Medical students

I don't mind to be examined by a student if it is under supervision, cause I know they have to learn.

As I have told in another post, once I have a rectal exam given by a female student, but since she wasn't sure about the diagnosis my doctor repeated the exam, so I had two different fingers ínside my anus in a minute, and I loved it... but they didn't know.

I'd be good with this...maybe even better than good 😃

No problem with this at all. They have to learn sometime, somewhere.

As long as they are properly supervised, doesn't bother me one bit.

C.

No problem with this at all. They have to learn sometime, somewhere.

As long as they are properly supervised, doesn't bother me one bit.

C.

What's your definition of 'properly supervised?' In the hospital, that usually means a resident checks on them - occasionally while the chief resident and attending physician see them at rounds once a day.

No thanks. If they want to shadow the doctor, fine. If they want to practice simple skills like the interview and basic exam, OK. If they want to manage my care, no fucking way. I'm also not paying insane fees for slave labor.

In a teaching hospital fourth year students do write orders on patients. This is done only with the oversight of a resident or staff physician. Orders for non critical things are written all the time by students. That is one of the agreements you make if you are admitted to a teaching hospital. The orders are carefully signed by the supervising doc. No student is allowed free reign.

In a teaching hospital fourth year students do write orders on patients. This is done only with the oversight of a resident or staff physician. Orders for non critical things are written all the time by students. That is one of the agreements you make if you are admitted to a teaching hospital. The orders are carefully signed by the supervising doc. No student is allowed free reign.

Not if you change the admission consent form before you sign it.

@Jds4med. You don't get that option at the VA. They are a law unto themselves. If you don't like what they tell you they are going to do to you your only option is to leave.

In the academic facility where I work, med students are not allowed to write orders. We have computerized medical records, so access to writing orders is restricted. Nurses do not take verbal orders, and in the rare instance they have to, there are a few extra steps that require documentation as to why the order was taken. It's all about patient safety and practicing within the law and scope of practice for the individual. Med students are not licensed to practice medicine.

I'm a teacher myself, so always let students have a look/listen.

Just yesterday when my community nurses came to do my IVs , physio etc they had a student nurse with them. She was so nervous , quiet and shy.

At 2pm she just watched what the nurse did and asked questions . She said she was squeamish at giving injections but hoped that once she'd given her first one she would be fine.

When she came back at 8pm I was asked if she could carry out some of the obs . So she carried out the rectal temp , inserted the fever reducing supps and did my blood pressure , oxygen saturations etc. She also had a quick listen with the stethoscope.

My usual nurse then asked her if she wanted to give my IM anti sickness injection . I was asked if I minded . To which I replied " of course not "

So she very nervously carried out her first real IM injection .

She was shaking . I told her to relax . She said she was so worried about hurting me . I told her I've had around 300 of the damned things since March and that they don't even twinge slightly anymore , so don't worry about that . So she rubbed my bum cheek with a steri wipe and just went for it.

She was very happy that she'd carried out her first real IM injection and I was happy for her.

This morning she was under supervision whilst checking the IVs .

I don't have an issue with this . They've got to learn somehow.

Niknoks--That's a darn good example & exemplary by allowing a med student (trainee) participation...Kudos to u Nik.

No problems with that at all. At a recent cardiac episode I had five students following my progress. One young male doctor took particular interest in me and examined me thoroughly. I helped him with. His questioning techniques and allowed him to touch every part of my body. On the day I came back from angiogram I was virtually naked in hospital gown and he asked again if he could examine me. His hands went everywhere and I got an erection he asked if he could do a prostate exam as he had never felt a real patient. I off course just rolled over and let him explore and told him to explore all he wanted so he could get to know what it felt like inside. I got very very aroused at produced a fine sperm sample for him. Wonder where he is now and if he would like to repeat it.

You had a happy ending rectal exam after a cardiac angiogram? I hope it was negative because otherwise it would be totally contraindicated in an acute cardiac setting. How much of this was wishful thinking?

