Friday, March 1, 2013

Goodbyes and Hellos: A Conclusion to Internal Medicine and Otolaryngology


Hello Readers,

In a nutshell, Internal Medicine has been a tremendous learning experience. Throughout my first week with this group, I have observed many things. I have observed the trouble that Medicare and Medicaid are causing doctors and patients alike, the sadness that lingers after a patient asks to be taken off medication and instead be given hospice, and the anguish the caregivers have for their wards who alone are faced with an uphill battle of PTSD and Dementia to name a few. But the overall theme that was outright stated spoken to me during my week with Dr. M (internist), Dr. R (Otolaryngologist, who also works in the Internal Medicine office), and Dr. K (another internist whom I spent a fair amount of time discussing the merits and importance of psychological endurance) was, “Do something you love, or you will spend the rest of your life regretting it”.
What resonated the most with my project would be the general observations I made of the personalities that are in their office. While Dr. M Dr. V, and Dr. K hold a strong, strict flexible personality, they are completely contrasted by their staff. Their staff, who are the clerks and nurses and receptionists, are bubbly, sarcastic, witty, and authoritative almost to a fault. That is not to say that they are not hardworking. This palpable difference in personality type has led me to believe more firmly in the idea that there is no specific personality type for every job. For even Dr. M, Dr. V, and Dr. K differ in their demeanor and work ethics. Dr. M likes to start and finish early, she would rather work through lunch and finish all her patients’ charts between appointments then stay late. Before even beginning to fill out the remainder of his charts from each office visit, Dr. K usually would rather see all his patients first, eat lunch, and does not seem to mind working later into the evening. Dr. V on the other hand favors using a Dictaphone over writing everything into patient charts, he seems to prefer to write the minimum and voice his opinions into the recording device. Dr. V too shares Dr. M’s need to power through lunch to get work done, but he also shares Dr. K’s apathetic nature towards working late.
 Despite the obvious differences in the personalities between Dr. and staff, they work together like a well-oiled machine. Their personalities, as different as they are, actually make up for each other’s down fall. The staff makes up for the Dr.’s stringent nature by being humorous and charming, while the Dr.’s cover for the staff by being professional almost to a fault. The Dr.’s then also cover for their own disadvantages by making up for their need to complete work before the end of the day, their need to enjoy a break in the middle of the day, and their need to use technology to aid them in less paperwork. They all cover for each other. With so many personalities in an environment, it is almost hard to say which personality type would best thrive in Internal Medicine when each office has a different group of personalities leading in the office. For all one knows another office could have the exact opposite where the doctors are humorous and the staff are stringent. There are so many factors outstanding a personality test that it is near impossible to determine which personality type would best flourish in Internal Medicine, or Otolaryngology. 
With this idea in mind, I hope to observe the same dynamics when I start next week with Gastroenterology.

Until then,

Goodbye

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