Training surgeons from the "Trophy Generation"

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Every generation of every culture (surely including medicine) wonders
"what's the matter with kids these days?"

Speaking only for myself: I've been around long enough to have observed
at least a comparable level of self-pity and self-importance (very rare,
let's be truthful; but inherently conspicuous) coming out of close to
thirty consecutive graduating classes.  In my experience, the phenomenon
must be either easily correctible or self-limiting: call me Pollyanna,
but I truly believe that the doctors I get to hang out with -- new and
old -- are mostly better doctors, coworkers, and citizens with each
passing year.  

Nurses, too.

A completely unhelpful non-answer, I know.  Typical.

Pret Bjorn
Bangor, ME USA



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Sise, Mike MD
Sent: Tuesday, October 21, 2008 3:00 PM
To: Robert F. Smith
Cc: trauma-list at trauma.org
Subject: RE: Training surgeons from the "Trophy Generation"


Rob,

We recently had a group of interns who were totally angry about not
having had enough of an orientation, having to take directions from some
of our nurse practitioners, and seeing the paperwork as beneath them.
Once I engaged them in a direct way with some special attention, they
responded much better. It was an eye opener. I am interested in your
recommendations on how to inspire and work with this group. We are
revamping our orientation and communication strategy. "Old school"
approaches do not work. Once engaged, I find them to be oustanding young
physicians.

Mike Sise

-----Original Message-----
From: Robert F. Smith [mailto:rfsmithmd at comcast.net] 
Sent: Tuesday, October 21, 2008 7:01 AM
To: Sise, Mike MD
Subject: RE: Training surgeons from the "Trophy Generation"

Pretty amusing. But I bet you're not finding it so. Though of course
taking the math literally would mean you're only seeing PGY2s with this
syndrome, but I know what you mean. Obviously this is a continuum. 

I think my wife feels this way about her attendings, lol.

Say hi to Seth for us,

Rob Smith (and Rocky Roberts)

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of Sise, Mike MD
Sent: Tuesday, October 21, 2008 9:24 AM
To: trauma-list at trauma.org
Subject: Training surgeons from the "Trophy Generation"

To all who train residents,
 
Today's Wall Street Journal contains a review of a book about the
millennium generation and their sense of entitlement. The article starts
on the front page of the Personal Journal section. We have noticed the
attitudes described in the article among our residents, particularly
those born after 1980. We are strategizing on how to best teach,
inspire, manage, etc. this very challenging group from whom must come
the next generation of surgeons.
It makes the role of a teaching surgeon even more difficult in the
setting of restricted hours and the other major challenges of modern
trauma and critical care.
 
Who among you has found successful tactics in creating the strategy to
deal with this challenge?
 
Mike Sise
San Diego

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