I am an attending who started practice this year. My frustrations with the old guard of surgeons continues to this day and I had an especially annoying day with a senior consulting surgeon.
My primary frustrations include:
- Implications the medicine was better or harder when they began – I can not even agree with this as a 33 year old. They practiced based on at best limited evidence which was only available if you went to the library before every case. I still can't figure out what they were doing working 120+ hours, but I definitely hear about it even as an attending. What the hell were you doing with all that time because you obviously stopped working that hard now.
- Their pay – They are still paid much higher than I am as a starting physician, and also started higher. Additionally many have pensions that none of the younger physicians will see.
- Resistant to change – The EMR is bad, someone else needs to do this for me. The new rules are bad, someone stop them. They literally are non-functional without an APP or resident. It's embarrassing. I don't NEED a resident to start a case. They are there to learn. Why do you NEED someone to type three lines in the computer for me.
- Implications younger surgeons don't work hard enough to be good – this one is self explanatory. I look at the way they practice and think about 50% need to remediate or read more. I am however in no position to say this and usually experience trumps evidence where I work.
Has anyone else dealt with and managed some of these issues? I am getting frustrated with senior colleagues who seem to all echo these issues and somehow the group ( all 50 +) seem to think these all make sense.
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