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The patient's wife was convinced that penicillin would kill him (she didn't even want him to have an IV) and refused to allow treatment for the first several days of his hospitalization. We had two saintlike medical students who spent at least an hour a day in that room, working through every motivational interviewing technique known to psychiatry on this woman. Finally after what seemed like an eternity, their efforts paid off and she agreed to allow the pen G. I left the service before finding out whether or not she ever agreed to get an RPR herself...

The combination of that co-intern having the guts to say something to you and your own willingness to listen sparked a very memorable shift from the sort of mindset that can often lead people to have their intern year repeated to the mindset you need to learn to progress through residency. Good on you for not being open to that feedback and growing from there!

We should all try to pay that forward: ask the question question of every resident and every student. "So what do you want to do? That's not a rhetorical question or pimping, it's your patient." It's also our job to let them make those decisions sometimes even if they aren't exactly what we would do as long as those decisions are fundamentally okay.

Along with being the backstop and sanity check on clinical decision-making, I aim to be a consult service for the residents. They should feel happy and unashamed to ask for advice—that's one way they learn. They should do it until I'm asking the for advice just as often, and then we're colleagues and just collaborating or talking shop, depending on level of formality.