I haven’t posted in awhile, mostly because I’ve been so busy studying for (and hopefully passing) Step 1 of the US medical licensing exam. But I thought this would be a good time to write a post – for one, I have the day and weekend entirely free, and two, I start rotations in the various clinical specialties next week and am not sure how much free time I will actually have at that point.
So, why should you avoid hospitals during the month of July? To avoid run-ins with new interns and 3rd year medical students like me! No, I’m not trying to be self-deprecating…just realistic. Interns started at the beginning of this week – these are students who just graduated medical school and are starting the first year of their residency. Many of them are at new hospitals in a new part of the country, and have not had to assume a whole lot of responsibility up to this point. They’re nervous and still learning the ropes, and it will take time for them to feel comfortable with the situation.
Then there are 3rd year medical students like myself – we’ve had limited patient contact up to this point, but now we are thrust into the hospital and assigned patients to follow as we rotate between specialties like surgery, medicine, pediatrics, etc. We have limited clinical skills, but are expected to hone them as we complete the year (this includes things involving needles and patients – such as inserting IV’s and drawing blood…scary thought). We may not have much say (read: almost none) in what happens to the patients, but since we are new to the hospital we inevitably don’t know much about what’s going on and will slow the well-oiled machine down.
These factors contribute to longer stays and higher rates of mortality during the month of July (http://www.nber.org/papers/w11182). Just another reason to be careful this July 4 holiday.