Should this doctor quit her job? →

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Hi Pamela,

I started a new job.

So I asked to be in the new satellite clinic as there would be 3 exam rooms and an office. I was told I could. My first day there I was told I couldn’t. They put me in the basement of this old building. I never would have accepted the job if I had to work there. It’s crowded and I have only one exam room. I need to bring patients to me and sit with them while completing electronic chart. I hate it. I have no phone (only my cell phone).

Two weeks now and I realize they are telling patients I am the new diabetes and stroke expert. I am not! I did not sign up for that! I have never handled complicated diabetes on insulin or pump!

Nobody is helping me. LACK OF STAFF! They tell me that it will get better.

Last week a patient waited an hour for discharge instruction after surgical procedure and was then told by a nurse practitioner to go home without them. Now a complicated wound infection.

They dumped a sick child in my exam room and left. I had to find someone to get vital signs. She came but didn’t do her job. No heart rate. No respiratory rate or oxygen sats were measured. I have no medical assistant helping me.

I am being asked to do allergy testing interpretation and management without proper training

The EMR is awful!! Still trying to learn it. Nobody seems to want to help. Notes in EMR are awful there is NEVER AN ASSESSMENT/PLAN from other providers. I am writing it on my PLAN page.

So have no clue what is going on really with patients.

Specialist notes are not up to date.

Immunizations are not recorded in EMR.

I am thinking of quitting after 2 weeks. I can’t stand this!

Should I put up with this?

Elena

My advise: QUIT YOUR JOB.

What do you think?

Posted in Physician Abuse & Bullying Tagged with: , , ,
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Teaching hospitals teach discrimination. Here’s how we stop it. →

Meet Dr. Svetlana Kleyman, a powerhouse chief surgery resident with a heart of gold, who works 16-hour days and runs marathons in her free time. Just 18 months before she was to graduate from SUNY Downstate, she developed a spinal infection that left her paralyzed from the waist down. After months of rehab, she was cleared by her doctors to resume work (with proper accommodations surgeons continue to operate successfully). Svetlana was ready to return to the operating room. Her surgery residency told her not to come back.

Svetlana

Her story was published in the New York Post. I shared her plight on Facebook. The response: Outrage.

“This goes against the Americans with Disability Act. Completely unethical and I feel goes against the oath that all doctors must take to first do no harm!” ~ Renea Turner Clark

“The obvious, nauseating irony is that teaching hospitals, of all institutions, should take an exemplary approach and lead the way in cases like Dr. Kleyman’s.” ~ Bradford Harriman

“And she was probably exposed while on shift as chief resident. What a shame. It’s going to be an expensive payout by SUNY.”  ~ Daniel Ojala

“Wow—isn’t that illegal?” ~ Shanthi Madireddi

“I don’t see why the ACLU can’t help her get an immediate judicial injunction to mandate her immediate re-instatement as she pursues what should be a multi-million dollar lawsuit with an additional 100 million in punitive damages. The medical training establishment needs to be taught a memorable lesson. As a state university, Governor Cuomo’s office should be contacted to alert him to the multi-million dollar liability this has exposed his state to. Since she has already filed a lawsuit, I would imagine something like this has already be pursued. But it needs national exposure on morning news shows. Under ADA, an employer is required to make ‘reasonable accommodations’ just like physicians’ offices and hospitals are required to make reasonable accommodations for the disabled what with wheelchair access and roomy bathrooms with rails and whatnot. Where is the ACLU on this, or is all their time taken up with transgendered issues?’’ ~ Lawrence M. Slocki

“This is straight up bull.”  ~ Carolyn Smith 

“If this is in the U.S. I don’t think they will get away with it. I’m paralyzed also and that’s ridiculous.” ~ Darby 

It is ridiculous. Our hospitals. In the USA. Breaking the Americans with Disabilities Act. Shameful.

Want to help Dr. Kleyman be the amazing surgeon she was born to be?  Please sign this petition and then call Dr. Lisa Dresner (program director) via Natasha Sagal (program coordinator) at 718-270-3302 and Dr. Antonio Alfonso (department chair) at 718-270-1421. Demand that Dr. Kleyman be reinstated in her residency program. Afterwards feel free to contact the ACLU, Governor Cuomo, and the TV networks.

Thanks,

Pamela Wible, M.D

Posted in Medical School, Physician Abuse & Bullying Tagged with: , , , , , , , ,
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Please sign my physician suicide letter →

Petition to end medical student and physician suicide

Dear AAMC and ACGME,

This week we lost another bright, young soul to suicide. Sean Petro was in his third year at the University of Southern California Keck School of Medicine and is the third tragedy at his school in the last two years.

Medical student and physician suicide is an epidemic. It is estimated that 400 doctors die by suicide in the United States each year. That’s the equivalent of an entire medical school gone! The second leading cause of death among medical students is suicide—a well-known occupational hazard in medicine. Yet no medical organization is tracking these suicides. So how can we solve a problem that’s hidden?

The AAMC (Association of American Medical Colleges) and ACGME (Accreditation Council for Graduate Medical Education) claim to improve the health care of all through serving the academic medicine community and advancing the quality of physician education. How can this be achieved when so many of us are contemplating or completing suicide?

The fact is we enter medicine with our mental health on par with or better than our peers. Medical education too often involves years of public humiliation, bullying, and sleep deprivation. Those who seek help risk punishment. Mental health remains stigmatized within the medical profession to the detriment of all. 

As physicians who are dedicated to caring for the physical and mental health of others, we’re appalled at the level of inaction among our own organizations when it comes to caring for us. We urge the AAMC and ACGME to track medical student and physician suicides, to end the highly abusive culture of medical training, and to offer routine and confidential on-the-job psychological support to all medical students and physicians.

Inaction and ignorance are no longer an option. Lives are on the line. This is a public health crisis that impacts us all.

Sincerely,

 Ashley Maltz, M.D., M.P.H., and  Pamela Wible, M.D.

(Attention physicians: please support this letter with a blog comment and add your name to the petition.)

Pamela Wible, M.D., is the author of Physician Suicide Letters—Answered. Please join us in shining a spotlight on physician suicide. Need help? Contact Dr. Wible.

Posted in Physician Suicide
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