I work in central hospital for the summer while studying medicine in university. I am a substitute of a specialising physician and I work on different wards of inner medicine. There is a rotation between wards, usually after 3-4 weeks. Different wards include heart patients, infectious diseases and emergency for example.
Usual day at ward begins at 8:00 or an hour later if there is a meeting. At ward the day begins with checking a patient list and current situation with bed places and getting to know new patients and the reason they have been taken in. This includes checking out earlier hospital history of a patient, medication, morning lab tests and radiological tests like chest X-ray or CT scan. After I have visioned the status of a patient or actually all of the patients´ on my responsibility, I begin the round. One by one checking each patient and examine them. First I interview them and find out how they have experienced their symptoms and how the health problem has developed.
Then I listen their heart, lungs and bowel sounds. Palpate pulses in periphery and find out if there is any swelling, and so on. The examination is targeted differently to different kind of patient. For example the cardiovascular system is of a more interest than bowel function with heart patient and the opposite with a patient having a diarrhea. After this I make conclusions and treatment decisions and give instructions to nurses about them. I decide also if a patient is ready to go home or if he/she should stay longer in hospital. If there is a problem I can't come up a solution with, I make consultations to a senior doctor of a certain specialty, that I think helps best the situation of a patient. This is the usual routine of a ward day. Also the paper work needs to be done and this usually happens in the afternoon. These include the texts to health history and prescriptions, referrals and such. Usually the day end about 3:30 p.m.
There is always something new in a day and I learn something new. It also makes me responsible of someone elses health and coping with it builds confidence and makes you feel that you are useful to other people in their time of need. Positive feedback from patient can make your day. A succesful breakthrough or idea in the treatment/diagnosing of patient lifts spirits also quite nicely.
There is always a uncertainty with some of the patients that you have to live with, it some times can become stressful. Telling bad news to a patient can be very stressful situation, it depends a lot on what kind of a person or their relatives is/are. When you survive these kind of things, you become stronger in the future with such situations. And doctors are also humans. They make errors although the goal is to not to. That is difficult to deal with when it happens -with the patient and with myself.
By just doing the job, these all develop the most I think. A lot depends on the person, what kind of a character he/she is. Basic lessons for softwares.