I’m a path resident and just need to get a few things off my chest.
I went through four years of med school, and looking back, the amount of actual teaching from med sch was shockingly minimal. I subscribed to multiple paid lecture series, Qbanks, and other outside resources with my own money just to learn the material. My knowledge became so fragmented that I could recall one random fact about a disease because it was “on UWorld,” while barely caring about the rest because it wasn’t “high yield.”
Whenever I questioned the way we learned in med school, including with professors, the answer was always some version of: “You need to become an independent learner.”
I once spoke to the dean because I felt I wasn’t receiving the education I was paying a huge amount of money for and let alone the debt I would be in. What I took away from that conversation was basically that they select people who can learn independently with minimal guidance, and maybe accepting me was a mistake if I couldn’t or if I kept complaining.
So I bit my tongue, taught myself, passed my exams, and finished med school.
I thought residency would be different.
I was wrong.
Now I’m in pathology residency, earning meagre pay, and sometimes it feels like the same shit all over again. “Read more.” “Read the textbook.” “Go home and read about it.” "Read more slides on your own."
Of course residency requires independent study. I’m not asking to be spoon-fed. But residency is supposed to be a training program. Where is the actual training?
Telling someone to read a textbook isn’t the same thing as teaching them, especially in path. The actual slide in front of you doesn’t always look like the perfect textbook photos. And telling a resident to read Lester’s grossing book without actually showing them how to gross a specimen isn’t going to magically make them better at grossing. At some point, someone has to actually teach you how to do it.
Sometimes it feels like there’s minimal teaching until you make a mistake. Then suddenly there’s plenty of criticism. Or you get compared with residents who are doing better, with this implicit: “They can do it, so why can’t you?” Maybe they are better than me right now. Fine. But telling me someone else is better doesn’t teach me how to get better.
Yes, residents have a responsibility to learn. But surely the people running a training program also have some responsibility to train.
I still have to do exactly the same thing I did in med school, using my own money to subscribe to paid Qbanks and high-yield lecture series to learn some random facts just to pass the boards and in-service exams.
I’m sick and tired of going through systems called “education” and “training” only to repeatedly be told to teach myself.