Monday, April 30, 2012

Decisions, Decisions.....

I recently completed my first audition rotation for a residency program in the area of medicine I hope to practice.  Every program has its pros and cons, but of course these are not equal.  The best strategy I've developed so far is to assign a point value system to help me decide where I want to go.

I start by making a list of characteristics that I want from a program, this could be anything from the time I would start each day, the pay, the benefits, the time off, the type of patients I would see, the number of patients I would see, to the area in which I would have to live.  I then assign an importance value for each of these characteristics as they pertain to each program.  I then add all of the values for each program and I now have a numerical or quantitative way to rating each program based on my own preferences.  It might look something like this:  I assigne a value 1 through 5 to each category for each program.  1 being I'm not really a fan of the category in that program. and 5 being that I am very happy with that particular category for that particular program.

                                             Program 1                                  Program 2                        

Type of patients                           3                                                  2                                      

Number of patients                      4                                                  3                                      

Where I would live                      5                                                  4                                      

My supervisors                            2                                                  3                                      

Pay                                              3                                                  4                                      

Benefits                                       5                                                  2                                      

Time off                                      5                                                  3                                      

                                                   27                                                 21                                    

So, while I was trying to qualitatively measure and compare each program, I found it really difficult to tell which one I like more, because they each had different aspects I liked.  By putting it all into numbers based on my qualitative observations of each program, I have now found that there is one clear winner in this situation.  I enjoyed more aspects of program 1 than any other.

This sort of decisions making can be used with almost anything.  I hope that it might help someone else out there that is having a difficult time making tough decisions.  This has always helped me.  Of course, you could always try flipping a coin and right at the moment when you send the coin flipping into the air, you will know which choice you are hoping for.

Have a great week everyone,

-The Atheist Physician.

Sunday, April 15, 2012

A Tense Moment: When a Patient Wants You to Pray With Them.

One day on rounds, (the time when everyone on a particular rotation, med students, residents, and the attendings or the boss, walk around and see every patient on that particular service) I had an attending (my boss) ask me what my religion was.  This was all sparked by a patient we had just seen that talked up God so much, that I'm not really sure why she was in the hospital.  She made it seem like he was doing everything to help her, and we, mere mortals were just giving her a place to sleep other than her own bed. As you could have guessed, I'm on open Atheist, and so I answered my attending by telling him so.

You should have seen his face.

A mixture of surprise, disappointment, and anger.  He started to turn red and began a rant about how could I possibly think I was going to be a good physician if I don't have God in my life.  I listened attentively but said nothing, until he asked:

"What would you do if that patient we just saw had asked you to pray with her? Huh? Are you going to disappoint her?"

He got more than he bargained for with this question.  I replied:

"Of course not, I would have no problem praying with her.  Afterall, it's not against my religion to pray, and it doesn't harm me at all, but if it has a possibility of helping one of my patients feel better or more comfortable, I would have no problem doing it."

It was my turn for a question. My attending was obviously devoutly Catholic, as he made this fact known practically every day.  So, I asked him:

"What would you do if a patient asked you to pray with them and they were Buddhist?  What if they were Jewish?  What if they were Muslim and they asked you to get down on a prayer mat after washing your hands and feet and praying with them because it would make them feel better.  Would you?"

He did not appreciate this questioning at all.  First off, attendings are the ones that are used to asking all the questions.  Residents and medical students rarely question attendings, it's all part of the culture of medical education.  My attending seemed angry and flustered, but eventually answered that

"Of course I wouldn't, it would be against my religion!"

I smiled, and was content with this interaction.  It was good for me, because it made me more confident that I could assert myself and my beliefs, or lack there of, but more importantly, it taught everyone that had watched this interaction something as well.  It taught them that Atheist does not mean "religion hating" or "intolerant".  I in fact was far more tolerant of other religions than my attending.
If you haven't figured it out yet, I'm not actually against religion.  Do they get on my nerves sometimes? yes. Does it cause a great deal of strife across and within cultures? Yes.  But I also know that some people need religion as their crutch.  If they have nothing else, it is what gets them through their day, their illness, their life.  Who am I to take that away?  I support religion so long as it doesn't harm or infringe upon others.  That is where I draw the line, and I defend that line vehemently.

Take care, and I hope everyone has a wonderful week.

-The Atheist Physician.