{"id":48795,"date":"2020-10-13T15:59:58","date_gmt":"2020-10-13T14:59:58","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=48795"},"modified":"2020-10-20T14:25:39","modified_gmt":"2020-10-20T13:25:39","slug":"to-all-the-consultants-who-have-ignored-me-before","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/13\/to-all-the-consultants-who-have-ignored-me-before\/","title":{"rendered":"To all the consultants who have ignored me before"},"content":{"rendered":"<p class=\"standfirst\"><i><span style=\"font-weight: 400\">Being ignored on clinical placements is a deflating experience. Kanwal Ahmed, Salma Hashim, Mariyam Khankhara, and Ilhan Said share this composite account of how it has affected them and an appeal to consultants<\/span><\/i><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">Hello. It\u2019s me.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That familiar (or not so familiar) face at the back of the ward round. Curtain shutter in chief.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">My first day. I see you, my lead consultant, as I perch on the printer at handover, peering over a shoulder to make sense of the ward list. Suddenly the room empties, and I scramble to find the team I\u2019m meant to follow. \u201cThey\u2019re probably on the 7th floor by now,\u201d someone mumbles. The lifts are taking too long. Stairs it is. Breathless, I struggle to find the ward. This wasn\u2019t in the induction.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I finally find the elusive ward. \u201cHello, my name is Sarah, I\u2019m one of the medical students on this team.\u201d You look up from the drug chart in the junior\u2019s hands, nod, and return to your management plan.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I spend the next five minutes trying to catch a glimpse of everyone\u2019s ID cards as I struggle to figure out who they are. They say #HelloMyNameIs is important, but perhaps medical students don\u2019t count.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Two patients later and no one has said a word to me. Once again, there\u2019s not enough room at the bedside. I try to piece together the history of the patient\u2019s presentation from the whispers I hear on the other side of the curtain. I gather that she\u2019s opened her bowels today and she\u2019s looking forward to seeing her son later. This might be a little more valuable if I had some context.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Right, new game plan.\u00a0<\/span><span style=\"font-weight: 400\">Maybe if I ask a question, they\u2019ll see that I am interested, and I really do want to learn.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I approach a friendly looking junior doctor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cSorry, excuse me, I was just wondering about this patient\u2026\u201d Juggling a stack of patient notes while trying to find the nurses, she whispers, \u201cAbsolutely, things are a little busy right now but we can chat after the ward round.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">Later, she hands me an apron before we enter a side room. It really is the little things.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">At the end of the ward round, the juniors disperse. You approach me, saying, \u201cAh you\u2019re the medical student. How long are you here for?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">&#8220;Four weeks.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cGreat, we\u2019re a busy ward. There\u2019s lots to see so make sure you get stuck in.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">You turn to leave. I\u2019m relieved to hear that maybe the next few weeks will be useful after all.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s week three. Nothing has changed. Why do I even go in?<\/span><\/p>\n<p><span style=\"font-weight: 400\">At the start of my placement, I went to the ward round every day, hoping each day that it would be different. I clerked some patients and presented too. The juniors were happy to help but most of their time was occupied with paperwork and chasing results on the phone.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">One day you quizzed me on the causes of jaundice. I know I didn\u2019t know all the answers but I learnt more that day than I had the whole week. These moments were rare, but truly appreciated.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Another day, I walked into the handover room. You said good morning and smiled as I sat down. Surprised, I replied. You waited a moment and stared: \u201cOh sorry, I thought you were the social worker.\u201d I\u2019ve been here for four weeks.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Finally, it\u2019s the end of my placement. I have to see you for sign off.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cHow was it?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019m scared to complain. I\u2019m sure you\u2019ve been busy.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cGood,\u201d I say.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u00a0 \u00a0_____________________________________________________________________________________<\/span><\/p>\n<p><span style=\"font-weight: 400\">We know not all placements are like this and not all experiences are the same. There\u2019s the consultant who arranges ward lists for their students, the consultant who teaches students about each patient while the junior prepares notes, the consultant who asks the radiologist to explain scans for students in the back of the X ray meeting. There\u2019s the consultant who shows you how to document in a patient\u2019s notes and teaches students to really identify signs rather than going through the motions for exams. And countless more who shape our education.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sadly, the poor experiences in our account are shared by many of our peers, and so we\u2019ve written this composite narrative to shine a light on them. Whispers of stories from the ward make their way around the common room. Stories of being grilled and humiliated on ward rounds and, much worse, the placements where we are invisible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We understand that there are many demands on consultants\u2019 time\u2014patients are at the forefront of their minds, and rightly so. But please try to remember we\u2019re here.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Because for the consultant who ignores their medical students, next year, we\u2019ll be your FY1s.\u00a0<\/span><\/p>\n<p><b>*All incidents referred to in this account are real life events. <\/b><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><b><i>Kanwal Ahmed<\/i><\/b><i><span style=\"font-weight: 400\">, <\/span><\/i><b><i>Salma Hashim<\/i><\/b><i><span style=\"font-weight: 400\">, <\/span><\/i><b><i>Mariyam Khankhara<\/i><\/b><i><span style=\"font-weight: 400\">, and <\/span><\/i><b><i>Ilhan Said<\/i><\/b><i><span style=\"font-weight: 400\"> are final year medical students at Imperial College London.<\/span><\/i><\/p>\n<p><b>Competing interests:<\/b><span style=\"font-weight: 400\"> None declared.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Being ignored on clinical placements is a deflating experience. Kanwal Ahmed, Salma Hashim, Mariyam Khankhara, and Ilhan Said share this composite account of how it has affected them and an [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/13\/to-all-the-consultants-who-have-ignored-me-before\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":48796,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[224],"tags":[],"class_list":["post-48795","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>To all the consultants who have ignored me before - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/13\/to-all-the-consultants-who-have-ignored-me-before\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"To all the consultants who have ignored me before - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Being ignored on clinical placements is a deflating experience. 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