The previous post regarding my frustration with the preceptor I had during family practice rotation was immature and out of control, but one of the purposes of this blog is to vent my anger safely. Below is a more mature and appropriate letter I wrote as a final catharsis for this situation. I’m not going to actually send it to him thanks to feedback from a good friend and my own better judgement. Still it felt good to write it.
C,
I feel like I need to talk to you. I realize email is not the same as
talking, but it’s the best I can do right now and besides, I have a very
difficult time talking to you directly. You tend to talk “at” me rather than
with me, not recognizing what I’ve said and this causes me to shut down. Not
to mention the fact that I tend to cry easily, which is due to both my low
threshold for crying and your approach to personal encounters.
I am still in pain from how you confronted me on Wednesday. I was already in
a precarious position in regards to my confidence about my chosen profession.
You say you want to help, but then you offer medication, a band-aid. You
admit to not understanding me, so then how can you help me? I purposely chose
not to share myself with you because I knew you wouldn’t understand and my
sharing was not a required part of the rotation. I was supposed to learn
family medicine from your perspective. That’s it. If we had connected, I may
have shared more about myself, but we didn’t connect. I admit that breaking
down crying before seeing a patient is not healthy, but would you rather me
walk around like a robot and have no feelings? I’m a sensitive person and
most of my patient encounters were very positive with people wanting me to be
their doctor. I obviously connect with patients. It didn’t seem like you
perceived that in me. You only saw my faults and the first step in helping
someone is seeing what they are good at and what they have to offer.
I am also angry about your perception of Osteopathy. Healthy skepticism is
important to maintain integrity in our profession, but you completely
disregard everything about Osteopathy that I hold dear. It would be one thing
if you were just my FP preceptor, but you are also our OMT preceptor. I have
a hard time forgiving this. Since beginning school 3 years ago I have
experienced so much disappointment in the Osteopathic profession that I have
reached my limit. I can forgive DOs who spend their lives completely immersed
in the allopathic world, becoming experts in their fields who do not use OMT
(i.e. Dr. O, nephrologist). And, I have a huge amount of respect for FPs who
try to incorporate OMT into their practice even though my imagine of an ideal
FP DO is one who only uses OMT for all issues.
I am stubborn, idealistic and possibly delusional, but there was a time when
Osteopathy thrived and I am on a quest to find that “essence”. I don’t want
to settle for mediocrity. Much of my depression and anger stem from this
disappointment and then having to traverse the medical school jungle anyway
because I’m so completely in debt.
I have my issues and I am constantly working on them. Every counselor I have
ever seen has said I have great insight and if I had felt comfortable enough
to talk with you, you would have noticed this too. C, there were a few
moments I actually learned something from you. However, those moments are
overshadowed by me learning to interact with you without being completely
overcome by insubordination. You are the first person I’ve worked with where
I felt so strongly. I may be part of the problem, but you have also
contributed to the dissonance in our relationship.
MG