After my angiography or angioplasty, I had to remain relatively still for hours to avoid femoral arterial leakage.

Bullshit alert is active.

Seeram...Then you woke up and your hand was wet and sticky.

searam said

. . . . I off course just rolled over and let him explore and told him to explore all he wanted so he could get to know what it felt like inside. I got very very aroused at produced a fine sperm sample for him. Wonder where he is now and if he would like to repeat it.

A SPERM sample or PROSTATIC fluid.

There is a difference you know.

Prostatic fluid--yes, sperm sample, VERY doubtful.

A prostate exam, even by a student doesn't take long. I hope you can last long enough to satisfy your girlfriends.

You wonder where he is now?? You said this was at a RECENT cardiac episode. Wouldn't he be in the same place you saw him???

Is your post a fantasy/fabrication?

I have no trouble with students observing or even doing examinations, because when this has happened they have always been supervised by my regular doctor. Around this part of the country it happens every Spring. They do have to learn.

I have no problem with this and have had medical students either observing or participating in the exam under the watchful eye of my doctor(s). That being said, none of these exams were particularly invasive and I would probably not want to be a medical student's first patient for certain things.

I have no problem with a medical student or students observing or even doing the history and physical. Doctors are not cut from while cloth but are developed from medical students. I do not have any issue with them doing procedures on me. It is how they learn.

Ah but Daniel arriving at the diagnosis is the object of the lesson. It's writing an important order that needs to be supervised and it is. Also the nurses who carry out that order do know what they're doing.

I was examined many years ago with two junior (student) doctors present & it didn't bother me - they have to learn

I have a lot of empathy for students because I've been a student midwife. I am generally happy for students to sit in and practice, unless I'm feeling really vulnerable for some reason.

The other day, I saw my PCP and he had three female medical students listen to my heart.

This has only happened to me once, but I had no problem with it. These people need to be trained, and I was happy to help. As a matter of fact, the young intern thanked me! It was kind of hot having my regular doc instructing him while he was doing the DRE.

I'd be fine with it. I've had med students or residents present with an orthopedic surgeon who wanted to show students a fairly unique joint reconstruction in my hand. While it would be a little embarrassing having an observer there for an exam, I'd be ok with it. And I can easily think of fantasies where it would be fun, but I'm trying to give a serious answer here.

As a medical student, I had to do my fair share of DRE's while on my Family Medicine rotation. Interestingly, none of the guys refused when the doctor asked if I could try to feel as well. I don't know if he was just really good at not asking the people who he thought wouldn't be OK with it, but I was very impressed with everybody's commitment to helping out a medical student!

I don't know if he was just really good at not asking the people who he thought wouldn't be OK with it, but I was very impressed with everybody's commitment to helping out a medical student!

Perhaps, based on his exam, the doctor was able to detect which guys actually enjoyed the exam just a bit. You know, the ones that pushed back against his finger as he was inserting it. Or the ones that weren't very tight and had obviously been using their rectum for other activities. 😃

It is OK with me, if it helps the student to really learn the practice

My recent annual physical was done by a student who said she never had done a hernia or rectal before. The doc performed the hernia exam, real quick, and barely mentioned anything to the willing student.

When she got to examine my testicles she briefly pinched the base of my testicle and then asked for further direction for inguinal canal location. I was asked, by the doc, to show her. I tried.

She then wanted to do a rectal. It took her several minutes to lube her finger. I stayed bent over the exam table. She then inserted her finger and twisted it a little. She never touched my prostate.

I feel like I failed her by allowing her sub standard exam and missing the real need to do the exams correctly.

I wish I could have her to redo the exam, and learn the proper way of doing the exam. Every future male patient of hers will be denied a proper exam. And that is not a good thing.

My punishment should be a week of model patient exams by student nurses/doctors.

As first year students we did not see patients. Before we did we were taught physical diagnosis by an attending who showed us how to do everything. My first exams were protracted but thorough and very complete. I think that the attending should have supervised more closely what happened. We all read about the procedures as well. Such negligence is not to be tolerated.