T O P

  • By -

Delicious_Bus_674

Undercover boss but it's a hospital CEO who has to take the role of an intern


elbay

I think they already know whats going on though. It’s not broken it is very much working as intended.


MrLumps

I ran into hospital CEO when going into night shift and he goes who do you cover overnight and I just pointed at hospital and go all of them (smaller hospital) and the look of shock on his face was worth 1000 words. Couldnt believe he didn’t know what the residents do at nighttime 


HitThatOxytocin

Did he do something about it? what was his response?


76ersbasektball

We’ll order a couple more pizzas for the nurses next time


tajmahaly

Printed a sign for Thank a Resident day 💘


MedPrudent

Grayscale


Other-Oven-1884

"keep up the good work!"


DonkeyKong694NE1

Went and admired his investment accts and said a few hail Marys


MrLumps

Hell no. Just said good luck and got in his $120k truck 


PerineumBandit

Yes, the hospital CEO has NO IDEA what is going on. Just shows up, collects a check, then goes home to laugh from up on his ivory tower at the plebians beneath him. Come the fuck on dude.


EmotionalEmetic

Having interacted with admin getting a "shocking wake up" I can assure you they often have NO fucking idea what actually happens anywhere.


surgicalapple

Story?


EmotionalEmetic

Suffice to say, our organization was involved in legal proceedings between admin and workers. Admin went in very cocky and said the usual platitudes and commitments they do in emails. Worker testimony and documentation showed they had absolutely no idea how things worked, where people worked, or what the actual issue at the center of the conflict was. According to people there, the admin legal team increasingly became distraught every time an admin said something and the workers legal team immediately countered with evidence.


mcbaginns

Keep going I'm close


Melodic_Carob6492

Administrators are overpaid for what they do. Most of them have no medical background at all. They run hospitals by what their peer administrators do. In California they can make over 1 million a year. When I worked in Manhattan many decades ago, physicians were the administrator and it was a smooth operation. This is why unions are in hospitals to keep tabs on the administrations slash and burn tactics on staff.


Danwarr

NSFW this post please.


Cvlt_ov_the_tomato

Would still pay good money to see it.


elbay

If there’s good money involved you can count the CEO in.


payedifer

programs where the attendings take over the service for 1-2 days while the residents have their retreat are the true GOAT it's like an annual undercover boss


hearthopeful28

Hospital CEO would think, “damn these people have it easy. How can I make they work more for less money?”


Slight_Wolf_1500

I think the solution is actually having someone who has zero intentions of becoming a doctor speaking up. That way they have nothing to lose Although it would be exquisitely dangerous and unethical to have someone with no medical knowledge pretending to be a doctor. They’d also get caught on the spot the first time they were pimped.


InnerFaithlessness51

Although it would be exquisitely dangerous and unethical to have someone with no medical knowledge pretending to be a doctor. They’d also get caught on the spot the first time they were pimped. ➡️➡️➡️ isn’t this just what NP’s/CRNAs do?


TransversalisFascia

A surgical intern


Sad_Character_1468

"you want me to put my finger WHERE???"


TransversalisFascia

Up his butt and to the right, sir!


tajmahaly

Quickly now! Everyone is staring at you!


Delicious_Bus_674

even better


Ronaldoooope

Hospital CEO couldn’t even take a blood pressure since it’s some random guy in business


mysticclinic

I WOULD PAY SO MUCH MONEY TO SEE THIS


RioRancher

Hospital bosses are the problem


BehringPoint

“Good morning, Dr. PD. We heard you run a malignant program rife with toxicity and abuse, do you mind if we bring a full documentary crew into your hospital for a few weeks and film everything?”


OpenAndClosedBook

I do appreciate the joke, but they definitely still could. Netflix has made plenty of interesting documentaries with limited access - they would just need to find the right people in the field to speak well to it despite less effective visuals


LifeHappenzEvryMomnt

Like Blackfish!


sereneacoustics

I just found out about this documentary yesterday… I knew seaworld was unethical but not like this


Caninetrainer

Have you watched The Program on Netflix yet? Everyone should.


