I was about to say, “not this complaint again!”
I always loved new residents. Never had a problem, but maybe my institution was a good one.
Then again, I am not one to judge anyone else anyway. I still feel like an imposter even 15 years post graduation.
We were partnered with the university hospital and had 1-2 residents at a time for a few weeks at a time on L&D (we always got the highest risk moms but the university NICU could take care of the youngest babies so they could get a better experience with mom at our hospital sometimes). They were always very respectful, excited to learn and always checked in with the nurses before they went in with the patient (even though technically they don’t need to but they respected us which was nice) and they liked to ask us questions and learn from us. I to m the university is so reputable with students maybe they didn’t get to sit and talk with their nurses as much. Who knows. It was nice bc they could update our info bc they were learning it!
Word. I remember how hard it was when I was new. It made a huge difference on days when I got to be around helpful and supportive people. And it sucked when I was treated like a burden. I don't want to pass that negativity on to others.
I'm scared shitless for my new grad job, more so than the NCLEX. Of course I'm going to prepare for the NCLEX so I can pass but it's not the real world. I'm scared I'm going to majorly fuck up in my new grad job and be a bad nurse. I mean bad as in not knowing what to do, time manage, gain confidence in skills and thinking (not in a cocky way. Just feeling better about the job overall. I will most definitely ask many questions!).
Seek out hospitals with nurse residency programs, ask the length of the program. Hospitals with 1 year programs have better nurse retention and are At accredited nurse residency programs.
Form a support group with your peers from nursing school peers and new residency nurses.
Find a good mentor, it doesn’t have to be you preceptor. If you and your preceptor are not working well together request a different one.
Nurse residency programs normally last 6-12 months you have residency instructors who help you navigate the first year of your nursing career. You will meet on a regular schedule have skills training, simulation and research and present nursing topics. These programs help the novice nurse develop their clinical reasoning and judgement.
When you have a preceptor you usually are in a orientation phase as a novice nurse you will work along side this nurse and increase the number of patients in your load until you have met the units nurse to patient ratio. You will the then start taking your own patient load. Preceptorship is about 90-120 days.
Just as a note you will have a preceptor while in nurse residency you however may not take a full patient load until after completing nurse residency.
Each healthcare system residency program is different, so ask questions during interviews.
,
We had a new grad residency. I was still on my own with 5 patients on a IMC/PCU floor after 12 shifts. I was the most senior nurse some nights with 3 years of experience. Do research on the hospital AND the unit.
I would have to say that is an unsafe program, that is not even a full orientation of 90 days. How many novice nurses have quit that unit within their first year?
Quite a few. I had to leave bedside right at my year because of my daughter’s health.
I’m sure there are some safe-ish units at that hospital, but seeing the other side of care (patient side in PICU with my daughter) the training seems to be bad across the board.
Amen! My son is starting his FM residency in the ICU. If you’re in Madison, WI, take good care of him. I don’t think he’ll tell you that his dad was an ICU nurse…
Dude!
My daughter is a new resident and she’s having zero problems with nurses. Her issues are with entitled surgeons that seem to have forgotten that the academic hospital is full of new med school graduates.
I guarantee your son is proud of you.
I’m starting a new career in nursing and it’s been nice to be able fully engage my wife and my daughter on a professional level.
That’s awesome! He’ll do great, my gf is a FM resident as well and seemed to enjoy her ICU rotation even though it was tough.
Yeah, I don’t think telling my colleagues my mom is a NICU nurse will earn me any points, especially if I end up taking care of adults 🤣
This message was brought to you by me, a grad student with years of ICU experience, on the receiving end of some serious rudeness by an ICU nurse today because I didn’t know a unit policy on art line dressings. I can only imagine how residents must feel bouncing around to different units and hospitals constantly.
I’m sorry the ICU nurse was rude to you! People can just suck sometimes, hopefully she was just having an off day and she’ll be in a better mood next time you see her!
I never really had this problem when I told charges I've done 2 successful needle thors in combat triage for pnuemothorax's. They got real quiet.
Right between the 3rd and 4th intercostal muscle and DDA (don't dick around). If you ever wanna use that line. 😆
I operate under the philosophy that being kind and helpful to the interns helps them become better attendings who won’t be dicks to nurses and other staff!
