I had a really amazing conversation with a resident lately after an attending made me cry. At the end of this conversation, I just really wished I knew these lessons ahead of time. So here they are, for the lovely medical doctors to be following this blog:
You are not graded on how much you know, but on your confidence. There is no doubt that no matter how well read you are, there are a good 30% of answers you will not know. No matter what, say the wrong answers with confidence. Because if you sound shaky and scared, or hesitant, some residents/attendings will see it as “not knowing” anything at all. They won’t pimp you as much, they’ll start to ignore you or lose interest. Believe me, you need to make an impression to get that wonderful eval. If you don’t have a clue, start reasoning, such as “well, I think a person with hepato-renal syndrome will be hypertensive because…” The idea is not the right answer, but the reasoning and confidence that you deliver your reasoning that matters.
You will not get along with every resident/attending. I was paired up with a fellow MS3 and we got along with every different people. Our knowledge shined in very different ways. When you find a resident/doctor that think like you, act like you, is the type of professional you’d like to be someday – grab them! A mentor will make a world of difference for you, not to mention you make a new friend in the field.
This is the big one and the hardest. You will be evaluated subjectively on professionalism, knowledge, when most of it comes down to whether or not they like you and your baking. Constantly working for a “nice eval” or “honors” will burn you out. It also takes the fun out of learning. Instead, choose to see your work in a different light. If you love people, find gratification from the patients. If you love knowledge, choose to find joy in learning new things. Choose a stable aspect of your work that is not subjective and draw your energy from that. Believe me, no matter how spectacular a student you are, you will have horrible days where you feel like an absolute idiot.
For all the medical students, best of luck to you on your future career!!