RRC meeting.... or better put, try not to say anything stupid that makes your program look bad, but be sure to ask for a cryogun.
Okay, so for those of you jerks that had the rest of the day off, let me just clue you in to our little meeting. It started off well enough, except that 2 of the 3rd years were missing and no one knew what to say to this RRC lady. Then the cafeteria personnel had to throw some sort of strange soggy-crouton-onion-salad together for lunch for everyone, and gave the Site-visitor a hard time about being a vegetarian and needing to have the grilled chicken on a separate plate from the salad

...awkward! Oh, and I didn't mention that they broke out the fine china, silverware, and wine-goblets (I don't know what they're really called)

for our iced tea and soda. There was also a full basket of rolls and another of cookies!
So, enough about the food. Then the questions started flying. "What are the strengths of the program?" "What do you wish you could improve?" "How many deliveries do you do throughout your training?" "How many times have you gone over the 80 hour limit?" Only a few people were speaking up, which was weird, because I though the chief would have had more to say. Then came the kicker though..."Who can list all of the ACGME Competencies for me?"....a hush falls over the crowd, as we all just stare at each other, waiting for someone to speak up. After a few minutes of awkward silence, she rephrased "Can anyone tell me how MANY competencies there are?" Again, silence...then a sheepish "6 or 7?" came from one of the 3rd years. "Okay. There are 6. Have you guys learned this at all? This is something you MUST know!" Of course we didn't want to bust out with "actually we just went over it last week for the 1st time", cause then we just look even more dumb. So, we came up with the descriptions of 5 of the 6 competencies, without actually naming any of them,which seemed to placate her a bit. But then she asked, "So they don't go over these with EVERY PATIENT?" "Ummmm, no." So we got a bit of a lecture from her about the importance of competency-based education and how she'd have to include that in her report (her report seemed to get longer and longer the more she chatted with us fools). Whatever.
Then, she rattled off another list of questions about everything from the call-room to computer access to otoscopes in the exam rooms. We brought up that we would like to see more computers designated for resident use in the clinic. Also, that some of the exam rooms are missing important equipment like otoscopes, ophthalmoscopes, and adjustable tables (in the procedure rooms). (Sorry for throwing you in front of the bus here Jeremy, but it must be done.) Then Jeremy got on a soap box I didn't even see him carrying around, saying that we need a Cryo-gun like they're going out of style.

...awkward! Oh, and I didn't mention that they broke out the fine china, silverware, and wine-goblets (I don't know what they're really called)

for our iced tea and soda. There was also a full basket of rolls and another of cookies!
So, enough about the food. Then the questions started flying. "What are the strengths of the program?" "What do you wish you could improve?" "How many deliveries do you do throughout your training?" "How many times have you gone over the 80 hour limit?" Only a few people were speaking up, which was weird, because I though the chief would have had more to say. Then came the kicker though..."Who can list all of the ACGME Competencies for me?"....a hush falls over the crowd, as we all just stare at each other, waiting for someone to speak up. After a few minutes of awkward silence, she rephrased "Can anyone tell me how MANY competencies there are?" Again, silence...then a sheepish "6 or 7?" came from one of the 3rd years. "Okay. There are 6. Have you guys learned this at all? This is something you MUST know!" Of course we didn't want to bust out with "actually we just went over it last week for the 1st time", cause then we just look even more dumb. So, we came up with the descriptions of 5 of the 6 competencies, without actually naming any of them,which seemed to placate her a bit. But then she asked, "So they don't go over these with EVERY PATIENT?" "Ummmm, no." So we got a bit of a lecture from her about the importance of competency-based education and how she'd have to include that in her report (her report seemed to get longer and longer the more she chatted with us fools). Whatever.
Then, she rattled off another list of questions about everything from the call-room to computer access to otoscopes in the exam rooms. We brought up that we would like to see more computers designated for resident use in the clinic. Also, that some of the exam rooms are missing important equipment like otoscopes, ophthalmoscopes, and adjustable tables (in the procedure rooms). (Sorry for throwing you in front of the bus here Jeremy, but it must be done.) Then Jeremy got on a soap box I didn't even see him carrying around, saying that we need a Cryo-gun like they're going out of style.
I agree we do, but the comedy of watching 10 residents first try to explain to our site-visitor (who was a psychiatrist in a former life) what a cryo-gun even is, and what it is used for, was just hilarious. And then she asked how we've managed so long without one, so we had to tell her about the styrofoam cups. She even suggested that we get one for EVERY room. I think she probably left today with a picture of us toting liquid-nitrogen around daily, shooting our patients with reckless abandon.
Alright, well that's MY soapbox I guess.
So, she also asked questions about how we were treated as residents, and said to "be sure to think about your answers, and be honest, because being in residency is a little like an abusive relationship. You adapt to being slapped around. No, I'm serious, people start thinking it's normal to be mistreated." (You'll notice that this quote has been added to our quote list to the right) Then later when we told her the preceptor-room at the clinic was adequate, she said "Well your attendings think it's too small. So see how you've learned to adapt?" After which I told Jeremy, "write that down." He didn't. Luckily it came to me again. Anywho, how was the day off for you guys?
So, she also asked questions about how we were treated as residents, and said to "be sure to think about your answers, and be honest, because being in residency is a little like an abusive relationship. You adapt to being slapped around. No, I'm serious, people start thinking it's normal to be mistreated." (You'll notice that this quote has been added to our quote list to the right) Then later when we told her the preceptor-room at the clinic was adequate, she said "Well your attendings think it's too small. So see how you've learned to adapt?" After which I told Jeremy, "write that down." He didn't. Luckily it came to me again. Anywho, how was the day off for you guys?


5 comments:
Classic. So.......I should be giving good sam a call about now cause we aren't going to be accredited anymore?
For the record I am what I like to call a NSBC "ninja soap box carrier". You don't really see it coming so when you finally notice the numchucks it is way too late to get out of the way (and even if you do escape you would most likely feel a chinese star expertly thrown right into your back). Seriously though did I mention we need a cryogun for the clinic?
Almost forgot, great job on the photoshop (though the next time can the body be a little less Steve Urkel and a little more Stone Cold Steve Austin?)
Nice work Brent, I appreciate the rundown on all that we missed while we were lounging poolside. Sounds like our site visitor is a "righter of wrongs"...maybe her program that she ran for 20 yrs was abusive to its residents...or maybe we are still in orientation denial...
Nicole- great photo shop! Could you make me a bikini model? Oh wait I've done that...anyway strong work representing the interns. It will be hard to break it to the kids that we ARE going to WI after all... oh well, it was nice while it lasted.
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