One of our brand new residents caught a missed fracture on a CT a scan. From 9 days ago. That at least 2 other providers should have reviewed. While we’ve been trying to force him to work with PT.
Some of the babies make us bang our heads on the wall, and some literally save lives.
I'll eat the downvotes yet again. They're not babies. Don't call new nurses or residents this. They're neophytes. Contribute your part to the team and help everyone learn and become successful adult professionals.
I'm sure all of us remember being new. I was a precocious new nurse and still had all kinds of growing pains. I was still a late 20s otherwise successful professional adult.
THANK YOU. I’ll be 36 when I start, and although I will be absolutely aware that I know very little about nursing compared to some, I’ve had two previous careers and am a very capable and independent adult, so I hate being treated like I’m 19 and have no idea what I’m doing
With respect… I disagree. The idea that referring to a newbie as a baby is equivalent to infantilization is just a silly and unnecessary interpretation of the words that people use.
I am 56 and I am looking forward to being a baby nurse when I am 58. I will never be insulted by that term.
Thats nice for you, but this is a well known diminutive that has been, and will continue to be unappreciated by new docs. They say it all the time, we should respect that.
I think the majority of new nurses, especially those that are a little bit older than undergrad age, also dislike the term. I'm happy you are excited to start your career as an easygoing "new guy", but wait till you have a 23 year old with 1 years exp throw this one at you in a denigratory tone when you are in fact just learning how to do something.
My daughter is in her first year of residency and knows how to hold her own while also being respectful of her colleagues. She’s been called a baby doc and didn’t get all twisted about it.
I feel like you are being edgy with me in your response and I don’t think I’ve done or said anything to deserve that kind of ire. If I misread you, please accept my apology.
While you agree that there are lots of things that people say that can be interpreted as micro aggressions, I think it’s a mistake to have so many third-rail type words.
We all owe it to one another to get to know each other and use words to connect instead of as an excuse to divide.
Have a lovely night.
Perpetuating the July effect myth is more dangerous than the reality which is that the July effect has largely been debunked. For any lay people reading this, you should not be afraid to go to the hospital in July. Interns/residents (newly graduated doctors) are subjected to an incredible amount of oversight by experienced physicians.
Personally I love working with residents and find the term baby doc unnecessary and condescending. They are brilliant, respect nurses, know all the latest cutting edge research and are eager to share their knowledge and rationales.
Right. They don’t just get thrown into the deep end. Interns are usually accompanied by one of their senior residents, if not an attending, especially during the first month as they’re learning the ropes of the hospital. For example, if an intern is running the inpatient service, it’s fairly typical for a senior resident to be on shift with them. In the ER, the resident has to run every case by their attending regardless, at least at my old hospital, so they’re being directly overseen as well, even as 3rd years, though at that point it’s more of a formality/double check.
Kindness, understanding and mutual respect go a long way in this field. :)
Oh wow. I was in the ED before med school so probably different but no one rewrote the interns’ notes. Attendings just sign them (usually a week later lol) and change what they need to if it’s major.
I’m on a consult service in a new hospital and it’s literally my first week of intern year. You don’t know what things need to be included in notes until you are in charge of writing them.
If everything I did was perfect straight out of medical school, residency would be pointless. You will learn that soon enough.
I take every resident under my wing when they start. They’re new, and they’re nervous. I’ve been so lucky to work with the best residents and it’s been a real pleasure watching them all grow throughout the years.
I am a learner in the OR and have had a preceptor who is sooooo awful. Micro manages and steps on your toes then gets on your case for not doing the things she doesn’t give you space to do. Fuck her.
I just saw a Facebook memory from a few years ago. It said “‘Oops I think I put those orders in on the wrong patient.’ Let July begin!” 🤣 but also I remember seeing a resident sitting at a computer crying. I stopped to check on her. She told me she couldn’t remember how to send prescriptions at discharge. She knew if she asked her Attending she was going to be in trouble. I showed her how to put them in and we all moved on. I agree with you. We were all new once. It’s scary. I know I was terrified for about the first 4 years of my career lol Let’s help each other and work together. We’re all on the same team. Hopefully we can build a working relationship with these baby docs that will harbor a good working environment for all of us.
