Would you knowingly allow a 1st year resident to treat you in a hospital?
In teaching centers, it's common practice for 1st year residents to take call on floor patients. Knowing that they are fresh out of school with minimal real world experience, would you be ok with them writing orders for you?
Yes because they are under the supervision of a house doctor. They are not just thrown out there with no one behind them. Everyone has to learn and I would hope that more people would see that these people are being supervised at all times and have to report their findings before they can just write an order.
It would depend on my afflicition.........
If I have a toothache................I just want to stop the hurting.
If I have a brain tumor, I want the very best, most highly skilled.
Antibiotics vs brain surgery......................
It would depend on what they were treating me for. But I have to say, I wouldn't necessarily trust an experienced doctor any more than a resident. I've seen enough of them in action who were so arrogant, narrow minded and uncaring in their diagnoses and treatment of patients that I think it absolutely is a case by case thing. No matter what, I don't think it ever hurts to get a second opinion.
It would depend on what I was in the hospital for. Being fresh out of school they should have the latest knowledge and I would assume that they are still being supervised by a doctor with experience I think I'd be okay with it in most circumstances.
Having been a first year resident once upon a time, your question attracted me. The keywords in your question are "teaching centers". It is assumed (and patients sign paperwork to this effect before treatment/admission to facility) that you will be seen and treated by student physicians as well as student nurses. Teaching hospitals teach and although mistakes can be made, in every hospital I ever worked in, interns, residents, student nurses, etc always had someone looking over their shoulder and signing off on their paperwork. And yes, they do read before they sign because it is their license on the line.
First year residents go through a rigorous schedule, rotating from hospital department to department, constantly in training until they get their M.D. A first year resident in medicine and a first year resident in surgery are two different caliber of physicians. And yes, they are physicians, they are addressed as "Doctor". A first year surgery resident has more required prerequisites than a first year medical resident, but that does not negate their experience or their treatment of patients.
I was 29 years old and looked 15, so a few patients doubted my abilities and knowledge. I have suggested orders for patients that I thought were appropriate and have had an attending disagree with me. On the other hand, I have suggested orders which were well received. You can't judge all first year residents by the same yardstick.
A patient is always in control. By that I mean, a patient can refuse treatment by any professional because it is their right to do so. They would do well to exercise that right if they feel the least bit of doubt about the person who is treating them. Thank you for posing your question.
A first, second, third or subsequent year resident has yet to be 'Board Certified' in the particular specialty which may be handling whatever malady which may have afflicted you. As such they are participating members of the team of physicians in training who are collectively responsible for your diagnosis, care, and treatment which is supervised by the "attending" physician/surgeon.
There is never a question regarding the hierarchy, as this is a subject repetitively emphasized on a daily basis during residency. The attending physician utilizes residents as an extension of his/her reach in the care of patients admitted to his/her particular service.
While there may be errors in evaluating data or clinical impression these are corrected by the more senior resident or attending physician during daily patient "rounds" which may take place in the patient's presence or elsewhere, but it is daily, and it is patient-specific.
One will only find residents in teaching hospitals and very infrequently in community hospitals. Community hospitals are staffed primarily by residency trained and board-certified physicians who have passed the hospital's credentialing process and given privileges to practice there. Consequently, it is unlikely you will find, or be treated by a resident.
The only caveat I would offer is that if you or your primary care doctor believes you have a straight-forward medical or surgical issue then don't go to a teaching hospital, go to a good community hospital where common things happen commonly and are treated efficiently.
Conversely, if you happen to have symptoms that baffle your primary care doctor and he or she doesn't recommend evaluation at a teaching hospital then find one. The more minds considering your dilemma the better. Dercum's disease is best treated at a teaching hospital while appendicitis has a better outcome at a community hospital.
Keep in mind that the best diagnostician started out as a resident.
Yup, they are not going to be their and practice if they are not qualified. To know more about medical coding training, visit this site: http://bestmedicalcoding.com/
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