all right how are you feeling today hey
guys I'm a richness I'm a pediatric
infectious-disease doctor at Stanford
I'm the chief medical officer at osmosis
and I want to talk today a little bit
about attendings and three of my tips on
how to impress your tenants as
perspective of staying with your medical
school residency and I've been fellow
and I'm now an attending of an attending
for many many years about a decade so
when I was going through I always
thought of impressing my attendings is a
bit of a likeability game and the game
was how quick I could get my attending
to like me because obviously I have just
a few weeks and I wanted to get it done
and so I thought okay I have to be
really gregarious and social and all
this kind of stuff and um and and my
reasons where I wanted to get into AOA
you know I'll be honest I I thought that
would be a boost from my residency
application if you don't know what a Oh
a is it's Alpha Omega Alpha and it's a
society that a lot of medical schools in
the u.s. subscribed to and they get 10%
of their students into that Society so I
thought I want to be part of AOA and and
actually in reviewing for this video I
was actually doing a little bit of
reading and it turns out that AOA has
changed over over the years in terms of
like who goes into it and about 13
percent about a decade ago of AOA
members would enter the lifestyle
friendly choices upper residency and now
that's gone up to about 33 percent so it
seems like there's some sort of
correlation between being in the AOA and
and pursuing one of those lifestyle
residency's and I think that's because
people basically see it as one more
thing to boost their residency
allocation so that's kind of what my
logic was back then today my view is
quite different you know in the sense of
I see being an effective member of the
team is something everyone should aspire
to because it helps take care of
patients and so I want all my medical
students to to kind of want to be more
effective on the team and that's what my
three tips are about so let's just get
started first tip here we go
first tip is empathize and observe so
you know a lot of stuff's going on in
the hospital you're a medical student
it's really really important to
emphasize with not just your your
residents and attendings but empathize
with the other clinical staff you know
what is your
therapist or nurse or pharmacist
thinking what are they kind of focused
on and and mostly empathize with your
patient I mean frankly on on your team a
medical student is the closest to being
a part of that that world and thinking
about out of what is a patient thinking
about so that's that's my old you know
my first point is empathized think about
what are their conversations about what
are people talking about what are they
worried about you know a classic example
is your work all day doing a discharge
then you walk into television they're
going on that day and you never
mentioned to them that they're going
pumps they haven't arranged a ride they
don't necessarily know where they're
gonna spend that night you know if
they're staying with friends and family
they're not sure you know whose bed
they're crashing on and and they don't
have kind of anything in place to go
home so and maybe the other members of
the medical team haven't thought about
it either so making sure you communicate
and empathize is really really important
it kind of helps make everything kind of
go smoother when you can kind of see
things from different perspectives so
that's the first kind of key point and
it kind of lays the foundation for tip
number two so tip number two hustle like
just hustling in everything you can do
so obviously you want to make sure that
you are prompt you're on time you're not
late to things but when you get to
places are you an effective helper do
you need to be coached or consciously
told like oh do this or do that or do
you just kind of observe empathize and
just naturally kind of slide in and
start helping out right away I mean you
think of a dinner party where where some
of the guests are just naturally kind of
cleaning up to the end of the dinner
party if you're hosting that's awesome
right that's just really really helpful
and so be that kind of a person on the
wards when you're there just kind of
noticed problems notice things are going
on notice conversations and then just
kind of quietly help don't have to make
yourself really known about it or people
will notice themselves and it's always
better if people just kind of notice you
rather than you're kind of flaunting all
them all the wonderful things that
you're doing I think the thing that
people freak out about is oh I don't
know what to say I don't always have the
answer for everything what if I get
pinned and and that's completely okay
almost every time will tell you this
they really don't care if people know
things you don't know things the whole
point of medical school and residency is
to learn so it's okay not to know things
but just what's not okay is if you don't
hustle and look things up or or say hey
I'll get back to you with that or or
come back and be honest about the things
that you've donner
or haven't done you know in your time
other words so tip number three is
making sure that you speak up and this
is the hardest thing like making sure
that when you do speak so you've already
observed and empathized you've already
kind of hustled and maybe done some
background reading or work but when
you're about to speak up make sure what
you're saying is relevant right the last
thing people want to do is kind of waste
their time and so when when a medical
student of mine or resident of mine
speaks up I really think okay III hope
what you're about to say is really
relevant you know it's not off point
you're not talking about the case that
that we're not talking about right now
or some issue that's tangential to the
kind of core issue so making sure that
what you say and how you how you say it
is really really specific so for example
you know let's say I'm presenting your
case you could say well I've got this
six year old girl she's got
conjunctivitis she's got red kind of
chapped lips you know a really bright
red tongue she's got a big lymph node
down here she's got a bit of a rash and
kind of swollen fingers what is that
case about versus um you know this this
case presentation dragging on where you
talk about their gas reflux and twisted
ankle from a year ago and and asthma
things that are not pertinent to exactly
why they're there that day so you know
be be careful even when you do speak up
about making sure you speak in a way
that's parsimonious to the point and
relevant to the conversation so then
people know okay this person kind of
knows what the point is here so those
kinds of ideas are really really
critical and and I'll leave with kind of
another story which is also don't be
afraid to speak up you know I'll share a
real story for myself I was taking care
of a patient they just gotten wheeled
back from surgery and they were on
monitors and and the code gets called
because they're they're flatlining and
it looks really terrible and and
everyone's kind of rushing around and I
noticed as a medical student I noticed
that their monitors were not plugged in
like the literally the plug was just not
in it was it was out and I didn't say
anything because I thought I'm just a
med student I don't want it and maybe
like two minutes later one of the nurses
said hey guys guys guys it's not a code
the Mars just not plugged in we're not
getting a good read here so they plugged
it in and everything was fine it was
we benign but I could have said that and
I didn't and I didn't because I was
scared right so it's also important
especially in critical situations to
speak up because you might think on just
a med student you know I what can I
possibly offer especially in this
high-stakes situation of a code but if
you notice something say something and
so you know I'll leave you with that you
know again the three tips make sure that
you empathize that you observe what's
going on number two make sure you hustle
and then make number three make sure
that you speak up and and don't be
afraid to speak up and speak up in a way
that's relevant to the team so again I
want to see your comments about what
your tips are for impressing your
attending or more specifically how to be
relevant and an effective on the team
thanks guys bye start your free trial
today at osmosis org
you