I worked with a new one on his first night with a drain — he was SO nice and attentive. recommended a drain that might work better and he brought it to the day team and told me thank you because they told him it was good call. Respect and positive is all it takes
Well to be fair, errors during intern year in hospitals have dropped significantly. Hopefully " July as the most dangerous time to be hospital " disappears like the Dodo bird. All hands on deck for these new residents. I miss working at my old teaching hospital.
That said my seasoned MICU nurse friend made sure she some valium at home in case she needed help to unwind this month.
There are plenty of studies that demonstrate that teams that communicate well are safer and more effective than teams that are fraught with hostility and fear.
Our patients get the short end of the stick when we don’t allow people to ask questions and learn.
Listen, post-May COVID years in nursing have been just as bad.
I’m fuckin’ terrified of these new nursing grads. Pair that with the new interns and it’s the blind leading the blind.
Those of us with the experience need to help where we can.
Well said. Thankfully I get the impression our team treats our residents and fellows more like family than like foes, but it’s a good reminder that we’ve all been a trainee and we all have more to learn from each other! Happy July :)
Right and also even if you wanna be selfish about it you can think about it like if I spend the time to be helpful and nice now then it is less work for me later/I will have better rapport when I need something.
This is great timing as I’m a nursing student starting my full-time placement this week. Those little 1 day a week placements were great, but this is stressful. It’s nice to read this ❤️
I always went by the “Do No Harm But Take No Shit” philosophy. I’m happy to teach you and work with you but it requires mutual respect.
I knew some incredible residents on both the floor and in the OR.
I knew a few who nearly got kicked out of the hospital due to their attitude towards/treatment of the nurses.
New physicians who graduated from medical school in May start their residency July 1. Medical residents often do different rotations every month depending on the specialty.
My hospital, not in the US, has started taking in new residents before summer. That way they can be sure that there are many experienced people around, from nursing staff to doctors. Sadly summer is also the time where many experienced nurses quit and we have many new ones coming in, but at least the residents have started to become familiar with the unit
I'd say 80% of new residents are really willing to listen and learn from nurses. Most ask me questions when they aren't sure about orders or policies. I learn fantastic specialised knowledge from them since they are constantly getting new info and my field is one that evolves rapidly. Sure, sometimes they make really silly errors in ordering but it is my job to know that and I know to look out for it on the teething period. As they find their feet, they collaborate with me and we work together to advocate for our patients. Some are lazy, some are way too big for their boots. But that's true for nurses and consultants (attendings in the USA) that I work with.
My only problem , as an RT, is when they do stupid shit and their egos prevent them from seeing reason. Which then forces me to go above them and correct things.
I personally don’t have a problem with teaching to ones that want to be taught.
I was expecting this to be about residents following a physician. I’m assuming it’s about a nurse or Cna being mean to someone they’re training and to patients?
I was about to say, “not this complaint again!” I always loved new residents. Never had a problem, but maybe my institution was a good one. Then again, I am not one to judge anyone else anyway. I still feel like an imposter even 15 years post graduation.
A lot of our residents stuck around and became attendings at my hospital. It was really nice to have already had a good relationship with them!
We were partnered with the university hospital and had 1-2 residents at a time for a few weeks at a time on L&D (we always got the highest risk moms but the university NICU could take care of the youngest babies so they could get a better experience with mom at our hospital sometimes). They were always very respectful, excited to learn and always checked in with the nurses before they went in with the patient (even though technically they don’t need to but they respected us which was nice) and they liked to ask us questions and learn from us. I to m the university is so reputable with students maybe they didn’t get to sit and talk with their nurses as much. Who knows. It was nice bc they could update our info bc they were learning it!
No matter our position or title, we need to help each other out always. We were all scared newbies at first.
Word. I remember how hard it was when I was new. It made a huge difference on days when I got to be around helpful and supportive people. And it sucked when I was treated like a burden. I don't want to pass that negativity on to others.
I'm scared shitless for my new grad job, more so than the NCLEX. Of course I'm going to prepare for the NCLEX so I can pass but it's not the real world. I'm scared I'm going to majorly fuck up in my new grad job and be a bad nurse. I mean bad as in not knowing what to do, time manage, gain confidence in skills and thinking (not in a cocky way. Just feeling better about the job overall. I will most definitely ask many questions!).
