Thursday, July 17, 2008

10 Lessons learned in JI-ship...

1.) true nature/personality of people comes out

yes, those who you think were seemingly very pleasant would turn sour. internal conflicts arise. you will learn those that have good and bad work ethics. you will meet the people who are used to/avoids/hates to work.

2.) true friendships / teamwork put to a test

sacrifices to help others, to share in their toxicity or problems will be present in those who have truly developed a good relationship. an entire group can share in all tasks given which eventually results to a less toxic JI-life

3.) patient rapport

i used to hate having to speak to patients because i believe that alot would either lie to you or give you false information. after my exposure, i realize it's the way you speak to these people, no matter if they are angry, uncomfortable, in pain, happy, tired, etc. that you will learn of their condition and feelings. yes, there are various kinds of patient, and this proves only that the practice of Medicine is an art

4.) camaraderie

nurses, nurse aides, janitors, guards, and even your parking attendant are people you will meet and work with in this institution. we have to learn to interact with them and make them know that we are just as common as they are even when addressed as Sirs or Mams like when we address those much superior to us. it does not mean that when they do those floor cleaning, elevator operation, deliver food to patients, etc. that they become inferior to us. No, each of us has our own tasks, and like they are doing theirs, you do yours - treating/caring for patients.

5.) not all in wit but also action

so if you're freaking einstein of medicine but cannot function when it comes to all these monitoring, paperworks, etc. that does not make you superior. alot of hardwork is placed into this clerkship. it not only challenges you mentally but physically as well. frequent absentees are usually those who try to avoid work or get sick too often.

6.) you hate/you love your superiors

in this time we work with our Senior Interns, Residents, Fellows, and even consultants. you'll have your own select few you will love and hate for your entire JI life. these are probably those that get awarded as the most loved/most hated during the burning ceremonies. we have our reasons/similarities/differences/like/dislikes/preferences why we end developing great relationships with some, while bad with otehrs.

7.) SLEEP

oh, it becomes so much as a priceless commodity. you will so much need it, and be thankful if you can have alot of it.

8.) EAT

another thing that will keep you going is if you have sufficient source of energy... i had an erratic meal schedule (e.g. taking dinners at 3am, lunches at afternoons, skipping breakfast) and at the end of this entire year, i have lost alot more of weight... well, some however, gain weight throughout their clerkship... don't know, i've always attributed it to either a non-toxic life or simply "at home" to these few.

9.) Experience is the best teacher

experience as i state here is not a mere interaction with cases that come to you but somethings that you just cant learn in books...well for me that is... one as i've stated is patient rapport. another, able to create an immediate impression based on the more common cases. Emergency management of patients. how to do proper scrubbing of hands in the OR, how to insert foley catheters, techniques in phlebotomy, wound suturing & dressing (cutting of gauze), venoclysis, manual fecal extraction, etc.

10.) medicine is hard

lastly, in clerkship you'll actually be playing a part in the diagnosis/treating/consoling the patients. combining what one has learned thru books, teachings from our consultant professors, and actual patient interaction one then gets a hand in the actual practice of medicine. why they say it is the noblest profession, and that which is the longest to study.
these then are probably why clerkship would remain forever as part of medical schooling... at least on my opinion.

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