Hi everyone, it's Matt. I'm hoping I'll be posting on the new blog, but before we move there I'd figure I'd better give it a spin on this one.
Kim will probably be handling most of the posts, pictures, and updates (and especially the ones related to Jonah) but I'd figure I'd give everyone a few thoughts on what being a resident is like. I think a great jumping off point is my first paycheck.

So, I'd signed up for direct deposit, but UW said it'd only take effect with the second or third paycheck, so the first one was an actual physical check. At first I was slightly annoyed, but it's kinda cool the more I thought about it. It was interesting to have an actual "paycheck" in my hand for the first time in over four years. Now, I had been "paid" for being a TA in medical school, but that was really just money off my tuition that I never really saw, so I didn't count that. So, it was definitely a surreal experience being "paid" again after going through medical school (where you pay for the opportunity to work your tail off). But it was especially surreal to think that I was being paid for being a doctor.
The thing is, I didn't really do anything that "doctor-ish" to make me think I deserved that money. Most of the hours that went into it were orientation stuff (which is always the same, no matter what hospital you work at). And my first rotation as a resident was not that dissimilar to medical school, as I was basically shadowing an Orthopedic surgeon. Sure, I rounded on patients, wrote a few orders, signed some prescriptions, and was an assist during operations, but it was all stuff a medical student could handle...so it felt weird to get paid for it.
Now, my first night "on call" did fall during this time period, which was definitely a new experience. But, I still don't feel like I did anything to earn my wage. It was mostly just paper pushing stuff. I'd get paged because someone forgot to right an order for something mundane, like for the patient to have tylenol or benadryl, and the nurse has to ask the resident for the order. I did do one consult, but it was for conservative management of a small bowel obstruction (if you're not a medical person, trust me, it's basic stuff that's hard to screw up). And to add insult to injury, the one actual "emergency" that happened on call, a hypotensive ICU patient, had me panic and call my senior resident way early, even though I knew what the first steps to take were. So the first time I would have actually been able to use my fancy four years of education, I stumbled.
It's just weird because I didn't expect it to be like this. The familiar stereotype you always hear about is the poor overworked resident who works twice as many hours as the senior doctors but makes a quarter of their salary. But while I am working a lot of hours as a resident, I feel like I've still got so much to learn during that I'm somewhat guilty for being paid for it. I'm not saying I want to go back to paying tuition like in medical school (far from it), I just wish I felt more dynamic and like I was earning that money.
I imagine this feeling won't last long. The last couple of call nights I've felt like my presence was much more useful. And as the year goes by, I'll be on more demanding rotations (Harborview ER and the General Surgery services) where I'll really be a work-horse for the hospital. And of course, when I get into the thick of my radiology training and figure out what I'm doing, the decisions I make will have huge importance for patient care. I think this conflicted feeling is from still being at the crossroads from fourth year medical student and MD.
Oh, and, I'm sure you've noticed I've obscured the amount I actually got paid. This is just me being old-fashioned. It's not like I'm being modest because I'm pulling in the big bucks...I'm just a resident remember. And it's not like I'm embarrassed about how pitiful my pay is...I'm not on the level of stealing toilet paper and pudding from the hospital like JD and Turk. If you're curious how much I actually make, I'm sure you can find the salary for a PGY1 (that's post graduate year one) resident on the University of Washington website, but it's a good, average living wage. The reasons you hear residents complain about how little they get paid is A) the amount of hours they work (80 hours a week) B) The amount of debt they have (averaging around 150,000 dollars now) and C) It's so little compared to what they'll make when they're finished and less than what a physician's assistant or nurse practitioner doing the same type of work would make. But, for all the reasons I explained above, I'm OK with what I get paid for now. Of course, ask me three years later after I've read and dictated my fifteenth brain MRI of the day if I think I'm underpaid and I'm sure I'll have a different answer.
Wow, that turned into a long post. Hope you enjoyed reading it.