Remember your first time?
Monday, January 13, 2014
Your first day of kindergarten, your first loose tooth, and of course those other even more notable firsts that come to mind? In pediatrics, perhaps as in other fields, there are a lot of firsts.
, with regard to your patients... and with further reflection upon your training and professional development, remember:
And, some more symbolic firsts:
- the first time you correctly diagnose nursemaid's elbow and the first time you reduce it, yourself.
- the first time you tell a family with certainty what their toddler has ("This rash is called molluscum")
- the first time you tell a family you aren't sure what their toddler has ("We don't yet know what is causing her fevers.")
- the first time you are worried about a child
- the first time you tell a family you are worried about their child
- a parent thanks you
- a patient thanks you
- your teenage patient is pregnant
- your cousin asks you a medical question
- your neighbor asks you a pediatric question
- you ring that call button on the plane
- publishing your first case report (as a student? during residency?); I didn't end up pursuing a career in cobalamin C disease after all
- every first new procedure (venipuncture? IV? LP?)
- you make your first mistake
*I find myself making the transition around match day, a couple months in advance of graduation, subtly or explicitly asking senior students to call me by my first name.And Sir William Osler
- the first time someone says "doctor can you sign this" and he is actually speaking to you
- the first time you call your senior resident for help
- the first time you opt not to call your senior resident for help
- your attending says to call her by her first name (and then subsequently --however much time later-- the first time you do it)*
- you wear a long white coat
- you send your first e-prescription
- you blog about a career in pediatrics... guest posts welcome, email PediatricCareer@childrensnational.org
(1849-1919) on a notable first, "One of the first duties of the physician is to educate the masses not to take medicine."So many firsts, I'll surely blog about this twice. What are some firsts in pediatrics that you have experienced and learned from?
About the Expert
Terry Kind, MD, MPH, is Director of Pediatric Medical Student Education at Children's National Health System. For the last decade she has also served as a primary care pediatrician at the Children's National Health Center at Martin Luther King, Jr., Avenue, in Washington, DC.