Not Cut Out for This with Latha Panchap
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What prompted The Nocturnists to resume Season 3 and introduce new storytelling series?
Hello, Nocturnist listeners. It's Emily, and it's been a wild ride of a year. I can't believe it was only eight months ago that we interrupted season three of our regular podcast to bring you two new audio diary series, Stories from a Pandemic and Black Voices in Healthcare. Both projects which are really, really special to our team and we feel have had a huge impact on our audience. So if you haven't heard them, check them out. We're also hard at work on a new series about the culture of medicine. We have some amazing collaborators for that project and we're planning to announce the call for voices in January 2021. So subscribe to our newsletter and you'll be the first to know when we're open for new stories.
In the meantime, we wanted to pick up where we left off and share the remaining four classic Nocturnus episodes of season three. We have a med student navigating life on the wards. We have a physician talking someone off a ledge. We have an ICU doctor dealing with the aftermath of her own cardiac arrest and a mother trying to balance her personal and professional lives. Keep in mind, these stories and conversations were crafted in 2019 before the events of 2020 upended our lives. So listen with that context in mind. Here's our show.
At The Nocturnist, we are careful to ensure that all stories comply with healthcare privacy laws. Details may have been changed to ensure patient confidentiality. All views expressed are those of the person speaking and not their employer.
This episode of The Nocturnist was made possible with the support of the California Medical Association and Vocera Communications Experience Innovation Network.
Pimping. If you've ever been to medical school, it's a word you've heard before. I don't love the word, and I'm not sure I love the practice. But sometimes I wonder, is there a better way to assess where our learners stand? This is The Nocturnist, stories from the world of medicine. I'm Emily Silverman. On today's episode, Latha Panchap tells us how she responded when her attending told her that she wasn't cut out to be a doctor. After the story, Latha and I talk more about pimping. She said she's had teams who see it as a way to support learning and growth. And then I've
also had the opposite, where attendings and residents really use it as a, let's see exactly how much you know and how much I can poke you until you break down. But first, here's Latha.
My first clerkship in medical school was pediatrics. I was fresh out of my step one study period, full of enthusiasm and excitement, ready to blow everyone away, become the next Osler or Stimson or medical revolutionary. And then the pimping began. For those of you who aren't in medicine, pimping is this affectionate term we use for when attendings or residents grill the rest of the team, usually the medical students, with questions about relevant topics. There were at least three of us on the service, all of whom happened to be reserved people, but I probably spoke up the least. We were on rounds on what must have been my fifth day, and the attending who had yet to acknowledge my presence directly finally looked at me.
What is the pathophysiology behind this patient's presentation? Oh, my voice was barely above a whisper. Eons passed, seasons changed. The attending grew tired of my headlight-shaped eyes and moved on. It's not that I didn't know the answer. Anyone who has experienced the frankly unnecessary rigor of studying for the Step 1 exam knows that I likely could have recalled far more of the pathophysiology than the attending had bargained for. But it was my first time being directly pimped, and I was intimidated. For the rest of the clerkship, I didn't really raise my hand or answer questions, didn't volunteer my opinions on patient plans. I figured my goal wasn't to show off. It was to demonstrate my dedication through the time I spent with my patients, my notes, my thorough presentations.
So I found myself in clerkship feedback and that same attending turned to me for his assessment. You seem to lack a basic level of confidence.
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