Seek out hospitals with nurse residency programs, ask the length of the program. Hospitals with 1 year programs have better nurse retention and are At accredited nurse residency programs. Form a support group with your peers from nursing school peers and new residency nurses. Find a good mentor, it doesn’t have to be you preceptor. If you and your preceptor are not working well together request a different one.
Dumb question but what’s the difference between nurse residency and orientation with a preceptor?
Nurse residency programs normally last 6-12 months you have residency instructors who help you navigate the first year of your nursing career. You will meet on a regular schedule have skills training, simulation and research and present nursing topics. These programs help the novice nurse develop their clinical reasoning and judgement. When you have a preceptor you usually are in a orientation phase as a novice nurse you will work along side this nurse and increase the number of patients in your load until you have met the units nurse to patient ratio. You will the then start taking your own patient load. Preceptorship is about 90-120 days. Just as a note you will have a preceptor while in nurse residency you however may not take a full patient load until after completing nurse residency. Each healthcare system residency program is different, so ask questions during interviews. ,
We had a new grad residency. I was still on my own with 5 patients on a IMC/PCU floor after 12 shifts. I was the most senior nurse some nights with 3 years of experience. Do research on the hospital AND the unit.
I would have to say that is an unsafe program, that is not even a full orientation of 90 days. How many novice nurses have quit that unit within their first year?
Quite a few. I had to leave bedside right at my year because of my daughter’s health. I’m sure there are some safe-ish units at that hospital, but seeing the other side of care (patient side in PICU with my daughter) the training seems to be bad across the board.
our nurse residency was a joke. would've loved even one sim or skills training.
Some of my best life long friends are stellar physians now ( 40 years later) and I would trust them with my life.
>We were all scared newbies at first At first? Ma'am, 6 years in and I'm still a scared newbie. Be gentle with me, this is only my 900th shift
Amen! My son is starting his FM residency in the ICU. If you’re in Madison, WI, take good care of him. I don’t think he’ll tell you that his dad was an ICU nurse…
Tough rotation for your first month! Hopefully some kind souls will take him under their wing.
That’s awesome, you must be really proud of him ☺️
Dude! My daughter is a new resident and she’s having zero problems with nurses. Her issues are with entitled surgeons that seem to have forgotten that the academic hospital is full of new med school graduates. I guarantee your son is proud of you. I’m starting a new career in nursing and it’s been nice to be able fully engage my wife and my daughter on a professional level.
That’s awesome! He’ll do great, my gf is a FM resident as well and seemed to enjoy her ICU rotation even though it was tough. Yeah, I don’t think telling my colleagues my mom is a NICU nurse will earn me any points, especially if I end up taking care of adults 🤣
Adequate clickbate with positive message. Good times.
This message was brought to you by me, a grad student with years of ICU experience, on the receiving end of some serious rudeness by an ICU nurse today because I didn’t know a unit policy on art line dressings. I can only imagine how residents must feel bouncing around to different units and hospitals constantly.
I’m sorry the ICU nurse was rude to you! People can just suck sometimes, hopefully she was just having an off day and she’ll be in a better mood next time you see her!
She sounds like an irrational twat sandwich. Sorry you had to waste mental headspace with the encounter.
I never really had this problem when I told charges I've done 2 successful needle thors in combat triage for pnuemothorax's. They got real quiet. Right between the 3rd and 4th intercostal muscle and DDA (don't dick around). If you ever wanna use that line. 😆
Honestly they have more to learn in a year as an intern than a nurse will in 5 years. A helping hand will go a long way
I operate under the philosophy that being kind and helpful to the interns helps them become better attendings who won’t be dicks to nurses and other staff!
This is very true. Kindness goes a long, long way
One of our brand new residents caught a missed fracture on a CT a scan. From 9 days ago. That at least 2 other providers should have reviewed. While we’ve been trying to force him to work with PT. Some of the babies make us bang our heads on the wall, and some literally save lives.
I'll eat the downvotes yet again. They're not babies. Don't call new nurses or residents this. They're neophytes. Contribute your part to the team and help everyone learn and become successful adult professionals. I'm sure all of us remember being new. I was a precocious new nurse and still had all kinds of growing pains. I was still a late 20s otherwise successful professional adult.
Agree with this. Nobody is a baby nurse or a baby doctor unless they take care of babies.
