Yep. And sometimes they are learning lessons their attending was not trying to teach them. I had a rather disrespectful attending who was completely disregarding my trauma that was very much relevant, and the student just continued to look more and more horrified. So even though the appointment was a disaster, at least the student learned how not to treat patients.
@@waffles3629when I was younger I had a pediatrician who would call me fat ever time I came into the office (and I'm not or never was morbidly obese, just a little bigger than the other kids) and when her nurses gave me shots I couldn't move my arm for days 😅
My English teacher in high school let a student be his anesthesiologist. The student got it wrong and he was awake, but paralyzed when they were going to start cutting, so he couldn’t communicate with them to tell them he was awake. He told us always make sure our anesthesiologist is old and experienced.
Also, my current primary care doctor almost seems too young to be a doctor, he can't be more than my age... But he's *very thorough* and listens very well. He has helped me address a lot of issues that other doctors have not listened to me about for years! Let the younger generation lead our healthcare, the kids are alright. ❤
I've been in the hospital, my doctors office, probation and rehab for drug addiction and have been asked if it's ok for people to sit in or doing exactly what you did and I always say yes! Because it's good to HELP educate these people by giving them experience. In rehab, the two young ladies asked me so many questions about my heroin/fentanyl and crack addiction, me being an escort, etc. Stuff they wouldn't learn from a book. They were super appreciative and open to hearing my story. It was awesome.
I had this conversation (less hatefully) with my apn’s trainee last week. I understand she’s competent and well trained and couldn’t ask for a better trainer, but I have been with my apn for just under ten years. I have an alphabet soup of anxiety related disorders including pnes seizures from Cptsd. I TRUST my doc, and that’s not easy. On top of which my appointment had been rescheduled 3 times!!! This for something that’s just started with my heart. The trainee turned out to be very nice and very competent, but as I had waited to see my apn so long and hadn’t even been told this could happen…. I felt absolutely betrayed and as a result am searching for a different doctor.
I was in Universtiy of Kentucky hospital for 3 days, following RNY gastric bypass. Got extremely sick, and went back for 4 more days. The team of residents were awesome, save for one. I “fired” him. It was a pleasure to talk to a team when the arrogant one had to remain outside!
I appreciate our teaching hospital for asking permission before the patient is ever brought to the room. Patients who refuse can have many valid reasons for refusing, and interns don't need any more people sucking the soul out of the job they want to do. Insurance does enough of that on its own. Personally, I love having the interns. I still remember my own internship, and I believe in helping our future by addressing issues in healthcare before bad habits are learned. 😊
My husband was a senior in veterinary school when I was pregnant with our first born. I almost felt like it was my duty to allow the residents and other student types to watch/participate whatever when I was in the hospital. I think my room was standing room only for the external version procedure to redirect my breach positioned oldest.
Truthfully, most of the time I'd feel a lot safer as someone's 10th patient than their 10,000th. Eagerness counts a lot for patient care. Plus I want to know where people are getting these magically wonderful experiences with seasoned docs, because most of the time I know they're going to forget my face 0.5s after leaving the room - if they even looked up long enough to see my face in the first place. I was grateful to have a team of *good* experienced specialists when I had a severe onset of a chronic illness, but I am glad to have the students/fellows observe my appointments now because I want them to be experienced later on
My family doctor was really good at being friendly and acted like you knew you. But I asked him one day and he told me basically gets a refresher every time he sees a patient. But that's fine I don't expect the average human being to have perfect memory. Especially when they see hundreds of patients. Perhaps in the thousand range
@@krislarsen6546 In my limited experience (only one voluntary year at an ER), you don't usually forget patients but you don't remember them like you remember people you personally know. I could never recognize people by their name or face but as soon as I saw their imaging or patient history it all came back immediately. Seemed to be the case for most of my colleagues too.
I had a doctor and a student examine my abdomen one time, I have a long scar down my stomach, directly after that, the doctor asked me if the surgery I had was laparoscopic, and the student had to bring up the big ass scar that he just saw like a minute ago
@@iz2333 huh that makes sense. And people who become doctors are usually exceptional when it comes to memory. At least I would have to think that they would have to have exceptional good memory
@@iz2333 that makes sense. I know one of my doctor's recognizes me by face and name, but I am a very unique case due to a very messed up medical trauma history. Though in my neuros infusion center the nurses do remember you if you are in often enough. But I can't imagine any doc remembers anywhere close to most of their patients, especially the routine patients with routine problems that are easily solved.
On the other hand, being treated in a teaching hospital is great, because you get to hear them explaining stuff in way more depth and they spend more time with you.
As someone with complex, rare disorders, I get referred to specific doctors, and I have had to become that person who refuses the fellow…not because I think they’re incompetent or because I don’t trust them (I’m a nurse, I know how far into training they are, and I also know that hands on learning is best)…but I need to see the person I’ve been sent to. Fellow’s are welcome to stay in the room, but I already have been through over 2 dozen doctors who don’t know/understand my situation, I need to build rapport with the actual attending who specializes in the rare cases 🤷♀️
I started going blind while I was in the hospital with preeclampsia and an intern looked me in the eye and said that it was unrelated to my blood pressure. I'll take an actual doctor thanks. Oh and then I was clearly used as an example of how to give devastating news because they brought the whole damn crew in to watch the attending tell me they would have to deliver the baby 10 weeks early. Nothing like having an audience while receiving the most horrible news of your whole life.
