Ok thank you so much for all the comments of support, you guys are amazing :) it's been quite the transition and definitely after a month or so here, you can feel how quickly you grow. Got tons of videos on the way
Peds critical care RN here - your EPIC results tab can be reconfigured with the wrench if you want so as to make your labs and other results read most recently from Left to Right instead of the R-to-L default (which, I agree, is dumb).
haha i figured that out 2nd week of intern year. but in the surgery sign out tab that we used you still can't change it so I had to bite the bullet and pay closer attention to those labs. also SO much respect to the PICU world, ya'll are serious troopers
I usually don't leave comments but wanted to say this. I started residency this year a month ago. I felt the same way on my first day as an intern. I felt frustrated at myself at being so frozen and not knowing what to do. I cried because of frustration. But looking back now a month after, I feel like i made the growth and appreciate all the people around me (NPs, senior residents, nurses, attendings) that reached out a helping hand to help and helped me grow.
Thanks for being part of the team brother!! We all work to elevate each other and give our patients the care they deserve. As an IR Technologist with 24 years in Radiology I can personally attest ... you Will get faster and more confident in no time. Thank you for sharing, hopefully this reaches many others in similar situations at all levels of care... now don't fuck up hahahahaha... j/k you will do great
I just started training in CT and can totally relate with feeling slow and learning the flow of the department. It has gotten easier for sure over the last 2 weeks but I have lots to learn!
Hey there as a seasoned nurse at Yale- take a deep breath, one day at a time- with time comes experience and with experience comes confidence and great practice- Trust the nurses especially us seasoned nurses and your APPs- they will help guide you- Your seniors and Attendings were once in your shoes! Good luck-and best wishes-
thank you so much :) i seriously could not have survived the night shifts i was on call without the stellar nursing team at Yale. ya'll really are the best and the intern residents are so SO thankful for you, regardless of if it is explicitly expressed or not
ANDDY , U MADE IT !!! We couldn't be more proud of you. I used to watch your videos when you first moved out of H.S. & started med school and now you're an intern🥹 You've got all you need, trust me, and you're gonna be a great anesthesiologist.
So proud of you, came from interviewing doctors and now you’re one of them. You’ll do great, in whatever field first days are always tough. And thank you for recognizing PAs, I was premed but switched to PA, hopefully in the future I’ll be able to work alongside amazing doctors like yourself. The transparency is everything we need. ❤
I started my very first job ever out of DNP school this summer. Monday is my first day seeing patients in my residency program after all the orientation and I feel exactly the same as you. Being worried that you know nothing and spent 4 years in school to start back at square 1. It’ll be an uphill battle for the next 3 years but then, so I’m told, you finally feel like you know what you’re doing. Solidarity my friend 🤝
I’m glad you made this content, you know why?? This helps you release that stress and not make you feel like you’re not alone. Also debriefing can make you stronger. 😊
Andy, give yourself some grace. You are going to be an amazing physician and you are right, this is all part of the process. It's not easy being responsible for people's lives.
Love the story!!!! And I so feel what's going on! I started my PM&R position in the SNF setting back in February with 0 clinical experience as an FNP and I remember being in your shoes. I remember constantly texting my PA preceptor to look over my notes to make sure they good because just as you said, I'm the one signing this note. I had never prescribed anything as a FNP (my prior job was a non-prescribing position) and I messed up TO forms so many times my first few shifts. I even forgot to write down how many tabs, refills, route, etc. I felt so dumb. I lingered at the facilities longer than I should thinking that I needed to look at something, or order this but in actuality, at least for my specialty, I didn't need to do that. As you had said, it's all growing pains and you'll learn from it. We only learn from both experience as well as mistakes and that's what makes us a better provider.
everyone has to start somewhere, and it's such a hard reminder to give ourselves when medicine demands perfection or pretty darn close to it all the time
The journey is incredible and you'll remember these days as some of most memorable of your career. Enjoy the ride and the free lunches. Best of luck from AZ
Hi Andy! Long time lurker, first time commenter here. Congrats on surviving and completing the first few weeks (I am assuming currently) of intern year! Definitely understand your sentiments as I am an APP who is still new to my career and it feels like I am in the thick of it sometimes. Keep your chin up! There will be the light at the end of the tunnel as long as you continue forward. It will not matter if you sprint towards it or drag yourself towards it. You will get there one day.