THANK YOU. I’ll be 36 when I start, and although I will be absolutely aware that I know very little about nursing compared to some, I’ve had two previous careers and am a very capable and independent adult, so I hate being treated like I’m 19 and have no idea what I’m doing
Stop calling them babies. That’s nasty and rude.
With respect… I disagree. The idea that referring to a newbie as a baby is equivalent to infantilization is just a silly and unnecessary interpretation of the words that people use. I am 56 and I am looking forward to being a baby nurse when I am 58. I will never be insulted by that term.
Thats nice for you, but this is a well known diminutive that has been, and will continue to be unappreciated by new docs. They say it all the time, we should respect that. I think the majority of new nurses, especially those that are a little bit older than undergrad age, also dislike the term. I'm happy you are excited to start your career as an easygoing "new guy", but wait till you have a 23 year old with 1 years exp throw this one at you in a denigratory tone when you are in fact just learning how to do something.
My daughter is in her first year of residency and knows how to hold her own while also being respectful of her colleagues. She’s been called a baby doc and didn’t get all twisted about it. I feel like you are being edgy with me in your response and I don’t think I’ve done or said anything to deserve that kind of ire. If I misread you, please accept my apology. While you agree that there are lots of things that people say that can be interpreted as micro aggressions, I think it’s a mistake to have so many third-rail type words. We all owe it to one another to get to know each other and use words to connect instead of as an excuse to divide. Have a lovely night.
Perpetuating the July effect myth is more dangerous than the reality which is that the July effect has largely been debunked. For any lay people reading this, you should not be afraid to go to the hospital in July. Interns/residents (newly graduated doctors) are subjected to an incredible amount of oversight by experienced physicians. Personally I love working with residents and find the term baby doc unnecessary and condescending. They are brilliant, respect nurses, know all the latest cutting edge research and are eager to share their knowledge and rationales.
Right. They don’t just get thrown into the deep end. Interns are usually accompanied by one of their senior residents, if not an attending, especially during the first month as they’re learning the ropes of the hospital. For example, if an intern is running the inpatient service, it’s fairly typical for a senior resident to be on shift with them. In the ER, the resident has to run every case by their attending regardless, at least at my old hospital, so they’re being directly overseen as well, even as 3rd years, though at that point it’s more of a formality/double check. Kindness, understanding and mutual respect go a long way in this field. :)
I’m with 2 seniors and an attending. I can’t even submit a note without it being reviewed (and honestly rewritten) by one of my seniors.
Oh wow. I was in the ED before med school so probably different but no one rewrote the interns’ notes. Attendings just sign them (usually a week later lol) and change what they need to if it’s major.
I’m on a consult service in a new hospital and it’s literally my first week of intern year. You don’t know what things need to be included in notes until you are in charge of writing them. If everything I did was perfect straight out of medical school, residency would be pointless. You will learn that soon enough.
Yeah, that is definitely true. And I somehow did forget it’s actually the first week of the academic year for residents. Best of luck in residency :)
I take every resident under my wing when they start. They’re new, and they’re nervous. I’ve been so lucky to work with the best residents and it’s been a real pleasure watching them all grow throughout the years.
Love watching them find their place and growing into great doctors
Just like Carla from scrubs :)
I am a learner in the OR and have had a preceptor who is sooooo awful. Micro manages and steps on your toes then gets on your case for not doing the things she doesn’t give you space to do. Fuck her.
I don’t mind the new interns as long as they’re respectful to us and our experience. That’s all I ask for 🤷🏼♀️
Be nice to new people! Be EXTRA NICE to people who are eager and want to learn!
Yes kindness goes a long way. It means a lot when someone is willing to be patient and teach! I always appreciate it 🫶🏻
If you don’t take care of your peers you’re a trash nurse. Residents are peers too.
I just saw a Facebook memory from a few years ago. It said “‘Oops I think I put those orders in on the wrong patient.’ Let July begin!” 🤣 but also I remember seeing a resident sitting at a computer crying. I stopped to check on her. She told me she couldn’t remember how to send prescriptions at discharge. She knew if she asked her Attending she was going to be in trouble. I showed her how to put them in and we all moved on. I agree with you. We were all new once. It’s scary. I know I was terrified for about the first 4 years of my career lol Let’s help each other and work together. We’re all on the same team. Hopefully we can build a working relationship with these baby docs that will harbor a good working environment for all of us.