A patient refused to let my dad take his stitches out because he wanted to be treated by a "real doctor" and not a trainee. Little did he know, my dad was the one who had put the stitches in while he was unconscious.
I have really obvious veins, so when I needed my blood drawn around a year ago, I told the techs that if anyone was new, I would be good practice. They were actually very grateful and brought in someone who had just started. So, fun fact about getting your blood drawn. You need to hold down on the arm for a while after the needle is removed to make sure that a really nasty-looking and long-lasting bruise doesn't develop. New technicians often forget that part. I no longer offer up my arm as a guinea pig.
I had a student involved in my physical just last week. The midwife asked first. I agreed. Everything went fine and I made sure to let her know at the end that she did just fine and I was happy with the interaction
One of the GI attendings at my hospital actually did cause a hit and run and fled the scene but his license plate was "SCOPEDOC" so they found him easily in his Mercedes at the hospital. Claimed he had his turn signal on to merge and was the other person's fault because they didn't allow him in and kept going. Yes, true story and everyone was okay.
It can be complicated on whether or not to let a med student do your procedure. On one hand, you have low risk things like blood draws where the risk if they mess up or have to retry is fairly low. On the other hand, I have heard horror stories of med students doing epidurals and having to retry 3 or 4 times before their attending finally pushed them aside to do it. Being stabbed in the spine (potentially) 5 times while already going through contractions could be a pretty hard call to make.
In the last 2 years, I've had several Pain Management Fellows *BEND NEEDLES IN MY SPINE* and be so rough that the inflammation made my condition so much worse. So yes, my attending always does my procedures.. but he fully understands why. I'm young and have very.. different health conditions. Its a good learning opportunity, but its not my job to have so many mistakes. . Like an obgyn fellow giving a pelvic exam.. with extremely sharp rings on. Sometimes we just don't have to be someones lesson learned, and we simply want treatment.
The one thing I won't allow is to be the phlebotomy guinea pig. I hate needles, you get one shot for me. Invading personal or medical privacy for the purposes of education? Great! But not causing me additional mental and physical pain. Find someone else who is more compatible on that subject.
@@phillyphakename1255 I don't intend to say anyone has be okay with medical students during their appointment. Doctors appointments can be scary and incredebly stressful. I used to be very uncomortable within any medical setting. Nurses and medical students have been major moral support for me when I get scared during blood tests or get axnious during checkups. That's why I feel okay with having them around now
I super agree with this! I want people to be able to learn if I have to suffer, lol. Though I agree with the other commenter that phlebotomy is a no-go for me...
Yep, one of my docs loves putting her students in with me. I only traumatize them a little. Jk, they're fine, they just need to learn that appearances can be deceiving and that they aren't always asking what they think they are asking. Like I might look like I'm on the verge of a panic attack, that's cause I am, but that doesn't mean I can't answer your questions and go into way more detail than they'd expect, and that I'm not embarrassed. Though answering the questions they are actually asking instead of the questions they think they are asking can be fun. I'm not mean though, I'll give them a few tries and then take pity on them and tell them what they should be asking to get the type of answer they are looking for.
When I was hospitalized for pneumonia, I was asked if it would be okay for med students to practice on me. I said yes. I was stable, and they have to learn.
Agree. I’ll give a phlebotomist or nurse two stabs but when they do not listen when I tell them which way my vein is going to roll if they don’t push down at ^this^ spot, I request the nursing supervisor or an anaesthesiologist who will get it right after listening to me say exactly what I told the student(s). The students are always shocked when afterward, the one who got it says, “If a patient tells you exactly what will happen, trust them. They are trying to help you succeed.” I go out of my way to go to dental hygienist schools, cosmetology schools, and massage therapy schools to let students practice on me. It’s cheaper, I’m usually more relaxed than they are, and I am happy they get to practice on real folks. I used to do therapy at a university that had in-house internships for a semester before their counseling students did their external internship. That was excellent. New student each semester so I worked out goals for each semester and they knew they legitimately helped at the end. Gah.
I had a obgyn in training check me once he was really nervous and shaking then he pinched my kitty cat with the speculum. Honestly tho he was a very sweet boy and apologized and I bet he’s an amazing ob now.
I get this often as a dietitian. People want to talk to a doctor because they don't realize not every issue needs to be addressed by a doctor. They triaged you to me, that means even THEY think I can handle it. :)
Learn trauma informed care. The patient isn't questioning you, they are reacting to previous experiences. Their doctor earned their trust, you have not. Just walking into a room and explaining that you are a fellow does not earn trust. All health care professionals dismissing the patient questioning who is providing their care should really examine if they are part of the problem.
I've been unlucky enough to be the person that somehow ends up in the 0.05% with complications for common medical procedures but seeing the med students trying their darndest is always a highlight of my hospital stays :)
I worked as a nurse in a hospital and had worked with many residents. About 3 months prior to giving birth to my 2nd son in the same hospital, I had worked with a resident that wasn't too bright. This resident came in to get the consent signed for my son's circumcision. I asked to speak to the attending and made it clear that the resident was not to perform the circumcision. Patients have the absolute right to refuse treatment from specific healthcare professionals.
