In 1999, the American Board of Internal Medicine and Association of Program Directors in Internal Medicine defined a “problem resident” as a “trainee who demonstrates a significant enough problem that requires intervention by someone of authority, usually the program director or chief resident.”
Nine months of sabbatical / I meet them in the airport lobby / of the newborn nursery.
For children who have been reunited with their parents, though, the damage may have already been done. Let’s discuss some of the key consequences associated with parental-child separation in detail, starting with the notion of toxic stress.
twenty-two nights you kept me awake. i counted / them last night, counted them as i lay on my bed with / eyes propped open, trying everything i could to
Medical training and practice exposes us simultaneously to the beauty and tragedy of life. As a resident, you are thrown into a strange world in which death will often sit as an unwanted companion in the room with you and your patient.
A quiet, frail, emaciated gentleman in his 60s who was dying of cancer. What made him different was that he was shackled to the bed, one arm and one leg bound to the bed of a barren room, lit only by the pale blue light from the window that cast the silhouette of bars on the floor. This was the prison unit.
The hospital is a stage and rounding is the show. It’s a daily performance, a dance of sorts, that takes place each morning on the floors. The performers congregate outside a patient room.
A page, an email, a text will request that you report to the program director’s office to have a conversation about a complaint against you. You are terrified, offended, maybe irritated. As you leave rounds to walk to the office, your adrenaline pumps.
He pulled his chair up to the desk and flipped open his laptop. The young doctor, with thirteen years of pre-collegiate preparatory schooling, four years of college work, and a final four additional years of relevant medical education underneath his belt, attempted to yawn away exhaustion and scrolled through the patient list for the day.
I am doing everything to make this one last. I was dumb before. This is a second chance and I have to do it right this time. You know no one gets a third. I have a new job, I am finally getting back on my feet. So I have had to miss a few days. She says she understands, but I am not so sure.
Neurology resident physician Nita Chen, MD journals through her first year of residency in her graphic medicine column, Pocket Doodles: My First Year as a Physician.
In order for the country to make meaningful progress in tackling the opioid epidemic, we need a cultural shift in the way patients and providers think about pain.
Pharmaceutical companies and physicians are being demonized for their manufacturing and dispensing of opioid analgesics. Money-hungry executives from Big Pharma caused the crisis by brainwashing doctors to prescribe these medications left and right. Greedy doctors want patients dependent upon them for years, ensuring a steady stream of paying patients in their waiting room. Drugs drive the market. Drugs lead to big profits for everyone involved. The more drugs, the better.