{"id":13937,"date":"2025-06-06T12:19:01","date_gmt":"2025-06-06T12:19:01","guid":{"rendered":"https:\/\/www.roshreview.com\/blog\/?p=13937"},"modified":"2025-06-23T15:24:52","modified_gmt":"2025-06-23T15:24:52","slug":"lessons-for-july-1st-my-takeaways-from-residency","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/lessons-for-july-1st-my-takeaways-from-residency\/","title":{"rendered":"Lessons for July 1st: My Takeaways from Residency\u00a0"},"content":{"rendered":"\n<h6 class=\"wp-block-heading\" id=\"h-i-remember-my-first-day-of-residency-ten-years-ago-naturally-excitement-and-nervousness-had-me-waking-up-earlier-than-i-intended-so-i-decided-to-drive-to-the-hospital-early-and-hang-out-in-my-car-until-it-was-an-appropriate-time-to-arrive-i-journaled-to-pass-the-time-and-can-still-remember-staring-at-this-brick-fortress-of-a-hospital-realizing-the-gravity-of-this-day-july-1st-would-mark-the-start-of-a-long-and-fruitful-career\">I remember my first day of residency, ten years ago. Naturally, excitement and nervousness had me waking up earlier than I intended, so I decided to drive to the hospital early, and hang out in my car until it was an appropriate time to arrive. I journaled to pass the time, and can still remember staring at this brick fortress of a hospital, realizing the gravity of this day\u2014July 1st\u2014would mark the start of a long and fruitful career.<\/h6>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"h-those-four-years-turned-out-to-be-more-than-i-could-have-imagined-many-lessons-from-them-have-come-and-gone-but-some-of-them-stick-with-me-even-today-there-are-the-things-it-took-me-years-to-learn-as-a-resident-and-even-longer-to-see-play-out-as-lasting-truths-over-the-course-of-my-career-i-m-going-to-share-some-of-what-i-learned-with-you-with-the-hope-they-impart-a-little-structure-about-the-road-ahead-keep-them-in-mind-as-you-embark-on-residency-and-i-think-they-ll-serve-you-well-over-the-next-four-years-nbsp\">Those four years turned out to be more than I could have imagined. Many lessons from them have come and gone, but some of them stick with me even today. There are the things it took me years to learn as a resident, and even longer to see play out as lasting truths over the course of my career. I\u2019m going to share some of what I learned with you, with the hope they impart a little structure about the road ahead. Keep them in mind as you embark on residency, and I think they\u2019ll serve you well over the next four years.&nbsp;<\/h6>\n\n\n\n<h6 class=\"wp-block-heading\" id=\"h-here-are-some-tips-that-will-get-you-ready-for-the-start-of-the-new-residency-year\">Here are some tips that will get you ready for the start of the new residency year.<\/h6>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-1-practice-the-3-a-s-affable-able-and-available\"><strong>1. Practice the <\/strong><strong>3 A\u2019s: affable, able, and available.<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">If you haven\u2019t heard this from your mentors yet, you will soon. The 3 A\u2019s are something for physicians to strive for. <strong>You need to be affable.<\/strong> Certainly, this is not the first word that comes to mind when describing some surgeons I\u2019ve met along the way. But being an approachable and friendly person will only help your patients.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Physicians who are degrading and difficult to approach are doing their patients no favors.<\/strong> They\u2019re harder to interact with, and more dismissive of legitimate concerns. Being a world-class clinician and a generally likable person aren\u2019t mutually exclusive. <strong>Don\u2019t let the stresses of sick patients and long hours make you forget to be a good person and colleague.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Able\/ability goes without saying. Granted, as an early PGY-1, you won\u2019t be able to manage a full patient list. <strong>But you should be able to do the tasks assigned to you by your seniors.<\/strong> Ability will come in time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Being available is the most underrated necessity here.<\/strong> Nothing grinds my gears more than a colleague not answering their phone when I need them immediately. When I get the phone call for a stat C-section and I call my colleague to go staff the case, if they don\u2019t pick up their phone, I\u2019m both stuck and furious.<strong> <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sometimes, when you\u2019re knee deep in a dressing change or epidural, your hands might be occupied, but have someone else answer your phone! <strong>Don\u2019t disappear. <\/strong>You<strong> <\/strong>should (while on duty) always be available or have someone around to explain why you\u2019re not.\u00a0<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-2-first-you-ll-learn-how-to-manage-patients-then-you-ll-learn-how-to-manage-people\"><strong>2. <\/strong><strong>First you\u2019ll learn how to manage patients, then you\u2019ll learn how to manage people.<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">One of my favorite mentors taught me this in regards to anesthesiology, but it holds true for every medical specialty. <strong>As you ascend the ranks, and the patient care becomes more about pattern recognition and efficiency, you can focus more of your bandwidth toward working well with colleagues and teams.