Re: unknown (board cert)

[Guest guest]

,

WOW!!!! I am just blown away by this latest post and I am with you 1,000% all the way.

"If passing the exam shows competence, then why is an accredited indetured servitude, er... "residency" required? Let me take the exam if passage would show I were competent."

The only part that are not almost direct quotes from my own brain and previous postings here and elsewhere is that you forgot the part about "the Old Boy Hazing Ritual" that I love to include with the "Indetured Seritude" that you so properly targeted so well... It's as though I have found a like kind, kindred spirit person who might have a wireless or USB connection into my perspective on matters such as these.....

One of the main reasons I speak of the very real and all too denied concept of remembering that your residency trainings' basic chain of command and enviornmental structure as an "Old Boy Hazing Ritual" is because it really does mess with your mind and changes you to some degree or another and unfortunately probably nobody gets out completely unscathed... As wonderful and insightful and as humane as all of you wonderful IMP minded brothers and sisters really are... And yes in part one might even admit that some of the negatives of all of this is what helped bring some of you around and lead to an IMP like path of career and practice.... From the ashes of the negative and destruction arose some good....

But that said, I still think it is super important for all of you to understand the all too real Psychological Impacts, Personal Changes in Perspective that you have all been subjected to and suffered through. One of the most important parts to remember and understand is that part of what a Hazing Ritual does, one of its main objectives is, to actually endoctrinate you into accepting, brainwashing you almost into the unique culture and mindset that is the new group you are now entering into. It helps, it makes you accept certain "rules, customs and norms" many of which are sort of spoken about and just "they are" and that they are NOT to be questioned... This is most evident in how many doctors to this day even after their own induction and hazing still defend the majority of how residency programs are designed and the gruling schedule, demands, and the

Emotional Abuses both obvious and not so obvious, again cultural Norms that are sort of hidden and there, like the air that we breath, they are not to be questioned no less some of them are so "accepted" as they just are, that nobody even could think of no less actual act upon questioning or changing them....

I have seen and heard so many nice and compassionate doctors who clearly are decent and caring people defend to their last breathes the concept of long weeks and day and half, two day long "Shifts" as something that MUST be and has real purpose and meaning, teaching value and even "Character Building" said with forked tongues.... And a good part of the reason behind all of this is that the victim of the "gaslighting" that turns reality on its head, and blames the victim for the problems and projects upon them that they somehow failed or are BAD, wrong because they are having problems accepting, coping and dealing and working well under inhumane and horendous conditions is a Classic red flag for this form of Abuse....And let me tell you as someone who has watched two loved ones (my older brothe who is now a Shrink in Mass and RI and My wife who you all know here)

go thru this process and personally witnessed what it did to them and their lives, friends and family, marriages even.... there is NOTHING character building about this process what so ever.... It is just the opposite, it is personality and character destroying and in many ways falls into a classification of an honest form of workplace abuse of some of the worst kind... It is not a matter of whether or not this experienced harmed you and changed you, it is only a matter of degree as to how much it has done so. And believe it or not it is many times the most upset, outwardly disturbed, suffering person who might be dealing with their PTSD like issues better than the one who seems outwardly to have it all together and like nothing is wrong.... Reading about such stuff right now as we speak.... Great book BTW....

I know this was a bit more than a sidetrack here to discuss the traumas and abuses of the present residency system but it is one of my personal huge pet peeves and it seems because of the influence and changes of the Hazing Ritual it is nearly impossible to get even nice and compassionate doctors to see, get it, no less caring enough to actual speak out against it loud enough and consistantly enough to perhaps one day actually bring about conversation or change. "I got through it and anyone who can not should not be a doctor because what are they going to do if and when in an earthquake scenario where they have to be up for two days straight dealing with all sorts of injuried people what are they going to do then????" As though that is a unique set of character and physical traits that ALL doctors MUST have as though all of you will be stranded without relief ER,

Trauma or GYN delivery docs. And that there is no valid place in the system of a doc who needs to get a good solid 8 hours of rest in every 24 hours, and with food and a bath every other day.... It goes against the what you are taught to advise your own patients to do, and it is harmful to your own bodies and minds and you all know it and yet these "cultural norms" and guidelines, that are not written down in any GME manual or guidelines continue to be the accepted and defended Norm.... because all docs to some extent or another have been Matriculated and Endoctrinated into the cultural via the influences of the Hazing Ritual.....

Anyway, .... Please keep the posts coming and... Welcome Aboard Brother!!!!

To: Sent: Tuesday, November 29, 2011 10:35 PMSubject: "unknown" (board cert)

My apologies to Dr Neighbors- I should've said, ""- referring to this statement by Dr Eads- "But I would be more concerned if there was no process to check a doc’s competence at all."

Please see my points in my other post about how disingenuous the cert. process is. That is, it requires us to jump thru so many hoops that have nothing to do w/competence. I submit that med school, intern/transitional year and good clinical experience can also check competence. If passing the exam shows competence, then why is an accredited indetured servitude, er... "residency" required? Let me take the exam if passage would show I were competent.Respectfully, .

zell, DO, MPH.