The internship year can be grueling and appear daunting to many new doctors. However this does not have to be. The following attitude would help you survive the year happy and successful. Attitude is one of the major ingredients for success at work place aside technical competence.
The following would help a house officer excel during house job happy and successful.
Hardwork
Housemanship entails a lot of work in many centre. As an intern you would now be first point of call for the team on call, even if a medical student you take call with the team on call, this is a higher level of expectation plus responsibility. There would now be ward-rounds followed by carrying out post round orders (Registrar,Senior Registrar and Consultant rounds), House officer reviews/Rounds and presentations. Off course presentation. Internship is still part of your training hence you have to bear with all those ‘stuffy sessions’!
Therefore it is necessary to know that imbibing virtue of hardwork would aid your survival and excelling as an intern. A firm and discipline unit consultant would not waste time to extend to a varying period a lazy House Officer. Be prepared for grueling long hours in a busy medical centre.
Humility
Internship years is part of training or final path of being MB;BS degree holder in many countries and first year of your residency training in some countries. You still got to learn, your university may have graduated you but the lisencing body have not yet set you free to heal the world. So with humility learn the rope. Be determine to avoid pride, you are the lowest part of the “medical food chain". A haughty house Officer is likely to have more conflict with his Registrar or Senior Registrars and if pronounced even the Consultant who have to sign you off at the completion of your rotation. Off course, it is not that you be unassertive but avoid behaviour of "now am a doctor!" and the whole world must bow.
Be humble to know that the bulk does not stop at your table. If you don’t know be humble enough to ask your Seniors. Your will likely avoid penalty by doing that and save the patients unnecessary harm and you will also learn in the long run.
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| Ghanaian Medical Team on a Ward Round |
Thoroughness
Medical field is becoming more litigious. Many poorly treated patients are looking for the doctor to revenge on. Document all your necessary clinical actions, necessary patients reaction to your action e.g. avoiding medications or examinations. Off course counsel such patient. Fill necessary chart! Document all your rounds or review! Pass the bulk if necessary by informing your superior as soon as possible.
Learning Mind set
After your induction know that, that is not the end of learning. Infact medicine is one profession that you will have to keep learning till you stop practicing! The field just keep expanding and changing! The work might be daunting. Set aside at least an hour to read cases you managed in your team. An Oxford Handbook maybe handy- it is rich, short and concise!
Empathy
Empathy towards your patient is very important. It is therapeutic in itself. You are the closest doctor to your team’s patients. Your reaction is likely part of the patient would use to judge the managing team.
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| An Intern in Internal Medicine Clinic at Naval Medical Centre, Portmouth, test foot Sensation on a diabetic patient During a Diabetic boot Camp. Source: Wikicommons |
Reliability
You are part of the medical team. Even though the lowest in the ladder of the team's doctors. Your role is crucial. Your consultant would prefer an House Officer that would respond to the call from a nurse about a patient promptly and also a proactive House Officer who is competent enough at his/her level. Know your official role and try and play it well. A good house Officer is one that can key into the team very well.
Team Playing
You are now part of a team as an House Officer and have responsibility for the success or failure in some way!
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