Things are a bit different around here these days. Yes, the fact that I am actually posting again is something different, but the real difference is that our service has gone all university. Since the summer we now have regular housestaff following us around. It's quite a change after nearly twenty years of talking to myself between service rounds. There are pros and cons to having residents about, some expected, others not so much, but overall I am quite happy with their arrival.
The major pro is having young smart inquisitive people around asking questions and keeping me on my toes. Even demonstrating the physical exam is amusing. I'm not sure that that thrill will last after showing the knee exam for the hundredth time, but for now it's all good.
The biggest con is the distance residents put between me and my patients. My longstanding patients now see different housestaff with every visit. They have to go through a much longer history and physical each visit and when I do come in, the visit is often shorter. New patients are even more difficult. I never feel like I know the patient as well when someone else takes the initial history and many of the subsequent visits are also with residents, so I never catch up.
But it's all new. I'm sure I'll figure out the balance between patient care and medical student care. Just hope my patients can hang in there until I do.