Please be nice to medical students

Nurses General Nursing

Published

Hi all,

I just graduated from medical school. First off, I'd like to say that I've had many pleasant interactions with nurses. However, I would also like to say that I've had some very bad experiences with some nurses that seem to only pick on medical students. For example, on my emergency rotation, I had to do a 2 hour triage shift with the nurses. From the outset, I was told (rather rudely) by the nurse I was working with to bring the patient's chart up to the floor. I did this twice before I got fed up and told an attending emergency physician about this who then laid down the law. I would've let this pass, but many of my student colleagues and I have had many other interactions with nurses that have left a sour taste in my mouth. I realize that as a medical student I had very little experience compared with some of the nurses. But I still think that I should be treated like a human being. And these run-ins with nurses had nothing to do with my lack of knowledge or being an idiot on the floor--well except for the one time where I didn't know I had to pull my own glove and gown in the OR and got yelled at by the circulating nurse. Or the other time when I couldn't intubate this patient in the OR and the CRNA shoved me out of the way to intubate right in front of the attending anesthesiologist. This all seems to stem from the fact that I was wearing a short white coat. Heck, I think in the hospital hierarchy, we are the bottom of the barrel, below nursing students, PT students, etc.

The point of this post is to tell you guys to please be nice to medical students. We have it hard enough already from the constant pimping from our residents and attendings. Please be our friend on the floors.

Specializes in I got hurt and went to the ER once.

Bottom line, everyone should be treated with respect. Whether you take out the garbage, take out IV's, or take out body parts... it's all honorable work and necessary work.

Everyone should also have a bit of a thick skin and not feel slighted about every comment that could be taken as a slight. People have differing views of what showing respect means and is.

Just my humble opinion.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Bottom line, everyone should be treated with respect. Whether you take out the garbage, take out IV's, or take out body parts... it's all honorable work and necessary work.

Everyone should also have a bit of a thick skin and not feel slighted about every comment that could be taken as a slight. People have differing views of what showing respect means and is.

Just my humble opinion.

I agree. :)

Specializes in Med/Surg.

Good luck as a physician! as for the CRNA pushing you out of the way, maybe she was in a rush to get the person intubated and didnt mean anything by it. you're gonna need to grow a thick skin, because some times we all say things to people we don't mean.

Has the OP even replied to any of these? I didn't sift through all of them.

We've all dealt with our share of jerky docs, nurses,managers, RT's, etc.

I do my best to maintain courtesy even when under stress. I don't feel that just being an ER or ICU nurse or busy floor nurse entitles someone to be abrupt and discourteous, no matter how busy or stressed. Having said that, of course if there's a life threatening situation things can change rapidly. In those situations you don't take things personally, even if a hateful team member does MEAN them personally. You just have to let it slide and do the job that needs doing.

I have found that the nastier and more rude the doc is that I have to call, the more I will kill them with kindness by thanking them for taking the time, thanking them for their help, etc. Sometimes it soaks in, sometimes not. My behaviour is my problem: their behaviour doesn't have to be my problem.

Specializes in Med/Surg, Geriatrics.
On topic: I'm sorry the med student hasn't been treated very nicely by the nurses.

I really hate to say it, but I've seen med students and interns being treated rudely by nurses. Even on this message board there was a thread about "tell us your stupid intern stories".

It starts off the nurse-doctor relationship on the wrong foot. Nurses are so quick to blame MDs bad relationships, but often it starts with nurses. Or at the very least, we don't help matters.

It especially gets disrespectful if nurses aren't doing what the interns asked "where is that UA I ordered this morning? How come there are no I&O's documented"..........Nurse: "If you want your I&O's done why don't you do it yourself you're just an intern, you don't tell me what to do. And while we're at what were you thiniking ordering.........blah blah blah........".

Nurses in no way should kiss butt, suck up, but a little respect for the newbie would be nice. And visa versa.

I know I'll get flamed for not defending my profession. I'm not generalizing, but just some of my observations in working with interns and med students over the years.