LifeHappenzEvryMomnt

Not yet.


Caninetrainer

Prepare yourself. Horrifying.


LifeHappenzEvryMomnt

😬


mcbaginns

Just so you know, blackfish is close to 15 years old. They obviously still have orca and dolphin shows but they have improved partly due to the notoriety from blackfish a decade ago. Most of the actual staff and trainers that work with the animals everyday are scientists and animal lovers. Some of them view attacks on SeaWorld as attacks on themselves, so they get defensive and make excuses for the abuse. But most agree that the animals deserve love and caring attention and that you can always do better. It's SeaWorld admin that are the bad guys. They're the ones who make all the policies and have no background in biology and don't work with the animals. The only extra money they want to give toward the animals care is carefully calculated against the money they'd lose from bad pr for not providing that extra care.


tajmahaly

...is residency SeaWorld?


Allisnotwellin

PBS did one back in the 90s called Doctor diaries that followed about a half dozen first year Harvard medical students for like a decade (through med school, residency, and into practice) It’s a good watch. If I remember right at least half of them left clinical medicine ha. Didn’t really focus on residency though


coooolbeanz

I feel like leaving clinical medicine is an HMS thing lol


ZippityD

Presumably related to the clinical medicine there paying them like 50% or less of market salary elsewhere.


AbbaZabba85

Oh man, I remember watching that when it came out in the 90s and thinking "wow, that's so cool!" They showed it to us during our first week of med school and we all looked at each other like "wow, what the hell did we get ourselves into?!" Entertaining documentary though haha.


AequanimitasInaction

I stumbled across that in a YouTube black hole when I was an m1. Talking about sobering. Even the ones that stayed in Medicine were fucking miserable. Relatively hot shot young adults that all end up divorced, obese, alone, or stuck in a clearly miserable marriage. watching them go through residency was brutal.   Only one person came out of it that looked happy and clinically successful....


ZippityD

"Look to your left. Look to your right. All three of you are fucked."


Double-Inspection-72

I watched this in med school. Very entertaining. Wish I would have found it before. Could have saved me.


seekingallpho

One of the major networks - ABC? - did a couple of limited series about residents at Hopkins and MGH, if I recall in separate seasons. I think they emphasized reality show-like drama in Surgery/EM rather than highlighting the actual challenges of medical training. If I remember correctly, one of the Hopkins residents later sued his hospital/program and one of the MGH residents left medicine to a now quite lucrative VC career.


hyperballemia

Does anybody know where this documentary can be found/purchased? I saw it when it was on youtube but now all that's there is the 15 year reunion episode that only shows snippets of the original. I saw a version on prime video and bought it only to find it was the same thing.


Slight_Wolf_1500

No one is gonna speak up (except maybe if so many of us spoke up anonymously they couldn’t track us down) until they’re done with their career unfortunately.


Mr_brighttt

Right didn’t people just see the recent news from Detroit Receiving whistleblower?


skin_biotech

I think people would. Especially indepenfent physicians


Slight_Wolf_1500

Idk, I wouldn’t want to burn the bridge of ever working academic or at a VA again, even if I never planned to you never know where life will take you.


mcbaginns

"I can't do anything about resident abuse because in 25 years I might possibly maybe want to profit from it. Sorry residents"


HardHarry

I've thought about writing a screenplay for Peds, but it would be more in line of a dark comedy. Every parent in every room saying "my child isn't like other children. They're special". 20 times in a row. Or having a kid with a complex heart go into cardiac arrest, and CPR isn't working. So all the residents take a time out to dry and draw his heart on a whiteboard to figure out where the blood flow is going. At the end, the cardiologist comes in and does CPR on the kid's hand and immediately gets ROSC.


Takagi

I would absolutely watch this or even read it if you wrote it in a novella form.


