| 查看: 938 | 回复: 8 | |||
[交流]
【Share】The Doctors We Are Becoming
|
|
i like this article very much, share with someone may like it.From American Academy of Emergency Medicine > Young Physicians, Residents and Students Leana S. Wen, MD MSc Posted: 11/15/2010; American Academy of Emergency Medicine. 2010;17(4):19 Abstract and Introduction Introduction "Excuse me… um… how exactly do I order the Tylenol?" I look up. In front of me is a young man wearing a pressed shirt and striped tie. "I'm Ben," he says, introducing himself to me as an intern on his very first day of residency. It's not really a statement that needed to be said; none of us would have mistaken him for anything but. How to order Tylenol is a seemingly self-explanatory action, but last year it was me asking that question. As I lead him through the order entry system, I reflect on the past year. How have I grown in this notoriously grueling yet life-changing internship year? What advice would I impart to the new cohort about to impart on this same journey? Clinically, I am stronger than I was a year ago. Clinical training in a supervised setting is indeed the purpose of residency and why tens of thousands of young people in the prime of our lives devote many long hours to our hospitals. Internship is all about becoming more comfortable with management of everything from routine urgent care presentations to medical resuscitation of very sick patients. Throughout the past year, I've seen my classmates and I progress from asking "What next?" to thinking through and acting on most treatment decisions ourselves. Part of that clinical development is knowing how much more there is to learn, and it remains daunting and inspiring to see that, as much knowledge and skills as we have gained, there is still a long way to go. Professionally, I feel more comfortable in my role as clinician and resident physician. I remember on my first day of internship practicing my introduction in the mirror. "Hello, I'm Dr. Wen, your doctor," didn't seem quite right. Too curt, yet oddly redundant. "Hi, I'm Leana, your doctor." Not right either. Too informal. "Nice to meet you, I'm Leana Wen, one of the doctors." OK, but who are the other doctors? The struggle with something as basic as introducing myself is symbolic of my biggest challenge in intern year: feeling at home as a resident. My training occurs at two main hospitals and two other affiliated sites. Not only were there dozens of residents and attendings and literally hundreds of ED nurses to meet, each month was a different rotation with more new people and new ways of doing things. It took me until the end of intern year to feel at ease with my colleagues. Being part of AAEM/RSA has been instrumental for me to feel at home in my specialty. Now, not only do I know my 60 co-residents, I am connected with thousands of residents across the country. Intellectually, this has been a year of alternating disappointment and growth. So much of medical school was about memorization and pattern recognition; I was afraid that residency would teach more of the same. I did not want to be an automaton who did nothing more than input data and run algorithms like a "Choose Your Own Adventure" book. EM, perhaps more so than other fields, has the potential to turn into an algorithmic exercise. However, there are plenty in our field who believe that EM is far more than figuring out a disposition. As my mentor, Dr. Josh Kosowsky, likes to say, "EM is the modern home of diagnosis." What other field presents so many diagnostic puzzles in any given day? Checklists have their place, but algorithms should never replace the art of healing. One of my most valuable lessons this year, one that has kept me intellectually challenged and emotionally engaged, is to make sure to hear each patient's story as their narrative, not just as a chief complaint followed by yes/no answers. Personally, one of the battles each of my classmates has struggled with is finding balance. Internship is pretty far from a "normal" life: it throws off anyone to work under fluorescent lights for six days a week, to eat nothing but hospital food for three meals a day, and to not see family and friends for a day and a half. Our days are so long that by the end of a shift, it's often hard to find energy to do the things that used to make us happy. Yet, as busy and as tired as we get, we shouldn't make residency just about working, sleeping and eating. I've watched each of our classmates emerge from survival mode to making time for the things that matter to us, from training for triathlons to watching sci-fi flicks to getting a scuba-diving certificate. As for me, I'm ballroom dancing and playing the piano again, and a much happier person for it. Despite finding better personal balance, one of my classmates said during our end-of-the-year intern retreat that he wasn't sure he liked the person he was becoming. This resonated with all of us. In intern year, each of us can recall instances when we've become more abrupt with family, short with sales clerks, perhaps impatient or even disdainful with patients. However, as difficult as our lives may be at times, as grueling as it may be to work night shift after night shift, we cannot lose track of our fundamental purpose of being healers and advocates for our patients. It's a profound privilege that we have to take care of patients in the time of their greatest need. It's a profound honor that families place care of their loved ones in our hands. "That was an awesome day. Thanks for showing me around!" I smile. It's the end of Ben's first shift. His hair, impeccably groomed ten hours ago, sticks out in the back and strands point towards the ceiling. His face bears the telltale imprints of mask and eyeshield. His blue tie is flecked with blood. (I feel sure that from now on, his attire will consist of scrubs.) I wonder what Ben's reflections after intern year will be. I know that he, too, will develop clinically and grow into his professional role. I hope that he finds his intellectual pursuits rewarding and his personal balance satisfying. Above all, I hope he retains his humanism, his ideals for why he chose to enter this healing profession of medicine. |
回复此楼» 猜你喜欢
材料考研调剂
已经有25人回复
-
材料工程281还有调剂机会吗
已经有11人回复
-
303求调剂
已经有12人回复
-
290调剂生物0860
已经有14人回复
-
农学0904 312求调剂
已经有3人回复
-
求调剂
已经有7人回复
-
11408。358求调剂
已经有3人回复
-
求助调剂，跨调
已经有8人回复
-
271求调剂
已经有8人回复
-
一志愿厦大0856，306求调剂
已经有10人回复
★
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
 |
2楼2011-01-13 10:25:24
★
小木虫(金币+0.2):抢了个小板凳，给个红包
小木虫(金币+0.2):抢了个小板凳，给个红包
 |
3楼2011-01-13 10:27:36
xia_chong
金虫 (文坛精英)
- ESEPI: 43
- 应助: 0 (幼儿园)
- 贵宾: 1.591
- 金币: 10270.8
- 散金: 2377
- 红花: 34
- 沙发: 160
- 帖子: 12455
- 在线: 1941.8小时
- 虫号: 804303
- 注册: 2009-07-06
- 性别: GG
- 专业: 粒子物理学和场论
- 管辖: English Cafe
4楼2011-01-13 10:27:43
witch_girl
金虫 (文坛精英)
- ESEPI: 53
- 应助: 0 (幼儿园)
- 贵宾: 0.903
- 金币: 1333.9
- 散金: 15217
- 红花: 105
- 沙发: 52
- 帖子: 14445
- 在线: 1679.7小时
- 虫号: 857925
- 注册: 2009-09-27
- 专业: 信息处理方法与技术
- 管辖: English Cafe
5楼2011-01-13 11:43:47
6楼2011-01-13 12:06:31
★
xia_chong(金币+1):I think you could be as positive as her. Come on! May you have a good mood every day! &_^ 2011-01-13 21:32:25
xia_chong(金币+1):I think you could be as positive as her. Come on! May you have a good mood every day! &_^ 2011-01-13 21:32:25
| I could hardly envy you.What a optimistic person you are!Having seen so many blood and miseries,you still keep making time for the things.You are leading a quality life,aren`t you? May happy be with you forever! |
7楼2011-01-13 12:45:03
8楼2011-01-13 12:59:47
 |
9楼2011-01-13 17:06:09
10