The best doctor I ever ever had would always have 2 or 3 student doctors trailing behind her for all of my appointments, as long as I consented. She was always mentoring new docs in her specialty of trans hormone therapy and medication management, because the vast majority of docs are not educated to provide trans care in a family practice setting. She was teaching them to provide a niche form of patient care, in the high standard that she does. And I appreciated that so much. She educated me more than any other doctor about my own body, and she basically opened up more opportunities for more trans folks to access the care they need. ❤ I'll never forget her, and her students were lovely to work with as well.
When I had appendicitis I was totally cool with all the students and trainees doing things like ecgs and blood draws and asking questions and so on because I'm a med student myself! I know how key experience is so I ended up with a bunch of trainees and students waiting outside my room lol
This gives me a chuckle. One of my coworkers was ordered out of the room by the patient, who followed her out. This patient (a woman) screamed at my coworker demanding to see be seen 'by a real doctor' (my coworker is a fully licensed GP with 10 years under her belt as a full fledged doctor) Patient points at me, and says 'A real doctor, like him! I want to be seen by HIM.' I smiled, and said "Dont worry, if you ignore Dr. Cunningham (not real name) I'll see you in my morgue in no time at all."
When I was a kid, a trainee stuck me EIGHT TIMES with a needle because she couldn’t get a vein, and she was being trained. Eventually another doctor came in, found out, and was livid. They immediately called in some IV Unit who got a vein first go. My pediatrician was livid and filed a report for misconduct by the hospital’s ER. This hospital would also give people IV fluids for NO REASON.
I thought this was going to be an educational skit about how to address patients that refuse to be assessed or treated by a fellow or student! LOL That was quite the plot twist
I was forced into having a student conduct my lumbar puncture at Duke Childrens despite my incessantly saying no, crying, asking for my mother. I previously had traumatic punctures. I get wanting to have the students learn, but aren't doctors supposed to listen to patients when they say no? I was a minor.
I don't mind if students work on me, but I always ask if they are familiar with Factor Five Lieden and Factor Eight. I don't just accept a yes answer. I always use the same primary, hematologist, and cardiologist. If the student doesn't come in and ask if I am still on warfarin, then I know they did not open my file.
I am a nursing instructor, but even before I started teaching I would have been happy to have a student/resident/fellow. They have to learn just as I did.
LOL! "And they never caught him....." How does the patient know it was a GO Fellow? Anyway, I encourage and am excited for trainees to be a part of my treatment whenever I have the honor of one to be there. I feel like I'm getting 2 for the price of 1 even though the trainee isn't as qualified as the primary. The trainee still has the opportunity to maybe catch something the primary won't see and is usually more thorough. I also love that I get to be a part of the Trainee's education.
@@letsget100subswithoutconte4 Your comment showed in my notifications but not here. I'm posting it for you. "Family identified them but they never went home"
I have to say, I'm seeing this argument a lot and it's kinda nonsensical. They were all random kids once, too. I think it's fair if you don't want a untrained six year old shoving needles into you, and if that's fair, than the rest is just bargaining. It's up to the patient how much training and experience they want, because it's their life that could get ruined.
@@nala7829I think the person you're responding to was commenting on the character in the sketch. The character didn't want to be seen by a trainee, in case it was the one who hit her dad. But since the accident happened years ago, at this point it could very well be that her attending physician is the culprit she should be wary of. 😅 Editing to say i agree with your take though, about people in reality who are uncomfortable with trainees. I think unlike this video, usually it is the doctor who asks the patient for permission for a shadowing trainee to be in the room though. Imo depending on how well permission is asked; and the trainee's role is explained would help a patient feel comfortable helping the next gen of doctors learn their trade.
I was the obgyn patient at both hospitals I gave birth at- they asked me “is it ok if my students observe you” and I said YES! Little did they know that after they came in at like 2!hours of labor I got rushed into er surgery hours later to have my son. Hope it was great for them. Later I was scheduled C-section and they trotted in and had no idea what was going on. Whatever- I had two healthy sons!
In the hospital I had a "trainee" change my central line - turns out she was actually a doc who had practiced medicine for more than a decade in Japan but had recently moved to the USA and had to go through residency again here. She was super skilled and able to answer lots of questions for me too 😂
When I was a fellow, there was a famous and exceptionally wealthy engineer who preferred to be admitted to teaching services. He was certain that doing so resulted in superior experiences and I certainly agreed with him. When he died at almost 100 years, his bequest to the University was sufficient to erect and equip a new, free-standing dental school to replace the then-existing one appended to the medical school.
To be fair, I went to the doctor once when I couldn't breathe and the PA said nothing was wrong with me. I went back the very next day and asked to speak with the actual doctor and it only took her 2 seconds to diagnose me with pneumonia. 😅
When I was delivering my first baby, a nurse came over and asked if I would mind if some students watched the delivery. I was like, "Sure." I looked up later, and there were about 20 residents with clipboards lined up on the wall taking notes. I was just like. "Offfff course." Lol
When I went to the hospital they asked me if it was ok if the med student came in to examine/ poke and prod me before they’d come in. I always said yes since they seem more attentive and less intimidating so I can ask more questions/talk if I want.
This happened to a friend of mine at NYP Hospital 68th St + York in NYC. She was just getting into a cab after physical therapy--already wearing a neck brace!!--when one of the docs hit her + the cab, then took off. Years before, it was the doctors there as I was escorting a friend to chemotherapy that made me decide to go into veterinary not human medicine. Now, there are creepy vets, too, I admit--there are creeps in every profession from all walks of life anywhere you go on Earth, unfortunately--I just hadn't met any creepy vets yet 🙄😉 .