Of course, I've often seen the arrogant superior acting interns. But we shouldn't presume all interns are like that and treat each one with professionalism until they prove themselves otherwise.

I hear you Tweety. But I disagree that the bad relationship between docs and nurses starts because of the way docs are treated as students and interns. I believe it has more to do with traditional hierarchies and beliefs already in place.

Specializes in Med/Surg, Geriatrics.

What a coinky-dink, I found a couple of dueling articles about this very subject:

http://www.ucsf.edu/synapse/content/2906/art.html

Working as an obstetrical nurse for 17 years in different urban hospital settings, (HMO, private non-profits and university-affiliated units)-over the years I've been intrigued with the various nuances of hospital medical team interaction. The continuum of nurse/doctor relations ranges from a courteous cooperation and trusting collaboration-especially between older nurses and young doctors-to a paradigm where doctors assume superiority by virtue of prestige. This assumption can lead to condescending behavior and communication, and even authoritative arrogance, to the nurses who carry out their orders. Why is this? While physicians may have more years of education, their role is so dissimilar to nursing that a need to exhibit dominance or control seems outdated and detrimental to good healthcare delivery.

And here is the reply from a medical student:

http://www.ucsf.edu/synapse/content/22306/docrebut.html

It is easy to make idealistic comments that the healthcare team should be composed of completely equal members, each with their own unique role. However, I think if such views were realized, it would actually do more damage to patients because it would engender a piecemeal approach to patient care lacking a primary provider to take responsibility for oversight. While calling the doctor the boss of a nurse is a poor description, let's be honest in acknowledging that effective physicians fill the supervisory role in the health care team.
Has the OP even replied to any of these? I didn't sift through all of them.

We've all dealt with our share of jerky docs, nurses,managers, RT's, etc.

I do my best to maintain courtesy even when under stress. I don't feel that just being an ER or ICU nurse or busy floor nurse entitles someone to be abrupt and discourteous, no matter how busy or stressed. Having said that, of course if there's a life threatening situation things can change rapidly. In those situations you don't take things personally, even if a hateful team member does MEAN them personally. You just have to let it slide and do the job that needs doing.

I have found that the nastier and more rude the doc is that I have to call, the more I will kill them with kindness by thanking them for taking the time, thanking them for their help, etc. Sometimes it soaks in, sometimes not. My behaviour is my problem: their behaviour doesn't have to be my problem.

No, I have read every post and he has not replied.

Specializes in Orthopedics, Neurology, Pediatrics.

You need to remember you are going to meet nurses, doctors, PT's that act that way. Just be nice and tactful and ignore the rudeness of some people. I'll tell you what I love is being talked down to because I am a nurse tech and then when people find out I am just a few days from graduating from nursing school then suddenly they are so nice. That to me is crazy, how about just be nice regardless? On a good note for you, all of the med students at my hospital as wonderful!!!!!

Specializes in Critical Care.

Lot of ink for a one post OPer.

~faith,

Timothy.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

So?

_____________

Specializes in Emergency.

Just a couple thoughts. I know at the last teaching hospital I worked in our interns on their first day in the ER were told that the nurses here are very experenced and know more about emergency medicine than you do. They were also told that during you time here how you treat the nurses is going to make or break how your whole time here will go. They were advised that the system employes 5,000 +/- nurses. If you treat one of them badly the other 4,999 +/- will know before the day is done.

Like Ruby said I am the one who decides if you get woke up at 2AM every night for the next 2,3,4,5,6, or seven years depending on your specialty, regaurdless if you are on call or not.

RJ

Specializes in Day Surgery/Infusion/ED.

Now, IMO, that is unprofessional. No matter how much I've disliked a student/intern, etc., I never paged one in the middle of the night/repeatedly just for spite. That makes the nurse look petty and believe me, it can and does come back in spades.

Some of these students will eventually become attending where we work, so it does help to try to keep things peaceable. But I do have to say I had some major problems with the way the OP came across. That would not have inspired me to make his life hell, though.

+ Add a Comment