Showing posts with label evaluation. Show all posts
Showing posts with label evaluation. Show all posts

Monday, June 18, 2007

In the Summer Time...

Much of this weekend was spent catching up on much-procrastinated on housework. Bleh.

On Saturday, I went down to the local farmer's market for the first time. I feasted on fresh strawberries, tomatoes, and peppers. There were plants everywhere, but I held back and only bought a rose bush to replace the one that died during the winter.

I thought I was showing pretty good restraint, and then I walked by the table of Amish baked goods, where I bought both a homemade pecan pie and a tray of coffee rolls. I have been living off the coffee rolls for the past two days. They were slathered in just enough cream cheese frosting and resting in the perfect proportion of cinnamon and sugar goo. Can you imagine more perfect food? I can't.

One of my friends dislikes the Amish. She says that they don't pay taxes, and feels it is hypocritical for them to come into the hospital as patients, particularly in the intensive care unit, given their shunning of current technology. Personally, I don't really see what the problem is. Just like any other community, I imagine that they have a hard time letting their loved ones go. And, while I don't exactly know what kind of financial resources they have, I just kind of lump them in with all of our other uninsured patients. At least they only show up for care when they absolutely need it, rather than coming in with imaginary aches and pains in order to get certain medications or a night's stay. One of our senior residents did a research project looking at return visits and costs of care for that special group of patients we call "frequent fliers". He found that 1% of the county healthcare budget went to covering costs for one of these patients alone. Now that's ridiculous!

I also went for a run along the lake, and saw several of this spring's goslings tagging along with their parents. Their feathers were still fuzzy. Although they were fairly large in size and learning to feed themselves, they still deferred to "mother goose". That's kind of what I feel like at work. Sometimes it does feel like I am just blindly following the leader, but slowly I am starting to think for myself. I had my second semi-annual evaluation this past week. Those things seem to turn out much briefer than I expect. I don't know what they are like for anyone else, but mine are just kind of "keep doing what you're doing" talks. I guess that's a good thing.

I called my father yesterday (Happy Father's Day if you celebrated!) and found out the PU's are in Montana currently. They're enjoying their RV and slowly meandering across the country to meet up with the family in July for a reunion and me at some later point.

Wednesday, February 28, 2007

Multiple Guesses

Sorry the posting has been so scant as of late. I just don't feel like there's much of anything to write about.

Today was our annual in-service exam. Every year during my residency I will be subjected to the American Board of Emergency Medicine's guantlet of questions. After residency, graduates are supposed to take a board exam to be licensed in their particular specialty. Taking this test is supposed to be helpful with preparation. I didn't really do much to prepare for it this time. I have been trying to keep up with my weekly assigned reading, but I don't always get everything done. I should be reading more about the patients that I've seen during the day, but somehow I just don't want to deal with it when I get home. The test was 225 questions long, and I probably finished the exam among the first third of the group. That doesn't really mean anything. Usually, I will quickly scan through my answers after I take a multiple choice exam, but I just wanted to get out of there.

My understanding is that as long as I show improvement every year, that is all that matters. I think I may have set the bar pretty low today. Some of the questions I knew right away what they were looking for, but there were many that I just had no clue about. Many times I have felt like I am just plugging along this year, not really learning much. However, as I was working my way through the test, I kept remembering particular patient encounters and tried to remember how we handled each particular situation. I guess I am learning, it just doesn't seem like it when there is such a vast expanse of things to be knowledgeable about. Part of my frustration comes from my continual inability to retain information. Many times I feel like I am forgetting old information faster than I am learning new stuff.