thank you so much :) the APPs were the absolute MVPs for the interns as you guys were always there when the chiefs left and we were still confused (which was often). we all help each other and it's such a communal learning processes
Not an intern, but a graduate SLP student on the 1st of a handful of clinical rotations and hearing your perspective about hitting the ground running meant the world ❤
Sounds like you're surrounded by a great group of professionals who have your back as you transition into this new phase of your career. Seems like you're having a very normal reaction and I expect that you will adapt well and eventually be able to relax in a healthy way even as you remain conscientious about your patients. Deep breaths and keep going! ❤
My honest advice from my recent intern year is take care of yourself. Some staff can be miserable and less than helpful. The times that I did cry in medicine was in my second ICU rotation when every patient was actively trying to die on me. It still stays with me to this day and it takes awhile to recover. Second, the scarriest part is having to deal with patients dying or who die on your service. Third, make sure you get help with having difficult conversations about death and dying. This is a huge problem that people will throw you into. Don't let them do that to you. Get help before you sit down and talk. Fourth, get your STEP 3 done as soon as possible. It may seem less important, but pay now or you are going to pay later. Fifth, have a group chat with a few people you can get advice on for any new rotation coming up and knowing who is a good or bad attending. Sixth, plan what you are going to do for fun way in advance. Don't let yourself waste any day off.
That's because a lot of the time we (more the family because they make the decisions) don't allow people to die when it is their time. Part of your job will be trying to explain to families that it is time for their loved one to die peacefully, and to accept when they still want everything done, despite having done your best to help them understand, and then accepting that we torture a lot of patients only to have the ending be the same because the family just won't accept that it's the end.
great advice. starting off on an oncology service definitely didn't help with facing those conversations but it is necessary. we have a ton of support here. thankfully the culture at yale and my coresidents have been amazing both in and out of the anesthesia department. and yup our PD already wanted us to take step 3 ASAP so it's in the works
You are now Doctor Nguyen and it must be almost surreal. But, you'll be growing as a physician and we all know you'll be able to do this (with the assistance of all the clinicians around you). Andy, blessings.
LOL. I loved this. 1 year now as a nurse and I 100% understand. I laugh now at the stupid things I did. BUT SWEETIE BELIEVE ME, CHERISH THESE MOMENTS. A YEAR FROM NOW YOU WONT RECOGNIZE YOURSELF. YOU ARE AMAZING, YOU WILL GET THERE.
You have gone through many stages and you realize that the end is the beginning of what is bigger and more important...but when you reach the beginning of the journey that was a dream and a goal for several years, you see that it is much bigger than you...and you begin to doubt yourself...no matter what the days are. The darkness of this time will pass...and the only thing you have to know is that you deserve what you have reached and what you are...
I started watching your videos when I first started medical school which was around the time you also started I think. I truly enjoyed your 73 questions videos😅 I'm in my final year of medical school now, all the way in a Pacific Island nation - Papua New Guinea 🇵🇬 which is north of Australia. I just watched your First Day as a Resident Doctor video and it hit me.. wow time has really flown by 😢
In the ICU, we must know the Fellow name and pager. Also, have the first call Resident to get the correct pager. In the end, we were all babies at a point.
I am currently studying to obtain a baccalaureate degree to enter medical school..and every day I wonder, can I do that..?..and I feel anxious and stressed...and whenever I feel that way, I follow your videos.. Because I see in you the person I want to become...❤
Pulmonary Critical Care Physician - Your intern year is meant for you to learn the simple things. Doing notes, taking care of the mundane tasks, getting your groove and flow, and just absorbing everything. Your next several years will be all about learning and consolidating the information on a deeper level. You’ll do great. Everyone starts out this way. It gets better.
best advice i got from my chief was just to focus on being a good intern, not a PGY2 or PGY3. really puts things into perspective when you get frustrated not being able to do advanced tasks
To put it in league of legend terms, imagine your entire career you peaked at gold 1 (med school), then all of a sudden your next 1000 games are suddenly in challenger(residency) and you must complete all those games or stop playing forever. Hope this helps for those not in medicine !
This video works for any profession. I started at my new MA job and felt the same way! This is so relatable and relaxing because it’s the truth. It’s nice to know others can make mistakes, reflect, but won’t give up!
I had the highest score in the nation when I took the medical records certification national test year ago. Just be yourself. Your personality, when you are really concerned about something, will come through without you saying it someone who reads you regularly. Just don't say "Patient is allergic to wet sheets." Nurses will get you for it.
depends on the hospital and the culture of the service. surgical oncology typically does because you are working with cancer patients and want to look your best to care for them
@@NDMD yup! Steep learning curve for sure. Also makes you wonder how APP's can say that two years of schooling is enough and there's no need for a fellowship 😂 Good luck with Anesthesia. I should've added that I'm an anesthesiologist haha.
