MESANICO’S MAR [15-03]:Learning From Your Junior

Index Title: MESANICO’S MAR [15-03]
MAR Title: Learning From Your Junior
Date of Medical Observation: March 2015
Tag: Learning 
Category: Professional / Ethical – Reinforcement
I was at the Emergency Room (E.R.) one morning when a 3-year-old boy was brought to us by his mother. He had a lacerated wound on his left fronto-parietal area which he sustained after falling off his chair. According to the patient’s parent, her son has these types of fall almost once a month, especially once she starts doing her household chores. However, it was only in this incident where he had a deep injury on his head. Our 2nd year resident who was in charge of the E.R. at that time quickly attended to them to assess the severity of the injury. After ascertaining that the patient had no signs of neurologic deficit and had a complete history of vaccinations, he then opted to have the patient’s wound sutured and properly dressed. The procedure was uneventful and after a few minutes the patient was ready to be discharged. Prior to them leaving however, our E.R. resident quietly approached the parent of the patient. He told them that they should take care of their child and keep an eye on him always especially now that he is even more active. If the incident would ever happen again then he would be forced to report them to the authorities such as the child protection agency. The parent nodded and promised that they would take good care of her son.
(Physical, Psychosocial, Professional / Ethical)
(Discovery, Stimulus, Reinforcement)
The residency program is aimed to train medical doctors in the certain fields which they choose to specialize in. During this time, the resident is exposed to a variety of skills, knowledge and, of equal importance, these “lessons in life”, each from different type of sources. Theoretical knowledge is usually acquired through our books and lectures, as well as from our exams. Skills are mostly shown to us by our consultants, sometimes first hand, sometimes through our seniors who learned it through them. We are evaluated by our consultants in the procedures we do and shown our errors, giving us tips and the proper steps in doing certain operations. And then there are the lessons or other tips in attending to our patients, on how to be able to treat them properly and completely. These we get to learn through first hand experiences, or in my narration, from our 2nd year resident who was in charge of the emergency room. There will be patients who we encounter in duty who might veer away from what we try to impart on them, such as how to properly take care of a wound, or how to avoid having the same injuries repeatedly. The method I witnessed was a new take on patient care. By telling the patient that he would resort to a more extreme means just so you can ensure the child is protected and no further harm would come to him, the patient was clearly forced to heed the advice of our co-resident. The experience reminded of how much we can pick up new ideas not only from doing our daily activities but also from listening and observing our fellow clerks, interns, and residents. Learning new techniques may not only come from our seniors or consultants, but in general, also from our juniors. It falls onto us if we choose to retain it or not.
ROJoson’s Notes (17feb8):
We can learn and have to learn from anybody, even our juniors.
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