I once made a gynecology trainee nearly pass out. He was supposed to replace my nexplanon, but the lidocain wouldn't kick in, since I'm immune to it. So when I said to just do it without it he had to hand the scalpel over to the boss, and go sit down. I barely even flinched. I think it hurt him more than it did me
I’m sorry, but as a patient who has been burned by our broken healthcare system repeatedly, even though I have never asked for a different member of the medical team to attend to me, I totally can empathize with a patient wanting to see the doctor or attending physician. Especially when you’re paying ridiculous prices for healthcare and medical care that should be taken care of by tax dollars but isn’t, let Patient see whoever the heck they want to see. They are paying customers. and their lives are in your hands. If it makes them feel safer and more comfortable, it’s not an outrageous request. It’s bad enough that physicians make us wait forever to be seen Dash hours at the hospital for over an hour and the physicians office. And it’s bad enough that the physician takes less than five minutes of their time.
I’ve insisted on having my regular doctor in the consult with a trainee. It was a follow up to a TBI and I just felt that the practitioner I had established a relationship with should be directly involved after the incident. I’m happy to meet with a trainee and let them participate, but there isn’t much point in having a gatekeeper doctor if there isn’t a personal relationship in place.
I get both points. Depends on complexity of the case. Like personally there's certain things I need as far as anesthesia that I'd prefer if someone who's a full fledged anesthesiologist be present for.
it's interesting, I find that the Nurse Practitioners actually come to the symptoms with a more practical, thorough and systematic approach, without ego and confidence and that has twice picked up things that the Doctors missed. Also the House officer while more junior, often can see broader solutions that the specialist or more senior Doctor may miss. The seniors have much deeper knowledge and experience, and their confidence / ego helps to take decisive action. But, the juniors have had to learn far more than a Doctor learning in the 70s, and their memory of all the nuance is much more fresh. The Zebra's thing where juniors are more likely to jump to a rare disease option is super helpful when you have been in the health system for a while and the normal stuff has been eliminated. Also, they don't have any previously disproven treatments and use newer, better practice. Again, also their ego isn't too big and they are really focusing on the detail and they aren't overconfident in their theories. And all of that mix is so beautiful to see.
I gave birth at a teaching hospital and they asked if it was okay if some students came in and I said sure and the next thing I know about a hundred people are staring at my hoo-ha 🤣
So, while I would typically find this patient to be more than slightly wackadoodle, the trauma is strong with this one. By the telling, they may have been IN the car with their dad.
Since that was a couple years ago, that GI fellow is now the attending.
Yeah
🤣
Exactly
That’s why she wants the attending- gotta look in their EYEZ 😈
Brah 😂
plot twist the attending was the GI fellow that fled the scene
🤣🤪🤣
My thoughts exactly.
That's why she's requesting the fellow specifically... She's not actually sick
😂😂
Haha!
Hate it when that happens. So relatable
Happens at least twice a year
I also hate it when the GI kills me and fleas the scene
Definitely sucks when the GI fellow recognizes you after the accident and knows he needs to silence you for good, so relatable
3/10, Wouldn't recommend.
In my experience, med students tend to be more engaged, empathetic and conscientious, it makes up for the lack of experience
Yep. And sometimes they are learning lessons their attending was not trying to teach them. I had a rather disrespectful attending who was completely disregarding my trauma that was very much relevant, and the student just continued to look more and more horrified. So even though the appointment was a disaster, at least the student learned how not to treat patients.
@@waffles3629when I was younger I had a pediatrician who would call me fat ever time I came into the office (and I'm not or never was morbidly obese, just a little bigger than the other kids) and when her nurses gave me shots I couldn't move my arm for days 😅
I've had the opposite experience too
@@waffles3629and thats when you ask to talk to their service chief
My English teacher in high school let a student be his anesthesiologist. The student got it wrong and he was awake, but paralyzed when they were going to start cutting, so he couldn’t communicate with them to tell them he was awake. He told us always make sure our anesthesiologist is old and experienced.
"Your father died because a GI fellow fled the scene and now you want me to flee this scene?"
proceeds to die on him after he leaves to get revenge
Good point, and since it was years ago, he's likely the Attending now.
@@effoff1I thought that was the joke
@@effoff1 Thats why he wants to get alone with the guy. Its a revenge plot.
How then did you know it was a GI fellow?!? This went off the rails in the best way.
For sure, right? "GULLIBLE" is written on the ceiling.
Bumper sticker?
@@TheBluestflamingos "Please Don't Tailgate. P00p Samples in the Trunk."
@@TheBluestflamingosmore like booty sticker
You just know right!? Who else could have been?
Also, my current primary care doctor almost seems too young to be a doctor, he can't be more than my age... But he's *very thorough* and listens very well. He has helped me address a lot of issues that other doctors have not listened to me about for years! Let the younger generation lead our healthcare, the kids are alright. ❤
Like being a drunk driver is a known character trait for GI Fellows or something.😂
The joke is that it could be any attending, because the culprit is still out there.
I've been in the hospital, my doctors office, probation and rehab for drug addiction and have been asked if it's ok for people to sit in or doing exactly what you did and I always say yes! Because it's good to HELP educate these people by giving them experience. In rehab, the two young ladies asked me so many questions about my heroin/fentanyl and crack addiction, me being an escort, etc. Stuff they wouldn't learn from a book. They were super appreciative and open to hearing my story. It was awesome.
