I was a busy surgical resident in San Antonio, if but for a few months. I was at my height doing assisted and supervised umbilical hernia repairs. A little more complicated than they seem I say. I was assisting often. But my biggest duty was the floor. I had to round on about 8 patients a morning and present the details breifly and in a very concisely organized fashion to my senior residents. If you were post call, it was your turn. During rounds, orders were given, we were to write them on our small binderbooks and then after rounds write the orders in the patients charts. After that we had to write the notes of the day. Its busy work. Its really busy. Its really really really busy. I must say that I was marginally skilled at case presentations at that time. As well, so many patients with things like vitals were difficult to keep track. In no way was I able to keep a cognizant finger on each patients vitals that year. It was too much for me. The seniors seemed to have a finger on every patient however. They were that strong and focused. I had a tough time even remembering some of the details of maybe one patients operation or reason for admission. It was difficult for me, I had little time to think and I had alot to report. I was always on the hot seat.
So that was my trouble, I could never keep my seniors happy. I was told later that I had made one error in dosing when I wrote an order. I believe this may or may not be true. I may have made an error, perhaps misplaced a decimal point. I have never seen the order so I'll just say it was reported to me. In no case was harm done to a patient. Thats why a system of checks and balances exists, starting with the nurses and the pharmacy. That said, I cant say I was of any great use to the department and they knew it. I cant say that I wouldnt have improved. It was after all my first month on duty. But that said, the writing was on the wall. I was off to a mental health evaluation and I consider myself lucky that they actually gave me one more month of training when I returned. Perhaps just to say they 'tried'. I dont think I was in the books to stay aboard.
So I am a reject from the San Antonio Surgical Residency Program in the Air Force. End of career actually. I had taken the case that I would continue on duty, maybe do an internship and then consider a general medical officer position which is essentially a primary care low level provider. I ended up leaving the military at the end of the scholastic year in June/July 1997.
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