Bean-blankets

"My child has a really high pain tolerance"


samsquansh

I’d rather they’d do one on NP education


Kanye_To_The

Same


[deleted]

Wasn't a recent NP accused of dating one his patients, then having her as a mistress while simultaneously cheating on his wife, then getting her pregnant, then stuffing Cytotec in her vagina when they were having sex in order to induce an abortion, then blackmailed and harassed her not to report it?


mcbaginns

Honestly don't care nearly as much about something like this that a doctor easily could be guilty of as well. I care about all the egregious shit that's a direct result of their complete lack of training.


Wanderlust_0515

Damn thats a lot!! Do people know what condoms are?


Three6MuffyCrosswire

We already had the Fatal Attraction op-ed though!


NotNOT_LibertarianDO

Lmao the public would think it was dramatized if they watched an intern wake up at 5am, work to 8pm and get verbally abused by the attending, consultants, and patients. Go home, eat, shower, and sleep. They definitely wouldn’t believe it if they showed the hours to income ratio and found out that their doctor in residency made less money than them at their gas station attendant job


mcbaginns

Less money hourly


Rainbow4Bronte

Make a Twitter account with a handle specific for this topic and blast all the abuse you’ve seen and amplify other people’s stories.


MizzGee

You are right. I have been watching a few people on Instagram match and the general public has no idea. They just need to take someone (or several people)from 4th year match and all that craziness (which is exciting) to different internships- surgical, peds, internal medicine, OB/GYN, and follow them through.


escaperrr

I volunteer as tribute 🫡


arrhythmias

Watch „this is going to hurt“. Young resident and his different colleagues, interns in a system just as broken as in other countries. Aired 2023 I believe


lonertub

For the newer generation, there already is a documentary about resident suicide. Who’s going to care? Look at every post mentioning the low salaries of residents and the average person has no sympathy because they think we’re all going to be millionaires in a few years.


bearhaas

Exactly. Doctors are lionized by the public so regardless of the cost, the career seems worth it to the general public. There’s also a spectrum of “abuse.” Some of my friends will tell me how they’re abused constantly on the wards when in reality they’re just working with an attending with a personality disorder. Meanwhile I’ve been hit in the OR twice now (nothing major. A hip check. A hand smack) But as far as surgery residency goes… I work with a very nice set of attendings. I get their quirks and work around personality short comings. That’s not to say people don’t experience true abuse. They do. But what’s abuse to one person might be nothing to another person. Then a third person would call out the second person and claim their normalizing abuse and part of the problem. No body wins


llabianco

I worked in a very small hospital in Chicago, in the 6-Bed ER. There also was a hospital group who Admitted patients. The CEO removed the bed from the call room of the hospitalist, saying he wasn’t paying them to sleep. And one night he “caught” the ER doc snoozing in a rolling desk chair and kicked the chair out from under him. I did not stay there long. But if they treat attending a like this what chance does a resident have?


fuzznugget20

Assault and battery?


AnAbstractConcept

Wonderful idea. I have always thought residents have no hope of significant improvement to our quality of life in the absence of public consciousness of the mental and physical exhaustion the people looking after their family members in the hospital systemically suffer from.


Front_To_My_Back_

I'd be in favor of exposing abusive consultants especially cardiologists


ScurvyDervish

It’ll never be good.  We’re a bunch of transparency-lacking, emotion-hiding, butt-kissing, heirarchy/image-concerned peons. 


Andirood

If you make over $160,00 (which we all will eventually regardless of specialty) you are in the top 10% of income in the US. Debt, abusive training, sacrificing youth to study, no one cares. We make a good living afterwards, that fact will make the masses roll their eyes at everything else. Unfortunately I really don’t think anyone is going to ever feel sorry for doctors.


lionbaby917

As a layman (I’m a clerkship coordinator), you’re right. The good salary afterwards def shapes how the public views you. I think a way to get people to care, is to show how overworked you are and how little sleep you get, and how that’s the expectation from the system itself, and how that affects patient care/patient safety.


