Induction - a primer for those doing Emergency Medicine for a bit - a thread #EMLife
Hi! Welcome! It's lovely to have you here!
Ideally we want you to come and work with us FOREVER so it's not in our interest to make your 4/6 months as hellish as we can...
You have just arrived from Medicine / Surgery / T&O / Public Health / Functional Medicine - whatever
This is going to be the most rewarding period of your medical career. You will never forget it.
You will learn more now in a short period than you ever have or ever will.
The rota?
It's the best rota you will get. We've worked on it for years.
Why?
You turn up on time. You leave on time. You are not expected to work late until the jobs are done. Your breaks are compulsory. We will hassle you to take one.
Seriously.
You will have senior support, right beside you, cheek by jowl, 24 / 7 / 365. Forever. Non negotiable. You won't have to go looking. They'll be there.
You will be able to make some decisions without asking if you want.
We know this is part of medicine. We will support your decision making.
We'll tell you what to do occasionally - this is generally because you're about to screw up
You did not become stupid when you walked through the door.
Neither did the surgery F2 who was yesterday a psychiatry F2 become "Karl Kennedy" (the most brilliant doctor ever).
Do not apologise to people when referring.
They have a job to do. Less hard than yours.
You're about to meet the most talented, skilled and committed team of nurses and other healthcare staff you will meet in your career.
Tread lightly. They will save your ass one cheek at a time.
If you're a dick? You'll have a long 4/6 months.
You are an adult. We will treat you as an adult.
This means behaving professionally.
Shift times have a start and end time.
Leave requests (outside of emergencies) have a notice period.
Respect them - and we will respect you.
Above all - be happy.
Try to enjoy it.
Yes, we are a funny haha / strange bunch who do this for 20+ years but we love our team - that's why we stay.
You can be a part of this family. Embrace it.
It's not forever. Unless you want it to be.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
I don't think we need to labour the point but EM experts need to be providing commentary on EM matters for HM Coroner, not tertiary "specialists' who haven't set foot in an ED in decades...
My heart goes out to this person's family. His death was tragic but not definitely preventable. He is young and does not fit the "usual" age group for AD. He should not have been sent to a UTC with chest pain - our UTC colleagues would not see this presentation...
Time & again in EM I teach colleagues in training that you should not diagnose "costochondritis" / anxiety related CP etc in an ED - it's a made up diagnosis when you DON'T KNOW. That's why it's in tiny font on the final slide - put that on a chart and it's meeting w/out coffee