I had this conversation (less hatefully) with my apn’s trainee last week. I understand she’s competent and well trained and couldn’t ask for a better trainer, but I have been with my apn for just under ten years. I have an alphabet soup of anxiety related disorders including pnes seizures from Cptsd. I TRUST my doc, and that’s not easy. On top of which my appointment had been rescheduled 3 times!!! This for something that’s just started with my heart. The trainee turned out to be very nice and very competent, but as I had waited to see my apn so long and hadn’t even been told this could happen…. I felt absolutely betrayed and as a result am searching for a different doctor.
I was in Universtiy of Kentucky hospital for 3 days, following RNY gastric bypass. Got extremely sick, and went back for 4 more days. The team of residents were awesome, save for one. I “fired” him. It was a pleasure to talk to a team when the arrogant one had to remain outside!
I appreciate our teaching hospital for asking permission before the patient is ever brought to the room.
Patients who refuse can have many valid reasons for refusing, and interns don't need any more people sucking the soul out of the job they want to do.
Insurance does enough of that on its own.
Personally, I love having the interns. I still remember my own internship, and I believe in helping our future by addressing issues in healthcare before bad habits are learned.
😊
My husband was a senior in veterinary school when I was pregnant with our first born.
I almost felt like it was my duty to allow the residents and other student types to watch/participate whatever when I was in the hospital.
I think my room was standing room only for the external version procedure to redirect my breach positioned oldest.
i... uhm...
.I..... 😳 wait.
@@justcallmejessz3712what?
Well, did the external version work?
Truthfully, most of the time I'd feel a lot safer as someone's 10th patient than their 10,000th. Eagerness counts a lot for patient care. Plus I want to know where people are getting these magically wonderful experiences with seasoned docs, because most of the time I know they're going to forget my face 0.5s after leaving the room - if they even looked up long enough to see my face in the first place.
I was grateful to have a team of *good* experienced specialists when I had a severe onset of a chronic illness, but I am glad to have the students/fellows observe my appointments now because I want them to be experienced later on
My family doctor was really good at being friendly and acted like you knew you. But I asked him one day and he told me basically gets a refresher every time he sees a patient. But that's fine I don't expect the average human being to have perfect memory. Especially when they see hundreds of patients. Perhaps in the thousand range
@@krislarsen6546 In my limited experience (only one voluntary year at an ER), you don't usually forget patients but you don't remember them like you remember people you personally know.
I could never recognize people by their name or face but as soon as I saw their imaging or patient history it all came back immediately. Seemed to be the case for most of my colleagues too.
I had a doctor and a student examine my abdomen one time, I have a long scar down my stomach, directly after that, the doctor asked me if the surgery I had was laparoscopic, and the student had to bring up the big ass scar that he just saw like a minute ago
@@iz2333 huh that makes sense. And people who become doctors are usually exceptional when it comes to memory. At least I would have to think that they would have to have exceptional good memory
@@iz2333 that makes sense. I know one of my doctor's recognizes me by face and name, but I am a very unique case due to a very messed up medical trauma history. Though in my neuros infusion center the nurses do remember you if you are in often enough. But I can't imagine any doc remembers anywhere close to most of their patients, especially the routine patients with routine problems that are easily solved.
On the other hand, being treated in a teaching hospital is great, because you get to hear them explaining stuff in way more depth and they spend more time with you.
As someone with complex, rare disorders, I get referred to specific doctors, and I have had to become that person who refuses the fellow…not because I think they’re incompetent or because I don’t trust them (I’m a nurse, I know how far into training they are, and I also know that hands on learning is best)…but I need to see the person I’ve been sent to. Fellow’s are welcome to stay in the room, but I already have been through over 2 dozen doctors who don’t know/understand my situation, I need to build rapport with the actual attending who specializes in the rare cases 🤷♀️
I’m the same way. 😊
I started going blind while I was in the hospital with preeclampsia and an intern looked me in the eye and said that it was unrelated to my blood pressure. I'll take an actual doctor thanks.
Oh and then I was clearly used as an example of how to give devastating news because they brought the whole damn crew in to watch the attending tell me they would have to deliver the baby 10 weeks early. Nothing like having an audience while receiving the most horrible news of your whole life.
A patient refused to let my dad take his stitches out because he wanted to be treated by a "real doctor" and not a trainee. Little did he know, my dad was the one who had put the stitches in while he was unconscious.
Maybe he was the fellow with the felony…
😳
A felonious fellow as it were.
with the fellow-knee
I have really obvious veins, so when I needed my blood drawn around a year ago, I told the techs that if anyone was new, I would be good practice. They were actually very grateful and brought in someone who had just started.
So, fun fact about getting your blood drawn. You need to hold down on the arm for a while after the needle is removed to make sure that a really nasty-looking and long-lasting bruise doesn't develop. New technicians often forget that part.
I no longer offer up my arm as a guinea pig.
My Mom was that person.
I had a student involved in my physical just last week. The midwife asked first. I agreed. Everything went fine and I made sure to let her know at the end that she did just fine and I was happy with the interaction
Omg.. I love the training Dr's at my hospital they go over and beyond for me..
One of the GI attendings at my hospital actually did cause a hit and run and fled the scene but his license plate was "SCOPEDOC" so they found him easily in his Mercedes at the hospital. Claimed he had his turn signal on to merge and was the other person's fault because they didn't allow him in and kept going. Yes, true story and everyone was okay.
