Sunday, July 6, 2008

Hello, PGY-2!

Now that I'm a PGY-2, I'm really looking forward to leading a team of interns and doing more teaching, but July 1st was a bit anticlimactic for me as I'm starting out on elective. In some ways, it seems wise to stay away from the inpatient wards this month. I've gone to visit some friends on the wards, and it seems like controlled chaos. My fellow PGY-2's are a little frustrated that their interns are not as efficient as we were, but we remember well how difficult the first few weeks were for us. Looking back, I was thankful to survive each day somewhat intact.

Although I'm not leading a team, new responsibilities abound everywhere I look now that I'm a resident.
  • In the urgent care clinic, I'm now expected to see six patients a session instead of the four I saw just two months ago in the same clinic. I haven't become magically more efficient, but I'm quickly learning lest the nursing staff kill me for keeping them late!

  • Next, I will be admitting patients overnight as the junior resident nightfloat. While there is a senior resident around if I have questions (in addition to fellows and attendings by phone), I'm largely expected to admit these patients on my own. I know it is something I am capable of, but I feel a bit like I'm swinging on a trapeze without a safety net.

  • After a few weeks of nightfloat, I'll be in the emergency room, again without any interns to "boss" around. Instead, I will be running the "medical traumas" that come into the ER, such as overdoses and strokes. Yes, a patient will be rolling into a trauma room, and I will be yelling out orders!

This year will be an adventure, for sure. I'll keep you updated!

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