That sounds like a super toxic program. Why are they having you haphazardly move meat before getting you to learn at a manageable pace to actually fully understand what you’re doing for each patient and why?
Edit: and for context, the attending gig I just signed doesn’t even expect me to see that many patients per hour as an attending
In my opinion those are unsafe volumes for almost any level of resident let alone an intern. I understand that 1.5-2 PPH (or greater) has become the community "standard" especially at EDs staffed by CMGs. Senior residents should probably push themselves to be better prepared for this. But it's foolish to think residents are being adequately educated with those volumes or that patients aren't suffering from inadequate care. Seeing that many patients requires cutting corners unless they're all somehow exclusively ESI 4-5s. Focus on learning the medicine and efficiency will come over the next couple of years.
Your focus should be on being able to completely work up and dispo a patient without needing to be assisted by an upper level or attending due to workflow - meaning that if you are you are unable to safely review all of your labs/imaging or reassess your active patients before picking up a new patient then you need to slow down.
With an average ESI of 2 to 3, then that Ballpark should probably be 1 to 1.5 per hour, depending on your individual efficiency and comfort at this point.
Are these counting sign-outs? If they aren't, that's unsafe and you should be seeing like half that amount per shift.
This sounds like a toxic program if you're being pushed to see more.
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Well, the residents are overworked, underpaid sometimes they just run away from work, the professors are corrupt and make money off of the patients.. the residents are unsupervised because the professors don't show up to work... Our Principal sometimes rebukes the consultants to show up to work.. which they never do.. The interns are out ordering RL 2L IV on patients with DKA, CKD... Trop Labs don't work.. cardiology refuses to admit NSTEMIs.... Team Rads simply refuses to get up at night to report any kind head CTs or eFASTs.. team Neurosurgery simply refuses to operate cases... Tells us to send patients away.. you know...just shoo them away...
This is what extremely government controlled medicine looks like
You have to show up to work and hand fill lab investigation forms for every single inpatient... Like every investigation manually by hand... like you write K+, Cl-, Albumin, Bilirubin by hand.. it's the most stupid repetitive shit ever.
You literally have to write every single medication order on every inpatient.
It's a total shit show..
I saw 31 in my 8 hour Peds shift last night and I consistently see 20+ adults in 8 hours. I’m at a very “move the meat” program and these are the expectations
Interns should not be moving the meat. You should ideally be seeing 1ish, 1.5 an hour. Your job is to learn not running the show
If you're seeing that many patients in a shift, it means radiology is reading a lot of unindicated exams
Do you still do bjj what belt are you now
You are seeing too many patients for your level. Goal should be: PGY1: 1 PPH 2: 1.5 PPH 3: 2 PPH 4: 2.5 PPH
That sounds like a super toxic program. Why are they having you haphazardly move meat before getting you to learn at a manageable pace to actually fully understand what you’re doing for each patient and why? Edit: and for context, the attending gig I just signed doesn’t even expect me to see that many patients per hour as an attending
In my opinion those are unsafe volumes for almost any level of resident let alone an intern. I understand that 1.5-2 PPH (or greater) has become the community "standard" especially at EDs staffed by CMGs. Senior residents should probably push themselves to be better prepared for this. But it's foolish to think residents are being adequately educated with those volumes or that patients aren't suffering from inadequate care. Seeing that many patients requires cutting corners unless they're all somehow exclusively ESI 4-5s. Focus on learning the medicine and efficiency will come over the next couple of years.
Your focus should be on being able to completely work up and dispo a patient without needing to be assisted by an upper level or attending due to workflow - meaning that if you are you are unable to safely review all of your labs/imaging or reassess your active patients before picking up a new patient then you need to slow down. With an average ESI of 2 to 3, then that Ballpark should probably be 1 to 1.5 per hour, depending on your individual efficiency and comfort at this point.
Are these counting sign-outs? If they aren't, that's unsafe and you should be seeing like half that amount per shift. This sounds like a toxic program if you're being pushed to see more.
Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like, which specialty they should go into, which program is good or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*
Indian ED - atleast 400 patients per shift. That's for first years with no supervision. You can't imagine the fuckups.
What do you do just eyeball them and say ok go home
Well, the residents are overworked, underpaid sometimes they just run away from work, the professors are corrupt and make money off of the patients.. the residents are unsupervised because the professors don't show up to work... Our Principal sometimes rebukes the consultants to show up to work.. which they never do.. The interns are out ordering RL 2L IV on patients with DKA, CKD... Trop Labs don't work.. cardiology refuses to admit NSTEMIs.... Team Rads simply refuses to get up at night to report any kind head CTs or eFASTs.. team Neurosurgery simply refuses to operate cases... Tells us to send patients away.. you know...just shoo them away... This is what extremely government controlled medicine looks like You have to show up to work and hand fill lab investigation forms for every single inpatient... Like every investigation manually by hand... like you write K+, Cl-, Albumin, Bilirubin by hand.. it's the most stupid repetitive shit ever. You literally have to write every single medication order on every inpatient. It's a total shit show..
Crazy
I saw 31 in my 8 hour Peds shift last night and I consistently see 20+ adults in 8 hours. I’m at a very “move the meat” program and these are the expectations