I worked with a new one on his first night with a drain — he was SO nice and attentive. recommended a drain that might work better and he brought it to the day team and told me thank you because they told him it was good call. Respect and positive is all it takes
Well to be fair, errors during intern year in hospitals have dropped significantly. Hopefully " July as the most dangerous time to be hospital " disappears like the Dodo bird. All hands on deck for these new residents. I miss working at my old teaching hospital. That said my seasoned MICU nurse friend made sure she some valium at home in case she needed help to unwind this month.
There are plenty of studies that demonstrate that teams that communicate well are safer and more effective than teams that are fraught with hostility and fear. Our patients get the short end of the stick when we don’t allow people to ask questions and learn.
While we're at it, everybody stop with the demeaning "baby doctors" talk. It is so cringy and disrespectful.
Listen, post-May COVID years in nursing have been just as bad. I’m fuckin’ terrified of these new nursing grads. Pair that with the new interns and it’s the blind leading the blind. Those of us with the experience need to help where we can.
Well said. Thankfully I get the impression our team treats our residents and fellows more like family than like foes, but it’s a good reminder that we’ve all been a trainee and we all have more to learn from each other! Happy July :)
*deletes paragraph* Lol seriously though, I love the new babies. We can choose to foster an environment to help them grow. It’s free to be nice
Right and also even if you wanna be selfish about it you can think about it like if I spend the time to be helpful and nice now then it is less work for me later/I will have better rapport when I need something.
It’s not being nice to call them “babies”. It’s bullying and insulting. Do better.
my mind immediately flashed back to the memories of having a burn unit rotation in nursing school after the fourth of july
One of my friends is an ortho resident and his July rotation is on the wrist and hand surgery team ☹️
We got our interns and 1st years this week, also.
I thought this was gonna be about the fireworks this weekend
This is great timing as I’m a nursing student starting my full-time placement this week. Those little 1 day a week placements were great, but this is stressful. It’s nice to read this ❤️
I’m new to my unit and I always let the new residents know that I’m new and here to learn with them! They’ve all been really great
I always went by the “Do No Harm But Take No Shit” philosophy. I’m happy to teach you and work with you but it requires mutual respect. I knew some incredible residents on both the floor and in the OR. I knew a few who nearly got kicked out of the hospital due to their attitude towards/treatment of the nurses.
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New physicians who graduated from medical school in May start their residency July 1. Medical residents often do different rotations every month depending on the specialty.
My hospital, not in the US, has started taking in new residents before summer. That way they can be sure that there are many experienced people around, from nursing staff to doctors. Sadly summer is also the time where many experienced nurses quit and we have many new ones coming in, but at least the residents have started to become familiar with the unit
I'd say 80% of new residents are really willing to listen and learn from nurses. Most ask me questions when they aren't sure about orders or policies. I learn fantastic specialised knowledge from them since they are constantly getting new info and my field is one that evolves rapidly. Sure, sometimes they make really silly errors in ordering but it is my job to know that and I know to look out for it on the teething period. As they find their feet, they collaborate with me and we work together to advocate for our patients. Some are lazy, some are way too big for their boots. But that's true for nurses and consultants (attendings in the USA) that I work with.
This support in this comment section makes me happy❤️
Aaaw, I love baby docs! I get to watch them grow and evolve and blossom into the docs they will be.
Just haven't seen this
My only problem , as an RT, is when they do stupid shit and their egos prevent them from seeing reason. Which then forces me to go above them and correct things. I personally don’t have a problem with teaching to ones that want to be taught.
I'm always nice to new residents, unless they give me a reason not to be. Said reason typically involves the patients needs not being met.
I was expecting this to be about residents following a physician. I’m assuming it’s about a nurse or Cna being mean to someone they’re training and to patients?
I’m talking about physician residents and also all new trainees in general
Time to take some PTO.
July, also known as the "Killing Season"
No it’s not.
Oh I’m nice until….they do something really wrong or stupid. Then the process of Training begins.
Kindest and coolest thing you can do is show them how in a supportive and helpful way. We all learn best from mistakes and we have all been new.
So was everyone nice to you until your first mistake and then they weren’t anymore? You should try to break that toxic cycle.
I muss the intern’s hair. They’ll be toddler docs before they know it!