I’m just saying, my GI saved my life hen he figured out my diagnosis, he’s got a special place in my heart forever.
A trainee saved my life after several visits to the hospital because the older docs didn't think I could have gallstones.
It can be complicated on whether or not to let a med student do your procedure. On one hand, you have low risk things like blood draws where the risk if they mess up or have to retry is fairly low. On the other hand, I have heard horror stories of med students doing epidurals and having to retry 3 or 4 times before their attending finally pushed them aside to do it. Being stabbed in the spine (potentially) 5 times while already going through contractions could be a pretty hard call to make.
In the last 2 years, I've had several Pain Management Fellows *BEND NEEDLES IN MY SPINE* and be so rough that the inflammation made my condition so much worse. So yes, my attending always does my procedures.. but he fully understands why. I'm young and have very.. different health conditions. Its a good learning opportunity, but its not my job to have so many mistakes. . Like an obgyn fellow giving a pelvic exam.. with extremely sharp rings on. Sometimes we just don't have to be someones lesson learned, and we simply want treatment.
My mum said that throughout her life the trainee explained things better, was more attentive to her and was overall better.
I've met a lot of medical students the last 5 years.
Ideally I wouldn't be ill in the first place but at least it can be useful to someone
The one thing I won't allow is to be the phlebotomy guinea pig. I hate needles, you get one shot for me.
Invading personal or medical privacy for the purposes of education? Great! But not causing me additional mental and physical pain. Find someone else who is more compatible on that subject.
@@phillyphakename1255 I don't intend to say anyone has be okay with medical students during their appointment. Doctors appointments can be scary and incredebly stressful.
I used to be very uncomortable within any medical setting. Nurses and medical students have been major moral support for me when I get scared during blood tests or get axnious during checkups. That's why I feel okay with having them around now
I super agree with this! I want people to be able to learn if I have to suffer, lol. Though I agree with the other commenter that phlebotomy is a no-go for me...
@@MissAyame89its not like they don't have any oversight lmao
Yep, one of my docs loves putting her students in with me. I only traumatize them a little. Jk, they're fine, they just need to learn that appearances can be deceiving and that they aren't always asking what they think they are asking. Like I might look like I'm on the verge of a panic attack, that's cause I am, but that doesn't mean I can't answer your questions and go into way more detail than they'd expect, and that I'm not embarrassed. Though answering the questions they are actually asking instead of the questions they think they are asking can be fun. I'm not mean though, I'll give them a few tries and then take pity on them and tell them what they should be asking to get the type of answer they are looking for.
When I was hospitalized for pneumonia, I was asked if it would be okay for med students to practice on me. I said yes. I was stable, and they have to learn.
Thanks
As a nursing student, thank you.😊
Agree. I’ll give a phlebotomist or nurse two stabs but when they do not listen when I tell them which way my vein is going to roll if they don’t push down at ^this^ spot, I request the nursing supervisor or an anaesthesiologist who will get it right after listening to me say exactly what I told the student(s). The students are always shocked when afterward, the one who got it says, “If a patient tells you exactly what will happen, trust them. They are trying to help you succeed.”
I go out of my way to go to dental hygienist schools, cosmetology schools, and massage therapy schools to let students practice on me. It’s cheaper, I’m usually more relaxed than they are, and I am happy they get to practice on real folks. I used to do therapy at a university that had in-house internships for a semester before their counseling students did their external internship. That was excellent. New student each semester so I worked out goals for each semester and they knew they legitimately helped at the end.
Gah.
Same here, i never have a problem with nurses and doctors training on me, i have been prodded and poked by many and as you put they have to learn.
It also helps the doctor teaching is the best way to learn makes them think deeply about things that would become monotonous otherwise
I had a obgyn in training check me once he was really nervous and shaking then he pinched my kitty cat with the speculum. Honestly tho he was a very sweet boy and apologized and I bet he’s an amazing ob now.
I get this often as a dietitian. People want to talk to a doctor because they don't realize not every issue needs to be addressed by a doctor. They triaged you to me, that means even THEY think I can handle it. :)
Take a trauma informed approach and you may learn why a patient lqcks trust.
Learn trauma informed care. The patient isn't questioning you, they are reacting to previous experiences. Their doctor earned their trust, you have not. Just walking into a room and explaining that you are a fellow does not earn trust. All health care professionals dismissing the patient questioning who is providing their care should really examine if they are part of the problem.
I've been unlucky enough to be the person that somehow ends up in the 0.05% with complications for common medical procedures but seeing the med students trying their darndest is always a highlight of my hospital stays :)
I worked as a nurse in a hospital and had worked with many residents. About 3 months prior to giving birth to my 2nd son in the same hospital, I had worked with a resident that wasn't too bright. This resident came in to get the consent signed for my son's circumcision. I asked to speak to the attending and made it clear that the resident was not to perform the circumcision. Patients have the absolute right to refuse treatment from specific healthcare professionals.
They don’t stay Fellows forever, my friend.
The best doctor I ever ever had would always have 2 or 3 student doctors trailing behind her for all of my appointments, as long as I consented. She was always mentoring new docs in her specialty of trans hormone therapy and medication management, because the vast majority of docs are not educated to provide trans care in a family practice setting. She was teaching them to provide a niche form of patient care, in the high standard that she does. And I appreciated that so much. She educated me more than any other doctor about my own body, and she basically opened up more opportunities for more trans folks to access the care they need. ❤ I'll never forget her, and her students were lovely to work with as well.
