So I'm doing my required gen surg rotation this month (against my will) and I was on call yesterday. I'm not even going to get into the injustice of being on call on Friday and Sunday on a holiday weekend because, whatever, that's what happens when you're the non-gen-surg-intern on the gen surg service. Anyway, the other residents in this program actually sorta suck. I'm not saying they're not smart, because they seem to know their stuff, but they're kinda...lazy.
-I saw a patient in the ER yesterday and I wasn't sure who I was supposed to staff it with since it was my third day of gen surg. So I called the senior, he didn't call me back. I called the other senior, she didn't call me back. I called the PGY2, he didn't call me back. I called the PA, she didn't call me back. I called the intern, he didn't call me back. I sat in the ER and rotted for a long time while my patient continued to have acute appendicitis and I thought about what to do. Finally, the PA called me back and said that everyone was eating lunch and that was why they hadn't picked up when I called. You'd think if I called everyone in the room, someone would have figured out that maybe I wasn't just doing it for my health. The PA then went on to tell me that they had decided to get dessert, but someone would see the patient with me when they were done. Because my time is so worthless that I can just sit in the ER and wait for everyone to finish eating their cookies at their leisure. And, you know, the patient can just sit there with her infected appendix and everything will be hunky-dory.
-I pre-op'd a patient and I figured I would just go to the OR with her since I had admitted her, done the H&P, followed her, pre-op'd her, and here we were. Right after I put in the orders to go to the OR STAT, the PGY2 came down and told me to go to lunch. I told him I would just wait until after the surgery and he said that I had to go then. I realized later that he was just sending me away so he could do the case himself. Then he paged me after it was over so I could post op the patient. And, of course, I did a discharge summary on her today.
-The gen surg intern paged me to ask me to write a script for Ativan for a guy because he forgot to do it. Then he said he would do it, but he was on the second floor and the patient was on the first. I told him I was on the third floor but I would be happy to do it for him.
-I got paged to go down to radiology to ask the radiologist to look at a chest x-ray on a patient who I had never seen before. It really helped me correlate everything clinically, let me tell you.
There's been a lot more but I don't really feel like getting into it now. But seriously, these residents don't really seem to care about helping each other. I'm starting to see why general surgery residents have a reputation for being so unhappy. I'm probably getting scutted out more because I'm not one of them, but this is ridiculous. I get paged at least once an hour to do some dumb piece of floorwork that's beneath the dignity of the general surgery intern. If the patient's upset about something, I get paged to calm him/her down. I get paged to call the lab for the results of bloodwork. I get paged to call outside hospitals to track down imaging studies. I'm not saying this is hard, and it doesn't take that long, but it's really annoying that no one else will do it and it goes to me all the time. It's not like everyone else is busy operating because they don't operate too much over here in gen surg. It just seems like everyone else is freaking lazy. And this is stupid. And pointless.
I really can't wait until this month is over. Except I had pediatric surgery next month and I hear that's more of the same. Joy.