Alozie N, Egbuchulem K I, Okor M C, Akintepede F, Omogiade C A, Awodiji M M
Medical House Officer, Department of Surgery, University College Hospital, Ibadan.
Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan.
Ann Ib Postgrad Med. 2023 Dec;21(3):112-119. Epub 2024 Jan 30.
The housemanship period is a peculiar time in a doctor's career, and some have described it as a "Nuisance year" during which the junior doctor assumes many roles at the same time - as a doctor of his patients, a student of his trainers (Resident doctors and Consultants) and a teacher of medical students. He is also at the same time undergoing training and research to practice as a professional in an increasingly competitive society-https://youtu.be/SaaQmMHy_qI.
A typical House officer is seen neatly dressed with black circles around the eyes depicting tiredness, ward coat pockets stuffed with enough materials to start up a new ward; ranging from continuation sheets, syringes, water for injection, capillary tubes, hand gloves, investigation forms, commonly used drugs, cannula, tourniquet et cetera, smart shoes and feet ready to move on large doses of caffeine, and with carbonated drinks at arm's reach for a quick glucose rush for the day.He or she is faced with institutional problems, staff and workplace disharmony ranging from lack of adequate residential apartment for interns, early daily resumption and retires much later than the team to effectively carry out the work plan among acute shortage of staff. Majority of interns also try to adapt to the internship workings because they are new to the system, and some health workers typically try to take advantage of them which sometimes interfere with their work and the intern struggles to give the patients his best. Despite all these, the house officer interacts with the patient and relatives more often than the rest of the team. He builds the trust, respect, and confidence the patient has for the team as he represents not only himself but also the team.
As once said by Sir William Osler - the great physician whose name is still being invoked in modern day medicine - that "his time was ripe for him, and he was ripe for his time". Trainees must always make themselves "ripe for their time", and the relevant authorities must also make time "ripe for trainees". The ideal scenario will then be a nexus of an ideal trainee and an ideal work environment.
住院医师阶段是医生职业生涯中一段特殊的时期，有些人将其描述为“麻烦之年”，在此期间，初级医生要同时承担多种角色——作为患者的医生、培训师（住院医生和顾问医生）的学生以及医学生的教师。与此同时，他还要接受培训和从事研究，以便在竞争日益激烈的社会中成为一名专业人士——https://youtu.be/SaaQmMHy_qI。
典型的住院医生穿着整洁，眼睛周围有黑眼圈，显示出疲惫，病房工作服的口袋里塞满了足以开办一个新病房的物品；包括病程记录单、注射器、注射用水、毛细管、手套、检查表格、常用药品、套管、止血带等等，穿着轻便的鞋子，随时准备大量饮用咖啡因，手边还有碳酸饮料以便迅速补充一天所需的葡萄糖。他或她面临着机构问题、员工和工作场所的不和谐，包括实习生缺乏足够的住宿公寓、每天过早开始工作且比团队其他人下班晚得多，难以在人员严重短缺的情况下有效执行工作计划。大多数实习生也在努力适应实习工作，因为他们对这个系统不熟悉，一些医护人员通常会利用他们，这有时会干扰他们的工作，实习生努力为患者提供最好的治疗。尽管如此，住院医生与患者及其亲属的互动比团队中的其他成员更频繁。他建立起患者对团队的信任、尊重和信心，因为他不仅代表自己，也代表团队。
正如伟大的医生威廉·奥斯勒爵士（在现代医学中仍被提及）曾经说过的那样——“对他来说，时机已经成熟，而他也已为时机做好了准备”。实习生必须始终让自己“为时机做好准备”，相关当局也必须让时机“为实习生做好准备”。理想的情况将是理想的实习生与理想的工作环境的结合。