Bro fled the scene twice
When I had appendicitis I was totally cool with all the students and trainees doing things like ecgs and blood draws and asking questions and so on because I'm a med student myself! I know how key experience is so I ended up with a bunch of trainees and students waiting outside my room lol
It’s all good until they start doing exams on unconscious patients who are unable to give consent. Which is still happening today...
@@ThunderStruck15 absolutely. As far as I'm aware this is illegal where I am, but I will double check. Consent is key!
This gives me a chuckle. One of my coworkers was ordered out of the room by the patient, who followed her out.
This patient (a woman) screamed at my coworker demanding to see be seen 'by a real doctor' (my coworker is a fully licensed GP with 10 years under her belt as a full fledged doctor)
Patient points at me, and says 'A real doctor, like him! I want to be seen by HIM.'
I smiled, and said "Dont worry, if you ignore Dr. Cunningham (not real name) I'll see you in my morgue in no time at all."
"Interesting, you're fleeing the scene right now."
Trainees were great when i was stuck in hospital for a long time with sepsis and DKA.
When I was a kid, a trainee stuck me EIGHT TIMES with a needle because she couldn’t get a vein, and she was being trained. Eventually another doctor came in, found out, and was livid. They immediately called in some IV Unit who got a vein first go. My pediatrician was livid and filed a report for misconduct by the hospital’s ER. This hospital would also give people IV fluids for NO REASON.
"Damn, I don't drive, let's get started."
I thought this was going to be an educational skit about how to address patients that refuse to be assessed or treated by a fellow or student! LOL That was quite the plot twist
I was forced into having a student conduct my lumbar puncture at Duke Childrens despite my incessantly saying no, crying, asking for my mother. I previously had traumatic punctures. I get wanting to have the students learn, but aren't doctors supposed to listen to patients when they say no? I was a minor.
I don't mind if students work on me, but I always ask if they are familiar with Factor Five Lieden and Factor Eight. I don't just accept a yes answer. I always use the same primary, hematologist, and cardiologist. If the student doesn't come in and ask if I am still on warfarin, then I know they did not open my file.
To be fair to the patient, PTSD is irrational and not the easiest thing to deal with when other stuff is going on.
Or the patient just gave an excuse not to talk to the Fellow.
I love the fellows
I am a nursing instructor, but even before I started teaching I would have been happy to have a student/resident/fellow. They have to learn just as I did.
I feel like students/trainees/fellows etc are more likely to be more thorough because they don’t have the experience to make then possibly complacent.
The second best “Oh my!” After George Takei!!
Trainees tend to listen to the patients more closely than the attending docs, just my experience
Lack of sleep from ridiculous Nightshift schedules and overwork/stress make things like that more common than they should be.
Reminds me of Jim corasanti. Hit and run, fled, concealed evidence.... still has his medical license too
Well that took a turn.
LOL! "And they never caught him....."
How does the patient know it was a GO Fellow?
Anyway, I encourage and am excited for trainees to be a part of my treatment whenever I have the honor of one to be there. I feel like I'm getting 2 for the price of 1 even though the trainee isn't as qualified as the primary. The trainee still has the opportunity to maybe catch something the primary won't see and is usually more thorough. I also love that I get to be a part of the Trainee's education.
Family identified them but they never went home
@@letsget100subswithoutconte4
Your comment showed in my notifications but not here. I'm posting it for you.
"Family identified them but they never went home"
The attending physician was likely a GI fellow at some point as well. . .. 🤪
I have to say, I'm seeing this argument a lot and it's kinda nonsensical. They were all random kids once, too. I think it's fair if you don't want a untrained six year old shoving needles into you, and if that's fair, than the rest is just bargaining. It's up to the patient how much training and experience they want, because it's their life that could get ruined.
@@nala7829I think the person you're responding to was commenting on the character in the sketch. The character didn't want to be seen by a trainee, in case it was the one who hit her dad. But since the accident happened years ago, at this point it could very well be that her attending physician is the culprit she should be wary of. 😅 Editing to say i agree with your take though, about people in reality who are uncomfortable with trainees. I think unlike this video, usually it is the doctor who asks the patient for permission for a shadowing trainee to be in the room though. Imo depending on how well permission is asked; and the trainee's role is explained would help a patient feel comfortable helping the next gen of doctors learn their trade.
Well that took an unexpected turn.
I was the obgyn patient at both hospitals I gave birth at- they asked me “is it ok if my students observe you” and I said YES! Little did they know that after they came in at like 2!hours of labor I got rushed into er surgery hours later to have my son. Hope it was great for them. Later I was scheduled C-section and they trotted in and had no idea what was going on. Whatever- I had two healthy sons!
In the hospital I had a "trainee" change my central line - turns out she was actually a doc who had practiced medicine for more than a decade in Japan but had recently moved to the USA and had to go through residency again here. She was super skilled and able to answer lots of questions for me too 😂
I was expecting the GI attending to come in and have no clue about how to place an order or where to get supplies
When I was a fellow, there was a famous and exceptionally wealthy engineer who preferred to be admitted to teaching services. He was certain that doing so resulted in superior experiences and I certainly agreed with him. When he died at almost 100 years, his bequest to the University was sufficient to erect and equip a new, free-standing dental school to replace the then-existing one appended to the medical school.
