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'Don't Be A Smart Arse' – A Junior Doctor's Survival Guide

Discussion in 'Doctors Cafe' started by Dr.Scorpiowoman, Aug 5, 2016.

  1. Dr.Scorpiowoman

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    Ask questions, tidy up ... and listen to the nurses are among top tips healthcare professionals share with new doctors


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    ‘These are the first days of the rest of your life in medicine so start off by taking a deep breath.’
    Ask questions

    Patients look to you for reassurance, but your job isn’t to always know the right answer – it’s to find the person in the building who does. The only stupid question is the one you didn’t ask. Ask for help, share problems and try and find solutions for others who come to you for help.

    Oliver Long, consultant anaesthetist, London

    Don’t be a smart arse

    Always seek advice from everyone and anyone including nurses, domestics, porters and your medical peers. Develop a bedside manner for your ward/hospital colleagues as well as with your patients – no-one likes a smart arse, medical degree or no medical degree.

    Jude, community hospital nurse, Gloucestershire

    Enjoy it – make friends and maybe even find love

    It’s the hardest and best two years of your life. The job, and more importantly, your reaction to it, will define the person you will be, the speciality you will choose and the life you will lead. It is also where you will meet many friends that you will keep for life. As a final note, I find anecdotally that many foundation doctors also meet the love of their life in the first two years of training.

    Tony, GP, Manchester

    Don’t view patients as a set of signs and symptoms

    Take a step back from observations and test results and look at the whole patient. Try not to view them as just a set of signs and symptoms that need to be sorted out but as a complex individual who lives beyond this admission to hospital.

    Listen to relatives. Respect your patient’s autonomy even if they are making unwise or unsafe decisions. Listen to your patients more than you talk to them.

    Catherine Bowdler, specialist physiotherapist, Cheshire

    Eat and drink

    Always make time to eat. Keep a water bottle with you. Hungry doctors don’t function as well as fed and watered ones.

    Tom Palmer, doctor – emergency medicine, London

    Don’t hide

    On the senior team, we have seen people come and go and we expect problems, there’s very little that can surprise an NHS consultant. If you share it, it is likely we can solve it.

    Find time to wallow in misery

    You will be miserable and that’s fine, don’t apologise for it and make sure you schedule time to groan in the mess. On the shop floor, remember who you are and stay cheerful, you will be amazed at how a team of colleagues can carry each other through anything.

    Anthony Hopkins, paediatric registrar, south west

    Don’t fall out with the nurses

    Never ever fall out with the nurses – they are your lifeline, and have an abundance of knowledge (about their patients, the hospital, how to make stuff happen, the location of teabags/mugs/secret chocolate supply etc)

    Sarah, specialty doctor, south west

    Tidy up after yourself

    My advice is clear up after yourself eg blood-taking equipment, notes etc. Leaving stuff around makes you appear that you have little regard for other staff and you will get people’s backs up.

    Edward Daniels, staff nurse, drugs and alcohol, Nottingham

    Don’t view older patients as old and boring

    Some of them are the most amazing people with incredible life stories that deserve to be listened to.

    Anonymous, cardiac physiologist, East Midlands

    Relax

    The first day on your new job is going to be jam-packed. New hospital, new colleagues, new patients, and of course new hospital systems to figure out. These are the first days of the rest of your life in medicine so start off by taking a deep breath.

    Christopher Meally, physician associate in cardiology, Warwickshire

    Don’t overshare

    Don’t talk loudly about how drunk you were on a night out while standing at the nurses’ station (everyone will hear you) – you deserve to let your hair down as much as the next person but your patient needs to see you as a professional, not imagine you staggering along the street.

    Emily Graves, consultant haematologist, Sunderland

    Make an effort to understand and value all members of the team

    Everybody is essential, from the admin staff to the occupational therapists and other lesser known allied health professionals, and sometimes it can be easy to under-appreciate a team member’s contribution.

    Hannah Wightman, occupational therapist, East Midlands

    Don’t neglect your social life

    If you have any time left over from working 48 hours a week, do not neglect your social and personal life. You will need this time to recharge your batteries.

    Deborah Tomlinson, retired nurse of 40 years, London

    Pass the granny test

    Make sure everything you do passes the granny test. If it wouldn’t have been good enough for your granny, it’s not good enough for your patient.

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