Prendergasts Guide to Housestaff Etiquette
Rule #1 Be Honest.
If you say youre going to do something, do it; if you havent done something (and should
have) admit it.
Corollary A. Lying is the only mistake that is irremediable.
Rule #2 Work Hard.
The housestaff ork a lot harder than you do. !en"e there is genuine a##re"iation for
medi"al students ho ork hard and are illing to hel# out the team. There is little
sym#athy for medi"al students ho hine.
Corollary A. $ont make unne"essary ork for your intern%resident.
Corollary &. 'ne(u#smanshi# is usually froned on.
Corollary C. 'bse)uious faning is almost alays #unished in the absen"e of hard ork.
Rule #3 Know wen to ask for el!.
*ou are not e+#e"ted to kno mu"h about the "lini"al management of hos#itali,ed #atients (hy should
you-), so ask early and learn )ui"kly.
Rule #" Be as self#dire$ted as !ossi%le.
*ou are e+#e"ted to have a good fund of knoledge and to kno ho to resear"h information to solve
#roblems. Curbside advi"e is freely given, but you should try to anser involved )uestions for yourself
before asking for hel#.
Corollary A. Try to read at least the Ce"il%!arrison%."iAmer Cha#ter on your #atients
#roblem before rounds the ne+t day. If the servi"e is )uiet, read more.
Rule #& 'earn ow to !resent $ases $learl( and $on$isel(.
Listening to bad #resentations is like s"rat"hing fingernails on a bla"kboard. Listening to
long bad #resentations is torture.
Rule #) *istakes are ine+ita%le, in tat sense te( are e-!e$ted.
!oever, to #ara#hrase The !ouse of /od, do not make too many mistakes at the same time or the same
mistake more than on"e.
Corollary A. Com#li"ations of #ro"edures are not ne"essarily mistakes.
Corollary &. A"knoledge mistakes hen ne"essary; never try to "over them u#.
Rule #. /e ousestaff are not alwa(s rigt.
There are better and orse interns%residents. If you kno more than another member of your team, be
di#lomati". In any hierar"hy, it is diffi"ult hen 0unior members outshine their su#eriors.
Corollary A. If you are asked to do something "om#letely unreasonable, s#eak
u#. The #er#etrator may be interested to kno hether you have the "ourage to
stand u# for yourself.
Corollary &. .elf(res#e"t is more im#ortant than any evaluation.
Rule #0 1ont worr( a%out (our e+aluation.
If youre smart, they ill kno; if youre not, you ont be able to hide it. 1ork hard and you ill
get the benefit of the doubt.
Rule #2 Ha+e fun.
2edi"ine is an an"ient and noble #rofession. 2ost #eo#le ho do it like many as#e"ts of it.
3ind out hat e+"ites and fulfills you.