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Thursday, April 29, 2010

Say What?

Today we had an SP session (standardized patient) for neuro cases. Our SP was a little out there. Actually a lot out there. Like a 45+ year old woman in a belly shirt in a med school. Ok, whatever. When my turn came around, I was the only one who had to do the full run down... like the H&P, plus the neurological exam, etc. We can "time-in" to the scenario and "time-out" to get help or ask a question whenever we like. Which I did... since it was a specific case and not just a simple full CN exam.

At the end she is supposed to give us feedback. Like, "good job" or "you suck" etc. But she got all touchy feely on me.

HER: "So how did that feel for you?"

ME: "Fine thanks"

HER: "But how did you FEEL?"

ME: "Um fine. Normal. It was easy."

HER: "It's ok to admit you were nervous. This was your first time"

ME: "Well this wasn't my first time doing this, and I really didn't feel nervous"

HER: "Well, I FELT your nervousness"

ME(outloud): Sigh. and oops... I rolled my eyes.

ME: (silently):You're irritating. And showing 9 inches of your stomach is not cool past the age of 11. Put a shirt on.

Now, I may be a lot of things. Probably too talkative, lacking prefrontal cortex impulse control, ADD, too excitable, over confidant, no sense of my own limitations, loud, etc. But folks, NERVOUS is something I'm not. Unless I'm actually doing a life or death procedure on a real patient. Or if I'm around Mr. Stupidly Gorgeous. And he's in Boston or Italy or somewhere equally exotic.

ME! NERVOUS! Hmmph!

8 comments:

  1. The "how do you feel you did" is something they're told to do by the higher ups in the medical education world. They tell the attendings the same thing. The basic instructions we're given is something like "students these days are too delicate and defensive to be given honest feedback, so you need to get them to tell you what they feel they did wrong and provide them gentle guidance."

    Still, that lady seems creepy.

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  2. Alas, get used to the BS touchy feely feedback. That's actually what they're supposed to do. "Good job" is not in the vocabulary of most standardized patients. I think it has something to do with the way they are trained.

    Don't you love getting an amateur psychoanalysis in front of your classmates by a woman in a belly shirt?

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  3. Too funny! Love the comment about putting a shirt on... I laughed out loud at that!

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  4. I suffer from overconfidence too! And belly shirts = not attractive...pretty much ever.

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  5. hahah, boston = as exotic as italy. cracked me up. also i love every reference you make to mr. stupidly gorgeous.

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  6. Wow I admire your confidence. I've been in healthcare for many years and I still get nervous all the time. Different levels of nervous depending on what I'm doing, sometimes a little adrenaline rush, sometimes a full on freak out. All internally of course, I do my best not to let on to patient how I'm feeling. While the nervousness is not necessarily comfortable, I don't really think its a bad thing, I've always felt it makes me much more cautious and thorough in my work.

    I suppose it would be a tad irritating to be called on it by a patient in front of my peers though. Especially if I wasn't really nervous at all.

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  7. Heh...a "belly shirt"...ick. Unless she had an excellent body...

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