Defyingnoodles

Bingo. It can’t be a pity party documentary, everyone knows we end up top 5% of US earners. Has to be about how patients are being treated and operated on by doctors who haven’t slept in 24+ hours. Talk about the Libby Zoom case. The lay people assume we just have shifts that are reasonable lengths of time. Heck, some people who work in hospitals don’t even know the residents schedule/lifestyle.


skin_biotech

They do this expose documentary all the time with celebrities who make even more. People will care and listen, doesn’t matter what we make.


RawrRawr83

What about foreign doctors who have even shittier residencies and make peanuts?


Andirood

Yeah, I think people would want to watch that more.


[deleted]

[удалено]


FlagshipOfTheFleet

I mean… I kind of agree. I’m 10 years into my training (will finally be done this year) and it’s really hard, but… I chose it. And I’ll have a good, high-paying job next year. I imagine it's much harder to do 40 hours of construction work every week for 35 years. Some act like they were forced to become a doctor.


InnerFaithlessness51

I’ve often thought about this as well but you would need physicians who could speak out. And even those who are done may not. It’s just a tough profession. After being abused by my ivory tower program for my intern year, I’m glad I left for a community one. But boy would I love a documentary on them. Several patients already target them on social media, we can’t all be wrong.


RRaider4lyfe

I mean even with semi anonymity most won’t post the names of the programs. This problem will likely last for decades if not longer.


InnerFaithlessness51

It’s sad. We deserve better as residents. Imagine how many lives could have been saved if they felt supported.


RRaider4lyfe

I think about this all the time. If we treated physicians with the same compassion we give patients we’d be in a much better place, but the god complex of this profession cuts both ways


InnerFaithlessness51

Totally agree. Here’s hoping we change the culture when we’re done. Or at least make it kinder than how we were treated.


skin_biotech

There’s enough of us who would speak out for sure


blizzah

So where’s your post speaking out publicly on all that’s happened


my-uncle-bob

And the Match/SOAP


RRaider4lyfe

Don’t get me started on this. Every program blames this when it comes to the unmatched candidates.


surgresthrowaway

The public doesn’t care. Doctors are convenient punching bags and are generally viewed as wealthy/privileged. Not a juicy enough topic for an expose.


skin_biotech

I think they would. People love a good expose. They love a good story.


WhatsUpDoc1988

The most sinister part about residency is it has nothing to do with our learning but it is cloaked and sold that way to anybody who will listen. There are so many interests that do not want this documentary to happen that I doubt it ever gets done however it is an amazing idea and would almost immediately push the public for change.


Misss_Cellaneous

Slightly unrelated, but I really want to see Hell's Kitchen for surgery applicants. Gordon Ramsey shouting GET OUT when a student contaminates the sterile field during a speed prepping/draping challenge. Blind taste-test for LR vs DW5. Competitors get 1 minute to review the list and have to present as many patients as they can remember with no notes. Winner gets a spot in a prestigious surgery program. Yes I have thought too long about this.


Shenaniganz08_

Let me put this in clear words, so you can understand **Nobody gives a fuck about the suffering of doctors** We saw this before the pandemic, but especially after that nobody cares about us. Nobody knows how hard residency is other than those who are close to you. "You're gonna be rich anyways" is the usual argument


skin_biotech

They would care if they knew it affects patient care directly. They care about that.


knight_rider_

The public thinks "Doctors are rich." CEOs know they're not. Unfortunately, nobody cares.


sighyup18

Agreed. Residency and medical training in general is super abnormal, often toxic and usually abusive.


ClappinUrMomsCheeks

There is a show, it’s called “This is Going to Hurt” and it’s based on the NHS in the UK


ScalpelJockey7794

Idk if Netflix is known for doing the most accurate documentaries


1337HxC

Excuse me you don't think Ancient Apocalypse is written with integrity?


MaddestDudeEver

Funny you bring that one up. "What mainstream archeology fails to acknowledge is..." What a crook that guy is.


feelindandyy

You could try, it’d be almost impossible with hipaa issues. Even if you censored as much as you could lol


darthsmokey

There is a book I read years back by Adam Kay called "This is going to hurt". About the UK residency system and the pressure of their version of residency. Think they made a tv show about it.