To be fair, I went to the doctor once when I couldn't breathe and the PA said nothing was wrong with me. I went back the very next day and asked to speak with the actual doctor and it only took her 2 seconds to diagnose me with pneumonia. 😅
That escalated quickly
"Hi! I'm Dr. Schmidt!"
"Hello. My name is Inigo Montoya."
Med student watching this completely anxious
I wasn’t ready for that turn 😂
When I was delivering my first baby, a nurse came over and asked if I would mind if some students watched the delivery. I was like, "Sure." I looked up later, and there were about 20 residents with clipboards lined up on the wall taking notes. I was just like. "Offfff course." Lol
How does this doc post my best arguments before I can make them?
I'm just wondering how the party that fled is known to be a GI fellow but was never caught?... Seems like (s)he would be very easily found. 😅
Family identified them but they never went home
Plot Twist: The attending physician was the former trainee that did the hit and run. 😳
Na really though we couldn't afford a better doctor and so a student popped my dad's lung he served in Vietnam was sober and deserved better in life
This went from completely reasonable to bat Shit crazy real fast.
You are nuts
and it makes my day.
That was personal LOL
WELL THAT ESCALATED......
He's actually right
When I went to the hospital they asked me if it was ok if the med student came in to examine/ poke and prod me before they’d come in. I always said yes since they seem more attentive and less intimidating so I can ask more questions/talk if I want.
Training accepted. Thanks
This happened to a friend of mine at NYP Hospital 68th St + York in NYC. She was just getting into a cab after physical therapy--already wearing a neck brace!!--when one of the docs hit her + the cab, then took off. Years before, it was the doctors there as I was escorting a friend to chemotherapy that made me decide to go into veterinary not human medicine. Now, there are creepy vets, too, I admit--there are creeps in every profession from all walks of life anywhere you go on Earth, unfortunately--I just hadn't met any creepy vets yet 🙄😉 .
I once made a gynecology trainee nearly pass out. He was supposed to replace my nexplanon, but the lidocain wouldn't kick in, since I'm immune to it. So when I said to just do it without it he had to hand the scalpel over to the boss, and go sit down.
I barely even flinched. I think it hurt him more than it did me
I pay too much money on insurance to have a trainee take care of me. In a community clinic or non profit I wouldn't mind.
I’m sorry, but as a patient who has been burned by our broken healthcare system repeatedly, even though I have never asked for a different member of the medical team to attend to me, I totally can empathize with a patient wanting to see the doctor or attending physician. Especially when you’re paying ridiculous prices for healthcare and medical care that should be taken care of by tax dollars but isn’t, let Patient see whoever the heck they want to see. They are paying customers. and their lives are in your hands. If it makes them feel safer and more comfortable, it’s not an outrageous request. It’s bad enough that physicians make us wait forever to be seen Dash hours at the hospital for over an hour and the physicians office. And it’s bad enough that the physician takes less than five minutes of their time.
I’ve insisted on having my regular doctor in the consult with a trainee. It was a follow up to a TBI and I just felt that the practitioner I had established a relationship with should be directly involved after the incident. I’m happy to meet with a trainee and let them participate, but there isn’t much point in having a gatekeeper doctor if there isn’t a personal relationship in place.
I believe this is a classic case of “declining” 😂😂😂😂
I get both points. Depends on complexity of the case. Like personally there's certain things I need as far as anesthesia that I'd prefer if someone who's a full fledged anesthesiologist be present for.
What a twist! 😆
This was the second time the attending had to flee from the scene
Honestly for me I’m always okay with student in the room or helping out DEPENDING ON THE TOPIC AND REASON FOR
Were you watching that British show " Mind Your Language " while thinking about this clip 😂?
I wish i had a GI fellow. Maybe he would have actually listened to me 5 years ago when I FIRST started having problems
it's interesting, I find that the Nurse Practitioners actually come to the symptoms with a more practical, thorough and systematic approach, without ego and confidence and that has twice picked up things that the Doctors missed. Also the House officer while more junior, often can see broader solutions that the specialist or more senior Doctor may miss.
The seniors have much deeper knowledge and experience, and their confidence / ego helps to take decisive action.
But, the juniors have had to learn far more than a Doctor learning in the 70s, and their memory of all the nuance is much more fresh. The Zebra's thing where juniors are more likely to jump to a rare disease option is super helpful when you have been in the health system for a while and the normal stuff has been eliminated.
Also, they don't have any previously disproven treatments and use newer, better practice.
Again, also their ego isn't too big and they are really focusing on the detail and they aren't overconfident in their theories.
And all of that mix is so beautiful to see.
😂 dude I'm in a waiting room at the mechanics and people are looking at me
I was a PA's first seizure, and I've been prodded a million times by Fellows because I have far too many types of seizures. They're kinda sweet.
This is my brother. I'm glad he was cured of it when he got a really good P.A. he used to be "only a DR!"
Honestly P.A.s are completely different and not doctors and Ive run into alot of shitty ones- as in Google did me more good.
I gave birth at a teaching hospital and they asked if it was okay if some students came in and I said sure and the next thing I know about a hundred people are staring at my hoo-ha 🤣
Bro fled twice 😭
The patient's hair cutter was a hit and run also.
He's just going around to all the gis to make sure....to find the one
So, while I would typically find this patient to be more than slightly wackadoodle, the trauma is strong with this one.
By the telling, they may have been IN the car with their dad.