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Victoria
@vicssunshine
These days are long. I’m a medical student, third year, on my last rotation: surgery. I’m typically here from 5 AM to 5 PM (if not a longer day). I respect more and more what surgeons do every day. However, it’s sometimes hard to stomach some of the worst symptoms of a broken medical training system.
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Victoria
@vicssunshine
Hierarchical teams, frequent rudeness to other healthcare members, and forcing medical students to pre-round on patients, even when that means waking up a patient before the whole team rounds. (rounding is when we visit our patients, ask them how things are going, and exam them to form a plan of care)
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Victoria
@vicssunshine
I feel very privileged to be part of this career. I operate through this system grounded in my ethos of love. I love taking care of people, seeing them get better, being a listening ear. And I honestly feel horrible every time I have to wake a patient up before 6 AM every day.
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Victoria
@vicssunshine
I do this to prepare for our rounds, and present to a team of 3 to 4 Resident. (presenting means articulating aloud everything that has happened to a patient over the last 24 hours, report on how they are doing today, report physical exam findings or new lab values, and tell the team what you think should happen next.)
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Victoria
@vicssunshine
I typically have to do this in under 60 to 90 seconds. Any presentation over this time frame is typically too long for the residents to continue listening. (Most of the time, one junior resident will continue to listen to you to give formative feedback). This begs the question…
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Victoria
@vicssunshine
Should medical students wake patients up before rounding with the resident team? Is this a high value practice at the expense of a patient’s sleep? I think it’s hard to answer, especially without providing more context, details, and understanding of this unique role.
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vicc ⚡️
@vicc
Appreciate the work that you do and the vulnerability in this cast. Thanks for sharing. 🫂 237 $DEGEN
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