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Re: A favor from our readersFrom: anonymous@obgyn.netSun, 13 Feb 2000 09:28:56 -0600 (CST)
At Sun, 13 Feb 2000, D. Ashley Hill, MD wrote:
>Any insight into this from our readers? I've spent the last 2 years getting medical care from a teaching institute. Annoying observations: 1. Residents don't speak. It's like someone chopped off their tongues. A class in communication would be nice. 2. When accompanied by the teaching gyn, the resident is RARELY introduced. By my count, that makes him/her a total stranger with no business in the room. 3. The teaching physician often does not behave or speak to me as he normally would. I get entirely different care when a resident is present. 4. Questions from the patient aren't "allowed" when a resident is present. Oftentimes the teaching physician seems to think he must also teach the resident how to "be in control." I never get my questions answered when a resident is present. I always end up emailing the doc later. 5. Many "teaching physicians" use residents to do all the work and they themselves have little to no input or even bother to review the work or be present. Some even refuse to review the work upon patient request. (I had this happen just last week. After spending an hour with a resident and an intern, I was uncomfortable with both. I asked them to please ask the "teaching physician" to come in. He did -- and proceeded to tell me that he didn't "oversee" his residents' or his interns' work. That, unless I allowed these other 2 men to finish their work, he, the doctor I actually had the appointment with, would not even speak with me further. Then he left the room. I thought about it. Then I left as well.) 6. Giving long case histories to 1 person is a pain. Giving it to 3, each separately, is a royal pain. (I've had this happen too.) I have no patience left for the "teaching institute" and now regularly write into the consent form my requirements that must be met prior to a resident being even present in the room. Including the littlest things like "All personnel must be appropriately introduced and their medical degree and function identified." You asked for insight. Just one patient's perspective.
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