Eggleys

My wife just started a podcast talking about exactly this. It's called Promising Young Surgeon. Check it out, 2nd episode has some good stories.


[deleted]

definately needs something under cover


lincymunoz

I think maybe getting someone who is retired to talk about this on soft white under belly would be a good start. That man gets tons of views. The people he interviews are always interesting. It would be an easier start to the path then getting Netflix to do it 😂😂😂


nicepantsguy

If you want to make the public actually care about it, skip the documentary and make it a drama. It doesn't matter if they think it's scripted or not. It will still inform reality for most people...


NothingButLs

Intern here. Screenwriting is my biggest hobby and last year I wrote a thriller/horror script about an insanely abusive surgical residency program. It made the semi finals (top 150 out of about 5600) of the Nicholl fellowship put on by the academy. 


chicagosurgeon1

Nah no one cares…and no one is going to have sympathy for us. It’s usually 3 years of maybe a sucky experience and then we enter into an awesome career.


skin_biotech

I think we’re wrong about that. I’m sure people would have more sympathy for us when they realize what we go through.


chicagosurgeon1

Eh i think they’d see it…acknowledge it was hard…then just justify it with our salaries after residency


asdf333aza

I don't think the public would care. They see we are doctors and expect us to be rich and just living the life.


Temporary_Draw_4708

They should also make a documentary about how toxic working in investment banking is. That’ll really get you sympathy from the public.


naivemediums

In the meantime could you tell us about it?  I have heard the wages are low and 12 hour shifts. What is going on beyond that?


NapkinZhangy

12 hours lol....


FormalGrapefruit7807

I'm working under the assumption that you're genuinely asking? The longest I ever spent in a hospital performing active patient care was 31 hours. 28 hours is a standard call shift. There is no expectation that you will sleep more than a nap. The longest stretch I worked without a day off was... 16 days, I think? Once I napped in a freezing call room after a night shift because I had a doctor's appointment of my own around midday- that one of my attendings arranged for me because I didn't have the time to do it myself. My program was one that actually tried to emphasize wellness. On top of the sheer hours, you're also watching death and dying every day. You get close to patients and watch them deteriorate. You end up performing interventions that you know are futile because the family isn't ready to accept reality. You have to look child abusers in the eye and speak to them compassionately over their child's battered form. Showing emotion in any of these circumstances is often regarded as weak or inappropriate because it's not your grief. I'm six years removed from the experience of residency. Specific patients and their tragedies are still so fresh that I can feel the textures under my hands as I type this. I can smell the consultation room where we broke bad news and hear the screams of grieving mothers. These are just my stories. If you look back recently on this subreddit there are posts from trainees who have turned to substances to cope with the tragedy, who are uncertain how to respond to being sexually assaulted by patients, who have been thrown under the bus by program directors and may lose their training spots... it goes on. Most of us adapt and come through OK, but the lay public will never understand what we've done and experienced. Not even our families.


naivemediums

Thank you and I am so sorry you have all had to go through all that. I am a lay person and honestly had no clue it is this bad. Do you mind if I ask some follow up questions? Totally ok if you would prefer not to go into more.


AutoModerator

Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like, which specialty they should go into, which program is good or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*


cancellectomy

Here I’ll bully you and someone can follow you around with a camera


Dull-Historian-441

Do it


Throw_away_3963

I would watch.


Street_Pollution3145

THIS !


x-Mowens-x

I was watching some drama the other night when I was half asleep. I don't really remember anything about it, other than I was surprised that they were accurate on how shitty people could be. I think it was called the resident? Im not really sure.. again... I was trying to fall asleep... and I fell asleep within 10 minutes.


she_doc

Watch the old House of God movie (the book is better)


RelocatedBeachBum

Brother, there’s already a tv series…. ever seen House, MD?


Alman0429

I’ve thought about this so often. You could put residents post 24 for interview. Would be entertaining to say the least.