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a partner and partial owner of my practice, <em>so much<\/em> of my day-to-day is in managing people and personalities. These include visiting students, CRNAs, schedulers, surgeons, administrators, and more. Eventually, you\u2019ll be a senior resident, and you\u2019ll need to learn how to manage the team under you. This includes finding ways to make them help one another, empower them, and recognize their achievements and shortfalls. This can help reframe your practice from the get-go. <strong><a href=\"https:\/\/www.roshreview.com\/blog\/communicating-with-your-medical-team-a-physicians-guide\/\">Communication<\/a> and interpersonal skills are as important as being able to assemble your differential diagnosis.<\/strong>\u00a0<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-3-only-you-can-triage-your-own-life-nbsp\"><strong>3. <\/strong><strong>Only you can triage your own life.&nbsp;<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">You may have heard the adage that you only get to pick two of the following three things: sleep, free time, and studying. While I find that statement to be somewhat misguided, residency is indeed a time when you\u2019ll have to devote a lot of time to work. Naturally, you\u2019ll have to decide what\u2019s most important outside the hospital and find a way to prioritize that.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a <a href=\"https:\/\/www.roshreview.com\/blog\/staying-healthy-as-a-physician-fitness-tips-for-new-year\/\">fitness enthusiast<\/a>, it was disheartening to find out how hard it was to keep up with workouts when I had a newborn at home and a 60-80 hour work week. Family came first, and while I didn\u2019t become completely out of shape, I had to sacrifice some exercise sessions to maximize time at home and lighten my wife\u2019s load.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">People may not always understand the decisions you make when it comes to triaging your life, but, depending on the circumstances, I wouldn\u2019t worry too much about that. For example, I still remember presenting a poster at a Saturday conference here in Philadelphia. I stuck around for as long as I felt I could, but I wanted to get home to see my son. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When I was leaving, I was quizzically interrogated at the door by the seminar\u2019s organizers, who said, \u201cYou\u2019re leaving now? But\u2026\u201d And while departing halfway through the seminar may not have been the most \u201cprofessional\u201d thing to do, I made the decision to go home and see my 3-month old son. It was an easy decision, but one that still felt strange at the time. My point is that no one can tell you what the most important things are in your life, except you.\u00a0<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-4-personality-issues-are-hard-to-fix-plugging-gaps-in-medical-skills-is-easy\"><strong>4. Personality issues are hard to fix\u2014plugging gaps in medical skills is easy.<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This lesson rings true every day I\u2019m at work. Personal reputation at the hospital is huge, and is almost always correct. Some colleagues have a reputation for being difficult to work with, or for hiding when something might be required of them. And some of them are known to be the hardest workers, the never-complainers, the most proactive and helpful members of the entire team. Everyone knows who falls into which camp. <strong>And if someone\u2019s personality is the issue, that\u2019s a hard problem to fix.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If, on the other hand, someone has a good personality but is a bit lacking when it comes to medical knowledge and procedural skill, that can all be <a href=\"https:\/\/www.roshreview.com\/blog\/the-key-to-teaching-learning-procedures-as-a-resident\/\">taught and learned<\/a>.<\/strong> Some people pick things up more quickly than others, but just about everyone is able to figure out how to do the cerebral and tactile parts of their job pretty well, given enough time to work on it.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But people that have personality issues will probably continue to have them throughout their career. These are the colleagues that don\u2019t know how to work well with others, that blame others when things aren\u2019t going their way, or that are just plain rude.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unfortunately, you\u2019ll have to learn to work with difficult people, a challenge that everyone in every career faces. <strong>Look in the mirror and make sure that person isn\u2019t you.<\/strong> <strong>No amount of clinical acumen is enough to make up for being a jerk.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-5-asking-for-help-isn-t-a-sign-of-weakness-nbsp\"><strong>5. <\/strong><strong>Asking for help isn\u2019t a sign of weakness.&nbsp;<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>I\u2019ve been out of training for six years, and I still find myself asking for help.<\/strong> Sometimes it\u2019s for a tricky spinal in a 90-year old, arthritis-ravaged spine. In situations like that, I\u2019m calling the guy who has done ten times more spinals than I have to come take a shot. Sometimes it\u2019s trying to navigate a complex surgical schedule, and deciding who I can provide anesthesia to now, and who will have to wait. I ask the department chair for help, who has made this decision countless times in the past. <strong>Even when it\u2019s something that\u2019s within my skill set, but I\u2019m too tied up to take care of, I\u2019m phoning a friend.