said...

Wow!

Thank you for this post. I am a fourth year med student and am wondering just how much I will truly suffer as an intern next year. It is nice to know that there are still (some) compassionate attendings out there. It is sad to say, but honestly, a lot of older generation doctors have forgotten what it's like to be a student, intern, or resident. Thank you for your compassion and sympathy.

Anonymous said...

I'm a critical care nurse - I agree with you that the attitude on the units is terrible regarding new interns - they usually look scared (and also med students) ...I've taken the time to help them - whether it's computer stuff, where supplies are ...or how to check on treatments ordered etc...

Also, the truely good nurses will "make suggestions" - run things by you if they know the "routine" etc and the doctor needs to concur....From the nurses prospective they need to show an action/intervention for a problem -
Also - being grateful,friendly and competent goes a long way to getting respect - some of the most successful interns were not necessarily the brightest but they had people skills....

I have great respect for doctors - I know how much time,money and hard work you've invested ....