Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Evaluating medical students: Beware misleading first impressions

Rushil Patel
Education
February 4, 2015
Share
Tweet
Share

I showed up that morning on the inpatient service as a part of my elective. Surprisingly, I found three other medical students present: 1 third year, 2 second years.

The fourth year of medical school has many perks as I have been told by those senior to me. Once the application process gets underway, I have been advised to live every day as though it were my last. Personally, I liked the opportunity to share my experiences with those junior to me as they adjusted to an unfamiliar setting outside of the classroom.

That morning though I didn’t feel like teaching; one of the students really irked me. Each time we convened to discuss a patient, this individual proceeded to pace back and forth outside the huddle while checking his phone and yawning.

When we walked in the room, the student would proceed to sit down. I told his counterpart, “A lot of evaluations as a third year comes down to picking up on social cues. Unless someone sits, don’t sit.”

His attire didn’t help his case either: white coat, collared shirt, no tie, rumpled pants, sneakers.

Each detail annoyed me more and more. He is asking for a professionalism violation, I thought. Sensing an impending train wreck, I had to say something.

“Are you OK?’

“Yeah, I’m just in a lot of pain.”

“Really?”

“Yeah, I have flat feet. That’s why I have to wear these orthotic sneakers.”

“No kidding. Just make it clear when you do your rotations to avoid any miscommunication that might mess up your grade.”

One of the greatest fears I had through third year was the unfair evaluation. The thought of a subjective assessment comprising a large part of my final grade for each rotation invoked anxiety, but after getting a few unfair ones, I felt that I had overcome the shock of being blindsided and vowed to not contribute to this practice as a resident.

What accounted for my mistake?

Asymmetric insight.

In 2001, Emily Pronin and Lee Ross at Stanford, Justin Kruger at the University of Illinois, and Kenneth Savitsky at Williams College, administered questionnaires to 125 college students as part of their studies of this principle. The questionnaires asked participants to think of their best friend and assess how well they knew this friend and vice versa. One question asked them to “indicate the degree to which their friend’s essential nature was observable to them versus hidden beneath the surface,” using a graphical scale consisting of icebergs (shown below). This same question was then asked about them, “the degree to which their essential nature was observable to their friend versus hidden beneath the surface.”

iceberg key

ADVERTISEMENT

Interestingly enough, there was a statistically significant difference in perception: Participants felt they observed much more of their best friend than the other way around.

Having endured the evaluations of third year, this principle accounted for much of the anguish and angst I felt, especially when the comments written about me conflicted with how I felt. As I learned in this case, the conclusions I generate of others should be done with care; the tragic tale resulting from the misjudgment of an iceberg a case in point.

Rushil Patel is a medical student who blogs at his self-titled site, Rushil Patel.

Prev

The AMA: One medical student's perspective

February 4, 2015 Kevin 13
…
Next

From a physician: God bless the night shift

February 4, 2015 Kevin 4
…

Tagged as: Medical school

Post navigation

< Previous Post
The AMA: One medical student's perspective
Next Post >
From a physician: God bless the night shift

ADVERTISEMENT

More by Rushil Patel

  • a desk with keyboard and ipad with the kevinmd logo

    A medical student, molded by experiences with patients

    Rushil Patel
  • a desk with keyboard and ipad with the kevinmd logo

    Leadership on a medical rotation: The dichotomy of accountability

    Rushil Patel
  • a desk with keyboard and ipad with the kevinmd logo

    What medicine can learn from the Titanic

    Rushil Patel

More in Education

  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Why medical student debt is killing primary care in America

    Alexander Camp
  • Why the pre-med path is pushing future doctors to the brink

    Jordan Williamson, MEd
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...