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>I made lots of phone calls to my senior resident as an intern, and while sometimes it might be a bother, it\u2019s a much smaller evil than making a big guess and a wrong decision. <\/strong>There\u2019s a systematic hierarchy in place for a reason. <strong>If you don\u2019t know the answer to something, that\u2019s fine. Figure out what you can on your own, and ask for help when needed. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>But before you do any of this, <em>go and see the patient<\/em>.<\/strong> It\u2019s a real pain to do when you\u2019re sleeping in your call room, but if you have the slightest concern about something, go see the patient before enlisting help from others.\u00a0<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-final-thoughts\"><strong>Final Thoughts<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Residency will challenge you in ways you can\u2019t yet imagine, but it will also shape you into the physician you\u2019re meant to become. Show up, stay humble, and keep learning every day. Carry these five lessons forward, as I have in my career, and you\u2019ll be better for it.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em><em>Rosh Review is a\u00a0<a href=\"https:\/\/www.roshreview.com\/\">board review<\/a>\u00a0company providing Qbanks that boost your confidence for your boards and beyond.\u00a0Get started with a\u00a0<a href=\"http:\/\/app.roshreview.com\/trial\">Rosh Review free trial<\/a>\u00a0to the Qbank of your choice (no credit card required!) and gain access to board-style practice questions,\u00a0detailed explanations, beautiful medical images, and more.<\/em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I remember my first day of residency, ten years ago. Naturally, excitement and nervousness had me waking up earlier than I intended, so I decided to drive to the hospital early, and hang out in my car until it was an appropriate time to arrive. I journaled to pass the time, and can still remember <a href=\"https:\/\/www.roshreview.com\/blog\/lessons-for-july-1st-my-takeaways-from-residency\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":157,"featured_media":13181,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1996,2007],"tags":[3454],"coauthors":[3947],"class_list":["post-13937","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-md-do","tag-residency"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lessons for July 1st: My Takeaways from Residency\u00a0 - RoshReview.com<\/title>\n<meta name=\"description\" content=\"Are you looking for some guidance on how to prepare for residency? We can help. Here\u2019s five tips that\u2019ll get you ready for 7\/1.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.roshreview.com\/blog\/lessons-for-july-1st-my-takeaways-from-residency\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lessons for July 1st: My Takeaways from Residency\u00a0\" \/>\n<meta property=\"og:description\" content=\"Are you looking for some guidance on how to prepare for residency? We can help. Here\u2019s five tips that\u2019ll get you ready for 7\/1.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.roshreview.com\/blog\/lessons-for-july-1st-my-takeaways-from-residency\/\" \/>\n<meta property=\"og:site_name\" content=\"RoshReview.com\" \/>\n<meta property=\"article:published_time\" content=\"2025-06-06T12:19:01+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-23T15:24:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2023\/11\/Internal-Medicine-Residency-Length-Requirements-and-More-Featured-image.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Brian Radvansky, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Brian Radvansky, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/\"},\"author\":{\"name\":\"Brian Radvansky, MD\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#\\\/schema\\\/person\\\/300182c124ff6885fea59c7ae4d8fb01\"},\"headline\":\"Lessons for July 1st: My Takeaways from Residency\u00a0\",\"datePublished\":\"2025-06-06T12:19:01+00:00\",\"dateModified\":\"2025-06-23T15:24:52+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/\"},\"wordCount\":1553,\"image\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.roshreview.com\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2023\\\/11\\\/Internal-Medicine-Residency-Length-Requirements-and-More-Featured-image.jpeg\",\"keywords\":[\"Residency\"],\"articleSection\":[\"Blog\",\"MD\\\/DO\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/\",\"url\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/\",\"name\":\"Lessons for July 1st: My Takeaways from Residency\u00a0 - RoshReview.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/lessons-for-july-1st-my-takeaways-from-residency\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.roshreview.com\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2023\\\/11\\\/Internal-Medicine-Residency-Length-Requirements-and-More-Featured-image.jpeg\",\"datePublished\":\"2025-06-06T12:19:01+00:00\",\"dateModified\":\"2025-06-23T15:24:52+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.roshreview.com\\\/blog\\\/#\\\/schema\\\/person\\\/300182c124ff6885fea59c7ae4d8fb01\"},\"description\":\"Are you looking for some guidance on how to prepare for residency? 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